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针灸治疗下肢丹毒:一例报告。

Acupuncture for erysipelas of lower limbs: A case report.

作者信息

Li Bangwei, Ren Xuanxuan

机构信息

Department of Acupuncture and Moxibustion, The Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.

Department of Traditional Chinese Medicine, Zhejiang Hospital, Hangzhou, China.

出版信息

Medicine (Baltimore). 2025 May 9;104(19):e42413. doi: 10.1097/MD.0000000000042413.

DOI:10.1097/MD.0000000000042413
PMID:40355211
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12073849/
Abstract

RATIONALE

Erysipelas of the lower limbs is a common acute infectious disease, with clinical manifestations of local skin redness, swelling and pain in the lower limbs, and reports of the use of acupuncture alone for treatment are rare. We report a case of erysipelas of lower limbs that was successfully treated with acupuncture.

PATIENT CONCERNS

A 31-year-old male patient presented with pain in the right ankle, along with redness and swelling on the inner aspect of the right calf. Physical examination revealed erythema and swelling of the skin near the ankle. The skin temperature was slightly elevated and the patient experienced localized tenderness. In addition, the patient reported severe pain in the right ankle joint while standing upright. The patient had a history of tinea pedis with no evidence of insect bites or trauma. Local acupuncture treatment was administered, and after 3 sessions, the pain resolved, the swelling reduced, and the body temperature normalized.

DIAGNOSES

We diagnosed the patient with erysipelas of the lower limb.

INTERVENTIONS

An acupuncture treatment plan was developed based on the patient's symptoms and diagnosis.

OUTCOMES

Acupuncture significantly improved pain and swelling associated with erysipelas of the lower limbs.

LESSONS

Following acupuncture treatment, the patient's pain and local redness disappeared, suggesting that acupuncture may be effective in treating erysipelas of the lower limbs. However, owing to the limitations of this single, uncontrolled case study, definitive conclusions cannot be drawn. Further research into the use of acupuncture for treating lower limb erysipelas is warranted in the future. In addition, it is recommended that the patient continue standard treatment for tinea pedis to prevent the recurrence of lower limb erysipelas.

摘要

理由

下肢丹毒是一种常见的急性传染病,临床表现为下肢局部皮肤红肿、疼痛,而单独使用针灸治疗的报道较为罕见。我们报告一例采用针灸成功治疗的下肢丹毒病例。

患者情况

一名31岁男性患者,右踝疼痛,右小腿内侧发红肿胀。体格检查发现踝关节附近皮肤红斑及肿胀。皮肤温度略有升高,患者有局部压痛。此外,患者报告直立时右踝关节剧痛。患者有足癣病史,无虫咬或外伤史。给予局部针灸治疗,3次治疗后,疼痛缓解,肿胀减轻,体温恢复正常。

诊断

我们诊断该患者为下肢丹毒。

干预措施

根据患者症状和诊断制定针灸治疗方案。

结果

针灸显著改善了与下肢丹毒相关的疼痛和肿胀。

经验教训

针灸治疗后,患者疼痛和局部发红消失,提示针灸可能对治疗下肢丹毒有效。然而,由于本单病例无对照研究的局限性,无法得出明确结论。未来有必要进一步研究针灸治疗下肢丹毒的应用。此外,建议患者继续对足癣进行规范治疗,以预防下肢丹毒复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd08/12073849/728dce68990e/medi-104-e42413-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd08/12073849/b43e429287a3/medi-104-e42413-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd08/12073849/4ca4eef29ad1/medi-104-e42413-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd08/12073849/bb5c835c9669/medi-104-e42413-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd08/12073849/728dce68990e/medi-104-e42413-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd08/12073849/b43e429287a3/medi-104-e42413-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd08/12073849/4ca4eef29ad1/medi-104-e42413-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd08/12073849/bb5c835c9669/medi-104-e42413-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd08/12073849/728dce68990e/medi-104-e42413-g004.jpg

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本文引用的文献

1
The effect of acupuncture on pain and swelling of arthritis animal models: A systematic review and meta-analysis.针刺对关节炎动物模型疼痛和肿胀的影响:一项系统评价与荟萃分析。
Front Genet. 2023 Apr 11;14:1153980. doi: 10.3389/fgene.2023.1153980. eCollection 2023.
2
Acupuncture ameliorates not only atopic dermatitis-like skin inflammation but also acute and chronic serotonergic itch possibly through blockade of 5-HT and 5-HT receptors in mice.针刺不仅可以改善特应性皮炎样皮肤炎症,还可以改善急性和慢性 5-羟色胺能瘙痒,其机制可能是通过阻断小鼠的 5-HT 和 5-HT 受体。
Brain Behav Immun. 2021 Mar;93:399-408. doi: 10.1016/j.bbi.2021.01.027. Epub 2021 Jan 30.
3
Risk factors of recurrent erysipelas in adult Chinese patients: a prospective cohort study.
中国成年复发性丹毒患者的危险因素:一项前瞻性队列研究。
BMC Infect Dis. 2021 Jan 7;21(1):26. doi: 10.1186/s12879-020-05710-3.
4
Microorganisms of the toe web and their importance for erysipelas of the leg.趾间微生物及其对腿部丹毒的重要性。
J Dtsch Dermatol Ges. 2014 Aug;12(8):691-5. doi: 10.1111/ddg.12374. Epub 2014 Jun 24.