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以芒针从三焦论治带状疱疹急性期并发剧烈头痛验案1则
李斯琪1,2, 阎莉1,2, 沈燕1,2, 于丽1,2, 王舒3,4
1.天津中医药大学第一附属医院, 天津 300381;2.国家中医针灸临床医学研究中心, 天津 300381;3.天津市中医药研究院附属医院, 天津 300120;4.国家中医药管理局脑病针刺疗法重点研究室, 天津 300000
摘要:
带状疱疹是由水痘-带状疱疹病毒侵犯神经节进而引起神经节炎症而导致的一种常见感染性皮肤病。常见集簇性皮疹呈神经节段或单侧分布,伴发热、全身乏力等症状。中医病名为“蛇串疮”“缠腰火丹”等。病因病机为肝胆湿热、脾湿蕴热、气虚血瘀、气滞血瘀等,治疗多以西药结合针灸、传统电针、放血拔罐疗法为主。阎莉教授以打通枢纽、通利三焦之法进而达到论治急性期带状疱疹的目的,运用芒针结合电针、放血拔罐疗法,以期快速改善患者疼痛症状,降低带状疱疹后遗神经痛的发生率。
关键词:  带状疱疹  芒针  三焦论治  三脘穴
DOI:10.11656/j.issn.1673-9043.2022.02.16
分类号:R245.3
基金项目:长江学者和创新团队发展计划项目(IRT1167)。
One case of acute herpes zoster complicated with severe headache treated with Awn needle from triple energizer
LI Siqi1,2, YAN Li1,2, SHEN Yan1,2, YU Li1,2, WANG Shu3,4
1.First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China;2.National Clinical Research Center for Chinese Medicine Acupuncture and Moxibuetion, Tianjin 300381, China;3.Tianjin Academy of Traditional Chinese Medicine Affiliated Hospital, Tianjin 300120, China;4.Key Laboratory of Cerebropathy Acupuncture Therapy of State Administration of Traditional Chinese Medicine, Tianjin 300000, China
Abstract:
Herpes zoster is a common infectious skin disease caused by varicella zoster virus invading ganglion and causing ganglion inflammation. Clustered rash is commonly distributed in ganglion segments or one side,accompanied by fever,general fatigue and other symptoms. It is called "Snake-Like Sore" and "Waist Winding Erysipelas" by traditional Chinese medicine. The etiology and pathogenesis are dampness and heat in liver and gallbladder,dampness and heat in spleen,qi deficiency and blood stasis,qi stagnation and blood stasis,etc. Professor YAN Li uses the method of opening up the hubs and triple energizer to treat acute herpes zoster,using Awn needle combined with electroacupuncture and bloodletting cupping therapy to quickly improve the pain symptoms of patients and reduce the incidence of postherpetic neuralgia.
Key words:  herpes zoster  Awn needle  treatment of triple energizer  Sanwan acupoint
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