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基于经筋理论探讨针刺治疗带状疱疹后遗神经痛的辨证思路

倪江涛 冶尕西 仝珺 颜蕊 陈玉娇

甘肃中医药大学学报2026,Vol.43Issue(4):13-17,5.
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甘肃中医药大学学报2026,Vol.43Issue(4):13-17,5.DOI:10.16841/j.issn1003-8450.2026.04.03

基于经筋理论探讨针刺治疗带状疱疹后遗神经痛的辨证思路

Discussion on acupuncture treatment strategies for postherpetic neuralgia based on the theory of meridians and sinews

倪江涛 1冶尕西 2仝珺 3颜蕊 4陈玉娇4

作者信息

  • 1. 甘肃中医药大学针灸推拿学院,甘肃 兰州 730101||杭州市第一人民医院桐庐医院针灸推拿科,浙江 杭州 310000
  • 2. 宁夏回族自治区中医医院针灸科(宁夏回族自治区中医研究院),宁夏 银川 750021||宁夏医科大学附属自治区中医院针灸科,宁夏 银川 750021
  • 3. 甘肃中医药大学针灸推拿学院,甘肃 兰州 730101||西安浐灞国际港新合社区卫生服务中心中医科,陕西 西安 710000
  • 4. 甘肃中医药大学针灸推拿学院,甘肃 兰州 730101
  • 折叠

摘要

Abstract

Guided by the theory of meridians and sinews(Jingjin),this study systematically explores the acu-puncture treatment strategy for postherpetic neuralgia(PHN),aiming to provide new insights and therapeutic ap-proaches for future clinical practice.PHN is categorized as a meridian and sinew disorder,wherein damage to the sinews associated with the three yin and three yang meridians of the hands and feet leads to the formation of trans-verse sinew connections,which obstruct meridians,impede qi and blood circulation,and result in pain due to bloc-kage.Alternatively,inadequate nourishment of the sinews by blood may lead to pain due to deficiency.The core of treatment lies in restoring the physiological functions of the sinews.Clinically,following identification of lesion points through palpation along the sinew pathways,treatment should focus on local sinew nodules,combined with distal acupoints that regulate sinews and unblock meridians.The method of"resolving nodules both locally and dis-tally"is employed to dissipate sinew nodules,normalize qi and blood flow,and ultimately achieve the therapeutic goal of eliminating lesions and resolving the disease.Two representative clinical cases are provided for validation.

关键词

带状疱疹后遗神经痛/经筋理论/针刺/辨治思路

Key words

postherpetic neuralgia/theory of meridians and sinews/acupuncture/treatment strategy based on syndrome differentiation

分类

医药卫生

引用本文复制引用

倪江涛,冶尕西,仝珺,颜蕊,陈玉娇..基于经筋理论探讨针刺治疗带状疱疹后遗神经痛的辨证思路[J].甘肃中医药大学学报,2026,43(4):13-17,5.

基金项目

宁夏回族自治区重点研发计划项目(2022BEG02036) (2022BEG02036)

宁夏回族自治区科技惠民专项(2021CMG03024). (2021CMG03024)

甘肃中医药大学学报

1003-8450

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