Experience in treating postherpetic neuralgia with collateral theory

XUE Chunchun; XIE Lei; LI Xiaofeng; HUANG Aiping; GU Zhen; KONG Shuyi; WEN Xinlin; LI Yanan; KUI Wenyun; WANG Kaiqiang

doi:10.16305/j.1007-1334.2023.2208088

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Experience in treating postherpetic neuralgia with collateral theory

更新时间：2023-07-15

- Experience in treating postherpetic neuralgia with collateral theory
- Shanghai Journal of Traditional Chinese Medicine Vol. 57, Issue 7, Pages: 30-33(2023)
- 作者机构：
  
  1.上海中医药大学附属市中医医院疼痛科（上海 200071）
  2.上海中医药大学附属市中医医院骨伤科（上海 200071）
  3.施杞名中医传承工作室（上海 200071）
- 作者简介：
- 基金信息：
- DOI：10.16305/j.1007-1334.2023.2208088
  CLC：
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薛纯纯,谢磊,李晓锋,等.带状疱疹后神经痛从络论治体会[J].上海中医药杂志,2023,57(7):30-33.

XUE Chunchun,XIE Lei,LI Xiaofeng,et al.Experience in treating postherpetic neuralgia with collateral theory[J].Shanghai Journal of Traditional Chinese Medicine,2023,57(7):30-33.
薛纯纯,谢磊,李晓锋,等.带状疱疹后神经痛从络论治体会[J].上海中医药杂志,2023,57(7):30-33. DOI： 10.16305/j.1007-1334.2023.2208088.

XUE Chunchun,XIE Lei,LI Xiaofeng,et al.Experience in treating postherpetic neuralgia with collateral theory[J].Shanghai Journal of Traditional Chinese Medicine,2023,57(7):30-33. DOI： 10.16305/j.1007-1334.2023.2208088.

摘要

带状疱疹后神经痛为顽固性难治性神经痛，属中医络病范畴。其发病部位与络病相符，病程与络病病程相似，疼痛形式多样的发病机制与络病病机相似。络损不复为其病机关键，治疗采用三期辨证、从络论治的方法。初期为毒损络脉，予自拟清毒舒络方以清热解毒、舒络止痛；中期为络脉瘀阻，予自拟活血通络方以活血化瘀、通络止痛；晚期为络虚不复，予自拟补虚护络方以益气养阴、护络止痛。同时根据疼痛不同部位及性质选用相应的止痛药对及引经药；局部疼痛迁延难愈时，采用刺络放血以祛瘀生新、畅达络脉，提高疗效。

Abstract

Postherpetic neuralgia （PHN） is a type of persistent and intractable nerve pain， which pertains to the category of collateral diseases in traditional Chinese medicine. Its disease location is consistent with that of collateral diseases， as is its course and the pathogenesis of various forms of pain. The key to the pathogenesis of PHN is the damaged but unrecovered collateral. Therefore， we differentiate three stages of PHN and treat respectively based on the collateral theory. The pathogenesis of the initial stage is toxin damaging the collateral， and the self-formulated Qingdu Shuluo Formula is prescribed to clear heat and remove toxin， smooth the collateral and relieve pain. The pathogenesis of the middle stage is blood stasis obstructing the collateral， and the self-formulated Huoxue Tongluo Formula is prescribed to activate blood circulation and relieve blood stasis， dredge the collateral and relieve pain. The pathogenesis of the advanced stage is collateral deficiency without recovery， and the self-formulated Buxu Huluo Formula is prescribed to benefit qi and nourish yin， protect the collateral and relieve pain. Meanwhile， medicinal pairs and channel-ushering medicinals are selected accordingly with the change of pain location and nature. If the topical pain is persistent and refractory， collateral-pricking and blood-letting should be used to remove stasis， generate new blood， activate the collateral and therefore improve the therapeutic effect.

关键词

带状疱疹后遗神经痛络病从络论治刺络放血中医药疗法

Keywords

herpes zosterposterior neuralgiacollateral diseasetreatment with the collateral theorycollateral-pricking and blood-lettingtraditional Chinese medicine therapy

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