摘要
非特异性肋软骨炎是肋软骨的非化脓性炎症,主要表现为单根或多根肋软骨肿大、凸起,患者有持续性胸骨钝痛、胀痛、胸重闷感,症状时轻时重,咳嗽、转体、患侧上肢活动时疼痛加重,有时症状反复出现。本病为临床常见病,好发于青壮年,且女性患者较男性多见。此病病因尚不明确,可能的原因有病毒感染、胸肋关节韧带慢性劳损、肋软骨营养障碍、外伤等。目前,封闭疗法及非甾体类药物为该病的经典临床疗法之一,但其往往可以解决一时的病痛,远期效果不理想,且伴有不良反应较大的特点。因位置特殊对操作者要求较高,安全系数有待提高。采用传统中医药疗法对于本病的治疗具有特殊意义,然而临床上多选用针刺、汤剂、膏药等疗法,有关艾灸对本病治疗效果的研究甚少,在跟随导师王建强学习的过程中,笔者发现采用艾灸治疗本病疗效明显,具有临床应用价值。文章详细介绍了1例运用艾灸联合推拿疗法成功治疗非特异性肋软骨炎的临床案例,以期为该病的中医临床治疗拓展新思路。
Non-specific costal chondritis is a non-suppurative inflammation of costal cartilage,which is mainly manifested by the enlargement and bulge of single or multiple costal cartilage.The patient has persistent sternal dull pain,distension pain,and chest tightness.The symptoms are sometimes mild and sometimes severe,and the pain is aggravated when coughing,turning,and moving the affected side of the upper limb.Sometimes the symptoms recur.This disease is a common clinical disease,which usually occurs in young adults,and female patients are more common than male patients.The etiology of the disease is still unclear,and the possible causes are viral infection,chronic strain of the thoracocostal joint ligaments,costal cartilage dystrophy,trauma,etc..At present,blocking therapy and non-steroidal drugs are the classic clinical treatments of the disease,but they can only relieve pain immediately,the long-term effect is not ideal,and the adverse reactions are large.Because of the special position,the requirement for the operator is high,and the safety factor needs to be improved.Traditional Chinese medicine therapy has special significance for the treatment of this disease.Acupuncture,decoction,plaster and other therapies are often used in clinic,but there are few studies on the therapeutic effect of moxibustion on this disease.in the process of learning from WANG Jianqiang,the author found that moxibustion has obvious curative effect and clinical application value.In this paper,a clinical case of non-specific costal chondritis successfully treated by moxibustion plus massage therapy is introduced in detail,hoping to expand new ideas for the TCM clinical treatment of the disease.
出处
《中医临床研究》
2023年第13期82-85,共4页
Clinical Journal Of Chinese Medicine
关键词
非特异性肋软骨炎
气滞血瘀
艾灸
推拿
Non-specific costal chontis
Qi stagnation and blood stasis
Moxibustion
Massage
