摘要
带状疱疹后遗神经痛(Postherpetic Neuralgia, PHN)是带状疱疹最常见、最棘手的并发症,其发病机制尚不明确。现临床常用活血祛瘀、通络止痛法治疗PHN,但对于老年患者的难治性PHN单纯用此法往往无法根治。本文主要阐述了从经方辨治PHN的临证思路,应将局部辨证和整体辨证相结合,先辨六经,继辨方证,再析病理产物,求得方证对应,则诸症皆平。曾宪玉教授临床擅用经方治疗PHN,收效甚良。现兹举一例曾教授灵活运用经方辨治PHN的验案,以飨同道。
Postherpetic neuralgia is the most common and intractable complication of herpes zoster, its pa-thogenesis is still unclear. Currently, promoting blood circulation, removing blood stasis and activating meridians to prevent pain have been commonly used to treat PHN. But using this method simply was difficult to cure refractory PHN for elderly patients. This paper mainly expounds the clinical thinking and experience of distinguishing and treating PHN by classical prescriptions. Local syndrome differentiation and global syndrome differentiation should be combined. The article first identifies the six meridians, subsequently identifies prescription syndrome, and then analyzes pathological products. Finally we can obtain the corresponding prescriptions and syndromes, all the symptoms will be smooth. Professor Zeng Xianyu is good at treating PHN with traditional prescriptions. This article presents a case of Professor Zeng who used the classical prescriptions to treat PHN flexibly and share with the peers.
出处
《中医学》
2023年第6期1542-1546,共5页
Traditional Chinese Medicine
