从“络”探讨带状疱疹后遗神经痛的中医治疗  

Discussion on Traditional Chinese Medicine Treatment of Postherpetic Neuralgia from “Collaterals”

作　　者：李元文 王京军 孙占学 张丰川 曹婷 LI Yuanwen;WANG Jingjun;SUN Zhanxue;ZHANG Fengchuan;CAO Ting(Dongfang Hospital, Beijing University of Chinese Medicine, Beijing 100078;Chinese Medicine Hospital of Beijing MentougouDistrict)

机构地区：[1]北京中医药大学东方医院 [2]北京市门头沟区中医医院

出　　处：《中医杂志》2019年第8期653-655,共3页Journal of Traditional Chinese Medicine

基　　金：北京中医药大学东方医院"1166"人才培养项目(030903010323);北京中医药科技发展资金(JJ2018-84)

摘　　要：带状疱疹后遗神经痛是带状疱疹最常见的后遗症。稽留毒邪发作为带状疱疹致病因素,气血阴阳不足为其发病基础,络损不复则是带状疱疹后遗神经痛的病机关键。同时针对形成带状疱疹后遗神经痛的络损、络瘀、络虚、络阻,确立清热解毒护络、活血化瘀通络、益气养血修络、搜风镇痉止痛的治疗方法和常用中药。临证应选择相应的最佳组合治疗方法,总以修复络损、恢复络脉功能、消除带状疱疹后遗神经痛为治疗目的。Postherpetic neuralgia is the most common sequela of herpes zoster. The stagnated toxin pathogen is the pathogenic factor of herpes zoster, and the deficiency of qi, blood, yin and yang is the basis of the disease. The collateral damage that cannot recovery is the key to the pathogenesis of postherpetic neuralgia. At the same time, focusing on the collateral damage, collateral stasis, collateral obstruction and collaterals deficiency of postherpetic neuralgia ,the treatment method and commonly used Chinese medicine for clearing heat and detoxifying the collaterals, promoting blood circulation and removing blood stasis, replenishing qi, nourishing blood, repairing the collaterals, extinguishing wind, arresting convulsions, and relieving pain. In clinical practice, the appropriate combination of treatment methods should be used, with the treatment purposes of repairing collateral damage, restoring collateral function, eliminating postherpetic neuralgia.

关 键 词：带状疱疹后遗神经痛 络损 络瘀 络虚 络阻 

分 类 号：R275.9[医药卫生—中西医结合]