刺络放血疗法治疗下肢丹毒研究进展  

Research Progress of Treating Erysipelas of Lower Limbs with Meridian-Pricking for Bleeding

作　　者：连一帆 徐婷[1] 梁松平 周丽琴 朱慧[1] 王丹[2] LIAN Yi-fan;XU Ting;LIANG Song-ping;ZHOU Li-qin;ZHU Hui;WANG Dan(Jiangxi University of Chinese Medicine,Nanchang,Jiangxi,China,330004;Affiliated Hospital of Jiangxi University of Chinese Medicine,Nanchang,Jiangxi,China,330006)

机构地区：[1]江西中医药大学,江西南昌330004 [2]江西中医药大学附属医院,江西南昌330006

出　　处：《河南中医》2022年第12期1942-1944,共3页Henan Traditional Chinese Medicine

基　　金：江西省自然科学基金项目(20212BAB206063)。

摘　　要：刺络放血疗法具有清热排毒、活血消肿、散瘀止痛等作用,治疗下肢丹毒效果显著。刺络放血疗法联合其他特色疗法如拔罐、口服中药、外敷中药等,可以促使病灶处炎症消退、皮损愈合,增强治疗效果。但该疗法尚存在一些不足:①由于缺乏系统理论框架,刺络放血疗法的针刺角度与力度、出血量效关系等操作要点完全依靠医者经验,缺乏统一数据化标准;②该疗法的有创性决定了其仅仅适用于下肢丹毒,对于颜面部丹毒及新生儿丹毒则不适用,凝血功能异常者也不能使用;③该疗法治疗下肢丹毒缺乏大样本、随机、双盲的对照试验。今后,可尝试制定统一的数据标准,开展大样本、随机、双盲的对照试验。Meridian-pricking for bleeding therapy has the unique effects of clearing heat and expelling toxin,promoting blood circulation and relieving swelling,removing blood stasis and stopping pain,and has a significant effect on erysipelas of lower limbs.Combined with other characteristic therapies(such as cupping,Chinese medicine for oral administration,external application of Chinese medicinals,etc.),it can promote the regression of inflammation at the focus,the healing of skin lesions,and enhance the therapeutic effect.However,there are still some shortcomings in this therapy:(1)Due to the lack of a systematic theoretical framework,the operation points of Meridian-pricking for bleeding therapy,such as the angle and strength of acupuncture,and the relationship between the amount and effect of bleeding,completely rely on the experience of doctors,and there is a lack of unified data standards;(2)The invasive nature of the therapy determines that it is only applicable to erysipelas of lower limbs,but it cannot be used for erysipelas of face and the newborn,and it cannot be used for those with abnormal blood coagulation function;(3)The treatment of erysipelas in lower limbs lacks large sample statistics and randomized,double-blind controlled trials.In the future,we can try to formulate a unified data standard and carry out large sample,randomized,double-blind controlled trials.

关 键 词：下肢丹毒 刺络放血疗法 中药内服 拔罐治疗 中药外敷 

分 类 号：R275.953.5[医药卫生—中西医结合]