隔药灸脐法引发皮肤刺激反应的可能性分析及防治  

An Analysis of the Possibility and Prevention of Skin Irritation Caused by Medicinal-Interposed Umbilical Cord Moxibustion

作　　者：翟泰然 孙潇 颜晓[1] 舒杨 张欣茹 石雪萌 杜欣冉 马玉侠[1] ZHAI Tairan;SUN Xiao;YAN Xiao;SHU Yang;ZHANG Xinru;SHI Xuemeng;DU Xinran;MA Yuxia(Shandong University of Traditional Chinese Medicine,Jinan,Shandong,China,250355)

机构地区：[1]山东中医药大学,山东济南250000

出　　处：《河南中医》2024年第1期23-28,共6页Henan Traditional Chinese Medicine

基　　金：山东省自然科学基金项目(ZR202108020058)。

摘　　要：隔药灸脐法引发皮肤刺激反应的原因包含三个方面:个体差异、药物因素、脐灸操作。施术者应在治疗前向患者阐明治疗中的注意事项:治疗前排便;治疗中切勿随意移动肢体;出现不适及时告知施术者。治疗时,根据患者感受及时调整照距。施术者应随时查看患者腹部皮肤状态,以出现桃红色的均匀红斑为宜;及时询问患者感受,以温热舒适为度。治疗后医者应叮嘱患者:留药时间以24 h为宜,24 h后应缓慢撕去敷贴,将脐内药粉取出,然后使用温水冲洗干净腹部皮肤;若在留药过程中感觉瘙痒、刺痛或其他任何不适均应及时停止留药;在治疗当天及前后3 d应注意饮食,调畅情志,旨在保证疗效的同时避免不良反应的发生。隔药灸脐法引发皮肤刺激反应的治疗应视其反应类型与严重程度辨证施治。在使用隔药灸脐法防治疾病时,可能导致患者出现水疱和过敏反应,因此施术者应当熟知其表现、预防措施与治疗方法。为使隔药灸脐法更好为临床服务,施灸者应做到以下3点:皮肤刺激反应存在个体差异,因此要了解隔药灸脐法易敏人群特点,为其提供指向性防护;要辨证用药,合理配伍,在安全的前提下,以药物之偏性纠正人体之偏颇,正确对待刺激性药物的使用,把握药物剂量;治疗过程中,每一个操作步骤都应谨慎为之。The reasons for skin irritation caused by medicinal-interposed umbilical cord moxibustion include three aspects:individual differences,drug factors,and umbilical cord moxibustion operation.The practitioner should clarify the points for attention to the patient before treatment:Defecate before treatment.Do not move the limbs at will during treatment.Inform the operator in time if there is discomfort.During treatment,adjust the lighting distance in time according to the patient′s feelings.The practitioner should check the patient′s abdominal skin status at any time,and it is advisable to appear even peach red erythema.Ask the patient′s feelings in time,and keep the temperature comfortable.After treatment,the practitioner should tell the patient:The optimal retention time for medication is 24 hours.After 24 hours,the patch should be removed slowly,the powder in the umbilical cord should be removed,and then the abdominal skin should be washed clean with warm water.If there is itching,tingling or any other discomfort during the medication,the medication should be stopped in time.On the day of treatment and 3 days before and after treatment,attention should be paid to diet and relaxation,in order to ensure the efficacy and avoid the occurrence of adverse reactions.The treatment of skin irritation caused by medicinal-interposed umbilical cord moxibustion should be treated according to the type and severity of the reaction.When using the medicinal-interposed umbilical cord moxibustion method to prevent and treat diseases,it may lead to blisters and allergic reactions in patients,so the practitioner should be familiar with its performance,preventive measures and treatment methods.In order to make the medicinal-interposed umbilical cord moxibustion method better serve the clinical practice,the practitioner should know the following three points:There are individual differences in skin irritation reaction,so it is necessary to understand the characteristics of the susceptible population of medicinal-interposed umbilic

关 键 词：隔药灸脐法 皮肤刺激反应 个体差异 药物因素 脐灸操作 

分 类 号：R245.82[医药卫生—针灸推拿学]