基于“虚气留滞”理论辨析气虚血瘀型带状疱疹后遗神经痛的经验总结  

Analysis of Postherpetic Neuralgia with Qi Deficiency and Blood Stasis Based on the Theory of"Deficiency Qi Stagnation"

作　　者：金依竹 芦源[2] JIN Yizhu;LU Yuan(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《实用中医内科杂志》2024年第7期7-9,共3页Journal of Practical Traditional Chinese Internal Medicine

基　　金：国家中医药管理局项目(SATCM-2015-BZ〔284〕)。

摘　　要：带状疱疹后遗神经痛为带状疱疹最普遍的后遗症,以神经疼痛为主,顽固难除。现代医学治疗侧重于改善症状,虽见效快,但易反复。中医认为,气血亏虚是该病的发病基础,气虚血瘀是该病的核心病机。为探析带状疱疹后遗神经痛的治疗,文章基于王永炎院士根据其多年临床实践经验提出的“虚气留滞”理论,以补阳还五汤从气、血两个角度以补气活血之法论治气虚血瘀型带状疱疹后遗神经痛,以期对未来临床治疗该病提供思路。Postherpetic neuralgia is the most common sequela of herpes zoster,mainly nerve pain,often stubborn and difficult to remove.Modern medical treatment often focuses on improving symptoms,which are quick but easy to repeat.Traditional Chinese medicine believes that Qi and blood deficiency is the basis of the disease,Qi deficiency and blood stasis is the core pathogenesis of the disease.In order to explore the treatment of postherpetic neuralgia,based on the theory of"deficiency of Qi to remain stagnant"put forward by Academician Wang Yongyan according to his many years of clinical practice experience,Buyang Huanwu Decoction(补阳还五汤)was used to treat postherpetic neuralgia of qi deficiency and blood stasis from two perspectives of Qi and blood circulation,in order to provide ideas for future clinical treatment of this disease.

关 键 词：带状疱疹后遗神经痛 虚气留滞 气虚血瘀 补阳还五汤 

分 类 号：R259[医药卫生—中西医结合]