张鹏教授治疗带状疱疹经验撷菁  

Professor Zhang Peng's Experience in Treating Herpes Zoster

作　　者：林佩怡 吴清明[1] 叶海敏[1] 张鹏[1] Lin Peiyi;Wu Qingming;Ye Haimin;Zhang Peng(The Second Hospital Affiliated to Hunan University of Chinese Medicine,Changsha 410005,China)

机构地区：[1]湖南中医药大学第二附属医院,湖南长沙410005

出　　处：《亚太传统医药》2024年第9期142-146,共5页Asia-Pacific Traditional Medicine

基　　金：国家中医药管理局吴清明全国名老中医药专家传承工作室[国中医药人教函[2022]75号]。

摘　　要：带状疱疹是一种影响神经和皮肤的感染性疾病,具有一定的传染性,不同时期的发病病机表现各异,张鹏教授认为本病与肝脾密切相关,初发时,肝郁气滞,郁久化湿化热,引发肝经湿热,湿热伤脾,木旺乘土,气郁湿热阻滞血行。后期,湿热火毒虽去,但余毒留恋,脾胃已伤,血瘀阻遏经脉,日久气血亏虚,经络失养,久之引发后遗神经痛,在治疗上,张教授提倡不通则痛,不荣则痛,前期侧重治肝,后期侧重健脾,内服中药及中成药,外用可配合中药外敷、普通针刺、火针治疗、刺络拔罐等特色疗法,辨证论治,发挥中医各种疗法的优势。Herpes zoster is an infectious disease affecting nerve and skin,with certain infectivity,and its pathogenesis varies in different periods.Professor Zhang Peng believes that the disease is closely related to the liver and spleen.At the initial stage,the liver stagnates with Qi stagnation,which leads to dampness and heat,which damages the spleen,and the wood takes over the soil,and Qi stagnates with dampness and heat blocking blood flow.The spleen and stomach have been injured,blood stasis obstructs the meridians,Qi and blood deficiency,meridians dysphonia,and residual neuralgia after a long time.In terms of treatment,Professor Zhang advocates pain without general rules and pain without respect,focusing on liver treatment in the early stage and spleen strengthening in the later stage,taking traditional Chinese medicine and Chinese patent medicine internally,external use can be combined with traditional Chinese medicine external application,ordinary acupuncture,fire needle treatment,acupuncture cupping and other special therapies.Treatment based on syndrome differentiation,giving full play to the advantages of various TCM therapies.

关 键 词：带状疱疹 后遗神经痛 肝脾 火针治疗 临证经验 

分 类 号：R249.2.7[医药卫生—中医临床基础] R275[医药卫生—中医学]