形神并调治则下运用针刺治疗复发性三叉神经痛  

Treatment of Recurrent Trigeminal Neuralgia with Acupuncture under the Principle of Regulating the Body and Mind Simultaneously

作　　者：李宜真 何雨竹 王健[1,2] LI Yizhen;HE Yuzhu;WANG Jian(Shandong University of Traditional Chinese Medicine,Jinan,250355;Affiliated Hospital of Shandong University of Traditional Chinese Medicine)

机构地区：[1]山东中医药大学,山东省济南市250014 [2]山东中医药大学附属医院

出　　处：《中医杂志》2025年第6期629-633,共5页Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局国家中医优势专科建设项目(针灸科-2023-300-1);济南市科技计划项目(202226001);齐鲁医派中医学术流派传承项目(鲁卫函〔2020〕132号);2022年度山东省中医药名医项目(鲁卫函〔2023〕50号)。

摘　　要：认为复发性三叉神经痛的病因主要为金刃损伤、情志不畅,核心病机为经络不通、形神不调,提出治疗宜形神并调,以疏通经络、疏肝行气、调神镇痛为治法。临证常采用疏肝调神针法联合傍神经刺,并在施术过程中辅以针刺至骨法以增强镇痛效果,为临床针刺治疗复发性三叉神经痛提供诊疗思路。It is believed that the cause of recurrent trigeminal neuralgia is mainly physical injuries and emotional distress.The core pathogenesis lies in the blockage of meridians and disharmony between the body and mind.Therefore,it is proposed that the treatment should focus on simultaneously regulating the body and the mind,with the therapeutic methods of unblocking the meridians and collaterals,soothing the liver and moving qi,and regulating the mind to relieve pain.In clinical practice,liver-soothing and mind-regulating acupuncture combined with para-nerve acupuncture are commonly used,and puncturing upto the bone is applied to strengthen the analgesic effect,providing a new diagnosis and treatment idea for clinical treatment of recurrent trigeminal neuralgia with acupuncture.

关 键 词：复发性三叉神经痛 形神并调 疏肝调神 傍神经刺 

分 类 号：R24[医药卫生—中医临床基础]