摘要
产后痹属于“痹证”范畴,病属本虚标实,是以肌肉、肢体或关节酸痛、重着、麻木、活动不利等为主要临床表现的疾病,病情缠绵难愈,给患者造成了巨大的痛苦。其机制不外乎正气亏虚,卫外不固,外邪乘虚而入,痹阻脉络。治疗该病应当衡量主次,重点调治。现代医学对产后痹缺乏一定的研究,也没有明确的诊断标准。中医对产后痹有相对深入的研究。王师治疗产后痹重在扶正,兼以祛邪,不但遣方用药精良,而且善用小针刀“解筋结”以达到理筋散结、疏通经络的目的。肾藏元阳,机体受元阳以温养,元阳不足则阳气卫外不固,营卫不合,腠理不固。针刀松解能够刺激局部经穴,使经气下达于肾,激发元阳,助阳发散,鼓舞正气,达正胜邪祛脏安之效。王师从痹病的角度出发,结合妇女产后发病时间及特点,予以《武威汉代医简》之治东海白水侯所奏方加减(黑附片、桔梗、牛膝、防风、柴胡、赤石脂、山茱萸、肉苁蓉、熟地黄、山药、续断、黄柏、桂枝、党参、白术、苍术)联合督脉刺骨术治疗,既用中药,又施针刀,体现了其“针药联合、内外同治”的学术思想,具有攻补兼施,防守兼顾,调理肝脾,补益肝肾,温阳散寒之功。
Postpartum arthralgia belongs to the category of“arthralgia syndrome”,which is characterized by asthenia in origin and asthenia in superficiality.It is a disease characterized by muscle,limb or joint pain,heavy weight,numbness,and poor movement.The disease is lingering and difficult to cure,causing great pain to the patients.Its mechanism is the deficiency of vital Qi(气),weakened defensive Qi,and that external evil obstructs the vein.The treatment should distinguish the primary and secondary and focus on regulation and treatment.There is a lack of modern medical research on postpartum arthralgia and no clear diagnostic criteria.Traditional Chinese medicine has a relatively in-depth study of postpartum arthralgia,WANG’s treatment of postpartum arthralgia emphasizes strengthening the body resistance to eliminate pathogenic factors,the prescription is precise,and the small acupotomy to“untie tendons and knots”is used to achieve the purpose of straightening tendons and dispersing knots and dredging meridians.Kidneys store primordial Yang(阳),which warms the body,if primordial Yang is insufficient,Yang Qi is not solid,which in turn leads to disharmony between nutritive Qi and defensive Qi and striae of the skin and muscles being loose.The needle knife release can stimulate the local meridian,so that the Qi ascends to the kidney,stimulates primordial Yang and helps Yang Qi divergence,encourages healthy Qi,achieves the effect of the dispelling evil Qi.From the perspective of arthralgia,combined with the women postpartum onset time and characteristics,Director WANG applies Modified prescription[Heifupian(Black aconite),Jiegeng(Platycodon grandiflorum),Niuxi(Achyranthes bidentata),Fangfen(Parsnax),Chaihu(Bupleurum Ulmoides),Chishizhi(Red stone tallow),Shanzhuyu(Cornus officinalis),Roucongrong(Cistanche),Shudihuang(Ripe ground),Shanyao(Chinese yam),Xuduan(Dipsacales),Huangbo(Yellow cedar),Guizhi(Cassia twig),Dangshen(Codonopsis codonopsis),Baizhu(Atractylodes),Cangzhu(Atractylodes)]recorded in Wuwei Handai Yijian(《武威汉代医简》),combined with the bone-chilling treatment of the Du meridian(督脉),both TCM medicine and acupotomy reflect the academic thought of“acupuncture and medicine combination,internal and external treatment”.It has the function of attacking and supplementing,defending and reinforcing,regulating liver and spleen,tonifying liver and kidney,and warming Yang and dispersing cold.
作者
王爱华
吴晓刚
王鹏飞
WANG Ai’hua;WU Xiaogang;WANG Pengfei
出处
《中医临床研究》
2023年第6期125-127,共3页
Clinical Journal Of Chinese Medicine
基金
兰州市人才创新创业项目:中医适宜技术在县乡两级分级诊疗病种中的临床应用及推广(2019-RC-96)。
关键词
产后痹
中医治疗
督脉刺骨术
Postpartum arthralgia
Traditional Chinese medicine treatment
Bone-chilling treatment of the Du meridian
