中医滚针治疗斑块型银屑病原理探讨
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摘要
斑块型银屑病发病率高,病情顽固,治疗困难,属于祖国医学"白疕"范畴。近世医家多从"血分"对其进行辨证论治,认为血热、血瘀、血燥为其基本病机。外治方面,多主张皮疹辨证与整体辨证相结合,总以清热凉血、润燥祛风、活血散瘀为法,可经由中医外治手段通过增强对皮损的局部刺激实现。而作为改良梅花针的滚针疗法,则不仅避免了这些缺点,且增强了治疗效果。通过对患处皮部的反复滚刺,激发卫气、调和气血、疏通经络、平衡阴阳,达到"外病外治"的目的。配合外用药能加强外用药物的吸收、渗透及持续时间,达到两种方法疗效叠加的效果。起效快速,疗效显著,操作简单,副作用小,值得临床推广应用。
Plaque psoriasis characterized by high incidence is intractable,which belongs to the category of "Bai Bi"of traditional Chinese medicine. Majority treated it according to the syndrome differentiation of "blood position ",regarding the blood heat,blood stasis,and blood dryness as its basic pathogenesis. External treatment always advocates the combination of skin rash syndrome differentiation and overall syndrome differentiation,using the methods of clearing heat and cooling blood,moistening dryness and dispelling wind,promoting blood circulation and dispersing blood stasis.These can be achieved by strengthening local stimulation of skin lesions through external treatment of traditional Chinese medicine. The needle rolling therapy,as the improved plum blossom needle, not only avoids these shortcomings, but also enhances the therapeutic effect. By repeatedly rolling prickles on the affected skin,qi is stimulated,qi and blood is harmonized,channels and collaterals are dredged,yin and yang are balanced,in order to achieve the purpose of "external treatment of diseases". It can enhance the absorption, penetration and duration of external medicines with external medicines,and achieve the effect of superposition of the two methods. Because of the simple operation with rapid effect and small side effect,it is worth popularizing and applying.
Plaque psoriasis characterized by high incidence is intractable,which belongs to the category of "Bai Bi"of traditional Chinese medicine. Majority treated it according to the syndrome differentiation of "blood position ",regarding the blood heat,blood stasis,and blood dryness as its basic pathogenesis. External treatment always advocates the combination of skin rash syndrome differentiation and overall syndrome differentiation,using the methods of clearing heat and cooling blood,moistening dryness and dispelling wind,promoting blood circulation and dispersing blood stasis.These can be achieved by strengthening local stimulation of skin lesions through external treatment of traditional Chinese medicine. The needle rolling therapy,as the improved plum blossom needle, not only avoids these shortcomings, but also enhances the therapeutic effect. By repeatedly rolling prickles on the affected skin,qi is stimulated,qi and blood is harmonized,channels and collaterals are dredged,yin and yang are balanced,in order to achieve the purpose of "external treatment of diseases". It can enhance the absorption, penetration and duration of external medicines with external medicines,and achieve the effect of superposition of the two methods. Because of the simple operation with rapid effect and small side effect,it is worth popularizing and applying.
引文
[1]丁晓岚,王婷琳,沈佚葳,等.中国六省市银屑病流行病学调查[J].中国皮肤性病学杂志,2010,24(7):598-601.
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[6]孙少馨.基于经络对称存在理论采用紫草油走罐法治疗斑块型银屑病的临床研究[D/OL].北京:北京中医药大学,2016[2019-01-15].http://cdmd.cnki.com.cn/Article/CDMD-10026-1016068749.htm.
[7]罗玲,唐勇,曾芳,等.独特的皮部治疗-滚针疗法[J].上海针灸杂志,2008,27(9):37.
[8]丁曦,陶坤.皮肤滚针治疗带状疱疹202例临床观察[J].黑龙江中医药,2006,35(5):39.
[9]吴耀持,陆嘉惠,张敏.上海市基层中医药适宜技术操作指南[M].上海:上海科学技术出版社,2015:221.
[10]邓行行.滚针及艾灸刺激皮部对皮肤细胞免疫功能影响的比较研究[D/OL].成都:成都中医药大学,2011[2019-01-10].http://cdmd.cnki.com.cn/Article/CDMD-10633-1011155209.htm.
[11]刘志丹,吉晓雨,彭志永,等.梅花针、滚针、复方红花酊外涂对脱毛小鼠毛发再生长的影响[J].针灸临床杂志,2016,32(07):70-74.
[12]Park JH,Choi SO,Seo S,et al.A Microneedle Roller for Transdermal Drug Delivery[J].Eur J Pharm Biopharm,2010,76(2):282-289.
[13]Banks SL,Pinninti RR,Gil HS,et al.Transdermal Delivery of Naltrexol and Skin Permeability Lifetime After Microneedle Treatment in Hairless Guinea Pigs[J].J Pharm Sci,2010,99(7):3072.
[2]刘荣奇,周冬梅,王莒生.王莒生教授从肺论治银屑病经验[J].世界中西医结合杂志,2011,6(1):15-16.
[3]赵炳南,张志礼.简明中医皮肤病学[M].北京:中国中医药出版社,2014:201-203.
[4]宋坪,李博鉴.从血论治、诸法合用---朱仁康研究员治疗银屑病经验(一)[J].中国中西医结合皮肤性病学杂志2004,3(1):1-2.
[5]李春霄,赖江,史兰辉,等.钟以泽教授治疗斑块状银屑病经验介绍[J].四川中医,2015,33(06):10-11.
[6]孙少馨.基于经络对称存在理论采用紫草油走罐法治疗斑块型银屑病的临床研究[D/OL].北京:北京中医药大学,2016[2019-01-15].http://cdmd.cnki.com.cn/Article/CDMD-10026-1016068749.htm.
[7]罗玲,唐勇,曾芳,等.独特的皮部治疗-滚针疗法[J].上海针灸杂志,2008,27(9):37.
[8]丁曦,陶坤.皮肤滚针治疗带状疱疹202例临床观察[J].黑龙江中医药,2006,35(5):39.
[9]吴耀持,陆嘉惠,张敏.上海市基层中医药适宜技术操作指南[M].上海:上海科学技术出版社,2015:221.
[10]邓行行.滚针及艾灸刺激皮部对皮肤细胞免疫功能影响的比较研究[D/OL].成都:成都中医药大学,2011[2019-01-10].http://cdmd.cnki.com.cn/Article/CDMD-10633-1011155209.htm.
[11]刘志丹,吉晓雨,彭志永,等.梅花针、滚针、复方红花酊外涂对脱毛小鼠毛发再生长的影响[J].针灸临床杂志,2016,32(07):70-74.
[12]Park JH,Choi SO,Seo S,et al.A Microneedle Roller for Transdermal Drug Delivery[J].Eur J Pharm Biopharm,2010,76(2):282-289.
[13]Banks SL,Pinninti RR,Gil HS,et al.Transdermal Delivery of Naltrexol and Skin Permeability Lifetime After Microneedle Treatment in Hairless Guinea Pigs[J].J Pharm Sci,2010,99(7):3072.