中医外治法治疗产后痹

External Therapy of Traditional Chinese Medicine in the Treatment of Postpartum Rheumatism

产后痹又名产后风、产后风湿、产后痛风、产后身痛、产后筋脉拘急等,属于中医诊断中的"痹证",是产妇围产褥期高发疾病之一。该病病程短则几日至数日,长则多年不愈、迁延反复。病因多由于产后体虚或劳累耗伤,复感风寒湿邪所致。临床表现以单一关节或多关节疼痛、肿大、麻木、僵硬为主要临床特点,伴随晨僵、乏力、恶风、恶寒等兼证,可于天气变化时加重病情。因该病患者西医理化检查结果多为阴性,医患均重视度不高,但患者痛苦难忍,西医治疗上除抗炎、止痛外无较为理想的治疗方案,故临床上多以中医疗法为主。但由于哺乳等原因,中药汤剂等口服用药的应用受到了一定的局限,患者更接受外治法治疗产后痹。而对于产后痹病程较长,甚至达到数十年的中老年患者,部分患者常年口服用药,大多伴有胃肠道不适症状,也不愿意口服用药治疗,中医外治法成为她们的首选疗法。比如中药贴敷、中药蒸汽浴、温针灸、雷火灸等外治法,分别适合不同证候、特点的患者,同样能像中药汤剂一样做到辨证论治、对症施药,不仅疗效显著、迅速缓解患者病痛,而且大多不影响哺乳、胃肠刺激等不良反应小,产后哺乳期和病程较长的患者更易接受,因此在临床中得到广泛的应用,是我院治疗产后痹的主要治疗方法。

Postpartum rheumatism is also known as postpartum arthralgia,and belongs to"arthralgia syndrome"in traditional Chinese medicine diagnosis.It is one of the diseases with high incidence in puerperal period.The course of the disease is as short as a few days to several days,and as long as it lasts,it will not heal for many years and will persist for many times.Most of the causes are due to puerperal physical weakness or fatigue and injury,and recurrent wind,cold and dampness.Clinical manifestations are mainly pain,swelling,numbness and stiffness of single joint or multiple joints,Accompanied by morning stiffness,fatigue,aversion to wind,aversion to cold and other concurrent syndromes,the disease can be aggravated when the weather changes.Because the physical and chemical examination results of western medicine for patients with this disease are mostly negative,doctors and patients do not attach much importance to it.However,the patients suffer unbearable pain,and there is no ideal treatment plan except anti-inflammatory and analgesic in western medicine.Therefore,traditional Chinese medicine is the main treatment in clinic.However,due to lactation and other reasons,the application of oral drugs such as traditional Chinese medicine decoction is limited to a certain extent,and patients are more accepting external treatment for postpartum rheumatism.For the middle-aged and elderly patients with long course of postpartum rheumatism,even reaching several decades,some patients take drugs orally all the year round,mostly accompanied by gastrointestinal discomfort symptoms,and are unwilling to take drugs orally.Traditional Chinese medicine external therapy has become their first choice.Such as herbal sticking method,Steam therapy,warm acupuncture,adding drugs moxibustion and other external treatment methods.They are respectively suitable for patients with different syndromes and characteristics,and can be treated according to syndrome differentiation and symptomatic application just like soup medicine,Not only has obvious curative effect and can quickly relieve the pain of patients,but also has little side effects such as no influence on lactation,gastrointestinal stimulation and the like.Postpartum breast-feeding population and patients with longer course of disease are more acceptable.Therefore,it is widely used in clinic and is the main treatment method for postpartum rheumatism in our hospital.