从络病角度刍议慢性疼痛的因机证治

Discussion on Etiology,Pathogenesis,Syndrome Differentiation and Treatment of Chronic Pain from the Perspective of Collateral Disease

疼痛是疾病极为常见的症状,被认为是人体的5大生命指征之一。现代医学在慢性疼痛的止痛效果、方法、药物耐药、副作用等方面依然存在诸多亟待解决的问题。基于络病理论,故总结了慢性疼痛的因机证治规律,认为寒邪、热邪、络脉病变是疼痛原因的重要组成部分,"血瘀""血虚""病络""神躁"构成了疼痛最核心的病机要素,治疗上则主张引经祛邪、补血荣络、活血通络等,为慢性疼痛的中医临床认识及防治提供新的思路和方法。

Pain is one of the body＇s five vital signs which is a common symptom of the disease. Many issues must be resolved about analgesic effect, analgesia, analgesic drug resistance and side effects of pain medications in modern medicine. The article displays that the law of etiology,pathogenesis,syndrome differentiation and treatment of chronic pain based on the perspective of collateral disease, the author thinks cold evil, heat evil and collateral disease are important parts of the causes of the chronic pain,while the blood stasis, blood deficiency, damaged collaterals and restless mind are the main pathogenesis. In the treatment, the author advocates Yinjing Quxie, Buxue Rongluo, I-luoxue Tongluo and so on. It is all providing new insights and methods about clinical recognitions and preventions of chronic pain.