针灸治疗荨麻疹的探讨

Discussion on acupuncture treatment of urticaria

目的:探讨荨麻疹的病因病机,针灸疗法治疗本病的特点、优势及常用取穴,以期为临床提供指导意见.方法:检索近几年有关文献,归纳医家对于针灸治疗本病的方法与见解,结合笔者多年的临床经验,提出具有代表性的治疗取穴.结论:中医认为荨麻疹属廪赋不耐,致风邪搏结于肌肤,与气血相搏,发生风团.荨麻疹风团属于"局限性、过敏性水肿反应",根据《黄帝内经》中观点"诸湿肿满皆属于脾",加上慢性荨麻疹患者中不乏脾虚湿蕴的证型,因此笔者在治疗中也注重健脾除湿消肿的针刺配穴.总之,针灸疗法治疗本病时,应以扶正益气固表、健脾除湿消肿、养血祛风止痒为原则,局部与整体辨证相结合的方法,选取主穴后根据不同的症状配以相应的腧穴,医家选穴均依照辨证选穴、循经选穴、局部选穴和选特定穴的规律进行施治.虽然针灸疗法治疗本病以其特有的优势值得临床借鉴与推广,但其临床研究和治疗方案仍需要不断完善.

Objective:To explore the etiology and pathogenesis of urticaria,and its characteristics,advantages and acupoint selection of acupuncture and moxibustion therapy in the treatment of urticaria.Methods:By searching the relevant literatures in recent years,this paper summarizes the methods and opinions of the physicians on acupuncture and moxibustion for the treatment of this disease.Conclusion:According to traditional Chinese medicine,urticaria is a kind of anaerobic disease.Urticaria cluster belongs to"limited and anaphylactic edema reaction".According to the view in Inner Canon of Yellow Emperor,"all dampness and swelling belong to the spleen",and there is no lack of syndrome type of dampness in spleen deficiency in chronic urticaria patients.In short,acupuncture therapy should combine with the local and integral syndrome di fferentiation,select main point with corresponding acupoints according to the di fferent symptoms.Although acupuncture therapy is worthy of clinical reference and promotion for its unique advantages,its clinical research and treatment plan still need to be improved.