邵经明火针治疗外科疾病经验采撷

Professor SHAO Jing-ming’s clinical experience of fire needling for surgical diseases

总结邵经明教授应用火针治疗流痰、瘰疬、筋结、瘿病4种外科疾病的经验。邵教授善用火针焠刺法治疗流痰,以阿是穴及近部取穴为主,常常选用局部对穴(内膝眼-犊鼻、阴陵泉-阳陵泉、血海-梁丘),阴寒证较重者配合阳和汤内服。采用火针分期治疗瘰疬,初期用火针刺核中;中期应用火针刺破脓包,加拔火罐;晚期将火针刺入瘘管或者窦道中,平刺周围增生的肉芽组织。采用火针结合扬刺治筋结。治疗瘿病常采用毫针围刺法,对于单纯甲状腺肿肿块较大者和甲状腺结节则采用火针围刺法。

Professor SHAO Jing-ming’s clinical experience of fire needling for bone-joint tuberculosis,tuberculous cervical lymphadenitis,ganglion cyst and thyrophyma is summarized.Professor SHAO used fire needling to treat bone-joint tuberculosis.The acupoints included ashi points and nearby acupoints,particularly local opposite acupoints(Neixiyan [EX-LE 4] and Dubi [ST 35],Yinlingquan [SP 9] and Yanglingquan [GB 34],Xuehai [SP 10] and Liangqiu [ST 34]),and for the patients with severe yin-cold syndrome,Yanghe decoction was additionally used.For tuberculous cervical lymphadenitis,fire needling was used at different stages.In the early stage,the nucleus was punctured with fire needling;in the middle stage,the pustule was punctured with fire needling combined with cupping;in the late stage,the fire needling was inserted into the fistula or sinus tract,and the surrounding granulation tissue was treated with horizontal penetrating needling.For ganglion cyst,fire needling combined with centro-square needling was applied.For thyrophyma,the surrounding needling with filiform was used;for simple thyroid mass and thyroid nodule,the surrounding needling with fire needling was used.