基于“肝脾同治”论治带状疱疹后神经痛

Treatment of Postherpetic Neuralgia from the Perspective of “Simultaneous Treatment of Liver and Spleen”

带状疱疹后神经痛是带状疱疹最常见的并发症,其病因病机多为瘀血阻络“不通则痛”及气血两虚“不荣则痛”,其与肝脾功能密切相关。文章从肝脾与带状疱疹后神经痛的关系及肝脾生理病理的相互联系进行论述,提出“肝脾同治”的理论依据及可行性,临床发现“肝脾同治”治疗带状疱疹后神经痛疗效确切,具有独特优势及应用前景。

Postherpetic neuralgia is the most common complication of herpes zoster. Its etiology and pathogenesis are mostly blood stasis blocking collaterals, which leads to pain, and deficiency of both qi and blood, which is closely related to liver and spleen functions. This paper discusses the relationship between liver, spleen and postherpetic neuralgia, and the relationship between physiology and pathology of liver and spleen, and puts forward the theoretical basis and feasibility of “Simultaneous treatment of liver and spleen”. Clinically, it is found that “Simultaneous treatment of liver and spleen” is effective in treating postherpetic neuralgia with unique advantages and application prospects.