痛证临床针灸治疗审机辨治探析

Pain syndrome analysis in acupuncture according to syndrome differentiation and treatment

痛证为中医临床常见病,其病机总的归纳为“不通则痛、不荣则痛”。在临床工作中医家对“不通则痛”和“不荣则痛”以及两者并存的病机都有不同的见解。治疗上需要对痛证病机准确把握,正所谓“观其脉症,知犯何逆,随证治之”。治法上或荣或通,或荣通并施,须根据病情辨证施治,只有这样才能不断提高中医对痛证的认识和治疗水平,造福广大患者。

Pain syndrome is a common clinical disease in traditional Chinese medicine(TCM),and its pathogenesis is generally summarized as'stagnation leading to pain,qi and blood deficiency leading to pain'.TCM practitioners working in clinical practice have different opinions on the pathogenesis of'stagnation leading to pain'and'qi and blood deficiency leading to pain'.It is necessary to accurately grasp the pathogenesis of pain syndrome in treatment.Just as the saying goes,'observe the pulse symptom,know the problem,and treat it according to the syndrome'.Whether treating the stagnation or deficiency,or both,it should be based on syndrome differentiation.Only in this way can we continuously improve the understanding and treatment level of TCM on pain syndrome and benefit the vast number of patients.