邓凯文针药并用辨治肝经郁热型带状疱疹经验

Deng Kaiwen′s experience in differentiating and treating herpes zoster of stagnated heat in liver meridian with acupuncture and medicine

针药并用,并非针刺、中药的机械叠加,而是二者的有机结合。在带状疱疹肝经郁热证的辨治过程中,邓凯文教授先根据病位和病理因素辨明疾病证型,明确病机,再发挥针刺、中药的各自优势,辨证施治。肝经郁热证为带状疱疹最常见证型。邓凯文教授认为本证核心病位在“肝经”,核心病理因素为火毒、湿热、气滞、血瘀,四者常相互胶结致病。临证针刺侧重准确定病位,中药侧重调节脏腑阴阳而祛除病理因素,二者相须为用,灵活化裁,疗效满意。

The combination of acupuncture and medicine is not the mechanical superposition of acupuncture and traditional Chinese medicine,but the organic combination of both of them.In the process of differentiating and treating herpes zoster of stagnated heat in liver meridian,Professor Deng Kaiwen first identifies the syndrome type and pathogenesis according to the disease location and pathological factors,and then gives full play to the respective advantages of acupuncture and traditional Chinese medicine for syndrome differentiation and treatment.The treatment of herpes zoster with traditional Chinese medicine is superior to the conventional western medicine treatment.The syndrome of stagnated heat in liver meridian is the most common type.Prof.Deng Kaiwen believes that the core disease location of this syndrome is liver meridian,and the core pathological factors are fire toxin,dampness-heat,qi stagnation,and blood stasis,which are often linked to each other to cause diseases.Clinical acupuncture focuses on determining the location of the disease,while traditional Chinese medicine focuses on regulating yin and yang of visceral organs and eliminating the pathological factors.Both of them should be used together and modified flexibly for satisfactory efficacy.