王麟鹏教授“逐邪通络”法治疗原发性三叉神经痛

Professor WANG Linpeng′s Therapeutic Method of“Dispelling Pathogenic Factors and Dredging Collaterals”for Primary Trigeminal Neuralgia

总结王麟鹏教授运用“逐邪通络”法治疗原发性三叉神经痛的学术思想。王麟鹏教授通过总结前人经验,提出“逐邪通络”针刺法,分期治疗原发性三叉神经痛;强调应根据邪气的致病特点、发作分期、正邪盛衰确定不同的针刺方案,提出局部取穴应用经络辨证为主;主张疼痛发作期以祛邪为要,缓解期主张扶正与祛邪兼而有之,重视调理脏腑、疏通经络,慎用扳机点的治疗理念,获得很好的临床效果。

This study summarized Professor WANG Linpeng′s academic thoughts on the treatment of primary trigeminal neuralgia with the method of“dispelling pathogenic factors and dredging collaterals”.Drawing on the experience of previous practitioners,professor WANG Linpeng has developed the acupuncture approach of“dispelling pathogenic factors and dredging collaterals”and advocates for a staged treatment of primary trigeminal neuralgia.He emphasizes that different acupuncture protocols should be determined based on the pathogenic characteristics,phases of the condition,and the balance between pathogenic factors and the healthy qi in the body,and proposes that local acupoint selection should be based on syndrome differentiation of meridians and collaterals.He focuses on expelling pathogens during the acute pain phase and a combination of supporting the healthy qi in the body and expelling pathogens during the remission phase.He also places importance on regulating the internal organs and smoothing the meridians and collaterals,while cautiously using trigger point therapy.This approach has yielded significant clinical success.