单纯雀啄灸治疗桡骨茎突狭窄性腱鞘炎验案举隅

Proved Case of Simple Sparrow-pecking Moxibustion in the Treatment of Stenosing Tendovaginitis of Radial Styloid

桡骨茎突狭窄性腱鞘炎是临床常见的慢性劳损性疾病,属于中医“筋伤”范畴,中医治疗筋伤经验丰富。文章介绍1例单纯雀啄灸治疗气滞血瘀型桡骨茎突狭窄性腱鞘炎患者验案,以期为临床治疗此病提供参考。此病病机主要为劳损所致气滞血瘀,故通过雀啄灸刺激腧穴、经络以发挥行气活血、通络止痛的作用。2个疗程结束后,患者疼痛、肿胀症状消失,腕关节活动自如,1个月后随访未复发。雀啄灸透热效果突出,受热区域更集中,且镇痛效果显著,故其治疗气滞血瘀型桡骨茎突狭窄性腱鞘炎具有一定的科学性和可行性。

Stenosing tendovaginitis of radial styloid is a common chronic strain disease in clinic,which belongs to the category of“tendon injury”in traditional Chinese medicine.Traditional Chinese medicine has rich experience in the treatment of tendon injury.Therefore,this article introduced a case of sparrow-pecking moxibustion in the treatment of qi stasis and blood stasis type of stenosing tendovaginitis of radial styloid,in order to provide reference for clinical treatment of this disease.The main pathogenesis of this disease is qi stagnation and blood stasis caused by strain,so through sparrow-pecking moxibustion to stimulate the points and meridians to play the role of promoting qi and activating blood,clearing collaterals and relieving pain.After 2 courses of treatment,the symptoms of pain and swelling disappeared,the wrist joint movement was free,and there was no recurrence after 1 month follow-up.Sparrow-pecking moxibustion has outstanding heat transfer effect,more concentrated heat area,and significant analgesic effect,so it has certain scientific and feasible in the treatment of stenosing tendovaginitis of radial styloid of qi stagnation and blood stasis type.