张氏飞针疗法治疗围绝经期躯体形式疼痛障碍的临床经验

张蒴; 梁峻铨; 陈贵珍; 许云祥

doi:10.13192/j.issn.1000-1719.2021.05.009

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张氏飞针疗法治疗围绝经期躯体形式疼痛障碍的临床经验

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张氏飞针疗法治疗围绝经期躯体形式疼痛障碍的临床经验
Clinical Experience of ZHANG's Flying Needling Therapy in Treatment of Somatoform Pain Disorder in Perimenopausal Women
1.广州中医药大学针灸康复临床医学院，广东　广州　510000
2.广州中医药大学附属宝安中医院，广东　深圳　518133
DOI：10.13192/j.issn.1000-1719.2021.05.009

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张蒴, 梁峻铨, 陈贵珍, 等. 张氏飞针疗法治疗围绝经期躯体形式疼痛障碍的临床经验[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2021.05.009

ZHANG Shuo, LIANG Junshuan, CHEN Guizhen, et al. Clinical Experience of ZHANG's Flying Needling Therapy in Treatment of Somatoform Pain Disorder in Perimenopausal Women[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2021.05.009
张蒴, 梁峻铨, 陈贵珍, 等. 张氏飞针疗法治疗围绝经期躯体形式疼痛障碍的临床经验[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2021.05.009 DOI：

ZHANG Shuo, LIANG Junshuan, CHEN Guizhen, et al. Clinical Experience of ZHANG's Flying Needling Therapy in Treatment of Somatoform Pain Disorder in Perimenopausal Women[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2021.05.009 DOI：

摘要

背景,2,躯体形式疼痛障碍是一种不能用生理过程解释、疼痛部位无相关器质性改变的慢性疼痛病症。围绝经期妇女是指绝经前后植物神经系统功能紊乱为主、伴有神经心理症状的一类特殊群体。目前现有的药物治疗方法不良反应明显，心理、认知治疗昂贵且治疗时间长，围绝经期妇女对疼痛刺激明显的传统中医针刺疗法接受度低。因此，对于围绝经期躯体形式疼痛障碍的治疗需要找到更加安全有效的治疗方法。,目的,2,总结张氏飞针疗法在围绝经期躯体形式疼痛障碍的应用经验，为此病提供一种疼痛刺激少、安全性高、且经济有效的新方法。,方法,2,张家维教授认为阴阳不调，脾胃、肾气不足导致肾亏不足乃围绝经期不可逆转的病理机制；张氏飞针理论体系中认为围绝经期躯体形式疼痛障碍病位在脑，与心、肝、脾相关；其病机为脾肾不足，髓海亏虚，阴阳失调，气机郁滞，发为疼痛；张氏飞针疗法治疗本病采用补脾益肾、充督益髓之法，主要选取督脉百会穴以调动诸经之气，经外奇穴四神聪以镇静安神，手少阴心经之输穴、原穴神门以安神定志，膀胱经上脾之背俞穴脾俞以强健运化水谷之能，膀胱经上肾之背俞穴肾俞以益肾助阳、卫外护盖；同时根据疼痛部位不同及其他伴随症状辨证选取穴位对症处理。通过飞指定神、飞针进针、飞针速刺、飞针催气、飞针补泻、飞针出针等一系列独特操作手法，达到平衡阴阳，治神止痛之功，取得良好疗效。,结果,2,张氏飞针疗法在临床治疗围绝经期躯体形式疼痛障碍取得良好疗效。,结论,2,张氏飞针疗法是一种疼痛刺激少、安全性高、且经济有效的治疗围绝经期躯体形式疼痛障碍的新方法，值得广泛推广。

Abstract

Somatoform pain disorder is a chronic pain condition that cannot be explained by physiological process and has no related organic changes in the pain site. Perimenopausal women is a special group whoch suffer from neuropsychological symptoms and dysfunction of autonomic nervous system. The present medication methods have obvious side effects, while psychological and cognitive therapy is expensive and takes a long time. Traditional Chinese medicine acupuncture therapy is of low acceptance due to the fear of pain. Therefore, it is obliged to find out a safer and more efficient method for the treatment of somatoform pain disorder in perimenopausal women.,Objective,2,To accumulate practical experience of ZHANG's flying needling therapy which has less pain, more safety and more economical efficiency to somatoform pain disorder in perimenopausal women.,Methods,2,Professor ZHANG Jiawei believes that the imbalance of Yin and Yang and Qi deficiency of spleen, stomach and kidney causekidney deficiency, which is an irreversible pathological mechanism in the perimenopausal period. In the theoretical system of ZHANG's flying needling therapy, it is believed that the disease is located in the brain and related to the heart, liver and spleen. The pathogenesis is that the pain of the body is due to the deficiency of spleen and kidney, deficiency of the sea of marrow, imbalance of Yin and Yang, and stagnation of Qi. ZHANG's flying needling therapy treats somatoform pain disorder by tonifying spleen and kidney, the governor vessel and marrow. In matter of the selection of acupoints, we use Baihui (GV20) which is one of the governor vessel acupointsto mobilize Qi of all meridians, Sishencong (EX-HN1) which is four extra pointsto tranquilize the mind, Shenmen (HT7) which is the Shu-stream point and Yuan-source point of heart meridian of hand-Shaoyin and Pishu (BL20) which is the back-Shu point on the bladder meridian, to strengthen the capability of transformation for water and grain, Shenshu (BL23) which is the back-shu pointon bladder meridian of foot-Taiyang, to reinforce kidney Yang and resist exogenous evil and protect the body. Meanwhile, we also selected other acpoints according to different location of pain and other symptoms. Through a series of unique operating methods such as flying finger Tuina to calm spirit, flying needle to insert, flying needle to be in and out, flying needle to emerge the meridian Qi, flying needle to obtain supplementation or draining, flying to withdraw needle.,Results,2,The treatment can regulate the balance of Yin and Yang, govern the spirit while relieving the painand eventually achieve the curative satisfactory. ZHANG's flying needling therapy achieves promising effect in the treatment of somatoform pain disorder in perimenopausal women.,Conclusion,2,ZHANG's flying needling therapy is an effective treatment and worth of widely clinical application for somatoform pain disorder in perimenopausal women with less pain, more safety and more economical efficiency.

关键词

张氏飞针围绝经期躯体形式疼痛障碍临床经验

Keywords

ZHANG's flying needling therapyperimenopausal womensomatoform pain disorderclinical experience

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