刘沈林运用温通督脉法辨治脊椎“一点痛”经验

尹中华; 刘沈林; 吴坚

doi:10.13192/j.issn.1000-1719.2022.07.007

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刘沈林运用温通督脉法辨治脊椎“一点痛”经验

中国中医药临床案例成果库 | 经验撷菁

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刘沈林运用温通督脉法辨治脊椎“一点痛”经验
LIU Shenlin's Application of Warming and Dredging Du Meridian Method in Diagnose and Treatment of "Local Pain" in The Spine
1.南京中医药大学附属医院，江苏　南京　210029
DOI：10.13192/j.issn.1000-1719.2022.07.007

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尹中华, 刘沈林, 吴坚. 刘沈林运用温通督脉法辨治脊椎“一点痛”经验[DB/OL].（2022-11-18）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2022.07.007

YIN Zhonghua, LIU Shenlin, WU Jian. LIU Shenlin's Application of Warming and Dredging Du Meridian Method in Diagnose and Treatment of "Local Pain" in The Spine[DB/OL].（2022-11-18）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2022.07.007
尹中华, 刘沈林, 吴坚. 刘沈林运用温通督脉法辨治脊椎“一点痛”经验[DB/OL].（2022-11-18）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2022.07.007 DOI：

YIN Zhonghua, LIU Shenlin, WU Jian. LIU Shenlin's Application of Warming and Dredging Du Meridian Method in Diagnose and Treatment of "Local Pain" in The Spine[DB/OL].（2022-11-18）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2022.07.007 DOI：

摘要

癌性神经痛(NCP)是由癌症本身或癌症治疗(化疗、放疗和手术等)对神经系统的直接或间接损伤引起的疼痛。作为晚期肿瘤患者的常见症状之一，因其潜在机制复杂，尚未明确，症状突出，临床疗效不显，治疗难以突破瓶颈，故日益成为研究焦点。NCP隶属于中医“血痹病”范畴，刘师认为该病乃癌毒内陷，阻滞经络，阳气失运，气血失和所致，治则以“通”为要，以“和”为贵，巧用药组以使阴平阳秘，气血和合，颇有良效。故通过探讨全国名中医刘沈林教授“温通督脉法”的治疗经验，以及对临证医案的收集归纳与总结，以临床典型医案“一点痛”为例，分析刘师辨证论治之精妙，遣方用药之精巧，化裁选方之精细。以期进一步发掘癌性疼痛的中医特色治疗思路，为临床癌性神经痛的中医辨证论治提供新思路、新视角、新方向。

Abstract

Cancerous neuralgia(NCP)is the pain caused by the direct or indirect damage to the nervous system caused by cancer itself or cancer treatment(chemotherapy, radiotherapy, surgery, etc).As one of the common symptoms of advanced cancer patients, it becomes the focus of research because of its complicated underlying mechanism, unclear symptoms, outstanding clinical efficacy and difficulty in breaking through the bottleneck of treatment.NCP belongs to the category of "blood arthritis" in traditional Chinese medicine.Processor LIU believes that the disease is caused by cancer toxin invagination, blocking the meridian, loss of Yang Qi, and disharmony between Qi and blood.So the treatment is based on "dredging" and "harmonizing" as the most important.The combination of medicine is used to balance Yin and Yang and harmonize Qi and blood, which is quite effective.Therefore, by discussing the treatment experience of "warming and dredging Du meridian method" by Professor LIU, a famous traditional Chinese medicine doctor, as well as the collection and summary of clinical medical records, taking the typical clinical medical record of "local pain" as an example, it analyzed the delicateness of syndrome differentiation and treatment, the exquisiteness of prescriptions and medicines and the elaboration of selection of prescriptions of Professor LIU.With a view to further discovering the TCM characteristic treatment ideas for cancer pain, it can provide new ideas, new perspectives and new directions for TCM syndrome differentiation and treatment of clinical NCP.

关键词

癌性神经痛温通督脉法名中医经验

Keywords

cancerous neuralgiawarming and dredging Du meridian methodexperience of famous traditional Chinese medicine physicians

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