神經痛的古今刺法研究.pdfVIP

神經痛的古今刺法研究 A study of the present and past acupuncture techniques in thetreatment of neurogenic pains. 香港中文大學中醫學院 School of Chinese Medicine, The Chinese University of Hong Kong 孫外主 Professor Wai-zhu Sun 1 ▁摘▁要▁ 神經痛是疼痛的常見類型，見於多種病症。 中醫病證學中雖無其名，但記述頗多，諸如“其痛或卒 然而止”、“痛甚而按之無益”、“ 相引而痛 ”等疼痛性質， 以及“舌根痛 ”、“ 偏頭風”、“ 臑臂內前亷痛厥 ” 等描述， 極似舌咽神經痛、 血管神經痛、臂叢神經痛 等。本文 以三叉神經痛、坐骨神經痛急性發作期為典型痛證，以 巨刺法、繆刺法為主，擬對神經痛的刺法、原則做以分 析、探討。 ▂ ▂ ▂ ▂ ▂ ▂ 2 1 Abstract Neurogenic pains are one of the most common types of pains which can be seen in many diseases. The term “neurogenic pains” is not found in the disease pattern of Traditional Chinese Medicine but there are many literatures recorded about it. Some of the literatures described the nature of pain, for instance, “the pain maybe stop suddenly”, “pressing is useless for severe pain”, “stretch pain”; other descriptions like “pain of root of tongue”, “hemilateral head wind”, “syncope due to pain of the anterior lateral side of arm”, these are similar to the glossopharyngeal neuralgia, migraine and brachialgia. This article is going to analyze and discuss the principles of needling methods to neuralgia. Contralateral meridian needling and contralateral collateral needling methods are used as the first choices and the most important needling methods to treat trigeminal neuralgia and sciatica which are the two typical examples of pain. ▁▁ ▁ ▁ ▁ ▁ Key words : Neuralgia, contralateral meridian needling method, contralateral collateral needling method 3 一.基 本 概 念 現代醫學認為疼痛是機體對有害刺激的一種主