慢性荨麻疹的发生与脏腑功能失调密切相关.整理有关慢性荨麻疹从心、肝、脾、肺、肾论治的相关研究,可知当前多数医家已认识到脏腑辨证在慢性荨麻疹诊治过程中的重要性,从脏腑论治可达到调整阴阳、除病祛邪的目的.但相关临床研究在辨证标准、疗效评价方面具有一定的局限性,有关中药治疗慢性荨麻疹作用机制的研究较少,今后研究需针对上述问题进行完善.参考文献41篇.

近年来随着卒中后认知障碍(post-stroke cognitive impairment,PSCI)发病率逐年上升,传统医学作为一种标本兼治、安全有效的治疗方法正逐渐被更多的人接受,其中头针在治疗脑血管疾病领域疗效尤为突出.该文经查阅近10年来相关文献,对头针治疗卒中后认知障碍的取穴定位原则(分别以传统经络腧穴理论、现代大脑皮层功能分区理论为主及二者相结合)和针刺方法(丛刺法、透刺法、排刺法等)进行归纳总结,旨在为临床治疗卒中后认知障碍提供有效参考.

The method of acupuncture combined with rehabilitation training in the treatment of shoulder hand syndrome after stroke is reliablet, quick, with simple operation and less adverse reactions. Among them, characteristic acupuncture could focus on the targeted points with obvious effect than ordinary acupuncture, and the combination with rehabilitation training could greatly improve the curative effect. However, there still exist some problems in the current research, such as the difficulty of conducting blind clinical trials of acupuncture therapy; the lack of follow-up data in the evaluation of curative effect, the uncertainty of long-term curative effect; the small sample size of clinical research, etc., so multi-centered and large sample RCT research are still needed.

慢性荨麻疹是临床多发的一种过敏性皮肤病,其发作频率之高、瘙痒程度之剧,给患者带来巨大痛苦.目前西医主要是对症治疗,虽能缓解一时痛苦,但难以根除,在很大程度上影响了患者的工作和生活.通过对近年来针刺治疗慢性荨麻疹相关文献的查阅,发现特色针法(蜂针、腹针、脐针、头针、火针、自血、埋线、粗针等)治疗慢性荨麻疹可有效改善症状,减少复发,其虽有别于传统针刺,但又基于中医基础理论,并结合各自针法特点或多种疗法融为一体,达到平衡阴阳、治疗疾病的目的,本研究从中医对慢性荨麻疹的认识及特色针法的临床应用进行阐述,为临床治疗提供更广泛的思路,使更多慢性荨麻疹患者受益.

慢性荨麻疹作为一种常见的皮肤病,中医治疗积累了丰富的经验,可有效改善症状.根据中医“有诸内必形诸外”理论,笔者认为慢性荨麻疹虽病位在肌表,却与脏腑功能异常密切相关.本研究通过对慢性荨麻疹病因病机进行探讨,整理出近10年从心、肝、脾胃、肺、肾论治以针刺为主的治疗方法,对其进行归纳总结,旨在为慢性荨麻疹的治疗提供参考,以进一步提高临床疗效.