{"id":9253,"date":"2024-06-06T01:52:29","date_gmt":"2024-06-06T01:52:29","guid":{"rendered":"https:\/\/tcmdrma.com\/%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e9%92%88%e8%8d%af%e7%bb%93%e5%90%88%e6%b2%bb%e7%96%97%e8%85%b0%e9%83%a8%e3%80%81%e8%85%bf%e9%83%a8%e5%8f%8a%e8%87%80%e9%83%a8%e7%96%bc%e7%97%9b%e4%b8%80%e4%be%8b\/"},"modified":"2025-05-09T10:24:11","modified_gmt":"2025-05-09T00:24:11","slug":"%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e9%92%88%e8%8d%af%e7%bb%93%e5%90%88%e6%b2%bb%e7%96%97%e8%85%b0%e9%83%a8%e3%80%81%e8%85%bf%e9%83%a8%e5%8f%8a%e8%87%80%e9%83%a8%e7%96%bc%e7%97%9b%e4%b8%80%e4%be%8b","status":"publish","type":"post","link":"https:\/\/tcmdrma.com\/zh-hans\/%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e9%92%88%e8%8d%af%e7%bb%93%e5%90%88%e6%b2%bb%e7%96%97%e8%85%b0%e9%83%a8%e3%80%81%e8%85%bf%e9%83%a8%e5%8f%8a%e8%87%80%e9%83%a8%e7%96%bc%e7%97%9b%e4%b8%80%e4%be%8b\/","title":{"rendered":"\u3010\u533b\u6848\u3011\u9488\u836f\u7ed3\u5408\u6cbb\u7597\u8170\u90e8\u3001\u817f\u90e8\u53ca\u81c0\u90e8\u75bc\u75db\u4e00\u4f8b"},"content":{"rendered":"

患者，女，55岁，主诉为腰部两侧疼痛（以左腰为主），大腿前侧、外侧疼痛以及左侧臀部底部固定位置的疼痛。患者说要用东西抵住臀底部疼痛的那个点才会舒服一些。臀部该疼痛始于患者子宫内膜异位的肿物切片检查后，每逢经期则疼痛显著。患者自述做过西医检查，没有腰间盘突出，右侧发现椎管狭窄，西医建议局部打封闭针。也曾找过理疗师、针灸师治疗，效果有限。疼痛指数最高可到8\/10，就诊时为6\/10，疼痛伴随少量的麻木。 因疼痛问题，患者走路不敢用力。患者长年怕冷怕风，到了冬天就浑身难受，腰部发冷发沉。大小便基本正常，精神佳，睡眠一般，习惯晚睡，嗓子干，有痰，月经量少。舌淡胖大，苔薄白，舌中有所凹陷。脉细弦数。中医诊断为血虚血瘀及阳虚。采用针药结合的方式，经过6次针灸及4次中药治疗后，患者感觉明显改善，患者因感染新冠病毒未继续治疗，过两个月后反馈已无大碍。<\/p>\n

这个医案为什么要针药并用呢？<\/p>\n

其一，患者的致病因素比较复杂，疼痛可能的因素比较多，比如阳虚疼痛，气血虚疼痛以及血瘀的疼痛。从疼痛的分布来看，包含了少阳经，太阳经以及阳明经所过。针药并有可以较好的覆盖这些因素；<\/p>\n

其二，虚症的疼痛，尤其是气血虚弱，首先要做的是补足气血，否则疼痛治疗的效果大受影响。针药结合可以加速治疗进度。<\/p>\n

另外，还有个有趣的现象。第一次检查时，我们发现患者左腿委阳穴附近有紫色怒张的静脉，符合放血条件。我们本来打算建议患者在第二次治疗时予以放血处理，没想到只经过一周的药物活血化瘀，该处的怒张的静脉已经明显好转，故而未做处理。在治疗的尾声，局部皮肤已经看不到明显的静脉曲张。这也说明经方对于改善络脉的血液循环作用立竿见影。<\/p>\n

 <\/p>\n

 <\/p>\n

注意：中医根据个体差异所采取的治疗手段和治疗效果亦有差异，医案分享不构成治疗建议。<\/p>\n

\n

医案编号：081<\/p>\n","protected":false},"excerpt":{"rendered":"

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