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基于"络虚邪瘀"探析火针联合艾灸治疗跖疣OA

Exploration in Treatment of Plantar Warts with Fire Needling Combined with Moxibustion Based on Theory of"Collateral Deficiency and Pathogenic Stagnation"

中文摘要英文摘要

本文总结火针联合艾灸治疗跖疣的体会,以"络虚邪瘀"为理论指导,提出跖疣的发病基础为络脉本虚,核心病机为络虚受邪、邪气内瘀.针对这一病机,治疗上以扶正祛邪、通络化瘀、通补兼施为核心治则,注重补益络脉之虚、祛除内蕴之邪与疏通瘀滞之络三者并举.采用火针与艾灸相结合的治疗方法,发挥二者协同增效作用,通过火针通络化瘀散结、开门祛邪之效,联合艾灸扶正补虚、温通气血之功,既能祛除络中邪气,又能化解络中瘀结,更可调畅络中气机,络脉充盛,邪毒祛除,则跖疣自消.

This study summarized the clinical experience of treating plantar warts with fire needling combined with moxibustion.Guided by the theory of"collateral deficiency and pathogenic stagnation",it proposed that the pathological basis of plantar warts is the primary deficiency of the collaterals,and the core pathogenesis involves collateral deficiency allowing pathogen invasion and subsequent internal stagnation.In response to this pathogenesis,the treatment principle focused on strengthening healthy qi to dispel pathogens,unblocking collaterals to resolve stasis,and applying simultaneous unblocking and tonification.Emphasis was placed on the triad of tonifying collateral deficiency,eliminating internally stagnant pathogens,and dredging obstructed collaterals.The combined use of fire needling and moxibustion leverages their synergistic effects:fire needling unblocks collaterals,resolves stasis,dissipates nodules,and expels pathogens by opening the"door",while moxibustion strengthens healthy qi,tonifies deficiency,warms and unblocks qi and blood.This approach not only removes pathogenic factors from the collaterals but also resolves stagnant knots within them and promotes the smooth flow of collateral qi.When collaterals are strengthened and pathogens eliminated,plantar warts naturally resolve.

肖晨寅;张侃;石全

湖北中医药大学中医学院(湖北 武汉 430065)湖北中医药大学中医学院(湖北 武汉 430065)湖北省中医院皮肤科(湖北 武汉 430061)

跖疣火针艾灸联合治疗

plantar wartsfire needlingmoxibustioncombined treatment

《基层中医药》 2026 (2)

130-134,5

10.20065/j.cnki.btcm.20260067

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