"络经腑脏"分层辨证治疗带状疱疹发疱期OA

The vesicular stage of herpes zoster results from internal emotional injury,leading to liver-stagnation transforming into fire,or impaired spleen transportation generating internal dampness-heat,which effuses outward to the skin and muscles,manifesting as concur-rent disorders of meridians and collaterals and zang-fu organs.In treatment,stratified syndrome differentiation is adopted based on the gheory of"meridians and collaterals and fu-zang organs."Treatment first differentiates the meridians and collaterals and zang-fu organs invaded by pathogenic factors,followed by discrimination of excess and deficiency.Therapeutic strategies are formulated according to three patterns:concurrent excess,concurrent deficiency,and mixed excess-deficiency of meridians and collaterals and zang-fu organs.Syndrome differentiation encompasses assigning lesion sites to corresponding meridians and collaterals,identifying local excess-deficien-cy via lesion morphology,and differentiating visceral excess-deficiency,with dampness pathogen highlighted as the core pathogenic fac-tor.For patterns of excessive heat involving meridians,collaterals,and zang-fu organs,the therapeutic principle is to clear heat and drain dampness,so Modified Gentian Liver-Draining Decoction can be adopted,combined with distal acupuncture points and local collateral pricking.For patterns of general deficiency in meridians,collaterals,and zang-fu organs,local surrounding needling and Jiaji(EX-B2)points are applied in combination with fire-needle therapy or moxibustion to warm and unblock meridians.For patterns of excessive heat in meridians and collaterals,accompanied by deficiency in zang-fu organs,local collateral pricking for bloodletting is adopted to directly purge toxic heat,supplemented by distal points for clearing heat and draining dampness,and Dampness-Dispelling and Stomach-Calming Poria Decoction is administered stratified syndrome-differentiated treatment based on the gheory of"meridians and collaterals and fu-zang organs"features and advantages of stratified precision and combined acupuncture and medication,and can achieve favorable thera-peutic effects in the treatment of herpes zoster at the vesicular stage.