Traditional Chinese Medicine Diagnosis and Treatment of Neuropathic Pain from Theory of Chronic Pain Entering Collaterals
10.13422/j.cnki.syfjx.20230736
- VernacularTitle:基于“久痛入络”理论探讨神经病理性疼痛的中医诊疗思路
- Author:
Xi ZHAO
1
;
Guoshan SHI
2
;
Shuwen YANG
3
;
Yongsheng GUO
2
;
Peizheng LIN
4
;
Chen WANG
5
;
Peng CHEN
2
Author Information
1. Tongzhou Maternal and Child Health Hospital， Beijing 101100， China
2. School of Basic Medicine， Guizhou University of Traditional Chinese Medicine（TCM）， Guiyang 550025， China
3. Accreditation Center of TCM Physician， National Administration of TCM， Beijing 100000， China
4. First Clinical Medical College， Guangzhou University of Chinese Medicine， Guangzhou 510405， China
5. Zhujiang Hospital of Southern Medical University， Guangzhou 510405， China
- Publication Type:Journal Article
- Keywords:
neuropathic pain;
collateral disease;
chronic pain entering collaterals;
deficiency in collaterals induces pain
- From:
Chinese Journal of Experimental Traditional Medical Formulae
2023;29(13):197-202
- CountryChina
- Language:Chinese
-
Abstract:
Neuropathic pain is a clinical symptom with complex mechanisms and high incidence. The commonly used analgesics have limited efficacy and can cause serious side effects. The theory of chronic pain entering collaterals was proposed by YE Tianshi， a famous physician focusing on warm diseases in the Qing dynasty， on the basis of the ancient therapies for pain. This theory is particularly suitable for the diagnosis and treatment of neuropathic pain in view of the clinical course and manifestations. The chronic neuropathic pain can enter the Yin collateral in deeper sites. The pathogenesis of neuropathic pain is summarized as a deficiency in origin and excess in superficiality. The root cause is the dysfunction of Zang-Fu organs， mainly the liver, kidney and heart， while the superficial causes are phlegm and stasis caused by the obstructed Qi and blood movement due to the consumption of Qi and blood in collaterals. Accordingly， the therapies such as dispelling blood stasis， resolving phlegm， and dredging collaterals should be adopted. This paper expounds the traditional Chinese medicine （TCM） pathogenesis and treatment of neuropathic pain， enriching the knowledge and providing new ideas for the TCM prevention and treatment of this disease as a collateral disease.
