周鵬調(diào)神固本法治療胸科術(shù)后肋間神經(jīng)痛經(jīng)驗(yàn)

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中圖分類號(hào)：R246.9 文獻(xiàn)標(biāo)志碼：A 文章編號(hào)：1007-3213（2025）04-0932-06

DOI：10.13359/j.cnki.gzxbtcm.2025.04.020

Zhou Peng's Experiences in Treating Post-Thoracotomy Pain Syndrome with Spirit-Regulating and Essence-Consolidating Therapy

ZHANG Chunna12，LI Zhongxian1，PENG Min1 ，XU Haiyan’，LI Jingjing’，ZHOU Peng1 （1.TheSeventh Clinical MedicalScholofGuangzhou Universityof Chinese Medicine，Shenzhen 5180oo Guangdong，China; 2.Guangzhou University of Chinese Medicine，Guangzhou 51Ooo6 Guangdong，China）

Abstract：Thisarticle aims to summarize the clinical experiences of Professor Zhou Peng in treating postthoracotomy pain syndrome （PTPS）by application of integrated acupuncture and moxibustion based on spiritregulating and essence-consolidating therapy.In the view of Professor Zhou Peng，PTPS is prone to disturb the heartand spirit due to recurrent attcks，thus over consumption of the“spirit of the body”；and various factors during and after the operation damage the“essence of the body”，so the treatment is based on the principle of spirit-regulating and essnce-consolidating，the disease can be treated from the perspective of heart，liver， spleen，and kidneys. Clinical use of multi-dimensional integration of acupuncture and moxibustion mode of external treatment，with local encircled acupuncture，plum-blossom needling to relieve the patient’surgent needs，and then use the spirit-regulating and essence consolidating therapy，refined moxibustion，embedding needling for comprehensive treatment， treating symptom and root cause simultaneously，so as to exert certain therapeutic effect.

Keywords：spirit-regulating and essence-consolidating therapy；integrated acupuncture and moxibustion；postthoracotomy pain syndrome; experience of famous physician； Zhou Peng

繼發(fā)性肋間神經(jīng)痛是胸科手術(shù)后最常見的術(shù)后并發(fā)癥之一，國(guó)際疼痛研究協(xié)會(huì)認(rèn)為，胸科手術(shù)后1周仍然殘留并持續(xù)2個(gè)月以上反復(fù)發(fā)作的廣泛遍及傷口周圍的疼痛，稱為開胸術(shù)后疼痛綜合征（post-thoracotomy pain syndrome，PTPS）。（剩余9443字）