周鹏调神固本法治疗胸科术后肋间神经痛经验

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中图分类号：R246.9 文献标志码：A 文章编号：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

继发性肋间神经痛是胸科手术后最常见的术后并发症之一，国际疼痛研究协会认为，胸科手术后1周仍然残留并持续2个月以上反复发作的广泛遍及伤口周围的疼痛，称为开胸术后疼痛综合征（post-thoracotomy pain syndrome，PTPS）。（剩余9443字）