干燥综合征?这些中医疗养方法可以缓解病情

2021-09-14 闰月医话 风湿闰月说

干燥综合征是以外分泌腺高度淋巴细胞浸润为特征的一种自身免疫性疾病,病变主要累及外分泌腺体的上皮细胞,

干燥综合征是以外分泌腺高度淋巴细胞浸润为特征的一种自身免疫性疾病,病变主要累及外分泌腺体的上皮细胞,如唾液腺、泪腺、汗腺等,除此以外,肺、肝、肾等内脏器官及血管、关节、皮肤等也可累及。

干燥综合征的主要表现

本病主要表现为口鼻干燥、眼部异物感、皮肤干燥等,以女性多见,男女比为1:9 ~ 20。 本病属中医学“燥证” 范畴。

干燥综合征早期多表现为干燥症状,或伴有反复发作的口腔溃疡、猖獗性龋齿等,后期甚至会发展为肺间质纤维化等严重病证,不但严重影响患者生存质量,而且甚则危及生命。

目前在临床上,干燥综合征的中医治疗方法有很多,总体可以分为外治法和内治法。外治法常用的有针灸、熏蒸、中药穴位注射、按摩、怡情志等。今天黄闰月大夫就跟大家聊一聊。

外治法——针灸

健运脾胃—足三里、脾俞、胃俞

足三里

(图源:网络)

足三里是足阳明经气所灌注的部位,取之可以固后天之本,助脾胃运化津液。

此外,该穴对于调节机体自身免疫力也有着积极的作用。

脾俞、胃俞

(图源:网络)

两者主要调节脾胃功能,助脾运化,生精而灌四傍,助胃受纳,使生化有源。

滋补阴液—廉泉、涌泉、三阴交

廉泉

(图源:网络)

廉泉属任脉,此为近端选穴,该穴滋阴之力较强,针刺该穴可以明显减轻口干症状。

涌泉

(图源:网络)

涌泉是足少阴肾经经气所起的根源处,即“根结之根” ,与廉泉相配,根结共用,滋少阴之阴。

三阴交

(图源:网络)

三阴交与廉泉相配,标本同治,对于阴虚诸证有着良好的调节作用,在干燥综合征的治疗过程中有着广泛运用。

理气活血—合谷、太冲
合谷

(图源:网络)

合谷有行气活血的作用,有助于推动津液布散,润泽周身,对于干眼症的治疗起着积极的作用。

太冲

(图源:网络)

太冲属足厥阴肝经,是足厥阴肝经的输穴、原穴。

太冲配合谷而成四关穴,具有疏肝理气、调和气血、调节津液输布的作用。

外治法——熏蒸

中药熏蒸疗法又称为中药蒸煮疗法、中药气浴疗、药透疗法、热雾疗法等,临床应用广泛。

外治主要用白花蛇舌草、谷精草、金银花、石斛、玄参,水煎后蒸气熏蒸双眼及口腔,每次约15~30分钟,每次3~5次,30天为一个疗程。

外治法——穴位注射

穴位注射取心俞、肝俞、脾俞、肾俞、三焦俞,临床随证加减,每天1次,每次取3~4个穴位交替选用。

以口舌干燥为主的患,治宜滋养胃阴,取胃经、脾经的梁丘、足三里、血海、大都;

以咽喉干涩为主的患者,治宜滋养肾阴,取肾经、脾经、膀胱经的然谷、三阴交、飞扬、京骨,再取风府穴直刺得气后不留针,承浆、廉泉等随证取穴。

外治法——按摩

采用足反射疗法治疗干燥综合征,足部选肾上腺、肾、输尿管、膀胱、大脑等反射区,效果较好。

外治法——怡情志

中医讲的情志致病和现在西医的心理学涉及的内容有相似的地方。

中医认为七情过极皆可伤人,强调以"怡情志,顾润燥"在内燥致病的重要性,干燥综合征容易合并焦虑、抑郁,应多参加正常社交活动,释放压力和改善情绪,提高睡眠质量,减少焦虑、抑郁。

参考文献:

[1]宋陈惠,王海瑜,诸葛叶婷,张继胜,刘小平,李方凯,朱跃兰,侯秀娟.(2018).针刺治疗干燥综合征选穴规律的文献分析.西部中医药,46-48.doi:CNKI:SUN:GSZY.0.2018-10-014.

[2]宋沙沙.(2011).针刺治疗原发性干燥综合征1例.针灸临床杂志,49.doi:CNKI:SUN:ZJLC.0.2011-10-027.4

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  3. [GetPortalCommentsPageByObjectIdResponse(id=1765150, encodeId=66771e6515051, content=<a href='/topic/show?id=df00e086653' target=_blank style='color:#2F92EE;'>#病情#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70866, encryptionId=df00e086653, topicName=病情)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=778d36, createdName=柳叶一刀, createdTime=Fri Dec 31 11:01:36 CST 2021, time=2021-12-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1432141, encodeId=238314321418a, content=<a href='/topic/show?id=f9b9e9124a8' target=_blank style='color:#2F92EE;'>#综合征#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=79124, encryptionId=f9b9e9124a8, topicName=综合征)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Thu Sep 16 01:01:36 CST 2021, time=2021-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1051316, encodeId=69271051316b5, content=真的有效吗, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210814/61deb584a399410ca9b720adee4e6850/71825fee35134aee90c3ed9dfe89b69f.jpg, createdBy=3cff5430616, createdName=云舒, createdTime=Tue Sep 14 23:05:59 CST 2021, time=2021-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1051059, encodeId=cf13105105957, content=祖国医学博大精深, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cec72111766, createdName=乙娆, createdTime=Tue Sep 14 11:15:25 CST 2021, time=2021-09-14, status=1, ipAttribution=)]
    2021-09-14 云舒

    真的有效吗

    0

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    2021-09-14 乙娆

    祖国医学博大精深

    0