痛证的辨治思路与经验

认为痛证的病因病机包括不通则痛、毒损致痛与失荣而痛;论治原则是重者治标为主、轻者治本为主;治疗方法包括辨证治痛与辨经治痛;详细审察病机是提高痛证疗效的根本,不通可不痛,虽通也可痛,不通之痛与失荣之痛常相兼夹;精心配伍用药是提高痛证疗效的关键,对间接止痛药与直接止痛药、广效止痛药与专效止痛药、归经止痛药与引经止痛药、散寒止痛药与清热止痛药进行适当配伍,可以充分发挥两者的协同止痛作用。

Thought and experience of syndrome-differentiated treatment in pain syndrome

It is considered that the pathogenesis of pain syndrome includes stagnation-leading pain, poison damage-inducing pain and lusterless-leading pain; the principle of treatment is symptomatic therapy mainly in severe illness and radical therapy in mild; the treatment methods of pain syndrome include syndrome-differentiated treatment and meridian-differentiated; detailed scrutiny of the pathogenesis is the key to increase the curative effect, and stagnation can not be painful and the pain can not be companied with stagnation. The pain induced by stagnation and lusterless is usually combined. The key point of increasing curative effect is compatibility medication elaborately. The appropriate compatibility of indirect and direct painkillers, broad-spectrum analgesics and specific effect of analgesics, meridian distribution analgesics and meridian-guiding analgesics, medicine of eliminating cold to stop pain and expelling heat to alleviate pain can fully expand their synergistic analgesic effect.