Progress of Research on the Mechanism of Fire Needles in the Treatment of Postherpetic Neuralgia

Abstract

Abstract: Postherpetic neuralgia is a common and difficult-to-treat neuropathic pain, and its treatment is often hampered by various factors. Through a systematic literature review, the mechanism of action of fire needles in the treatment of postherpetic neuralgia is summarized and analyzed, to provide some guidance for clinical treatment plans. The analysis revealed that fire acupuncture can play a positive role in postherpetic neuralgia by interfering with pain information transmission, improving pain threshold, regulating immune and inflammatory responses, etc. At the same time, fire acupuncture therapy has obvious advantages in relieving pain, improving the quality of survival, improving patients' sleep, and regulating emotions.

Key words: fire needle, postherpetic neuralgia, mechanism, research progress

CLC Number:

R246.7

WANG Lan, CHEN Ying-ying, DENG Ai-mei, LI Shi-hua, WANG Wei, ZHANG Ying. Progress of Research on the Mechanism of Fire Needles in the Treatment of Postherpetic Neuralgia[J]. ZHONGHUA YANGSHENG BAOJIAN, 2023, 41(17): 51-54.

References

[1] LIN Z M, WANG H F, ZHANG F, et al.The Effect of Erector Spinae Plane Blockade on Prevention of Postherpetic Neuralgia in Elderly Patients: A Randomized Double-blind Placebo controlled Trial[J]. Pain Physician,2021,24(7):E1109-E1118.
[2] HOMPSON R R, KONG C L, PORCO T C, et al.Herpes Zoster and Postherpetic Neuralgia: Changing Incidence Rates From 1994 to 2018 in the United States[J]. Clin Infect Dis,2021,73(9):e3210-e3217.
[3] ZHANG Y L, SU W Z, MA C F, et al.Research progress on drug resistance of anti-varicella-zoster virus drugs[J]. Zhonghua yu fang yi xue za zhi [Chinese journal of preventive medicine],2023,57(2):259-267.
[4] 曹婷,杨琳,孙占学.易发带状疱疹后遗神经痛的中医体质与危险因素调查研究[J].中华中医药杂志,2022,37(6):3627-3631.
[5] 宋玉强,付渊博,李彬,等.当代火针创新发展及应用概论[J].中国针灸,2022,42(11):1317-1320.
[6] 赵娜娜,韩佳炜,杜元灏.针刺双向调节效应机制的研究进展[J].中国针灸,2021,41(9):1060-1062.
[7] 曾婧纯,肖青娥,卢立宏,等.林国华运用岭南火针疗法经验撷菁[J].辽宁中医杂志,2022,49(4):31-33.
[8] XUE K, LIU H, SHI Q, et al.The efficacy and safety of fire needle for cervical spondylotic radiculopathy: A protocol for systematic review and meta-analysis[J]. Medicine (Baltimore),2021,100(31):e26824.
[9] LIU Q, WU X, GUO J, et al.Analgesic Effect of Electroacupuncture on Postherpetic Neuralgia: A Trial Protocol for a Multicenter Randomized Controlled Trial[J]. Pain Ther,2021,10(2):1755-1771.
[10] 李新巧,阚厚铭,徐元玙,等.背根神经节脉冲射频联合银质针治疗带状疱疹后遗神经痛临床研究[J].现代中西医结合杂志,2021,30(36):4023-4029.
[11] KIM J H, LEE C S, HAN W K, et al.Determining the Definitive Time Criterion for Postherpetic Neuralgia Using Infrared Thermographic Imaging[J]. Pain and Therapy, 2022,11(2):591-600.
[12] 徐永亦,冯鑫鑫,上官育波,等.“潜龙入渊”法治疗带状疱疹后遗神经痛理论探幽[J].中华中医药杂志,2021,36(7):4073-4075.
[13] 程宏斌,伍景平,王岷珉.试析蛇串疮及后遗神经痛证治的古今差异[J].新中医,2016,48(12):171-172.
[14] 张颖,顾晓虹,朱涛.带状疱疹后遗神经痛的脊髓发病机制的研究进展[J].医学综述,2017,23(21):4256-4261.
[15] 任云洁,马良娟.带状疱疹后神经痛发病机制及治疗进展[J].临床皮肤科杂志,2022,51(8):501-503.
[16] ZHOU H, WANG Z, JIN H, et al.A systematic review and meta-analysis of independent risk factors for postherpetic neuralgia[J]. Ann Pal liat Med,2021,10(12):12181-12189.
[17] FORBES H J, KRISHNAN B, THOMAS S L, et al.Quantifi cation of risk factors for postherpetic neuralgia in herpes zoster patients: A cohort study[J]. Neurology,2016,87(1):94-102.
[18] FORBES H J, THOMAS S L, SMEETH L, et al.A systematic review and meta-analysis of risk factors for postherpetic neuralgia[J]. PAIN,2016,157(1):30-54.
[19] 金晓蝉,田岳凤,翟春涛.P物质与疼痛性疾病机制研究的分析[J].世界中西医结合杂志, 2018,13(8):1170-1172.
[20] 何晓芬,蒋永亮,叶佳瑜,等.低频电针对SNI神经痛大鼠脊髓背角P物质表达的影响[J].上海针灸杂志,2017,36(12):1469-1474.
[21] 张安东,王婷婷,李旭英,等.“逆流补营”火针法联合脉冲射频治疗带状疱疹后遗神经痛的疗效及对血清SP和NK-1水平影响[J].针灸临床杂志,2022, 38(4):19-22.
[22] 张英,李世华,杨玲,等.火针赞刺法对急性期带状疱疹疼痛和血清中P物质的影响[J].针刺研究,2018,43(8):492-494.
[23] 徐彬彬,朱立建,许瑞旭,等.火针赞刺联合放血疗法治疗急性期带状疱疹的疗效及对外周血清P物质的影响[J].中国中医急症,2021,30(11):1993-1996.
[24] 李雪薇,田晔.火针对带状疱疹后遗神经痛大鼠疼痛阈值及NF-κB表达的影响[J].世界中西医结合杂志,2016,11(1):38-40,59.
[25] 罗剑刚,余恩念,孙涛,等.神经病理性疼痛大鼠脊髓背角中核转录因子-κB蛋白表达的变化[J].中华物理医学与康复杂志,2011,33(3):163-166.
[26] 孙天宇,鲁学良,段利颖,等.MiRNA-125a-5p对于脊髓损伤后炎症反应、细胞凋亡及促进神经再生的作用机制研究[J].现代生物医学进展,2022, 22(6):1018-1023.
[27] 李晶晶,周鹏,曾婧纯,等.实时、同体监测岭南火针对带状疱疹后遗神经痛模型大鼠外周神经递质的影响及其时效性[J].暨南大学学报(自然科学与医学版),2019,40(1):37-44.
[28] 王鑫栋. 火针治疗带状疱疹后神经痛的回顾性分析和cAMP/PKA通路机制研究[D].广州;广州中医药大学,2021.
[29] 吴一箐,童志前,万有.温度感受器TRPV1调节疼痛[J].生物化学与生物物理进展,2021,48(12):1392-1397.
[30] 王鑫栋,包颖晨,韦永政,等.岭南火针对带状疱疹后神经痛大鼠背根神经节PKA/TRPV1通路的影响[J].中国皮肤性病学杂志,2021,35(6):684-690.
[31] 李学玲. 火针拔罐联合雷火灸治疗带状疱疹后遗神经痛的效果观察[J].医学食疗与健康,2022,20(23):27-29,96.
[32] 张远红,李智忠,刘玉花.火针联合腕踝针治疗带状疱疹后遗神经痛的临床疗效[J].内蒙古中医药,2021,40(12):90-91.
[33] 刘刚,王艳,邓伟.活血化瘀膏方外敷联合毫火针刺对带状疱疹后遗神经痛临床观察[J].光明中医,2021,36(20):3453-3456.
[34] 李晶晶,方刚,林辰,等.壮医药线点灸对带状疱疹后遗神经痛患者血浆β-内啡肽的影响[J].时珍国医国药,2012,23(7):1807-1808.
[35] 黎金凤,王培,李敏.基于“温阳导滞理论”针刺联合火针治疗血瘀型带状疱疹后遗神经痛临床研究[J].针灸临床杂志,2021,37(4):29-32.
[36] 赵爽. 毫火针疗法联合氦氖激光治疗带状疱疹患者的临床效果及对后遗神经痛的影响[J].医疗装备,2022,35(16):96-98.
[37] 许洁,许纲.带状疱疹后遗神经痛与Th1/Th2细胞因子及血清炎性因子相关性探讨[J].标记免疫分析与临床,2017,24(6):666-669.
[38] 刘畅,张海龙,殷国巍.针灸治疗带状疱疹后遗神经痛的免疫机制研究[J].针灸临床杂志,2017,33(8):49-52.
[39] 黄梅,李伟凡.火针拔罐联合龙胆泻肝汤加减对带状疱疹后遗神经痛及CD4+、CD8+的影响[J].现代医学与健康研究电子杂志,2020,4(1):135-136.
[40] 李凌霄,马朝阳,高英,等.毫火针结合低频电针治疗带状疱疹急性期神经痛的疗效及其对血清IL-10、CXCL10含量影响的研究[J].辽宁中医杂志,2018, 45(10):2093-2097.
[41] 杜晓晖,杨晓丽,付龑,等.活血散瘀汤联合火疗法治疗带状疱疹后遗神经痛疗效观察[J].四川中医,2016,34(4):95-97.
[42] 张磊,许文婷,韩雪,等. 茴风活血汤联合火针治疗白癜风复色情况及对Th17/Treg免疫失衡的影响[J].西部医学,2022,34(1):109-114.
[43] LUO Y, KUAI L, SONG N, et al.Efficacy and safety of fire needle therapy for nodular prurigo: a quantitative study[J]. Evid Based Complement Alternat Med,2019,2019:8797056.
[44] 赵洛鹏,刘璐,王一战,等.火针疗法的“破”和“立”作用及临床应用初探[J].中医杂志,2019,60(14):1255-1257.