毫火针留针联合针刺治疗PHN的研究进展

Research Progress on the Combined Use of Hao Fire Needle Retention and Acupuncture in the Treatment of Postherpetic Neuralgia

摘要: 带状疱疹后遗神经痛(Postherpetic Neuralgia, PHN)是带状疱疹(Herpes Zoster, HZ)最常见的后遗症，其症状表现为皮疹愈合后持续存在的剧烈疼痛，疼痛的性质多样、缠绵难愈，持续的疼痛导致患者长期生活质量下降。PHN病因复杂，当前西医治疗以药物为主，但常伴随不良反应且部分患者疗效不佳。近年来，毫火针留针联合针刺疗法作为一种中医特色外治法，在PHN的治疗中优势显著。该疗法集毫火针的温通散结、激发经气之功与针刺的疏通经络、调和气血之效于一体，能有效降低疼痛强度，改善患者睡眠障碍及焦虑。大量临床对照试验证实，火针联合针刺治疗方案在减轻疼痛、提高生活质量方面优于单一疗法或常规药物，且安全性较高，本综述探讨了该联合疗法的研究现状。

Abstract: Postherpetic Neuralgia (PHN) is the most common complication of Herpes Zoster (HZ). It is characterized by persistent, severe pain that remains after the skin rash has healed. The pain is diverse in nature, refractory, and leads to a long-term decline in patients’ quality of life. The etiology of PHN is complex. Current Western medical treatments primarily rely on medications, which are often associated with adverse effects and suboptimal efficacy in some patients. In recent years, filiform fire needle retention combined with acupuncture therapy, as a distinctive external treatment in Traditional Chinese Medicine, has shown significant advantages in the management of PHN. This integrated approach combines the warming, unblocking, dissipating nodulations, and stimulating meridian qi effects of the filiform fire needle with the channel-unblocking, qi-and-blood-regulating effects of acupuncture. It effectively reduces pain intensity and improves patients’ sleep disturbances and anxiety. Numerous randomized controlled trials have confirmed that the combined fire needle and acupuncture regimen is superior to monotherapy or conventional medication in alleviating pain and enhancing quality of life, with a favorable safety profile. This review explores the current research status of this combined therapeutic approach.