基于络病理论运用微针针刺治疗外阴硬化性苔藓

Treatment of Vulvar Lichen Sclerosus with Microneedle Acupuncture Based on Collateral Disease Theory

摘要: 外阴硬化性苔藓(Vulvar Lichen Sclerosus, VLS)作为一种慢性外阴色素退行性疾病，目前病因复杂且尚不明晰。根据其症状和体征，属中医“阴痒”、“阴痛”等范畴，中医的辩证论治主要集中于“脏腑辨证”，即“肝肾阴虚”、“湿热下注”两方面进行传统诊疗。联合对外阴硬化性苔藓的长期研究发现，其病理特点及发病方式与络病的发病机制有高度相似性。同时，基于对络病理论的解读，络脉较经脉更为细小，纵横交错，网络全身，对外阴的气血运行起着至关重要的作用。因此，“正气亏虚，抗邪不足”为发病之本，“络以通为用”为临床指导，运用微针针刺以改善局部气血运行，以达到对VLS的防治、防变目的。

Abstract: Vulvar Lichen Sclerosus (VLS) is a chronic degenerative disease of vulvar pigment, and its etiology is complex and unclear. According to its symptoms and signs, it belongs to the categories of “Yin prurigo” and “Yin pain” of traditional Chinese medicine, and the dialectical treatment of traditional Chinese medicine mainly focuses on “Zang-fu syndrome differentiation”, that is, “liver and kidney Yin deficiency” and “dampness-heat”. The long-term study of sclerotic lichen vulva showed that its pathological characteristics and pathogenesis were highly similar to the pathogenesis of collateral disease. At the same time, based on the interpretation of the theory of collaterals disease, the complexions are smaller than the meridians, crisscrossing the whole body, and play a vital role in the movement of Qi and blood in the vulva. Therefore, deficiency of Zheng Qi and the body’s inability to resist pathogenic factors are considered the root causes of the disease. Guided by the principle of “using the collar as the functional focus”, micro-needle acupuncture is employed to promote local Qi and blood circulation, thereby achieving the goal of preventing and managing VLS.