针灸治疗带状疱疹后神经痛的研究进展

Research Progress in Acupuncture and Moxibustion Treatment of Postherpetic Neuralgia

摘要: 带状疱疹后神经痛是带状疱疹最常见的后遗症，表现为持续或间歇性神经病理性疼痛，常伴随焦虑、抑郁和睡眠障碍，严重影响患者生活质量。西医药物治疗虽有一定疗效，但存在头晕、嗜睡等不良反应及耐药性问题。针灸作为中医特色疗法，在PHN治疗中展现出独特优势。本文系统综述近十年针灸治疗PHN的临床研究进展，涵盖毫针、电针、火针、艾灸、刺络拔罐、针刀等疗法，总结其取穴规律与治疗方案，探讨针灸镇痛的潜在机制，并分析当前研究的不足与未来方向，以期为PHN的针灸临床实践提供参考。

Abstract: Postherpetic neuralgia (PHN) is the most common sequela of herpes zoster, characterized by persistent or intermittent neuropathic pain often accompanied by anxiety, depression, and sleep disorders, significantly impairing patients’ quality of life. Although Western pharmacological treatments have certain efficacy, they are associated with adverse reactions such as dizziness and somnolence, as well as issues of drug resistance. As a distinctive therapy of Traditional Chinese Medicine, acupuncture and moxibustion has demonstrated unique advantages in the treatment of PHN. This paper systematically reviews the clinical research progress of acupuncture and moxibustion for PHN over the past decade, covering various therapies including filiform needle acupuncture, electroacupuncture, fire needle, moxibustion, blood-letting cupping, and acupotomy. It summarizes the acupoint selection patterns and treatment protocols, explores the potential mechanisms of acupuncture analgesia, and analyzes the limitations of current research and future directions, aiming to provide a reference for the clinical practice of acupuncture and moxibustion in PHN management.