通元针法治疗带状疱疹后神经痛：随机对照试验

张洁; 程孝顶; 唐文龙; 曲善忠; 彭丽; 严旭洪; 倪瑶; 路永红; 尹斌

doi:10.13703/j.0255-2930.20250518-k0002

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通元针法治疗带状疱疹后神经痛：随机对照试验

临床研究 | 更新时间：2026-07-09

- 通元针法治疗带状疱疹后神经痛：随机对照试验
- Tongyuan acupuncture for postherpetic neuralgia: a randomized controlled trial
- 中国针灸 2026年46卷第7期页码：1068-1074
- 作者机构：
  
  四川大学华西临床医学院，四川大学附属成都市第二人民医院，成都市第二人民医院，成都　610017
- 作者简介：
  
  ✉尹斌，主任医师。E-mail：dr.yb@qq.com
- 基金信息：
  
  四川省中医药管理局课题项目(2023MS526)
- DOI：10.13703/j.0255-2930.20250518-k0002
  中图分类号：
- 收稿：2025-05-18，
  
  网络首发：2026-05-07，
  
  纸质出版：2026-07-12
- 稿件说明：
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张洁, 程孝顶, 唐文龙, 等. 通元针法治疗带状疱疹后神经痛：随机对照试验[J]. 中国针灸, 2026,46(7):1068-1074.

ZHANG Jie, CHENG Xiaoding, TANG Wenlong, et al. Tongyuan acupuncture for postherpetic neuralgia: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2026, 46(7): 1068-1074. DOI: 10.13703/j.0255-2930.20250518-k0002.
张洁, 程孝顶, 唐文龙, 等. 通元针法治疗带状疱疹后神经痛：随机对照试验[J]. 中国针灸, 2026,46(7):1068-1074. DOI： 10.13703/j.0255-2930.20250518-k0002.

ZHANG Jie, CHENG Xiaoding, TANG Wenlong, et al. Tongyuan acupuncture for postherpetic neuralgia: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2026, 46(7): 1068-1074. DOI: 10.13703/j.0255-2930.20250518-k0002. DOI：

摘要

目的：

观察通元针法治疗带状疱疹后神经痛（PHN）的临床有效性。

方法：

将106例PHN患者随机分为通元电针组（53例，脱落3例）和普通电针组（53例，脱落4例、剔除2例）。通元电针组穴取百会、印堂、水沟、气海、关元、阿是穴及双侧心俞、膈俞、肝俞、脾俞、天枢，选择5～6组腧穴连接电针治疗仪；普通电针组穴取阿是穴及患区相关神经节段的夹脊穴，患区相关神经节段夹脊穴及阿是穴连接电针治疗仪。两组均选择疏密波，频率2 Hz/100 Hz，电流2 mA，留针30 min，每日1次，5次为一疗程，疗程间休息2 d，共治疗4个疗程。分别于治疗前、治疗2周后、治疗4周后观察两组患者简化McGill疼痛问卷（SF-MPQ）评分［包括疼痛分级指数（PRI）评分、视觉模拟量表（VAS）评分、现有疼痛强度评定（PPI）评分］，于治疗前、治疗4周后观察两组患者匹兹堡睡眠质量指数（PSQI）评分、汉密尔顿焦虑量表（HAMA）评分、汉密尔顿抑郁量表（HAMD）评分，于治疗后评定临床疗效，并于治疗结束后3个月随访患者疼痛复发情况。

结果：

与治疗前比较，两组患者治疗2、4周后，SF-MPQ各分项评分及总分均降低（

0.05），且治疗4周后评分低于治疗2周后评分（

0.05）；治疗2周后通元电针组VAS、PPI评分及SF-MPQ总分低于普通电针组（

0.05），治疗4周后通元电针组SF-MPQ各分项评分及总分低于普通电针组（

0.05）。两组患者治疗后PSQI、HAMA、HAMD评分低于治疗前（

0.05）；治疗后通元电针组PSQI、HAMA、HAMD评分低于普通电针组（

0.05）。通元电针组总有效率、显效率分别为90.0%（45/50）、72.0%（36/50），均高于普通电针组的74.5%（35/47）和44.7%（21/47）。治疗结束后3个月随访，通元电针组疼痛复发率为2.2%（1/45），低于普通电针组的17.1%（6/35，

0.05）。

结论：

通元针法可缓解PHN患者疼痛、改善睡眠障碍及情绪共病，且近期及远期疗效优于普通电针治疗。

Abstract

Objective

To observe the clinical efficacy of

Tongyuan

acupuncture in treatment of postherpetic neuralgia (PHN).

Methods

A total of 106 patients with PHN were randomly divided into a Tongyuan electroacupuncture group (53 cases

3 cases dropped out) and a conventional electroacupuncture group (53 cases

4 cases dropped out

2 cases were eliminated). In the Tongyuan electroacupuncture group

Baihui (GV20)

Yintang (GV24

)

Shuigou (GV26)

Qihai (CV6)

Guanyuan (CV4)

ashi

points and bilateral Xinshu (BL15)

Geshu (BL17)

Ganshu (BL18)

Pishu (BL20)

Tianshu (ST25) were selected

and 5 to 6 pairs of acupoints were selected to connect the electroacupuncture therapeutic apparatus; in the conventional electroacupuncture group

ashi

points and Jiaji points (EX-B2) of the relevant ganglion segments in the affected area were selected

and Jiaji points (EX-B2) and

ashi

points were connected to the electroacupuncture therapeutic apparatus. In both groups

dense-disperse waves were selected at a frequency of 2 Hz/100 Hz and a current of 2 mA. The needles were retained for 30 min per session

once daily. Five sessions constituted one treatment course

with a 2-day interval between courses. A total of four treatment courses were administered. The simplified McGill pain questionnaire (SF-MPQ) score (including the pain rating index [PRI

]

score

visual analogue scale [VAS

]

score

and present pain intensity [PPI

]

score) of both groups were observed before treatment

after 2 weeks of treatment

and after 4 weeks of treatment. The Pittsburgh sleep quality index (PSQI) score

Hamilton anxiety scale (HAMA) score

and Hamilton depression scale (HAMD) score of both groups were observed before treatment and after 4 weeks of treatment. Clinical efficacy was evaluated after treatment

and pain recurrence was followed up at 3 months after treatment completion.

Results

Compared with before treatment

the sub-scores and total scores of the SF-MPQ in both groups decreased after 2 and 4 weeks of treatment (

0.05)

and the scores after 4 weeks of treatment were lower than those after 2 weeks of treatment (

0.05). After 2 weeks of treatment

the scores of VAS and PPI

and the total score of SF-MPQ in the Tongyuan electroacupuncture group were lower than those in the conventional electroacupuncture group (

0.05). After 4 weeks of treatment

all sub-scores and total score of the SF-MPQ in the Tongyuan electroacupuncture group were lower than those in the conventional electroacupuncture group (

0.05). After treatment

the PSQI

HAMA

and HAMD scores in both groups were lower than those before treatment (

0.05); the PSQI

HAMA

and HAMD scores in the Tongyuan electroacupuncture group were lower than those in the conventional electroacupuncture group (

0.05). The total effective rate and marked effective rate in the Tongyuan electroacupuncture group were 90.0% (45/50) and 72.0% (36/50)

respectively

both higher than those in the conventional electroacupuncture group (74.5% [35/47

]

and 44.7% [21/47

]

0.05). During follow-up

the pain recurrence rate in the Tongyuan electroacupuncture group was 2.2% (1/45)

which was lower than that in the conventional electroacupuncture group (17.1% [6/35

]

0.05).

Conclusion

Tongyuan

acupuncture can alleviate pain

improve sleep disturbances

and ameliorate emotional comorbidities in patients with PHN

and its short-term and long-term efficacy is superior to that of conventional electroacupuncture.

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