Acupuncture treatment for Bartholin’s abscesst: A case report and literature review

采用针刺手法治疗一位患有前庭大腺脓肿的30岁女性患者, 该患者于就诊前已连续服用五味消毒饮4日, 症状未见明显好转, 疼痛反有加重趋势.根据患者的舌,脉,体征, 判断为热邪侵扰血分, 凉药又伤气阴, 针刺以益气养阴,托里透毒,通络止痛为主, 主要采取合穴清热利湿,培补肝肾, 配合太阳经穴, 以“太阳主开”为指导原则, 升提气机,托毒外出, 每日针刺1次, 4日后脓肿破溃, 疼痛消失, 随访2年余未再复发, 且未遗留任何后遗症.本案例表明, 针刺对于前庭大腺脓肿患者具有临床疗效.回顾本案例, 我们提出两点思考:前庭大腺脓肿在发病前身体可能有预兆, 治疗应以给邪以出路为主线, 需进一步在临床研究中证实. A 30-year-old female patient with Bartholin’s abscess was treated by acupuncture. Before visit, she had taken wuwei xiaodu yin for 4 consecutive days, but the symptoms were not alleviated markedly and pain was worsening. According to the conditions of tongue and pulse, and physical signs, the case was differentiated as pathogenic heat invading blood phase; and the injury of qi and yin by the herbal decoction the patient took before. In treatment with acupuncture, the treatment principle focused on benefiting qi , nourishing yin , expelling pus from the interior and draining toxin, and promoting the circulations of meridians to stop pain. He -sea points were selected to clear heat and resolve damp, and replenish the liver and kidney; and the acupoints of bladder meridian were combined under the guidance of “ taiyang dominating the openings”, aiming at elevating qi and expelling toxin from the interior. Acupuncture was given once daily. After treated for 4 days, abscess was ruptured, pain disappeared, and no recurrence was presented and no sequelae happened during over 2 years of follow-up. This case shows that acupuncture is effective on Bartholin’s abscess. By reviewing this case, it is put forward that there may by the signs before the onset of Bartholin’s abscess, and the treatment should focus on opening a way for eliminating pathogens. Moreover, the clinical trial is required to verify acupuncture effect on this disease.