针刺可以治疗跖疣？你可能真的没见过！(文献及手把手治疗视频)

跖疣是一种由人乳头瘤病毒（HPV）感染引起的皮肤病，常见于足底，尤其是跖趾位置（一侧或两侧脚底和脚趾），因此得名。

治疗跖疣的主要原则是破坏疣体、调节局部皮肤生长、刺激局部或全身免疫反应。治疗方法包括外用药物治疗、物理治疗、口服药物等。外用药物治疗包括水杨酸、5%氟尿嘧啶软膏、干扰素凝胶、5%咪喹莫特软膏、斑蝥素等。物理治疗方法包括冷冻治疗、电烧灼、刮除术等。对于难治性疣，还可以采用皮损内注射平阳霉素、博来霉素、干扰素等。

可以看到，这些主流的治疗方案并不包括针刺。而针刺是一般是用来治疗疼痛的，那二者之间到底有没有交集呢？下面看一些案例：

是不是很神奇？他到底是一种什么技术呢？下面看一些文献介绍：

01

Needling is a technique for the treatment of warts that is widely unknown and underused within dermatology. Gordon Falknor, a podiatrist, first introduced the technique of needling for the treatment plantar warts in 1969. He reported only two recurrences in 126 patients treated with his technique. Falknor's technique involves using a hollow needle to repeatedly penetrate the base of a wart, into the subcutaneous tissue, until there is no longer resistance to puncturing. Needling causes extensive destruction of keratinocytes and the release of high levels of viral protein into the surrounding tissue. Deep penetration of this viral protein into the subcutaneous tissue increases the likelihood of developing a systemic immune response against the virus, which often results in the resolution of both satellite and distant warts in addition to the treated primary wart.

翻译：

针刺是一种治疗疣的技术，在皮肤病学中广泛未知和未充分使用。1969年，足病医生戈登·福克诺(Gordon Falknor)首次介绍了针刺治疗足底疣的技术。他报告说，在126名接受他的技术治疗的患者中，只有两例复发。福克诺的技术包括使用一根空心针反复穿透疣的底部，进入皮下组织，直到对穿刺不再有抵抗力。针刺引起角化细胞的广泛破坏，并向周围组织释放高水平的病毒蛋白。这种病毒蛋白深入皮下组织，增加了对病毒产生全身免疫反应的可能性，这通常导致除治疗的原发性疣外，卫星疣和远处疣的消退。

02

Abstract

Background and aim: Treatment of palmoplantar warts is a challenge for dermatologists. We aimed to study the efficacy and safety of Falknor's needling method in palmoplantar warts.

Methods: In an open, nonrandomized study, the index wart of eligible patients was punctured several times with a 26-gauge needle to produce a "beefy" red wound. Patients were followed up to 6 months.

Results: Out of 82 patients, complete resolution occurred in 58 (70.7%) and partial response in 5 (6.1%) patients. Nine (10.9%) patients developed secondary infection.

Limitations: Small sample size, No comparison group.

Conclusion: Falknor's needling method provides a high rate of complete resolution after a single treatment session. It is easy to perform and is cost effective.

翻译：

摘要

背景与目的:掌跖疣的治疗对皮肤科医生来说是一个挑战。我们旨在研究福克诺针刺法治疗掌足底疣的有效性和安全性。

方法:在一项开放的、非随机的研究中，用26号针多次穿刺符合条件的患者的指数疣，产生一个“粗大的”红色伤口。随访6个月。

结果:在82例患者中，58例(70.7%)患者完全缓解，5例(6.1%)患者部分缓解。9例(10.9%)患者继发感染。

局限性:样本量小，无对照组。

结论:Falknor针刺法在单次治疗后具有较高的完全溶解率。它易于执行并且具有成本效益。

03

04

Abstract

Background: We hypothesized that needling of a pedal wart creates local inflammation and a subsequent cell-mediated immune response (CMIR) against human papillomavirus. The primary objective of this study was to investigate whether needling to induce a CMIR against human papillomavirus is an effective treatment for pedal warts compared with liquid nitrogen cryotherapy. A secondary objective was to investigate whether the CMIR induced by needling is effective against satellite pedal warts.

Methods: Eligible patients with pedal warts were randomly allocated to receive either needling or liquid nitrogen cryotherapy. Only the primary pedal wart was treated during the study. Follow-up was 12 weeks, with outcome assessments made independently under blinded circumstances.

Results: Of 37 patients enrolled in the study, 18 were allocated to receive needling and 19 to receive liquid nitrogen cryotherapy. Regression of the primary pedal wart occurred in 64.7% of the needling group (11 of 17) and in 6.2% of the liquid nitrogen cryotherapy group (1 of 16) (P = .001). No significant relationship was found between needling of the primary pedal wart and regression of satellite pedal warts (P = .615) or complete pedal wart regression (P = .175). There was no significant difference in pain, satisfaction, or cosmesis between the two groups.

Conclusions: The regression rate of the primary pedal wart was significantly higher in the needling group compared with the liquid nitrogen cryotherapy group.

翻译：

摘要

背景:我们假设针刺足部疣产生局部炎症和随后针对人乳头瘤病毒的细胞介导免疫反应(CMIR)。本研究的主要目的是研究针刺诱导抗人乳头瘤病毒的CMIR与液氮冷冻治疗相比是否能有效治疗足部疣。第二个目的是研究针刺诱导的CMIR是否对卫星足疣有效。

方法:将符合条件的足部疣患者随机分为针刺组和液氮冷冻组。在研究期间，只有原发性脚疣得到治疗。随访12周，在盲法环境下独立进行结果评估。

结果:37例入组患者中，18例接受针刺治疗，19例接受液氮冷冻治疗。针刺组(17人中的11人)和液氮冷冻治疗组(16人中的1人)的原发性足部疣消退率分别为64.7%和6.2% (P = .001)。针刺原发性足疣与伴足疣消退(P = 0.615)或足疣完全消退(P = 0.175)无显著关系。两组患者在疼痛、满意度和美容方面没有显著差异。

结论:针刺组原发性足疣消退率明显高于液氮冷冻治疗组。

可以看到，国内外都有对这种方法的报道，而且治疗效果确切，明显优于现在主流的冷冻治疗。

那到底该怎么操作呢？

下面请看视频实操，手把手教给你怎么操作：

文中文献见附件。