摘要
目的:探讨髀枢的生理及髀枢痹的病理关键环节及相关治疗方法。方法:从《黄帝内经》相关论述及部分现代文献,分析髀枢的生理解剖联系及其病理关键环节,并提出相应治疗法则。结果:生理上,髀枢的直接联系经筋为足阳明经筋,其直接供应经脉为足阳明、足太阳、足少阳,而足六经之经筋是构成髀枢的"机关之室";病理上其关键环节有三,一是脾虚而"邪气恶血""住留"致"瘀""沫"形成,二是经筋拘挛而"绝道"闭塞致筋不养骨,三是筋结病灶形成致筋痿骨损;治疗上,对于早期,健脾运湿,通络化痰,消沫利水是主要的治疗原则;对于经筋拘挛期,采用粗银质针疗法,主要着眼点在于解除筋膜内压增高及绝道闭塞;后期采用粗银质针疗法,主要在于解除筋结病灶点及系统性经筋挛缩,降低筋骨内压,防止病变的进一步发生,消除疼痛。结论:认真探讨中医生理、解剖学,有利于中医理论的深入理解及拓展临床治疗思路。
Objective：To investigate the physiological structure of hip joint and the key pathological mechanism of its Bi syndrome and its relevant treatment therapy. Methods ： By analyzing the physiological anatomy links of hip joint and the key pathological mechanism of its Bi syndrome from the relevant classical discussion in Httangcli Neijing and part of the modern literature, it is to put fm-ccard corresponding treatment principles. Results ： Physiologically, the muscles directly connecting to hip joint belongs to Foot-Yangming ; and the meridians directly supplying for hip joints are Foot-Yangming, Foot-Taiyang amt Foot-Shaoyang; and nmscles of the six meridians pertaining to Foot are the structure compositions of hip joint. And pathologically, there are three key stages for its problem ： the first is because of spleen deficiency which will lead to stagnation of blood; the second is because of muscular and vascular spasm which will lead to poor nutrition for the bone ; the last is the formulation of the tissue adhesion which means the organic impairment of the bone and muscle. Therapeutically, the principle of treatment in the early stage should he strengthening spleen and removing dampness; dredging meridians and reducing phlegm; removing stagnation and alleviating water retention, in the second stage, the focus of the treatment should be reliving the increasing internal pressure in anponeuroses and the stagnation of the vessels by using thick silver needle, in the last stage, also with thick needle, is to remove the abnormal tissue nodus and muscular spasm, decrease the local pressure and alleviate the pain and further more to prevent its development. Conclusion ： Earnestly studying the physiology and anatomy in theories of TCM will profit us in fllrther understanding the classical theories and broadenin~ our therapeutic thought.
出处
《辽宁中医药大学学报》
CAS
2013年第3期125-128,共4页
Journal of Liaoning University of Traditional Chinese Medicine
关键词
髀枢
生理
髀枢痹
病理机制
病理关键环节
经筋病理
粗银质针疗法
hip joint
physiology
Bi Syndrome of hip joint
pathological mechanism
key stages inpathological mechanism
pathological mechanism of muscles along the meridian
acupuncture treatment withthick silver needle
