摘要
经筋病是临床常见病,该病的针刺治疗多“以痛为输”,重视局部经筋组织的实质性病变,轻视经脉气血的整体功能失调,又常失于辨证、辨经以及补泻手法的运用,从而影响了临床疗效。而杨上善“脉引筋气”思想强调经筋病的针刺治疗须首要明确其病因病机、病变所属经脉,在选取局部病痛穴位的基础上,循经配取远部经穴,调补肝、胆、脾、胃、阴阳跷等相关经脉,资助气血生化以濡养经筋,同时视疾病寒热虚实属性,辨证施以补泻手法,实现调理虚实、协调阴阳的目的。该思想无论是取穴特点还是补泻手法的操作应用,均体现了中医学整体观念、辨证论治的核心内容,掌握并灵活运用之有助于提高经筋病的治疗效果。
The muscle meridian disease is a common disease in the clinic.The acupuncture treatment of the disease is mostly“pain-point needling”,which pays attention to the lesions of the local muscle meridian tissue,and ignoring the overall dysfunction of the Qfi and blood.Loss of syndrome differentiation,meridian differentiation and application of acupuncture manipulation,which affects clinical efficacy.YANG Shang-shan’s thought of"vessel induces tendon Qi"emphasizes the treatment of acupuncture through the disease.It is necessary to firstly identify the etiology and pathogenesis of the disease and the meridians of the lesions.On the basis of selecting the local acupuncture points,select the remote acupuncture points along the meridians.Regulootong the Liver,gallbladder,spleen,stomach,Yin and Yang Qiao vessel and other related meridians help the transformation of Qi and blood to nourish the muscle meridian.At the same time,depending on the type of nature of the disease,and application of acupuncture manipulation achieving the purpose of regulating the reality and coordinating Yin and Yang.The characteristics of this ideological feature,whether it is the characteristics of acupoints or the application of replenishing and purging,embodies the core content of traditional Chinese medicine as a whole,and the core content of syndrome differentiation and treatment.It is mastered and used flexibly to benefit the clinical improvement of the treatment effects of the muscle meridian disease.
作者
韩聪
赵耀东
金钰钧
朱玲
赵婷婷
HAN Cong;ZHAO Yao-dong;JIN Yu-jun;ZHU Ling;ZHAO Ting-ting(College of Acupuncture and Tuina,Gansu University of Chinese Medicine,Lanzhou 730000,China;Second Department of Acupuncture and Moxibustion,Gansu Hospital of Traditional Chinese Medicine,Lanzhou 730000,China)
出处
《中国中医基础医学杂志》
CAS
CSCD
北大核心
2021年第2期284-287,共4页
JOURNAL OF BASIC CHINESE MEDICINE
基金
国家中医药管理局学术流派传承工作室建设项目(2305135901)-甘肃郑氏针法
甘肃省中医药管理局中医药科研项目(GZK-2016-16)-“温通针法”治疗寒湿型腰椎间盘突出症的临床研究。
关键词
脉引筋气
经筋病
病因病机
针刺
Vessel induces Tendon Qi
Muscle meridian disease
Etiology and pathogenesis
Acupuncture
