摘要
腰椎间盘突出症是一种临床常见的退行性疾病,正日趋年轻化,严重影响着人们的日常生活。法国图书馆所藏的敦煌本张机(字仲景)《五脏论》中所提到的“骨假筋立”说可谓对腰椎间盘突出症病机进行了透彻的揭示。骨假筋立,大意为骨骼凭借肌肉、筋得以存在;体现的是中医张机在《五脏论》中对“骨骼、肌肉、筋”三者辨证关系的高度总结与概括。在“骨假筋立”思想的指导下,结合传统中医理论、传统治疗方法,提出四经相合、肝肾同补、筋骨并治的针灸治疗理念。针灸治疗腰椎间盘突出症,以足太阳膀胱经上的特定穴肝俞穴、束骨穴、昆仑穴、委中穴为主,配合手足少阳经输穴中渚穴、足临泣穴,足少阴肾经原穴太溪穴,从而使太阳厥阴柔筋以束骨、少阴少阳正骨以利机关、四经相合骨正筋柔以止痛之疗效。对于腰部没有转侧不利等骨痿弱的症状,仅以腰部脊柱突出为主症,治疗主要在筋,选以太阳经,厥阴经相合来治疗筋病;对于筋骨皆有症状的治疗,便需要在太阳经,厥阴经的基础上,配合少阳经、少阴经,从而达到四经相合,筋骨并治,骨假筋立之疗效。文章结合案例,介绍从“骨假筋立”论治腰椎间盘突出症的成功经验,以期为临床提供参考。
Lumbar disc herniation is a common clinical degenerative disease that is getting younger and younger,seriously affecting people’s daily lives.The theory of bones stand by tendon mentioned in ZHANG Ji’s Five Zang Lun(《五脏论》)can be described as a profound interpretation of the pathogenesis of lumbar disc herniation.Bones stand by tendon,which means that bones can exist only with muscles and tendons.It reflects the high summary and generalization of the differential relationship between bone,muscle and tendon in Five Zang Lun by ZHANG Ji,a famous traditional Chinese medicine expert.Under the guidance of the idea of bones stand by tendon,this paper combines the traditional Chinese medicine theory and traditional treatment methods,and puts forward the acupuncture idea of combining the four meridians,tonifying the liver and kidney together,and treating both muscles and bones.In the treatment of lumbar disc herniation with acupuncture and moxibustion,Ganshu point(BL18),Shugu point(BL65),Kunlun point(BL60)and Weizhong point(BL40)on the bladder meridian of the foot Taiyang(太阳)were selected as the main points,together with Zhongzhu point(SJ3),Zulinqi point(GB41)and Taixi point(KI3)on the foot(and hand)Shaoyin(少阴)meridian,so as to make the curative effect to relieve pain.For the lumbar spine,there is no sign of bone weakness such as adverse lateral rotation,and only lumbar spine protrusion is the main disease.The treatment is mainly in the tendons,and the combination of Taiyang meridian and Jueyin(厥阴)meridian is selected to treat tendon disease.For the treatment of symptoms of both muscles and bones,it is necessary to cooperate with the Shaoyang(少阳)and Shaoyin meridians on the basis of the Taiyang and Jueyin meridians,so as to achieve the curative effect of combining the four meridians,treating both muscles and bones,and establishing false tendons.For the patients who have no symptoms of bone weakness such as unfavorable lumbar lateral rotation,but only lumbar spinal protrusion,the combination o
出处
《中医临床研究》
2023年第31期132-135,共4页
Clinical Journal Of Chinese Medicine
基金
国家中医药管理局十二五重点学科敦煌医学学科(DHYXXK-2022)
甘肃省高校人文社科重点研究基地敦煌医学文献整理与应用研究中心(DHYXJD-2022)。
关键词
骨假筋立
腰椎间盘突出
针灸
《五脏论》
Bones stand by tendon
Lumbar disc herniation
Acupuncture
Five Zang Lun
