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基于“经筋”理论治疗颈源性头痛临证经验

Based on the Theory of“Three Vertical and One Horizontal”theIdea of Acupuncture for Cervical Headache
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摘要 马铁明教授认为颈源性头痛可引发患者生物、心理等不适症状,结合颈源性头痛的病因、病位,并基于“经筋”理论,提出“三纵一横”取穴方法,即通过针刺督脉纵、足太阳膀胱经颈段纵、枕骨缘治疗颈源性头痛。“三纵”选取督脉之百会、大椎、阿是穴以醒脑开窍止痛,对侧膀胱经之天柱、大杼以舒筋壮骨,改善颈部至头部经络通道顺畅,“一横”选取枕骨缘安眠、风池、哑门、完骨以安神活血止痛,意在沟通头部两侧的气血运行,取穴横纵交织,有安神定志、行气止痛之功,提升针刺治疗颈源性头痛的良性效用。临证上述取穴方法并结合六经辨证论治选取配穴,运用通络调神针法治疗,疗效显著,附医案一则加以佐证。 Professor Ma Tieming believes that cervical headache can lead to patients with biological,psychological and other adverse symptoms,combined with the cause of cervical headache,disease location,and based on the“meridian tendon”theory,proposed a“three longitudinal and one transverse”point selection method,that is,by acupuncture the longitudinal governor vein,the longitudinal foot sun bladder through the neck segment,the occipital edge to treat cervical headache.“Three longitudinal”selection of Baihui,Dazi,Ashi the point to wake up the brain to relieve pain,on the side of the bladder by Tianzhu,Dashu to relax tendons and strengthen bones,improve the neck to the head meridian channel smooth,“a horizontal”selection of occipital Anming,Fengchi,Yamen,Wangu to calm blood circulation pain,intended to communicate the qi and blood running on both sides of the head,the point is intersecting,can play a calming mind,Qi analgesia,To improve the benign effect of acupuncture in the treatment of cervical headache.Clinical diagnosis of the above point selection method combined with the six channels of syndrome differentiation and treatment of selected points,the use Collateral-Unblocking Acupuncture Method treatment,the effect is significant,attached medical case one to prove.
作者 宋卓翰 常宇 马铁明 Song Zhuohan;Chang Yu;Ma Tieming(School of Acupuncture and Tuina,Liaoning University of Traditional Chinese Medicine,Shenyang 110847,China)
出处 《亚太传统医药》 2024年第12期93-97,共5页 Asia-Pacific Traditional Medicine
基金 辽宁省“兴辽英才计划”(XLYC1902004)。
关键词 颈源性头痛 六经辨证 经筋 三纵一横 形神同调 针刺 Cervical Headache Six Meridian Syndrome Differentiation Muscles Along the Regular Meridians Three Vertical and One Horizontal Shape and Spirit Harmony Acupuncture
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