颈肩综合征的临床辨证思路与治疗方法探讨

Study on thinking of clinical syndrome differentiation and treatment methods for neck-shoulder pain syndrome

颈肩综合征为临床上常见疾病,现代医学尚无较好的治疗方法,针灸治疗有较好的疗效,但因治疗不当容易迁延不愈。笔者认为治疗此病应先详细辨证,重视脉诊,结合局部切诊及经络触诊,选取合适的穴位;针刺操作不追求得气为先,而以候气为要,结合温针以为治;兼阳气不达四末者,先温补脾肾之阳,再开四关(合谷、太冲)以畅达阳气,后进行颈肩部的辨证施针。

Neck-shoulder pain syndrome is a commonly-seen disease clinically. Modern medicine has had no better therapy for it yet. Acupuncture and moxibustion have a better therapeutic effect, but improper treatment easily induces protracted course. For the treatment, detailed syndrome differentiation, paying attention to pulse-taking, in combination with local palpation diagnosis and channel palpation, selection of proper acupoints should first be carried out; for manipulation of needling, do not seek first for arrival of qi, but waiting for arrival of qi is important, and warming needle treatment should be combined; for the patient with yang-qi not reaching the four limbs, firstly warrning reinforcing yang of the spleen and kidney, then opening the 4 gates, Hegu （LI 4） and Taichong （LR 3） are carded out to promote yang-qi going, and then acupuncture is given at the neck-shoulder based on syndrome differentiation.