试论阿是穴、压痛点和激痛点的关系

Discussing the relationship among the ashi point,tender point and myofascial trigger point

简述阿是穴、压痛点和激痛点的概念和发展历史。三者皆为疼痛或内脏疾病的反应点,但从理论来源上讲,阿是穴源于经筋理论,压痛点源于软组织肌肉理论,激痛点源于肌筋膜理论;从解剖特点上讲,阿是穴是在经筋、分肉之间,压痛点是在肌肉的骨骼附着处(起止点),激痛点是在神经肌肉的运动点上;从反映病症上讲,阿是穴主要反映软组织病变和内脏病变,压痛点主要反映软组织病变,激痛点主要反映软组织病变和少数内脏病变。厘清三者之间的关系,对针灸的靶向治疗具有非常重要的指导意义。

The conception and the history of ashi point,tender point and myofascial trigger point are described in the paper.All of three kinds of point are the reaction of musculoskeletal pain and visceral diseases.Theoretically,ashi point originates from the theory of muscle region of meridian,tender point from the theory of soft tissue and muscles and myofascial trigger point from the theory of muscular fasciae.Anatomically,ashi point is localized in the muscle region of meridian,on the boundary between muscles,tender point is on the muscular attachment to skeleton（the starting and ending points）and myofascial trigger point is on the motor point of neuromuscles.Pathologically,ashi point reflects the disorders of soft tissue and internal organ,tender point reflects the disorders of soft tissue and myofascial trigger point reflects the disorders of soft tissue and few disorders of internal organ.To identify the relationship among them is very significant in the target treatment with acupuncture.