《内经》腰痛之经络辨治

Meridian differentiation of low back pain in Neijing(Inner Canon of Yellow Emperor)

《内经》中腰痛诊治内容丰富,与经络联系甚为密切,形成了腰痛之经络辨治的完整理论体系。本文主要从腰部筋骨为18条经络所网布;腰痛病机在于经络气血运行失常;腰痛病性为经络颜色、形态变化反应;腰痛病位应首据症状以辨经定位;腰痛治疗应据经络辨证选取针灸处方等5个主要方面来阐释腰痛之经络辨治的理论与应用。以期指导临床实践,充分挖掘经络辨治的优势和特色,并为促进中医标准化提供一定的理论参考和依据。

There are various contents about diagnosis and treatment of low back pain in Neijing（Inner Canon of Yellow Emperor）, which are closely related to meridians and collaterals, forming a complete theoretical system of meridian differentiation for low back pain. Its theory and application are interpreted in this paper from five main aspects, including 18 meridians and collaterals densely distributing in the tendons and bones of the waist, the pathogenesis of low back pain lying in the disorders of the meridian qi and blood, the nature of low back pain being reflected by the color and shape of meridians and collaterals, the disordered meridians of low back pain being first identified based on syndrome differentiation, the acupuncture prescription being selected according to meridian differentiation. The purpose of this paper is to guide clinical practice, explore the advantages and characteristics of meridian differentiation, and provide theoretical reference and evidence for promoting the standardization of TCM.