中医筋的功能性症状

The functional symptoms of Jin in TCM

以全国高等中医药院校规划教材为研究资料,根据中医肝脏藏血养筋的传统认识,以内风症状为线索,以症状的共性病机及其病理生理学解释为依据,筛选出30个中医筋的功能性症状,分别为眼花、目盲、眼源性眼球震颤、耳鸣、耳聋、频繁眨眼、两目上视、单眼睑下垂、舌颤、舌强、舌歪、口噤、项强、耸肩摇头、口眼歪斜、频繁挤眉、肌肤麻木、眩晕、步履不正(感觉性共济失调步态)、前庭性眼球震颤、肢体震颤、肢体抽搐、肢体拘挛、筋惕肉瞤、手足蠕动、角弓反张、弛缓性瘫痪、痉挛性瘫痪、肢体强直、半身不遂。中医筋的解剖定位可能是视觉、听觉、平衡觉、浅感觉、深感觉信号的传导通路,和支配骨骼肌运动的运动信号传导通路。筋的特有功能是传导视觉、听觉、平衡觉、浅感觉、深感觉信号和支配骨骼肌运动的运动信号。

From textbooks for TCM universities and colleges,30 TCM foundational symptoms of Jin（ sinew） were selected in accordance with the TCM understanding of ＂liver storing blood and nourishing sinew＂,and symptoms,physiology,and pathology of external wind patterns. 30 symptoms includes dazzle,blindness,ophthalmic nystagmus,tinnitus,epicophosis,frequent blink,upward staring eyes,single eyelid ptosis,tongue tremor,tongue stiffness,tongue crook,lockjaw,neck stiffness,shoulder shrugging and head jerking,facial paralysis,frequent wink,numbness,vertigo,gait abnormality（ sensational ataxic gait）,vestibular nystagmus,limb tremor,limb convulsion,limb spasm,muscular twitching,limb wriggling,opisthotonos,flaccid paralysis,spastic paralysis,limb stiffness,and hemiplegia. Corresponding to Jin in TCM,the biomedical concept may refer to visual,auditory,equilibrium,superficial sensory,deep sensory signal pathways,and the motion signal pathways dominating skeletal muscle movement. The specific function of Jin are to transmit the visible,audible,equilibratory sensation,superficial sensation,deep sensory signals,and the motion signals dominating skeletal muscle movement.