薛立功采用长圆针解结法治疗经筋痹痛的临床思路

XUE Li-gong′s clinical thinking of"unknotting"method with long-round needle in treatment of painful bi syndrome of meridian muscle region

总结薛立功教授应用长圆针解结法治疗经筋痹痛的临床经验。认为经筋痹痛主要与风寒湿邪侵袭和劳力外伤有关,对局部形成“横络”卡压的顽固性经筋痹痛,采用既可以钝性分离又可以锐性分割的长圆针行解结治疗,主张“以痛为输”的经筋病取穴思路,手法上以“关刺”“恢刺”“短刺”为主。

Professor XUE Li-gong′s clinical experiences were summarized in treatment of painful bi syndrome of meridian muscle region with the"unknotting"method of long-round needle.It is believed that painful bi syndrome of meridian muscle region is related chiefly with the invasion of wind,cold and damp pathogens,exertion and traumatic injury.These pathogenic factors induce the"transverse-collateral"entrapment in the local and result in refractory painful bi syndrome of meridian muscle region.The"unknotting"method is adopted with long-round needle,which can either separate bluntly the knotted lesions or cut them sharply."Taking the painful sites as the points"is the principle of point selection in treatment of meridian muscle disorder.Regarding needling techniques,joint needling,lateral needling and short needling are predominated.