颈项疼痛及功能障碍的经筋辨证与推拿治疗探析

Analysis on Meridian and Sinew with Syndrome Differentiation and Tuina Treatment of Neck Pain and Dysfunction

循经取穴、循经筋找痛点和反应点是推拿治疗颈项疼痛和功能障碍常用有效方法,其理论源自《灵枢•经筋》“以痛为输”思想,但迄今临床缺乏一个有效辨证方法指导经筋病的推拿治疗。本文通过对经筋理论的研究,探索以颈项部经筋循行的部位、结聚点、经筋病候,结合疼痛、病理变化和运动功能障碍,构建颈项疼痛和功能障碍之经筋辨证方法的可能,以期能用经筋辨证指导推拿手法的临床治疗。

Selecting acupoint along meridians and selecting pain points or response points along meridians and sinew are common and effective methods in Tuina treatment of neck pain and dysfunction.Its theory is derived from the thought of“with pain as acupoint”in Ling Shu Jing Jin,but so far there is still lack of an effective accurate syndrome differentiation method in clinical guidance by the meridian-sinew disease of Tuina therapy.Through the study on the theory of meridians and sinew,this article explored the locations,accumulation points,and meridian symptoms that follow the meridians of the neck,and constructed the possibility of a method for syndrome differentiation of neck pain and dysfunction by combining pain,pathological changes and motor dysfunction,in order to guide the clinical treatment of Tuina therapy by meridian and sinew with syndrome differentiation.