浅议从经筋理论认知项痹及其治疗原则

On the Cognition of Neck Bi and Its Treatment Principle in Terms of Meridian Sinew Theory

项痹归属“经筋病”范畴,经筋理论可以诠释项痹的生理病理并指导项痹治疗。颈椎的稳定由颈项部的经筋维持,经筋对颈椎的活动起着重要的支持维系作用;项痹病理改变关键是筋急,病理产物的关键是筋结。项痹治疗的指导意义主要包括:局部“以痛为腧”和循经筋结聚点远端点的取穴原则,太阳经筋为主和其他筋为辅的辨筋论治原则,阳筋与阴筋功能平衡的原则。同时,目前尚存在缺乏有效的项痹经筋辨证体系及经筋理论相对发展缓慢等不足,需要进一步完善发展。

Neck Bi(nuchal arthralgia)belongs to the category of meridian sinew disease.Theory of meridian sinew can explain the etiology and pathogenesis of neck Bi,which has guiding significance for the treatment of the disease.The stability of the cervical spine is maintained by the meridian sinew of the neck,which play an important role in supporting the activities of the cervical spine.The key pathogenesis of neck Bi is the spasm of tendon,and the key pathological product is tendon knot.The guiding significance mainly includes the points selection principle of‘taking pain as acupoints’in local and along meridians sinew convergence in distal,the principle of differentiation and treatment of tendons with the Taiyang meridians as the main and other tendons as the auxiliary,the principle of functional balance between Yang meridian sinew and Yin meridian sinew.There are still some shortcomings,such as the lack of effective and specific syndrome differentiation system for meridian sinew and the slow development of meridian sinew theory.