基于四海理论探讨腹部推拿治疗慢性下腰痛所致抑郁

Discussion About Abdominal Massage for Depression Caused by Chronic Low Back Pain Based on the Four-Sea Theory

慢性下腰痛所致抑郁基本病机为气机失畅,五脏元气失充,脑髓不足,元神失司,多治以调补五脏气血,调畅气机,调神定志。四海理论指导下的腹部推拿手法,主要作用于胸腹部腧穴,有调理全身气机,促进气血生成输布,补虚泻实,调和阴阳之功,可调补五脏元气,上充脑髓,起到调神定志解郁的作用,可用于治疗慢性下腰痛所致抑郁。现代研究表明,腹部推拿疗法治疗精神和行为障碍疾病有显著疗效,其可能机制是调节了脑肠肽如5-羟色胺的水平。

The basic pathogenesis of depression caused by chronic low back pain is qi stagnation,loss of nutrient of five zang-organs′original qi,brain insufficiency,and dysfunction of original spirit.The treatment should focus on regulating and replenishing qi and blood of five zang-organs,regulating qi movement,and calming mind.The abdominal massage technique under the guidance of the four-sea theory mainly acts on the acupoints in the chest and abdomen.It can regulate the whole body qi,promote the generation and distribution of qi and blood,tonify deficiency and reduce excess,and regulate yin and yang,regulate original qi of the five zang-organs and replenish the brain.It can regulate the mind and resolve depression,and can be used to treat depression caused by chronic low back pain.Modern studies have shown that abdominal massage therapy has a significant effect on mental and behavioral disorders,and its possible mechanism is to regulate the level of brain gut peptide such as 5-hydroxytryptamine(5-HT).