振腹推拿治疗经筋病的原理探析

Analysis on the principle of abdominal vibration massage in the treatment of meridian tendon disease

《灵枢·经筋》认为经筋病分为筋急和筋痿,分别是由寒邪和湿热引起,并提出经筋病"治在燔针劫刺"的治疗方法。现代研究发现痹证、肢体筋肉的疾病及与经筋病相关的多系统、多脏腑病变均属于经筋病的范畴,并认为振腹推拿对治疗经筋病有较好的临床疗效。振腹推拿是在中医辨证论治的基础上通过补泻手法治疗经筋病,针对筋急、筋痿的病因病机分别以通导阳气、祛湿泻热为主要治法,并通过振腹、揉腹、摩腹、推腹、拿腹等施术方法,刺激以神阙穴为中心的腹部经络和腧穴,实现调整脏腑功能、振奋阳气、健脾化湿、调畅气血、疏通经络、输布营养的作用,从而祛除经筋病的病因,温煦濡养经筋,恢复经筋的生理状态和功能,并配合筋骨同调的手法和对经筋局部的放松类手法实现骨正筋柔,改善经筋肌肉的肌张力和肌力,从而缓解筋急紧张拘挛和筋痿痿软不用的症状。

In the chapter Jingjin(Muscles of the Channels)of Lingshu(Spiritual Pivot),the disease of tendons is divided into spasm and flaccidity,which are caused by cold and damp heat pathogenic factors,and can be treated by"swift insertion of heated needles".Modern studies have found that impediment syndrome,diseases of limbs and muscles and tendons-related diseases of multiple systems and viscera all belong to the category of tendon diseases;and it is believed that abdominal vibration massage has a good therapeutic effect.On the basis of pattern identification and treatment in TCM,the abdominal vibration massage is used by supplementation and draining to treat the diseases.Considering the causes and pathogenesis of spasm and flaccidity,the main treating methods are to activate yang qi,dispel dampness and purge heat.Abdominal massage techniques,such as vibrating,rolling,rubbing,pushing and holding,can not only stimulate the abdominal meridians and acupoints centered on the Shenque point,but also adjust the functions of viscera,invigorate yang qi,strengthen spleen and resolve dampness,harmonize qi and blood,dredge meridians and collaterals,and distribute nutrition,to eliminate the cause of tendon diseases,warm and nourish tendons,and restore their physiological state and function.Moreover,the simultaneous treatment of tendons and bones and the local relaxation of tendons help to achieve straightened bones and softened tendons and improve the muscle tension and muscle strength,so as to relieve the symptoms of spasm and flaccidity.