从经筋论治肩前痛的临证思辨

Clinical Thinking on Treating Anterior Shoulder Pain from Meridian Sinew

肩前痛属于“筋痹病”范畴,经筋理论与肩前痛的生理病理以及病因的联系紧密,并且对肩前痛的治疗具有指导意义。治疗上,宜遵循“舒筋通络,松解筋结”的治疗原则,治疗部位宜选取“结筋病灶点”,治疗方法可选取针刺、针刀、火针和推拿等。从经筋理论的角度理解肩前痛的发病与诊疗过程,有利于拓展临床治疗思路。同时,目前对肩前痛的治疗还缺乏统一的经筋辨证标准,且分型论治肩前痛的研究较少,还需进一步完善发展。

Anterior shoulder pain belongs to the category of‘sinew Bi’in TCM.The theory of meridian sinew is closely related to the physiology,pathology and etiology of anterior shoulder pain,and it has guiding significance for the treatment of the disease.The treatment principle of‘relaxing sinew and activating collaterals,as well as relieving sinew knots’should by followed,the treatment location should be decided by where the sinew knots are,and the treatment methods include acupuncture,acupotomy,fire needling and Tuina.The understanding of the onset,diagnosis and treatment of anterior shoulder pain from the perspective of meridian sinew theory is helpful to expand clinical treatment ideas.So far,the current treatment of anterior shoulder pain is still lack of a unified standard of meridian sinew differentiation,and the studies on the treatment based on pattern classification of anterior shoulder pain are less,which needs to be further improved and developed.