从经筋-皮部系统探讨脏腑疾病的推拿治疗

Discussion on Massage Treatment of Visceral Diseases from the Tendon-Skin System

从生理病理角度详细阐述了经筋、皮部与脏腑之间的关系:经筋伴行经脉、维稳脏腑,经筋失衡则脏腑失位,脏腑气血失和则经筋失养;皮部隶属经络、内联脏腑,皮部阻滞影响脏腑运作。解释说明了推拿手法对经筋、皮部及脏腑可能产生的效应:平衡经筋张力改善内部空间,疏通皮部气血调整脏腑功能。最后围绕经筋皮部理论探讨推拿治疗脏腑病的思路:手法注重层次感,疏皮松筋,柔筋正骨;四肢关节及胸腹部经筋结聚处须重点施治;平衡经筋张力,手足三阴经筋与足太阳经筋为核心。

This paper expounds the relationship between tendon, skin and viscera in detail from the perspective of physiology and pathology. It is considered that tendon accompany meridians and maintain the stability of viscera. If tendons are unbalanced, the viscera will lose their position, and if the Qi and blood of viscera are harmonious, the tendon will lose their nourishment. The skin belongs to the meridians and internal organs, and the skin block affects the operation of the viscera. It explains the possible effects of massage manipulation on tendon, skin and viscera, including balancing the tension of tendon, improving internal space, dredging Qi and blood of skin, and adjusting the function of viscera. Finally, based on the theory of tednon-skin, this paper discusses the idea of massage in the treatment of visceral diseases. The manipulation pays attention to the sense of hierarchy, loosens the skin and tendons, softens the tendons and corrects the bones. The joints of limbs,chest and abdomen should be treated with emphasis. And it should balance the tension of tendon, with the three yin meridians of hands and feet and the tendon of foot Taiyang meridian as the core.