基于《灵枢》解结理论探讨郑氏温通针法治疗腰椎间盘突出症

Discussion on the treatment of lumbar disc herniation by ZHENGs’Wentong Puncture based on knot-untying theory of Lingshu

“解结”一词来源于《灵枢》,“结”在中医上可理解为邪气壅聚或经筋横络成结。腰椎间盘突出症隶属于中医“腰痛”“痹症”范畴,致病因素中肝肾亏虚、气血不足为本为“虚结”,外感邪气、气滞血瘀以及痰湿为标为“实结”;而郑氏温通针法通过其“温”“通”“补”的针刺效应可以在经筋层次、经脉层次、脏腑层次对导致腰椎间盘突出症发病的“虚结”和“实结”进行松解和祛除。

The word’knot-untying’comes from the Lingshu,which says,in traditional Chinese medicine,’knot’can be understood as accumulation of pathogens to gather or the tendons cross to form a knot.Lumbar disc herniation(LDH)belongs to the category of’lumbago’and’arthralgia’in Chinese medicine.The pathogenic factors include deficiency of liver and kidney,deficiency of qi and blood,which is originally’deficient knot’,and external feeling of evil qi,stagnation of qi and blood stasis,and phlegm dampness,which are labeled as’excess knot’.Through the effects of’warming’,’passing’and’supplementing’,ZHENGs’Wentong Puncture can release and remove the’deficient knot’and’excess knot’that lead to LDH at the levels of channel sinew,meridians and zang-fu viscera.