从少阳论治肩关节周围炎理论探析

Theoretical exploration of treatment of scapulohumeral periarthritis from Shaoyang

基于少阳理论探析肩关节周围炎的治疗。少阳经络循行部位与肩关节周围炎发病部位紧密相关;少阳生理功能正常运行,则气血调和、筋骨有秩,功能失常,则气滞血瘀、痰浊内生,以致筋骨凝滞失用。治疗上,一则从少阳经络循行部位出发,选取少阳经络相关的穴位施以针刺、小针刀、推拿手法等缓解症状;二则从少阳主骨、少阳为枢的功能出发,调畅少阳气机,达到气血通畅、筋骨得养的目的;三则从五脏之肝与六腑之胆互为表里角度出发,从少阳之脏腑论治筋伤,采用柴胡类经方调和脏腑,整体论治。

The purpose of this article is to explore the treatment of scapulohumeral periarthritis based on the theory of Shaoyang. The circulation path of Shaoyang meridians is closely related to the sites of scapulohumeral periarthritis. The proper physiological function of Shaoyang can harmonize the circulation of qi and blood and movement of tendons and bones. However,the abnormal function of Shaoyang may cause qi stagnation and blood stasis,interior generation of phlegm and turbidity,resulting in the coagulation and obstruction of tendons and bones. In terms of treatment,first,apply acupuncture,small needle knife and tuina manipulations to the selected acupoints related to Shaoyang meridians based on the circulation path of Shaoyang meridians to relieve symptoms;Second,regulate the qi movement of Shaoyang to smoothen the circulation of qi and blood and nourish the tendons and bones as Shaoyang governs the bones and functions as the pivot;Third,treat injury of tendons and muscles from Shaoyang visceral organs and use associated prescriptions of Chaihu classic formulas to harmonize visceral organs and achieve a holistic treatment as the liver and the gallbladder are exteriorly and interiorly related.