基于经筋理论探讨非特异性下腰痛的发病机制及分期论治

Pathogenesis and staging treatment for non-specific low back pain based on the meridian sinew theory

基于经筋的生理、病理特点,分期论治非特异性下腰痛,为丰富临床治疗提供参考。人体十二条经筋维络全身骨骼关节,具有主司人体运动、保护防御、调节经脉的作用。经筋在生理状态下维系腰部的功能活动,病理状态分为瘀沫疼痛期、涩渗痉挛期、横络形成期。根据经筋病理分期,非特异性下腰痛的病程进展也对应分为3期,并给予相应治疗:初期轻刺激快速镇痛、促进组织修复;中期解除肌肉痉挛、改善肌肉状态;后期解除结筋病灶点。

Based on the physiological and pathological characteristics of meridian sinew theory,the staging treatment of non-specific low back pain(NLBP)is explored to provide the reference of clinical practice.The twelve meridian sinews of the human body communicate with the bones and joints of the whole body,which governs the movement,body protection and defense,and meridian regulation.Physiologically,the meridian sinew maintains the functions of the lumbar region.In pathology,the meridian sinew may encounter stasis and pain,contraction and spasm or"transverse collateral"formation.According to the pathological staging of meridian sinew disorders,the progress of NLBP is divided into 3 phases and the corresponding treatments are provided.Mild stimulation and rapid analgesia is suggested to promote tissue repair at the early phase;muscle spasm is relieved to adjust muscular status at the middle phase;and the"cord-like"muscle foci is removed at the later phase of the disease.