基于筋膜探讨“腰背委中求”理论内涵

Discussion on the Theory of"Treating Lumbar-back Problems by Puncturing Weizhong(BL 40)"Based on the Fascia Theory

基于现代筋膜研究,从筋膜与经络关系研究出发,对“腰背委中求”理论进行3个方面系统阐释,以期为委中穴效应机制研究提供新思路。首先,从筋膜链和新型间质细胞(Telocyte)及其网络论述其生理作用,宏观层面筋膜链中后表线的力学传导和微观层面Telocyte及其网络可能是委中穴发挥远治作用的理论基础。其次,从激痛点发病机制论述其病理联系,腰部疾病触诊时出现激痛点,按压后可出现牵涉痛的下肢传导沿着筋膜链和膀胱经循行,为其提供了部分病理依据。最后,从选择刺激更多筋膜组织的刺激方式和泛化委中至整个筋膜链来论述其临床应用,刺激方式可应用刺络拔罐和圆利针。

Based on modern fascia research,this paper systematically explained the theory of"treating lumbar-back problems by puncturing Weizhong(BL 40)"in three aspects from the study of the relationship between fascia and meridians,in order to provide new ideas for the study of the effect mechanism of Weizhong(BL 40).Firstly,the physiological effects of myofascial chain and novel interstitial cells(Telocytes)and their networks were discussed.The mechanical conduction of the posterior surface line in the macroscopic fascial chain and the Telocyte cells and their networks at the microscopic level may be the theoretical basis for the remote treatment of Weizhong(BL 40).Secondly,the pathologic relationship was discussed from the pathogenesis of pain trigger point.Trigger points appeared in palpation of lumbar diseases,and referred pain appeared after compression.Lower limb conduction followed the fascia chain and bladder meridian,which provided some pathological basis for it.Finally,the clinical application was discussed from the selection of stimulation methods to stimulate more fascia tissues and the generalization of the process to the whole fascia chain.The stimulation methods can be acupuncture cupping and round-sharp needle.