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基于“同气相求”理论探讨远道刺治疗肱骨外上髁炎

Treatment of lateral epicondylitis by remote needling based on the theory of“Tongqi Xiangqiu”
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摘要 肱骨外上髁炎(LE)以前臂疼痛、活动受限为主要症状。中医学称之为“肘痹”,以本虚标实为病机。临床诊治LE可触诊肘部循行经络及以“同气相求”理论为基础的同名经反应点进行经络辨证。“同气相求”理论以人体气机运行规律为指导,引动体内充盈之气行血,气血同至患处可解除病痛。“气”为构成人体的物质基础,是维持人体生命活动的能源物质。“同名经”通过人体内部经络沟通含气量、循行衔接及部位对应3方面的强关联而相互密切感应。再结合以六经“根、本”理论为基础的“远道刺”法刺取健侧下肢精气充盈之特定穴,通过同名经之通路以气载血上行,充养局部病变部位,可达修复损伤组织、缓解疼痛、治疗疾病的目的。现将理论与临床实践结合,为诊治LE提供临床思路。 The main symptoms of lateral epicondylitis(LE)are forearm pain and limited movement.In traditional Chinese medicine,it is called“zhou bi”,and its pathogenesis is deficiency in origin and excess in superficiality.In clinical diagnosis and treatment of LE,meridian differentiation can be carried out by palpation of the circulating meridians at the elbow and the reaction points of the same-name channels based on the theory of“Tongqi Xiangqiu”.The theory of“Tongqi Xiangqiu”is guided by the operation law of the human Qi activity,which induces the sufficient Qi in the body to move the blood.Qi and blood flow to the affected area together can relieve the pain.“Qi”is the material basis of the human body and the energy material that maintains the life activities of the human body.The same-name channels are closely related to each other through the strong correlation of the internal meridians of the human body,to communicate the air content,the circulation connection and the corresponding position.Furthermore,remote needling based on the theory of“root and origin”of the six meridians is applied to the specific acupoints in the lower limb of the healthy side with sufficient essence.Through the pathway of the same-name channels,blood can be carried up by Qi to nourish local lesions,repair damaged tissues,relieve pain,and treat diseases.This article combines theory with clinical practice to provide clinical ideas for the diagnosis and treatment of LE.
作者 栗启鹏 张锡玮 Li Qipeng;Zhang Xiwei(Liaoning University of Traditional Chinese Medicine,Shenyang Liaoning 110847;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang Liaoning 110847)
出处 《山西中医药大学学报》 2024年第10期1135-1139,共5页 Journal of Shanxi University of Chinese Medicine
基金 辽宁省卫生计生委省直医院临床能力建设项目(LNCCC-D53-2015)。
关键词 肱骨外上髁炎 同气相求 同名经 远道刺 根结标本 LE Tongqi Xiangqiu same-name channels remote needling gen-jie-biao-ben
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