基于经筋理论探讨刃针治疗颈肩肌筋膜疼痛综合征

Exploration on the Treatment of Cervical and Shoulder Myofascial Pain Syndrome with Blade Needling Based on the Meridian Sinew Theory

摘要:

颈肩肌筋膜疼痛综合征是临床常见病症之一，主要表现为颈肩部疼痛、活动受限等。本文基于经筋理论，认为其病机乃因外感风寒湿热之邪侵袭，经络痹阻，气血不通，发为经筋病。在治疗上，可从经筋理论出发，注重针对经筋结点的查找，根据“以灶为腧”的基本原则，采用刃针调节颈肩部经筋循行部位的经筋结点，激发足太阳经经气，调动三阳经气血，以达祛风散寒、疏经通络、调气和营之功效。

Abstract:

Abstract： Cervical and shoulder myofascial pain syndrome is one of the common clinical conditions， primarily characterized by pain in the neck and shoulders，limited mobility，and other symptoms. Based on the meridian sinew theory，this article posits that its pathogenesis is due to the invasion of external pathogenic factors such as wind，cold， dampness， and heat， which leads to meridian and collateral obstruction， qi and blood stasis blockage， resulting in meridian sinew disorders. Therefore，under the guidance of the meridian sinew theory，in clinical practice，emphasis is placed on identifying the meridian and sinew nodes. According to the basic treatment principle of "selecting the lesion as the acupoint， " the blade needling is used to disperse the sinew nodes along the meridian sinew pathways in the cervical and shoulder regions. This stimulates the meridian qi of the foot-taiyang meridian and activates the qi and blood of the three yang meridians， thereby achieving the effects of dispelling wind and dispersing cold， unblocking the meridian and sinew，and regulating systemic qi movement and harmonizing the nutritive qi.