“脉满则痛”的病机及其在针灸治疗痛证中的应用  

Pathogenesis of "pain due to meridian fullness" and its application in acupuncture treatment of pain syndrome

作　　者：张世平[1] 

机构地区：[1]香港浸会大学中医药学院

出　　处：《中国针灸》2009年第11期921-923,共3页Chinese Acupuncture & Moxibustion

摘　　要："脉满则痛"是《素问.举痛论》中提出的疼痛病机之一,但没有被后世所重视。笔者把"脉满则痛"的发病机制归纳为阳热亢盛、血瘀气壅和气机逆乱,对其辨证施治规律进行了探讨。提出本病机可见于急性软组织损伤、热痹、头痛、气功偏差等多种疾患,与神经系统对痛觉易化的状态有着密切的关系。同时,提出以"釜底抽薪"作为治疗"脉满则痛"的原则,并以临床案例加以说明,旨在丰富指导针灸治疗痛证的理论。＂Pain due to meridian fullness＂ is one of the pathogenesis of pain proposed by Plain Questions, however there is no attention being paid to it in the later ages. This article arrives at a conclusion that the pathogenesis of ＂pain due to meridian fullness＂ is due to luxus yang and heat, blood stasis with qi stagnation and disturbance of qimovement, similarly, its syndrome differentiation and treatment principle were studied. It is proposed that ＂pain due to meridian fullness＂ could be seen in acute soft tissue injury, arthritis of heat type, headache, qigong deviation and other diseases. It has a close relationship with the state of pain facilitation of nervous system. The article also shows that ＂taking away firewood from under cauldron＂ is the treatment principle for the pathogenesis of pain, and cites some clinical cases to illustrate, and enrich the theory of treating pain syndrome with acupuncture.

关 键 词：针刺疗法 疼痛 辨证论治 

分 类 号：R245[医药卫生—针灸推拿学]