用经筋理论辨经分型颈部挥鞭样损伤的研究  

Research on meridian differentiation and classification for whiplash injury based on meridian sinew theory

作　　者：陈业孟[1,2] 李蕙[1,3] 郑欣[1,3] 张群策[1,4] 王天芳[1] 

机构地区：[1]北京中医药大学基础医学院,北京100029 [2]美国纽约中医学院 [3]美国和平东方医学院 [4]美国纽约整脊医学院

出　　处：《北京中医药大学学报》2010年第8期517-520,共4页Journal of Beijing University of Traditional Chinese Medicine

摘　　要：在分析《灵枢.经筋》篇与后世注释的基础上,重点分析颈部不同经筋病变所出现的症状特点,并结合挥鞭样损伤的生物力学机制,认为挥鞭样损伤下颈段综合征的机制与经筋异常扭挫有密切关系。根据明代马莳、张介宾对经筋的具体注释并结合现代解剖学知识,归纳出挥鞭样损伤的4个不同经证:太阳经证为颈部广泛痉挛、拘急、屈伸不利;阳明经证为颈不可左右视、掣引疼痛、痉挛和肩不举;少阳经证为头颈支撑不适、痉挛、侧屈困难;少阴经证为颈部深处疼痛、后伸困难、头晕。对挥鞭样损伤患者运用《灵枢》经筋理论进行辨经分型论治,能提高其临床疗效。The paper analysed the symptom characteristics of different meridian sinews diseases in neck through studying Lingshu · Jingjin and later comments and biomechanics of whiplash injury. The author thought that the mechanism of lower cervical syndrome of whiplash injury was closely related to abnormal sprain of meridian sinews. According to the interpretations of MA Shi and ZHANG Jie-bin, who were scholars of the Ming Dynasty, and modern anatomy, the paper summarized 4 meridian syndromes of whiplash injury, including syndrome of Taiyang meridian-widespread spasm and tenderness in the neck with difficulty in extension and flexion ; syndrome of Yangming meridian-problems of head rotation, pain and spasm in the neck and debility of shoulder; syndrome of Shaoyang-discomfort, spasm of head and neck with difficulty in lateral extension ; syndrome of Shaoyin-pain in deep cervical area with difficulty in backward extension and dizziness. The whiplash injury is differentiated, classified and treated by applying the meridian sinews theory in Lingshu, and a better curative effect will be obtained.

关 键 词：灵枢 经筋理论 挥鞭样损伤 辨经分型 

分 类 号：R221.2[医药卫生—中医基础理论]