肌筋膜疼痛综合征的中医病机及诊疗思路  被引量:17

TCM Pathogenesis and Diagnosis and Treatment Ideas of Myofascial Pain Syndrome

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作  者:苗瑞恒 刘晓梦 卞向荣 周振坤[1] MIAO Ruiheng;LIU Xiaomeng;BIAN Xiangrong;ZHOU Zhenkun(Beijing Shijitan Hospital Affiliated to Capital Medical University, Beijing China 100038;Beijing Sijiqing Hospital, Beijing China 100097)

机构地区:[1]首都医科大学附属北京世纪坛医院,北京100038 [2]北京四季青医院,北京100097

出  处:《中医学报》2019年第5期935-938,共4页Acta Chinese Medicine

基  金:北京市属医院科研培育计划项目(PZ2019007)

摘  要:肝脾不调是肌筋膜疼痛综合征(myofascial pain syndrome,MPS)发病的关键因素。肝脾不调使MPS在发病过程中陷入一个复杂的恶性循环,由最初的单一疼痛症状诱发一系列由表及里的病理变化。对于急性发作期患者,当以"急则治其标"为原则,以改善其肌肉筋膜拘挛状态从而缓解疼痛为首要目的,重在疏肝理脾、舒筋止痛;对于无症状进展期患者,当以"缓则治其本"为原则,治以健脾益气、疏肝解郁、养血柔筋,活血通络。中医的针灸、中药、导引可以有效地调理肝脾,防治MPS。The disharmony between liver and spleen is a key factor in the pathogenesis of myofascial pain syndrome(MPS).The disharmony between liver and spleen causes MPS to fall into a complex vicious circle in the course of its onset,which induces a series of pathological changes from the surface to the inside by the initial single pain symptom.For patients with acute episode,the principle of "symptomatic treatment in acute condition" should be taken to improve their muscular and fascial constraints so as to relieve pain.The main purpose is dispersing stagnated liver qi and rectifying spleen,relaxing the tendons and relieving pain.For asymptomatic progressive patients,the principle of "radical treatment in chronic case" should be taken to invigorate spleen and replenish qi,soothe the liver and relieve depression,nourish blood and tender tendons,promote blood circulation and dredge collaterals.Acupuncture,Chinese materia medica,and daoyin of TCM can effectively regulate liver and spleen and prevent MPS.

关 键 词:肌筋膜疼痛综合征 肝脾不调 中医病机 针灸治疗 中药治疗 导引治疗 

分 类 号:R2-03[医药卫生—中医学]

 

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