筋滞骨错理论之“辨三症”初探  

Preliminary study on the theory of’differentiation of three symptoms’of Jinzhi Gucuo

作　　者：赵启 赵明宇 袁帅 张向东 鲍铁周 申晟 ZHAO Qi;ZHAO Ming-yu;YUAN Shuai;ZHANG Xiang-dong;BAO Tie-zhou;SHEN Sheng(Luoyang Orthopedic Hospital of Henan Province(Orthopedic Hospital of Henan Province),Zhengzhou 450000,China)

机构地区：[1]河南省洛阳正骨医院(河南省骨科医院),郑州450000

出　　处：《中华中医药杂志》2020年第11期5674-5676,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：河南省中医药科学研究专项(No.2016ZY2026);河南省中医管理局国家中医临床研究基地专项(No.2017JDZX012);2019年度河南省中医药拔尖人才培养项目专项(No.2019ZYBJ23)。

摘　　要：经过大量的临床探索和总结,筋滞骨错理论已经成为临床治疗颈肩腰腿痛疾病有效指导思想和方法,辨三症是笔者在运用筋滞骨错理论临床实践中反复思考和探索提出的一种新的诊疗思路和方法。通过对慢性颈肩腰腿痛疾病常见临床症状进行总结归类,细分为一类(劳损类)症状、二类(继发类)症状和三类(失代偿类)症状三类,探讨每类病症发生发展规律和病症自身特点,指导确定相应诊治方法。临床观察表明,辨三症在慢性颈肩腰腿痛疾病临床诊治中具有执简驭繁,思路清晰,疗效确切等优点。After a lot of clinical exploration and summary,the theory of Jinzhi Gucuo has become an effective guiding ideology and method for the clinical treatment of diseases of Neck-shoulder and lumbocrural pain.‘Differentiation of three symptoms’is a new thinking and method of diagnosis and treatment put forward by the author in the application of the theory of Jinzhi Gucuo in clinical practice.The common clinical symptoms of chronic neck-shoulder and lumbocrural pain were summarized and classified into three categories:strain symptoms,secondary symptoms and decompensated symptoms.The occurrence and development rules and characteristics of each type of disease were discussed,and the corresponding diagnosis and treatment methods were determined.Clinical observation shows that the three cases have the advantages of simple control,clear thinking and definite curative effect in the clinical diagnosis and treatment of chronic diseases of neck-shoulder and lumbocrural pain.

关 键 词：筋滞骨错理论 辨三症 颈椎病 颈腰综合征 疼痛 

分 类 号：R244.1[医药卫生—针灸推拿学]