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作 者:胡聪 冯思凝 王燕平[1] 王荣国[1] 刘佳利[1] 王锡友[2] 马淑然[1] 孙晓光[1] 薛卫国[1] HU Cong;FENG Sining;WANG Yanping;WANG Rongguo;LIU Jiali;WANG Xiyou;MA Shuran;SUN Xiaoguang;XUE Weiguo(Beijing University of Chinese Medicine,Beijing 100029,China;Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100029,China)
机构地区:[1]北京中医药大学,北京100029 [2]北京中医药大学东直门医院,北京100029
出 处:《针灸临床杂志》2021年第9期89-93,共5页Journal of Clinical Acupuncture and Moxibustion
基 金:2018年度北京中医药大学新奥奖励基金,编号:1000062720095。
摘 要:目的:从肌筋膜链角度,探讨足三阴经筋的解剖基础,为临床经筋疗法提供理论支撑。方法:分析足三阴经筋的分布、病候,并与肌筋膜链前深线解剖、功能对比,阐释足三阴经筋的解剖结构。结果:足三阴经筋的线性分布呈现混合分布趋势。在足踝小腿部,长屈肌及肌腱可视为足太阴经筋,趾长屈肌及肌腱可视为足少阴经筋。在阴股部,股内侧肌及股内收肌群的股骨止点可被视为足太阴经筋,股内收肌群结合体可被视为足厥阴经筋,大收肌后部及半腱肌半膜肌可被视为足少阴经筋。在躯干部,足太阴经筋与腰大肌筋膜密切相关,足少阴经筋与脊柱椎体前筋膜更为切合。从功能上,足厥阴经筋突出了股内收肌群与耻骨的解剖关系,足少阴、足太阴经筋突出了下肢内侧与腰腹的关系。结论:足三阴经筋分布与下肢内侧及腹腔后壁肌筋膜密切相关,由于经筋的功能性,需要进一步从解剖、功能、生物力学和病候等方面对足三阴经筋深入探讨。Objective:To explore the anatomical structure of Yin sinew meridians(Yin-SMF)of foot from the perspective of myofascial chains,thus to provide theoretical support for clinical therapies of sinew meridians.Methods:The distribution and symptoms dysfunction Yin-SMF were analyzed combined with the comparison of anatomy depth and function of the front line of myofascial chains,thus to explain the anatomy of Yin-SMF.Results:The linear distribution of Yin-SMF showed a three-dimensional structure.Around ankle and lower leg,the flexor hallucis longus could be regarded as the Tai Yin-SMF,and the flexor digitorum longus could be regarded as the Shao Yin-SMF.Around the thigh,the vastus medialis and femoral insertion of adductors could be regarded as the Tai Yin-SMF,the collection of the femoral adductors could be regarded as the Jue-Yin SMF,the posterior part of the adductor magnus,semitendinosus and semimembranosus could be regarded as the Shao Yin-SMF.In the body trunk,the Tai Yin-SMF was closely related to the psoas major,and the Shao Yin-SMF was closely related to the anterior fascia of the vertebral body.Functionally,the Jue Yin-SMF highlighted the anatomical relationship between the adductors and the pubis,and the relationship between the medial aspect of thigh,waist and abdomen was highlighted by the Shao Yin-SMF and the Tai Yin-SMF.Conclusion:The distribution of Yin-SMF is closely related to the fascia along the medial aspect of lower extremity and posterior wall of abdomen.The Yin-SMF needs further discussion on anatomy,function,biomechanics and dysfunction.
分 类 号:R224.1[医药卫生—中医基础理论]
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