骨关节疾病中“聚沫”致痛说刍议  

Discussion on “Pain” Caused by “Foam Accumulation” in Osteoarticular Diseases

作　　者：姚重界 孔令军[1,2] 程艳彬[1,2] 朱清广[1,2] 何天翔[1,2] 任君 吕智桢 房敏 YAO Chongjie;KONG Lingjun;CHENG Yanbin;ZHU Qingguang;HE Tianxiang;REN Jun;LYUZhizhen;FANG Min(Yueyang Hospital of Integrated Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai,200437;Tuina Research Institute,Shanghai Academy of Traditional Chinese Medicine;College of Acupuncture-Moxibustion and Tuina,Shanghai University of Traditional Chinese Medicine)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,上海市200437 [2]上海市中医药研究院推拿研究所 [3]上海中医药大学针灸推拿学院

出　　处：《中医杂志》2022年第8期706-709,共4页Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(82030121);国家中医药管理局中医药创新团队及人才支持计划(ZYYCXTD-C-202008);中医药传承与创新“百千万”人才工程岐黄学者(2018);上海市科学技术委员会科技计划项目(21Y21920300);上海申康医院发展中心临床技能与临床创新能力三年行动计划(SHDC2020CR4055)。

摘　　要：疼痛作为骨关节疾病的主要症状,与局部稳态失调后引起的“筋骨失衡”具有密切联系。基于《黄帝内经》中“聚沫”致“痛”的相关论述,发现“筋骨失衡”可能是“聚沫”的基础,“聚沫”则是导致骨关节疾病疼痛发生和持续的关键因素。临床以“筋骨失衡,以筋为先”为治疗原则的手法治疗,通过“通郁闭,散瘀结”来改善局部“聚沫”状态,可较好地缓解疼痛,从而为骨关节疾病疼痛机制研究提供思路。As the main symptom of osteoarticular diseases,pain is closely related to“muscle and bone imbalance”caused by local homeostasis disorder.Based on the discussion on“foam accumulation”causing“pain”in the Inner Canon of Yellow Emperor(《黄帝内经》),the authors explain that“muscle and bone imbalance”may be the basis of“foam accumulation”,and“foam accumulation”is the key factor leading to the occurrence and maintenance of osteoarticular disease-related pain.The manual therapy takes the principle of“treating muscle first when there is muscle and bone imbalance”,and can relieve pain by“unblocking constraint and dissipating masses”to improve local“foam accumulation”,thereby providing ideas for future researches exploring the mechanism of osteoarticular diseaserelated pain.

关 键 词：骨关节疾病 疼痛 聚沫 筋骨失衡 手法治疗 

分 类 号：R274.9[医药卫生—中西医结合]