“经筋理论”对中医治疗下腰痛的指导意义  

Guiding Significance of the “Meridian Theory” for the Treatment of Lower Back Pain in Traditional Chinese Medicine

作　　者：李毓婉 林斌强[2] 汤丽珠[2] 张坤木[2] 余弦 沈重庆 李长辉[1,2] LI Yuwan;LIN Bingqiang;TANG Lizhu;ZHANG Kunmu;YU Xian;SHEN Chongqing;LI Changhui(Fujian University of Traditional Chinese Medicine Fujian Fuzhou 350122,China;The Second People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine Fujian Fuzhou 350003,China;The People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine Fujian Fuzhou 350004,China)

机构地区：[1]福建中医药大学,福建福州350122 [2]福建中医药大学附属第二人民医院,福建福州350003 [3]福建中医药大学附属人民医院,福建福州350004

出　　处：《中医药临床杂志》2023年第5期849-853,共5页Clinical Journal of Traditional Chinese Medicine

基　　金：福建省自然科学基金项目(2018J01319)。

摘　　要：“经筋”一词首见于《灵枢·经筋》篇,其言人体十二经筋协同作用,起到固护脏腑,约束骨骼,调节关节活动,维持机体正常生理活动。下腰痛是临床常见的软组织疾病,临床实践中,针对下腰痛的中医治疗手段颇多,《素问·至真要大论篇》曰:“谨守病机,各司其属”,故医者如何在众多治疗方案的选择中化繁为简,恪守病机,直达病所,应当以何种思路来指导下腰痛分期诊治仍需进一步探讨。文章根据“经筋理论”探讨下腰痛的经筋理论内涵、下腰痛的发病机制及经筋理论指导下腰痛的治疗三个方面,阐述经筋理论指导下腰痛分期诊治的意义,为临床治疗下腰痛提供新思路。The term “Jingjin” first appeared in the chapter “Lingshu Jingjin”,which states that the twelve meridian tendons of the human body work together to protect viscera,restrain bones,regulate joint activities,and maintain normal physiological activities of the body.Low back pain is a common soft tissue disease in clinical practice.In clinical practice,there are many traditional Chinese medicine treatment methods for low back pain.“Suwen·Zhizhenyao Dalun” says:“Stick to the pathogenesis and treat each according to its own category”,so how do doctors treat it? In the selection of many treatment options,the complexity is simplified,the pathogenesis is adhered to,and the hospital is directly reached.What kind of thinking should be used to guide the staged diagnosis and treatment of low back pain still needs to be further explored.This article will discuss three aspects of the connotation of the meridian theory of low back pain,the pathogenesis of low back pain and the treatment of low back pain guided by the meridian theory based on the “muscle meridian theory”.New ideas for treating low back pain.

关 键 词：经筋理论 下腰痛 分期诊治 

分 类 号：R274.3[医药卫生—中医骨伤科学]