贯穿“经筋”诊疗的核心——以知为数  

Core in jingjin diagnosis and treatment:yizhi weishu

作　　者：汪智刘安 唐宏图 熊勇 马玮玮 骆安琪 WANG Zhi-liu-an;TANG Hong-tu;XIONG Yong;MA Wei-wei;LUO An-qi(College of Acupuncture-Moxibustion and Orthopedics,Hubei University of CM,Wuhan 430061,China)

机构地区：[1]湖北中医药大学针灸骨伤学院,武汉430061

出　　处：《中国针灸》2023年第8期876-880,共5页Chinese Acupuncture & Moxibustion

基　　金：2017年全国名老中医药专家传承工作室建设项目:国中医药人教函[2018]134号。

摘　　要：经筋是以筋为基础构建的筋病远端诊疗体系,其中“筋”更多的是具备特殊手感的结构,而不是某一个沿固定路线走行的单一解剖结构。“以知为数”是以对患者筋骨结构的整体诊查所感知的结果作为筋病治疗的标准,且这一理念应贯穿筋病诊治的全过程,“以痛为输”是对“以知为数”的验证与践行。在“以知为数”的指导下通过“知标本”“调阴阳”将挛急和弛纵的筋恢复正常状态,治疗筋病及其引发的其他疾病。以“以知为数”为核心的经筋诊疗体系能够完善概念模糊的“经筋理论”,形成系统的筋病治疗思维,为临床筋病的治疗提供新的思路。Jingjin(muscle region of meridian)is a distal diagnosis and treatment system of the sinew/fascia disorders on the base of the concept of jin in TCM.Jin should be a particular palpable structure rather than a single anatomic structure with a specific distributing course.Yizhi weishu refers to a idea running through the whole process of diagnosis and treatment of sinew/fascia disorders,in which,the results,obtained by the overall observation and palpation of patient's sinew/fascia structure,are taken as the criteria of treatment.Yitong weishu(taking the sites of sensitivity or tenderness as the points)verifies this idea in practice.Under the guidance of yizhi weishu,through identifying the primary from the secondary,and regulating yin and yang,the spasticity and flaccidity of sinews/fascia can be cured and the induced diseases treated.The diagnosis and treatment system of jingjin,based on yizhi weishu,develops the original jingjin theory with vague concept involved,formulates a systematic thinking of treatment for sinew/fascia disorders and provides a new approach to clinical treatment.

关 键 词：经筋 以知为数 以痛为输 经筋理论 

分 类 号：R245[医药卫生—针灸推拿学]