“以通为用,强温并举”在经筋病中的应用  

Application of"eliminating stagnation and bloodletting/fire needling"in treatment of jingjin diseases

作　　者：杨骏 刘慧林[1,2] 李彬 常英[3] 刘璐 陈鹏[1,2] 游伟[1,2] 王少松 张帆[1,2] 付渊博 魏嘉[1,2] YANG Jun;LIU Hui-lin;LI Bin;CHANG Ying;LIU Lu;CHEN Peng;YOU Wei;WANG Shao-song;ZHANG Fan;FU Yuan-bo;WEI Jia(Department of Acupuncture and Moxibustion,Beijing Hospital of TCM Affiliated to Capital Medicine University,Beijing 100010,China;Beijing Key Laboratory of Neuroregulation of Acupuncture,Beijing 100010;Beijing University of CM)

机构地区：[1]首都医科大学附属北京中医医院针灸科,北京100010 [2]针灸神经调控北京市重点实验室,北京100010 [3]北京中医药大学

出　　处：《中国针灸》2023年第8期889-893,共5页Chinese Acupuncture & Moxibustion

基　　金：北京市医院管理中心扬帆计划临床技术创新项目:XMLX201832;北京市医院管理中心重点医学专业项目:ZYLX202140;国家自然科学基金面上项目:81973925。

摘　　要：依据病情发展将经筋病的病因病机概括为3个阶段:初期久劳成瘀,筋肉挛急,压痛为征;中期因瘀致寒,瘀寒相济,筋结渐生;晚期久延失治,筋肉挛缩,关节失用。提出治疗经筋病应结合火针与放血的特色优势,以“以通为用,强温并举”为治疗原则,温通以温阳化瘀、祛寒散结,强通以祛瘀生新,针对病变各个阶段的发展特点分期论治。Based on the development of conditions,the etiology and pathogenesis of jingjin(muscle region of meridian)diseases are summarized as 3 stages,i.e.stagnation due to over-exertion at early stage,manifested by tendon-muscle contracture and tenderness;cold condition due to stagnation,interaction of stasis and cold,resulting in clustered nodules at the middle stage;prolonged illness and missed/delayed treatment,leading to tendon-muscle contracture and impairment of joint function at the late stage.It is proposed that the treatment of jingjin diseases should be combined with the characteristic advantages of fire needling and bloodletting technique,on the base of"eliminating stagnation and bloodletting/fire needling".This combined therapy warming yang to resolve stasis and dispels cold to remove nodules,in which,eliminating the stagnation is conductive to the tissue regeneration,and the staging treatment is delivered in terms of the condition development at different phases.

关 键 词：经筋病 针灸 以通为用 强温并举 火针 放血 拔罐 

分 类 号：R245[医药卫生—针灸推拿学]