基于整体观念的经筋辨证体系构建  

Construction of jingjin differentiation system based on holistic concept

作　　者：张峰 董宝强[1] 林星星[1] 富昱 王树东[1] 吴锡 ZHANG Feng;DONG Bao-qiang;LIN Xing-xing;FU Yu;WANG Shu-dong;WU Xi(College of Acupuncture-Moxibustion and Tuina,Liaoning University of TCM,Shenyang 110847,China)

机构地区：[1]辽宁中医药大学针灸推拿学院,沈阳110847

出　　处：《中国针灸》2023年第9期977-981,共5页Chinese Acupuncture & Moxibustion

基　　金：辽宁省教育厅高等学校基本科研项目:LJKZ0902;辽宁省“兴辽英才计划”科技创新领军人才项目:XLYC1902115;辽宁省科学技术基金项目:2022-NLTS-13-04。

摘　　要：经筋辨证作为指导经筋病治疗的方法,是针灸学辨证体系的重要组成部分,临床对于经筋病的治疗常因缺乏整体观的思想指引、系统性的辨证思维以及完备化的证素采集导致诊疗体系不够全面。通过梳理经筋整体观的渊源,从辨病位、辨病因、辨病性和辨病势4个方面阐述经筋病的辨证框架,并提出构建以整体观念为核心思想、证素研究为共性方法、循证医学为理论依据的经筋辨证体系,丰富了经筋理论的辨证思路和诊病思维。As a diagnostic method to guide the treatment of sinew/fascia diseases,jingjin(muscle regions of meridians)differentiation is an important component of syndrome differentiation system of acupuncture and moxibustion.In clinical practice,because of the limitations of the ideological guidance of the holistic view,the systemic and dialectical thinking and the syndrome element collection,the system of diagnosis and treatment of sinew/fascia diseases is not comprehensive.Through combing the origin of the holistic view of jingjin,the paper expounds the differentiation framework of sinew/fascia diseases from 4 aspects of differentiation,i.e.the location of disease,etiology,nature of disease and condition of disease.It suggests to construct jingjin differentiation system by taking the holistic ideas as the core,the syndrome element research as the common method and the evidence-based medicine as the theoretical basis so that the thinking of syndrome differentiation and the diagnostic approaches based on jingjin theory can be enriched.

关 键 词：经筋辨证 整体观念 理论研究 体系构建 

分 类 号：R245[医药卫生—针灸推拿学]