基于通则不痛理论指导推拿手法治疗腰椎间盘突出症  

Discussion on the Treatment of Lumbar Disc Herniation by Tuina Manipulation based on the PainlessTheory of General Rules

作　　者：梁成名 孟磊 王涛 LIANG Chengming;MENG Lei;WANG Tao(Taihe Huayuan Hospital,Fuyang City,Anhui Province Taihe Zip Code 236600)

机构地区：[1]安徽省阜阳市太和华源医院,安徽太和236600

出　　处：《中医药临床杂志》2023年第9期1673-1675,共3页Clinical Journal of Traditional Chinese Medicine

基　　金：安徽省基层名中医工作室项目(皖卫中医药发[2019]8号)。

摘　　要：经长期临床实践总结,认为“不通则痛”是腰椎间盘突出症的病机核心,“通则不痛”则是推拿治疗腰椎间盘突出症的基本法则。基于“不通则痛、通则不痛”的疾病认识理论,腰椎间盘突出症患者有痛则有瘀,有瘀则不通,不通则痛。推拿治疗腰椎间盘突出症应重视以痛为腧,循经推穴,杂合而用,通则不痛。临床运用“通则不痛”理论指导之推拿手法疗效颇佳,具有较高的临床指导价值,值得借鉴与推广。After a long-term clinical practice summary,the author believes that"not general pain"is the core of the pathogenesis of lumbar disc herniation,"general pain"is the basic principle of massage treatment of lumbar disc herniation.Based on the disease cognition theory of"no pain,no pain",patients with lumbar disc herniation have pain,there is stasis,there is stasis,and there is pain.Massage treatment of lumbar disc herniation should pay attention to the pain as Shu,meridian push point,hybrid and use,general no pain.The massage technique guided by the theory of"general rules without pain"has good curative effect and has high clinical guiding value,which is worth learning and promoting.

关 键 词：腰椎间盘突出症 通则不痛 推拿 探讨 

分 类 号：R244[医药卫生—针灸推拿学]