从《黄帝内经》“聚沫则为痛”理论探析推拿干预疼痛及痛情绪的作用机制  

Exploring the mechanism of tuina intervention for pain and painful emotions from the theory of“pain is caused by accumulation of body fluids”in Huangdi Neijing

作　　者：程艳彬[1,2] 陆萍[3] 朱清广[1,2] 孔令军[4] 吴志伟[1,2] 房敏 CHENG Yanbin;LU Ping;ZHU Qingguang;KONG Lingjun;WU Zhiwei;FANG Min(Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;Research Institute of Tuina,Shanghai Academy of Traditional Chinese Medicine,Shanghai 200331,China;School of Acupuncture-moxibustion and Tuina,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Shuguang Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,上海200437 [2]上海市中医药研究院中医推拿研究所 [3]上海中医药大学针灸推拿学院 [4]上海中医药大学附属曙光医院

出　　处：《北京中医药大学学报》2023年第11期1510-1516,共7页Journal of Beijing University of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(No.82030121,82004493,82205302,81973974);国家中医药管理局中医药创新团队及人才支持计划项目(No.ZYYCXTD-C-202008);上海市促进市级医院临床技能与临床创新能力三年行动计划项目(No.SHDC2022CRT018);上海市青年科技英才扬帆计划项目(No.20YF1450900);上海市浦江人才计划项目(No.21PJD071)。

摘　　要：慢性疼痛迁延难愈,常伴随抑郁、焦虑等痛情绪的发生,严重影响患者生活质量,给个人、家庭、社会造成巨大伤害,因此备受关注。本文基于《黄帝内经》“聚沫则为痛”理论对慢性疼痛的病因病机进行阐释,阐明推拿治疗慢性疼痛的中医学内涵,并对推拿治疗慢性疼痛和痛情绪“身心同治”的独特优势进行总结,以期通过对骨关节疾病“聚沫则为痛”理论的探讨为相关基础研究和临床诊疗提供思路。Chronic pain is persistent,difficult to treat,and often accompanied by pain emotions,such as depression and anxiety,seriously affecting patients’quality of life and substantially harming individuals,families,and society.Therefore,chronic pain has received considerable attention.This article explains the etiology and pathogenesis of chronic pain according to the“pain is caused by accumulation of body fluids”theory in Huangdi Neijing and clarifies the traditional Chinese medicine connotation of tuina treatment for chronic pain.The unique advantages of tuina treatment for chronic pain and pain emotions through the“treatment for both the body and mind”approach are summarized.It is hoped that the exploration of the“pain is caused by accumulation of body fluids”theory here will provide ideas for relevant basic research,clinical diagnosis,and treatment.

关 键 词：聚沫则为痛 慢性疼痛 痛情绪 推拿 身心同治 

分 类 号：R244.15[医药卫生—针灸推拿学]