何育风教授基于整体观念治疗颞下颌关节紊乱综合征经验  

Professor HE Yufeng’s experience in treating temporomandibular joint disorder based on holistic concept

作　　者：谭翔元 何育风[1] 李湛 罗森 TAN Xiangyuan

机构地区：[1]广西中医药大学第一附属医院,广西南宁530023

出　　处：《中医临床研究》2024年第16期108-113,共6页Clinical Journal Of Chinese Medicine

基　　金：国家自然科学基金2021年第二批资助课题(82160943):从LNCRNAH19调控miR-342-3p/IER3探讨推拿对NPP的镇痛机制研究。

摘　　要：颞下颌关节紊乱综合征(Temporomandibular Disorders,TMD)的发病率高,对人类的工作生活及身心健康造成了极大影响。西医主要采取口服药物治疗、物理治疗、微创治疗、心理治疗等方法,虽能缓解部分症状,但未能根治。推拿疗法具有安全、有效且能身心同治的优势。文章介绍何育风教授基于整体观念治疗TMD经验。何教授认为TMD病位在太阳、阳明经筋,外受寒邪为病因,筋骨失衡为病机,太阳外束诸表,阳明营属全身,太阳为风寒所遏则筋骨失衡,阳明气血不通则病情迁延不愈。治疗时应基于整体观念,从经筋理论、颈腰同治理念及形神一体三个方面对TMD进行辨证治疗。以经筋手法解太阳、阳明筋结,筋柔痛自止;颈腰复位手法调整体筋骨平衡,骨正舒其筋;以温督擦法激发一身之阳气,腹部深层推拿充阳明气血之海,致阴平阳秘,调整体之神,解精神之郁结。何育风教授治疗筋骨病具有丰富的临床经验,善于从整体出发运用推拿疗法调整患者一身之筋骨,从太阳、阳明经筋出发治疗TMD,为中医外治法治疗TMD提供了一定思路。The prevalence of temporomandibular disorders(TMD)is high,significantly impacting human work,life,and physical and mental health.Western medicine primarily adopts treatments such as oral medication,physical therapy,minimally invasive therapy,and psychotherapy,which relieve some symptoms,but do not cure the condition.Massage therapy has the advantages of being safe,effective,and treating both body and mind.This article introduces Professor HE Yufeng’s experience in treating TMD based on a holistic concept.Professor HE believes that the pathology of TMD is located in the Taiyang(太阳)and Yangming(阳明)meridian muscles,with external cold pathogenic factors as the cause,and muscle-bone imbalance as the mechanism.The Taiyang meridian governs the superficial body,and the Yangming meridian nourishes the whole body.When Taiyang is obstructed by wind-cold,muscle-bone imbalance occurs,and when Yangming’s Qi(气)and blood circulation is hindered,the condition lingers without healing.It should be based on a holistic concept,using meridian muscle theory,the concept of treating the neck and lumbar together,and the unity of form and spirit to diagnose and treat TMD.Meridian muscle techniques are used to release knots in the Taiyang and Yangming meridians,easing muscle pain;cervical and lumbar repositioning techniques are used to adjust the balance of muscles and bones,aligning bones to relax muscles;warming the Governor Vessel is used to stimulate the body’s Yang(阳)energy,and deep abdominal massage is used to nourish the sea of Qi and blood in Yangming,thereby balancing Yin(阴)and Yang,adjusting the body’s spirit,and resolving mental stagnation.Professor HE Yufeng has extensive clinical experience in treating musculoskeletal diseases,is adept at using massage therapy to adjust the patient’s musculoskeletal system from a holistic perspective,starting from the Taiyang and Yangming meridian muscles to treat TMD.The experience in treating TMD is worthy of promotion,providing insights for external treatments in trad

关 键 词：颞下颌关节紊乱综合征 经筋手法 整体调脊 整体观念 

分 类 号：R274[医药卫生—中医骨伤科学]