基于经筋理论探讨针刀恢刺法治疗紧张型头痛伴帽状腱膜挛缩的应用  

Exploring the Application of Acupuncture Knife Recovery Needling Method in the Treatment ofTension-type Headache with Capillary Tendon Contracture Based on Meridian Theory

作　　者：李艳菲 刘方铭[1,2] 尹聪 杨文龙 刘治镇 LI Yanfei;LIU Fangming;YIN Cong;YANG Wenlong;LIU Zhizhen(Shandong University of Traditional Chinese Medicine,Ji'nan,Shandong 250355;First Affiliated Hospital of Shandong First Medical University,Ji'nan,Shandong 250014)

机构地区：[1]山东中医药大学,山东济南250355 [2]山东第一医科大学第一附属医院,山东济南250014

出　　处：《中医康复》2025年第1期66-70,共5页Traditional Chinese Medicine Rehabilitation

基　　金：国家自然科学基金培育基金(QYPY2022NSFC0609);山东省自然科学基金(ZR2023MH118);山东省自然科学基金青年项目(ZR2020QH316)。

摘　　要：紧张型头痛是临床最常见的慢性头痛之一,主要表现为双侧轻中度压迫样或紧箍样头痛,发病多与生活中应激事件相关,其病因病理与肌筋膜激痛点有着密切联系。但当前临床研究主要以其伴随的情绪障碍症状为主,较少涉及局部腱膜组织病理改变方向。在临床实践中,发现部分明显筋结点的患者亦伴发有帽状腱膜挛缩症状。在经筋学说中“结筋病灶点”理论指导下,松解百会次、目窗次、率谷次等穴位,并结合局部筋结治疗点治疗,达到了舒筋解结、祛邪通痹的良好疗效。现基于经筋理论探讨其理论机制,为紧张性头痛的治疗提供新思路。Tension-type headache is one of the most common chronic headache in clinic,the main manifestation is bilateral mild to moderate compression or tightness like headache,which is often related to stress events in daily life,and its etiology and myofascial pain points have a close connection.But the current clinical studies mainly focus on the accompanying symptoms of emotional disor-ders,less involving the direction of local tendon histopathological changes.In clinical practice,some patients with obvious tendon nodes are also associated with capillary tendon contracture.Under the guidance of the theory of meridians and tendons of"knot ten-don focal poin",loosening Baihui times,eye window times,rate valley times,etc.and combining with the local tendon knot treat-ment points,the application of the application received a good therapeutic effect of relieving the tendon knot and eliminating the evil and paralysing the body.Now we are exploring the theoretical mechanism based on the theory of meridian theory,which will pro-vide a new way of thinking for the treatment of tension headache.

关 键 词：经筋理论 针刀 恢刺法 头痛 紧张型头痛 帽状腱膜挛缩 

分 类 号：R246.6[医药卫生—针灸推拿学]