从经筋理论探析手法治疗盆底肌筋膜疼痛综合征  

Analysis of the Treatment of Myofascial Pelvic Pain Syndrome from the Theory of Meridian Tendons

作　　者：刘瑶瑶 王轶蓉[2] LIU YaoYao;WANG YiRong(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;The Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《实用中医内科杂志》2025年第1期66-69,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：全国中医药创新骨干人才培训项目(国中医药办人教函〔2019〕91号);辽宁省科学技术计划项目(2014020052);辽宁省第一批中医优秀人才培养项目(辽卫办发〔2021〕29号)。

摘　　要：盆底肌筋膜疼痛综合征是属于女性肌筋膜源性的慢性盆腔痛,其发病机制复杂,诊断关键在于妇科检查时于盆腔内触诊到肌筋膜触发点的存在,肌筋膜触发点亦为结筋病灶点,其对经脉气血运行形成卡压,阻碍气血运行,不通则痛,而形成经筋痹痛,属于“经筋病”的范畴。在经筋理论的基础上,依据经筋循行触诊结筋病灶点,根据“以痛为腧”的手法治疗原则松解筋结,达到经脉通利、缓急止痛、气血调和的目的,为临床手法治疗盆底肌筋膜疼痛综合征提供新思路。Myofascial pelvic pain syndrome(MPPS)is a chronic pelvic pain of female myofascial origin,the pathogenesis of which is complex,and the key to diagnosis lies in the presence of myofascial trigger points in the pelvis during gynecological examination.On the basis of the theory of meridian tendons,the tendon lesions were palpated according to the meridian tendon circulation,and the tendon knots were loosened according to the principle of manual therapy of"taking pain as the restriction",so as to achieve the purpose of meridian communication,pain relief and pain relief,and harmony of qi and blood,which provided a new idea for the clinical manual treatment of MPPS.

关 键 词：盆底肌筋膜疼痛综合征 经筋理论 手法治疗 解结 

分 类 号：R256[医药卫生—中医内科学]