针刀前后松解法联合迷走神经触激术治疗颞下颌关节紊乱病机理探析  

Exploration on Mechanism of Treating Temporomandibular Disorders with Needle Knife Release Technique Combined with Vagus Nerve Stimulation

作　　者：阮宝珍 张正 冯淑兰 RUAN Baozhen;ZHANG Zheng;FENG Shuan(Clinical Medical College of Acupuncture,Moxibustion and Rehabilitation,Guangzhou University of Chinese Medicine,Guangzhou)

机构地区：[1]广州中医药大学针灸康复临床医学院,广东广州510006

出　　处：《新中医》2025年第3期125-128,共4页New Chinese Medicine

基　　金：广东省科技计划项目(2022A0505020019)。

摘　　要：理论上,从现代针刀医学、迷走神经触激术、生物力学动态平衡、颈深筋膜系统张力平衡、颅颈下颌系统异常姿势、中医治神和经筋理论出发,多方面阐述颞下颌关节内部结构紊乱的病变机制。实践上,以恢复颞下颌关节紊乱病患者身心平衡为旨,首先采用迷走神经触激术激活迷走神经以调节颞下颌关节紊乱病患者情绪状态、抑制深部疼痛反应的传入,再运用针刀“T”形术式与局部松解为基础的针刀前后松解法调节颈深筋膜系统异常张力,恢复患者颞下颌关节生物力学平衡,纠正颅颈下颌系统的异常姿势,疏通颈面部气血,调和阴阳。最后结合病案举例总结针刀施术要点,为针刀治疗颞下颌关节紊乱病提供诊疗思路。Theoretically,this study explores the pathological mechanisms of internal structural disorders of the temporomandibular joint from multiple perspectives,including modern needle knife medicine,vagus nerve stimulation,biomechanical dynamic balance,tension balance of the deep cervical fascia system,abnormal posture of the craniocervical mandibular system,and Chinese medicine theories of treating the spirit and meridian-sinew.Practically,the aim is to restore the physical and mental balance of patients with temporomandibular disorders.Initially,vagus nerve stimulation is employed to activate the vagus nerve,which helps regulate the emotional state of patients with temporomandibular disorders and inhibit the afferent response of deep pain.Subsequently,the needle knife"T"technique and local release-based anterior-posterior needle knife release method are used to adjust the abnormal tension of the deep cervical fascia system,restore the biomechanical balance of the temporomandibular joint,correct the abnormal posture of the craniocervical mandibular system,and promote the circulation of qi and blood in the neck and face,harmonizing yin and yang.Finally,case studies are presented to summarize the key points of needle knife application,providing insights into the diagnosis and treatment of temporomandibular disorders using needle knife therapy.

关 键 词：颞下颌关节紊乱病 针刀 迷走神经触激术 颈深筋膜系统 颅颈下颌系统 经筋 

分 类 号：R782.6[医药卫生—口腔医学]