首页|吕子萌"推药并用"治疗背肌筋膜炎临床经验

吕子萌"推药并用"治疗背肌筋膜炎临床经验

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背肌筋膜炎是常见的软组织慢性劳损性疾病,属于中医学"痹症""筋痹"范畴.日常生活中不良姿势与肌肉慢性劳损是导致背肌筋膜炎的主要原因,中医学认为其病因多为风寒湿邪侵袭肌表、筋肉气血不足使局部经脉不通、气血阻滞,临床症状主要表现为局部肌肉僵硬、酸痛,并根据病情轻重伴有不同程度的活动受限.背肌筋膜炎在各年龄段中都展现出较高的发病率和复发率,给患者带来了生活上的不便与经济上的负担.吕子萌对痹症的治疗有丰富的诊疗经验,特别对于背肌筋膜炎的中医诊治有着深层次的见解,强调"整体观念,脏腑气血"在诊治中的重要性.临证时吕子萌着眼于脾胃功能与项背部肌肉的整体关系,尤其重视脾主肌肉四肢的功能属性,脾胃顺达则各脏腑间互相协同,从根本上防治筋伤痹症.治疗时以"内外同治,气血同调"为治疗原则,"调脾治筋"为诊疗特色,"推药并用"为治疗方式,兼顾项背部"筋肉骨节"与脾胃"气机枢纽",利用推拿与中药内服两种疗法的不同特性,发挥外治法与内治法的治疗优势,在临床诊治中取得了良好疗效.
Lyu Zimeng's clinical experience in treating dorsal muscle fasciitis with Tuina and traditional Chinese medicine
Dorsal muscle fasciitis is a common soft tissue chronic strain disease,which belongs to the category of"bizheng"and"jinbi"in traditional Chinese medicine.Poor posture and chronic muscle strain in daily life are the main causes of dorsal muscle fasciitis.Traditional Chinese medicine believes that the causes of the disease are mainly wind-cold and dampness pathogen attacking the exterior,the deficiency of Qi and blood in tendon and muscle blocking local meridians and stagnated Qi and blood.The clinical symptoms are mainly local muscle stiffness and pain,and the activity is restricted to different degrees according to the severity of the disease.Dorsal muscle fasciitis has a high incidence and recurrence rate in all ages,which brings inconvenience and economic burden to patients.Lyu Zimeng has rich experience in the treatment of bizheng.In particular,she has deep insights into the diagnosis and treatment of dorsal muscle fasciitis with traditional Chinese medicine,and emphasizes the importance of"holistic concept,Qi and blood of zang-fu organs"in the diagnosis and treatment.In clinic,Lyu Zimeng focuses on the overall relationship between the function of the spleen and stomach and the muscles of the neck and back,especially attaching great importance to the function of spleen to governing muscles and limbs.The harmony between the spleen and stomach can assure synergies between the zang-fu organs,thus achieving the purpose of prevention and treatment of bizheng caused by tendon injury fundamentally.During the treatment,"internal and external treatment,coordinating Qi and blood"is the principle of treatment."regulating spleen to treat tendons"is the characteristic of diagnosis and treatment,and"Tuina and traditional Chinese medicine"is the treatment method.Combined with"muscles,bones and joints"of the back and the neck and the pivot of"Qi activity"of the spleen and stomach,the different characteristics of Tuina and traditional Chinese medicine are revealed.This gives full play to the therapeutic advantages of external treatment and internal treatment,and has achieved good curative effect in clinical diagnosis and treatment.

dorsal muscle fasciitismyofascial pain syndromebizhengTuinaperoral traditional Chinese medicine

侯学鹏、吕子萌

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安徽中医药大学第一临床医学院,安徽 合肥 230031

安徽中医药大学第一附属医院,安徽 合肥 230031

安徽省中西医结合医院,安徽 合肥 230031

背肌筋膜炎 肌筋膜疼痛综合征 痹症 推拿 中药内服

安徽省中医优势专科(推拿科)专科建设项目

2022-34

2024

山西中医药大学学报

山西中医药大学学报

ISSN:
年,卷(期):2024.25(7)
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