首页|基于水郁折之理论探讨肩部痛痹针灸治疗应用

基于水郁折之理论探讨肩部痛痹针灸治疗应用

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"水郁折之"出自《黄帝内经》五郁学说,水郁即寒水凝结不散,可使人体气血津液凝结,经脉阻滞,不通则痛,是肩部痛痹的重要病机.折之为其主要治疗原则,即疏导、分利,可分为温阳、实土和动使其化.《黄帝内经》强调痛痹的治疗当用毫针疏通经络、调和气血.本研究基于"水郁折之"理论,在肩部痛痹的治疗上使用温针灸、热补法等温热外治法,使内郁之寒水温化,配合肩部活动,行气通络、鼓动气血和扶正祛邪,并通过临床案例具体阐释了"水郁折之"理论在临床中的运用,为肩部痛痹的针灸治疗提供思路.
Exploring Application of Acupuncture and Moxibustion for Shoulder Pain and Stiffness Based on Theory of Resolving Water Stagnation
Resolving water stagnation originates from the Five-Stagnation theory in Yellow Emperor's Inner Canon.Water stagnation refers to the congealing and non-dispersion of cold water,which can lead to the congealing of Qi,blood,and body fluids within body,causing blockages in the meridians and resulting in pain and stiffness in the shoulder.Resolving water stagnation is the main therapeutic principle,involving promoting circulation and dispersing stagnation,which can be achieved through warming Yang,reinforcing Earth,and facilitating transformation.Yellow Emperor's Inner Canon emphasizes the use of filiform needles to unblock meridians and harmonize Qi and blood in treating pain and stiffness.This study,based on the theory of resolving water stagnation,applies needle-warming moxibustion and other warming external therapies in treatment of shoulder pain and stiffness to transform the cold water stagnation internally.Coupled with shoulder movements,it promotes the circulation of Qi and blood,strengthens vital-Qi and dispels pathogenic factors.Clinical cases are used to illustrate the application of resolving water stagnation in clinical practice,providing guidance for the treatment of should pain and stiffness with acupuncture and moxibustion.

Scapulohumeral periarthritisResolving water stagnationWarming Yang and reinforcing EarthMotion acupuncture

赵墨泽、韦冰心

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广西中医药大学,广西南宁 530000

柳州市中医医院,广西柳州 545000

肩周炎 水郁折之 温阳实土 运动针刺

广西壮族自治区中医药局自筹经费科研课题

GZZC2019208

2024

针灸临床杂志
中华中医药学会 黑龙江中医药大学 中国针灸学会临床分会

针灸临床杂志

CSTPCD
影响因子:1.242
ISSN:1005-0779
年,卷(期):2024.40(5)
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