“以痛为腧”法治疗软组织损伤的国内外研究进展

CJLIS (Traditional Chinese Medicine) - - 中国中医药图书情报杂志 - 基金项目:上海中医药大学大学生第十批科创项目(2017SHUTCMZT01);上海市教委预算内课题(2015YSN13)第一作者:陆冰,E-mail: 714044804@qq.com 通讯作者:李征宇,E-mail: lzy1855@aliyun.com

陆冰,李征宇,肖彬

上海中医药大学,上海 201203

摘要:软组织损伤造成的疼痛是临床常见的疾病之一,随着该病发生率的升高,国内外都在寻求更好的保守治疗此类疾病的办法。“以痛为腧”是我国非常古老的一种治疗经筋病的取穴方法,而近年来,国外也出现类似含义的“肌筋膜激痛点”治疗肌筋膜疾病的方法,两种治疗方法在治疗软组织损伤性疼痛方面有重合之处。本文就国内“以痛为腧”和国外“激痛点”的治疗方法,查阅国内外相关文献,作一简要综述,以期更好地服务于临床诊治。

关键词:以痛为腧;激痛点;软组织损伤性疼痛;肌筋膜

DOI: 10.3969/j.issn.2095-5707.2018.01.017

中图分类号: R246.2 文献标识码: A 文章编号: 2095-5707(2018)01-0065-04

Research Progress in Soft Tissue Injury Treatment with “Ashi Point” in China and Overseas

LU Bing, LI Zheng-yu*, XIAO Bin

(Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China)

Abstract: Pain caused by soft tissue injury is one of the most common clinical diseases. As the incidence of the disease rises, conservative treatment departments in China and overseas are looking for better ways to treat such diseases. “Ashi point” is a very ancient method of selecting acupoints for the treatment of soft issue injury in China. In recent years, “myofascial trigger point” similar to the method of “ashi point” in the treatment of myofascial diseases overseas has appeared. The two treatments overlap in the treatment of pain of soft tissue injury. This article reviewed “ashi point” in China and “trigger point” overseas by checking the literature in China and abroad to better serve clinical diagnosis and treatment.

Key words: ashi point; trigger point; pain of soft tissue injury; myofascial

软组织损伤是指各种原因造成人体的皮肤、皮下浅深筋膜、肌肉、肌腱、韧带、关节囊、滑膜囊、周围神经血管等组织的病理损害。临床表现为局部疼痛、肿胀、畸形、功能障碍等,是临床的常见病症,更是针灸推拿科的常见病与多发病。软组织损伤分急性损伤与慢性劳损两种情况,随着现代明的发展,生活方式的极大改变,慢性软组织损

文伤带来的疼痛在全球范围内迅速增长。经久不愈、反复发作的慢性疼痛不仅带来身体上的折磨,也会在精神和情绪上给患者带来很大的压力,国内外都在积极地寻找更加有效的治疗方法。

基于穴位的外治方法,如针灸、推拿等很早就被应用于临床治疗慢性软组织损伤性疾病,在穴位选择上,包括局部取穴、远道取穴、循经取穴等,而“以痛为腧”的取穴方法,在漫长的中医历史发展进程中,有着非常重要的地位。

1 “以痛为腧”的历史源流

“以痛为腧”首见于《灵枢•经筋》篇:“治在燔针劫刺,以知为数,以痛为腧。”隋唐医家杨上

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