|
田瑜运用鹿角利腰汤加减佐以刃针治疗腰背肌筋膜炎的临床经验
|
Abstract:
腰背肌筋膜炎,又称腰背筋膜疼痛综合征,是一种常见的慢性疼痛性及无菌性炎性疾病,主要表现为腰背部肌肉和筋膜的疼痛、僵硬和功能障碍。根据中医理论,它可被归类为“痹证”或“腰痛”,现代医学治疗本病时候往往伴随着较大的副作用,中医治疗本病的优势及方法日渐凸显,本文利用医案1则,介绍田瑜老师利用鹿角利腰汤加减佐以刃针治疗腰背肌筋膜炎的临床经验,效果甚佳,体现出针药结合、辩证施治的中医药治病优势,为治疗腰背肌筋膜炎提供新的思路与方法。
Lumbar back myofascitis, also known as lumbar back myofascial pain syndrome, is a common chronic painful and aseptic inflammatory disease, which mainly manifests as pain, stiffness and dysfunction of the muscles and fascia of the lower back. According to the theory of traditional Chinese medicine, it can be classified as “Bi syndrome” or “low back pain”. When modern medicine treats this disease, it is often accompanied by major side effects. The advantages and methods of traditional Chinese medicine in treating this disease are becoming increasingly prominent. This article uses 1 medical case, and introduces Teacher Tian Yu’s clinical experience in treating lumbar back myofascitis with modified Lujiao Liyao Decoction and blade needle. The effect is very good, which reflects the advantages of traditional Chinese medicine combining acupuncture and medicine and dialectical treatment. It also provides new ideas and methods for the treatment of lumbar back myofascitis.
[1] | 郑凤娥, 章珍凤, 刘有限. 滞针激痛点结合“腰痛方”熏蒸治疗瘀血阻滞型腰背肌筋膜炎的疗效观察[J]. 中医外治杂志, 2023, 32(5): 30-33. |
[2] | 邱玉华, 赵学千, 马慧, 等. Z型拨针治疗腰背肌筋膜炎36例[J]. 中国中医骨伤科杂志, 2022, 30(1): 50-52, 56. |
[3] | 胡博浩, 陈平波. 中西医外治疗法治疗腰背肌筋膜炎的研究进展[J]. 新疆中医药, 2022, 40(2): 117-120. |
[4] | 胡硕龙. 鹿角利腰汤治疗骨质增生41例体会[J]. 四川中医, 2004, 22(3): 80-81. |
[5] | 田纪钧. 刃针疗法[M]. 北京: 人民卫生出版社, 2002. |
[6] | 赵勇, 方维, 秦伟凯. 小针刀闭合性治疗肌筋膜炎的机制思考[J]. 中国针灸, 2014, 34(9): 907-909. |
[7] | 刘太, 唐流刚, 王标, 等. 肌间沟电针联合针刀松解颈周腧穴治疗交感神经性颈椎病的疗效及对血流速度影响[J]. 针灸临床杂志, 2019, 35(11): 44-47. |
[8] | 田瑜, 何雨璇, 史瑞瑞, 等. 钩拉刃针配合拔罐治疗胸背肌筋膜炎疗效观察[J]. 健康必读, 2018(34): 21. |
[9] | 盛军, 吴玉秀. 针灸长圆针配合拔罐治疗腰背肌筋膜炎120例[J]. 中医临床研究, 2014, 6(20): 33, 36. |
[10] | 张明钊, 陈宇. 小针刀联合拔罐治疗腰背肌筋膜炎及对背部肌组织的影响[J]. 中医临床研究, 2020, 12(28): 47-49. |
[11] | 马洁, 褚晓彦, 刘伙生, 等. 刃针结合电针治疗对膝关节骨关节炎患者膝关节功能的影响[J]. 针刺研究, 2024, 49(4): 398-402 |
[12] | 朱起谷. 鹿角利腰汤加减治疗股骨头缺血性坏死临床疗效观察[J]. 大家健康(学术版), 2014, 8(16): 45-46. |
[13] | 陈江, 张玉惠. 加味鹿角利腰汤治疗老年骨质疏松致腰椎压缩性骨折3例[J]. 中国民间疗法, 1997(6): 27-28. |
[14] | 黄桃, 黄鸿鹏, 石建爽, 等. 肾俞穴穴性及用法新探[J]. 广州中医药大学学报, 2024, 41(3): 659-663. |
[15] | 窦婷婷, 邹依纯, 严兴科, 等. 针刺与拔罐不同顺序操作治疗寒湿型腰肌劳损: 随机对照试验[J]. 中国针灸, 2023, 43(6): 639-644. |
[16] | 谷雨, 王新义, 张玉飞, 等. 承山穴古代文献临床应用的文献计量学分析[J]. 针刺研究, 2022, 47(10): 927-932. |
[17] | 吴纪东, 陈仁寿. 基于古代文献分析的经典名方柴胡桂枝汤关键信息考证[J]. 中国实验方剂学杂志, 2025, 31(6): 199-210. |