| 引用本文: |
张思懿,龚智超,刘磊,陈沁涛,郭艺,李武,李江山.基于经筋理论探讨“绕肩胛”与颈痛伴旋转功能障碍的对应关系[J].湖南中医药大学学报,2024,44(3):445-449[点击复制] |
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| 基于经筋理论探讨“绕肩胛”与颈痛伴旋转功能障碍的对应关系 |
| 张思懿,龚智超,刘磊,陈沁涛,郭艺,李武,李江山 |
| (湖南中医药大学, 湖南 长沙 410208;湖南中医药大学, 湖南 长沙 410208;湖南中医药大学第二附属医院, 湖南 长沙 410005) |
| 摘要: |
| 目的 立足于经筋古籍原文，发现“绕肩胛”与手阳明、手太阳经筋相关，并从两条经筋与颈痛伴旋转功能障碍的联系入手，探讨“绕肩胛”相关经筋与颈痛伴旋转功能障碍是否存在对应关系。方法 收集20例颈痛伴功能障碍的肩胛区域疼痛志愿者，对肩胛区8个阳性反应点进行触诊，根据疼痛部位以及颈部旋转功能障碍的类型，探索二者之间的对应规律。结果 10例旋转伴后伸功能受限患者，在肩胛上区出现阳性反应点为9例，符合占比90%；10例旋转伴前屈功能受限患者，在肩胛下区出现阳性反应点为9例，符合占比90%。因而旋转伴后伸功能受限与肩胛上区、旋转伴前屈功能受限与肩胛下区存在对应关系。结论 手阳明经筋与旋转伴后伸功能受限、手太阳经筋与旋转伴前屈功能受限存在对应关系。 |
| 关键词: 经筋 颈痛 绕肩胛 阳性反应点 旋转功能障碍 手阳明经筋 手太阳经筋 分布规律 |
| DOI：10.3969/j.issn.1674-070X.2024.03.014 |
| 投稿时间：2023-10-24 |
| 基金项目:国家自然科学基金项目（82174526，82274676，82374613）；湖南省青年科技人才项目三尖人才（荷尖）（2022RC1221）；湖南省教育厅研究生科研创新项目（2022CX18，2023CX75）。 |
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| Discussion of correspondence between "rao jian jia (around the scapula)" and neck pain with rotational dysfunction based on the meridian sinew theory |
| ZHANG Siyi,GONG Zhichao,LIU Lei,CHEN Qintao,GUO Yi,LI Wu,LI Jiangshan |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;The Second Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410005, China) |
| Abstract: |
| Objective Based on the ancient texts of muscle regions, it is found that "rao jian jia (around the scapula)" is related to both the hand-Yangming and hand-Taiyang meridian sinews. Starting from the association between these two meridian sinews and neck pain accompanied by rotational dysfunction, this paper explores whether there is a correspondence between "rao jian jia (around the scapula)" -related meridian sinews and neck pain accompanied by rotational dysfunction. Methods Twenty volunteers with neck pain and dysfunction in the scapular region were collected, and eight positive reaction points in the scapular region were palpated to explore the correspondence pattern between the two according to the site of pain as well as the type of neck rotation dysfunction. Results Among ten patients with rotation with limited posterior extension, nine showed positive reaction points in the suprascapular region, accounting for 90% of the total; among another ten patients with rotation with limited anterior flexion, nine showed positive reaction points in the subscapular region, also accounting for 90% of the total. Thus, there was a correspondence between rotational with posterior extension and suprascapular region and rotational with anterior flexion and subscapular region. Conclusion There is a correspondence between the hand-Yangming meridian sinews and the rotation with posterior extension functional limitation, and the hand-Taiyang meridian sinews and the rotation with anterior flexion functional limitation respectively. |
| Key words: meridian sinews neck pain rao jian jia (around the scapula) positive reaction point rotational dysfunction hand-Yangming meridian sinews hand-Taiyang meridian sinews distribution pattern |
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