| 引用本文: |
龚智超, 李鑫, 崔马腾飞, 詹登杰, 李江山, 黄文韬, 李武.基于经筋理论的颈痛多向功能障碍动态辨证与远端调控体系构建[J].湖南中医药大学学报,2026,46(1):90-95[点击复制] |
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| 基于经筋理论的颈痛多向功能障碍动态辨证与远端调控体系构建 |
| 龚智超,李鑫,崔马腾飞,詹登杰,李江山,黄文韬,李武 |
| (湖南中医药大学第二附属医院针灸推拿康复中心, 湖南 长沙 410005;湖南中医药大学针灸推拿与康复学院, 湖南 长沙 410208) |
| 摘要: |
| 中医学将无明显器质性病变的颈痛归属于“经筋病”范畴，病机多为经筋受邪、功能失调，临床表现为多向功能障碍。本文以生物力学评估为基础，结合经筋循行路线，通过多平面主被动运动测试及远端筋结点干预，创新性地构建了颈痛“功能评估-远端调控-筋骨平衡”的全新诊疗范式。该模式通过结合功能障碍与经筋调控的生物力学特性，建立了一套可量化、可操作的动态评估体系。这不仅为经筋学说的现代化提供了理论与临床依据，更通过学科交叉推动了中医经筋诊疗向精准化、标准化方向发展。 |
| 关键词: 颈痛 经筋 多向功能障碍 动态辨证 临床实践 |
| DOI：10.3969/j.issn.1674-070X.2026.01.011 |
| 投稿时间：2025-09-22 |
| 基金项目:湖南省中医药科研重点项目（A2024005）；湖南省“三尖”创新人才工程项目（2022RC1221）；湖南省卫生健康科研课题（20255392）；湖南中医药大学校院联合基金项目（2025XYLH047）。 |
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| Dynamic pattern differentiation and construction of distal regulation system for multidirectional dysfunction in neck pain based on the meridian sinew theory |
| GONG Zhichao, LI Xin, CUI Matengfei, ZHAN Dengjie, LI Jiangshan, HUANG Wentao, LI Wu |
| (Acupuncture-moxibustion, Tuina and Rehabilitation Center, The Second Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410005, China;School of Acupuncture-moxibustion, Tuina and Rehabilitation, Hunan University of Chinese Medicine, Changsha, Hunan 410208, China) |
| Abstract: |
| In Chinese Medicine, neck pain without obvious organic lesions is categorized as a disorder of the "meridian sinew disorders". The pathogenesis often involves the invasion of pathogenic factors into the meridian sinews and subsequent functional dysregulation, clinically manifesting as multidirectional dysfunction. Based on biomechanical assessment and guided by the circulation trajectory of meridian sinews, this study innovatively establishes a novel diagnostic and therapeutic paradigm of "functional assessment－distal regulation－sinew-bone balance" for neck pain through multiplane active and passive motion tests and interventions at distal sinew nodes. By integrating the biomechanical characteristics of dysfunction and meridian sinew regulation, this paradigm establishes a quantifiable and operable dynamic assessment system. It not only provides theoretical and clinical evidence for the modernization of the meridian sinew theory but also promotes the precision and standardization of TCM meridian sinew diagnosis and treatment through interdisciplinary collaboration. |
| Key words: neck pain meridian sinews multidirectional dysfunction dynamic pattern differentiation clinical practice |
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