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陈佳晨, 蒋子钊, 高琴, 陈雨轩, 金瑜佳, 曾理, 李武.基于“阳化气，阴成形”理论探讨推拿治疗疼痛焦虑共病[J].湖南中医药大学学报英文版,2025,45(4):680-686.[Click to copy
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| 基于“阳化气，阴成形”理论探讨推拿治疗疼痛焦虑共病 |
| 陈佳晨,蒋子钊,高琴,陈雨轩,金瑜佳,曾理,李武 |
| (湖南中医药大学针灸推拿与康复学院, 湖南 长沙 410208) |
| 摘要: |
| 疼痛焦虑共病是一种慢性疼痛伴有焦虑的疾病，“阳化气，阴成形”是对机体物质与功能的解释，该病病机可用“阳化气”不足、“阴成形”过盛解释，而推拿治疗该病具有显著优势。基于此，从理论上探析推拿治疗疼痛焦虑共病的基本原理，以推拿揉法松肌、点按法止痛、擦法活血，以推拿功法缓解焦虑，将手法与功法结合治疗，分别从调形与调气、调阴与调阳两方面来调整阴阳平衡，从而达到抑制疼痛、缓解焦虑的作用，为临床治疗该病提供新思路。 |
| 关键词: 疼痛焦虑共病 阳化气，阴成形 推拿治疗 推拿手法 推拿功法 |
| DOI：10.3969/j.issn.1674-070X.2025.04.014 |
| Received:November 04, 2024 |
| 基金项目:国家自然科学基金面上项目（82374613）；湖南省研究生科研创新项目（CX20230788）；湖南省科技创新计划资助（2022RC1221）；湖南中医药大学本科生科研创新基金项目（2024BKS126）。 |
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| Treatment of pain-anxiety comorbidity by tuina based on the theory of "yang transforms into qi, and yin forms into shape" |
| CHEN Jiachen, JIANG Zizhao, GAO Qin, CHEN Yuxuan, JIN Yujia, ZENG Li, LI Wu |
| (School of Acupuncture-moxibustion, Tuina and Rehabilitation, Hunan University of Chinese Medicine, Changsha, Hunan 410208, China) |
| Abstract: |
| Pain-anxiety comorbidity is a condition characterized by the coexistence of chronic pain and anxiety. The theory of "yang transforms into qi, yin forms into shape" explains the body's material and functional aspects, and the mechanism of this disease can be explained by the insufficiency of "yang transforms into qi" and the excess of "yin forms into shape". Tuina offers significant potential for treating the disease. Based on this theory, the paper theoretically explores the fundamentals of the treatment of pain-anxiety comorbidities using tuina techniques such as kneading to relax muscles, pressing to relieve pain, and rubbing to promote blood circulation, alongside exercises to alleviate anxiety. By combining these manipulation and exercise techniques, the treatment aims to regulate form and qi, balance yin and yang, and ultimately suppress pain and reduce anxiety, providing a novel approach for clinical treatment of pain-anxiety comorbidity. |
| Key words: pain-anxiety comorbidity yang transforms into qi, yin forms into shape tuina therapy tuina manipulation technique tuina exercise technique |
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