Discuss the Pathogenesis and Treatment of Neck-shoulder Syndrome From"Liver Depression and Qi Stagnation"
10.16466/j.issn1005-5509.2024.09.016
- VernacularTitle:基于"肝郁气滞"探讨颈肩综合征病机及针灸治疗
- Author:
Yichao YU
1
;
Ying JIN
Author Information
1. 浙江中医药大学第三临床医学院 杭州 310053
- Keywords:
neck-shoulder syndrome;
liver depression and Qi stagnation;
acupuncture;
knife-edge needle;
Compendium of Acupuncture and Moxibustion;
theory of traditional Chinese medicine;
chronic pain;
regulating Qi activity
- From:
Journal of Zhejiang Chinese Medical University
2024;48(9):1159-1162
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To elucidate the pathogenesis and treatment of neck-shoulder syndrome based on the viewpoint of"liver depression and Qi stagnation"of the theory of five viscera Qi activity.[Methods]From the viewpoint of"liver depression and Qi stagnation"in the theory of five viscera Qi and the etiology and pathogenesis of neck-shoulder syndrome,the theoretical correspondence between the two was discussed,and based on the viewpoint of"liver depression and Qi stagnation",it established the therapeutic principles and acupuncture prescriptions of neck-shoulder syndrome,and cited a case to support it.[Results]The viewpoint of"liver depression and Qi stagnation"is rooted in the liver governing Qi of the five viscera Qi activity theory,taking liver depression and Qi stagnation as the foundation.The pathogenesis of neck-shoulder syndrome is characterized by the mixture of asthenia and sthenia of the specimen,mainly liver dysfunction and Qi stagnation,on the basis of which it causes the formation or combination of stasis,dampness and other excess evils.To analyze the pathogenesis of neck-shoulder syndrome from"liver depression and Qi stagnation",acupuncture treatment should not only pay attention to liver and gallbladder,take into account Qi stagnation at the same time,but also pay attention to its evolution of stasis,dampness and other pathogenic factors,which are closely related to the generation of neck-shoulder syndrome.To guide the treatment of neck-shoulder syndrome with"liver depression and Qi stagnation"and related theories,should take dredging liver and gallbladder and Qi as the key,it is required to start from the acupuncture and moxibustion to harmonize the meridian-collateral Qi activity,and cooperate with the knife-edge needle,and clinical practice supports the rationality of the theory.The medical case listed was neck-shoulder syndrome,and the syndrome was liver depression and Qi stagnation.The main treatment was to dredge liver Qi to relieve pain,and the use of acupuncture and knife-edge needle had obtained better clinical effect.[Conclusion]The view of"liver depression and Qi stagnation"is consistent with the pathogenesis of neck-shoulder syndrome,which opens up a new way for the treatment of neck-shoulder syndrome.
