| 吕计宝,陈雨竹,韦达,梁树勇,韦英才.壮医经筋“点-线-面”思维诊治腰腿痛[J].,2025,34(1):18-23 |
| 壮医经筋“点-线-面”思维诊治腰腿痛 |
| Diagnosis and Treatment of Low Back and Leg Pain Using the “Point – Line – Surface"Thinking of Meridian Sinew of Zhuang Medicine |
| 投稿时间：2024-04-18 |
| DOI： |
| 中文关键词: 腰腿痛 壮医 壮医经筋学 筋结 壮医火针 |
| 英文关键词: Low Back and Leg Pain Zhuang Medicine Meridian Sinew of Zhuang Medicine Tendon Knot Fire Needle ofZhuang Medicine |
| 基金项目:广西省部级重点研发计划项目：壮医防治腰腿痛关键技术研究与应用（编号：桂科AB21196035）；2022年度桂派中医大师培养项目（No.桂中医药科教发〔2022〕6号）；韦英才广西名中医工作室（编号：GZY2024025）；广西中医药管理局重点学科建设项目：壮医经筋推拿学（编号：GZXK-Z-20-61）；广西中医药管理局课题（GZSY22-49）；广西中医药大学附属国际壮医医院“青苗工程”人才培育项目资助（编号：2022001）。 |
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| 中文摘要: |
| 文章基于生物力学和十二经筋学理论，结合现代神经解剖学，创造性地提出足阳明经筋相当于股神经，足少阳经筋相当于股外侧皮神经、腓总神经，足太阳经筋相当于坐骨神经的生理功能和病候表现，提出“经筋的实质是神经”的学术观点。在诊断上坚持“以痛为腧”为原则，结合临床影像学检查进行“摸结查灶”定位，提出了腰腿痛的临床诊断新思维；在治疗上采用壮医独创的“手法+火针+拔罐”三联疗法对腰腿痛进行“点-线-面”多维消灶治疗。充分发挥了传统单项疗法的群体协调作用，达到法简效宏的理想功效。 |
| 英文摘要: |
| Based on biomechanics and classical twelve meridian theory, combined with modern neuroanatomy, this article crea-tively proposes that the foot yangming meridian tendon is equivalent to the femoral nerve, the foot shaoyang meridian tendon is equiva-lent to the lateral femoral cutaneous nerve and common peroneal nerve, and the foot sun meridian tendon is equivalent to the physiolog-ical function and pathological manifestations of the sciatic nerve. It proposes the academic viewpoint that the essence of the meridiantendon is a nerve. Adhering to the principle of "taking pain as the acupoint" in diagnosis, combined with clinical imaging examinationfor "palpation and examination of the lesion" positioning, a new clinical diagnostic thinking for low back and leg pain has been pro-posed. In terms of treatment, the Zhuang doctor's unique "technique + fire needle + cupping" triple therapy is used to treat low backand leg pain in a "point line surface" multidimensional focal reduction treatment. Fully leveraging the group coordination role of tradi-tional single therapy, achieving the ideal effect of simplicity and effectiveness. |
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