基于"治神守气"理论探讨三才刺法对腰椎间盘突出症的治疗作用OA
Therapeutic Effect of Three-Layer Needling on LDH Based on'Treating Shen and Regulating Qi'Theory
腰椎间盘突出症(LDH)是常见的慢性疼痛性疾病,其病机本质为"形神失和、气机逆乱"."治神守气"理论源自《素问·宝命全形论》,其核心在于"神为气之主,气为神之使","治神"非唯调摄情志,实为通过医者"元神驭针"与患者"神志守一"的双向交感,通过"密意守气勿失"固守针下气机实现"气留则效彰"的疗效持续深化,调摄患者五藏神明与三焦气化,达到"形与神俱,气与血和".结合《金针赋》中的三才刺分层针刺技术针对不同层次病理变化精准调节气血阴阳,作用于病变局部,疏通经络、缓解疼痛."治神守气"理论指导三才刺法在关注患者整体状态的同时调节气血运行进而实现"从整体到局部"的协同治疗,突破单一镇痛局限"神气同治"并打破疼痛与心理压力的恶性循环从而为腰椎间盘突出症的治疗提供新思路.
Lumbar disc herniation(LDH)is a common chronic pain disorder,the essential pathogenesis of which lies in the disharmony between form and Shen and the disruption of Qi movement.The'treating Shen and regulating Qi'theory,derived from Su Wen·Bao Ming Quan Xing Lun,emphasizes that'Shen governs Qi,and Qi serves Shen'.The concept of'treating Shen'extends beyond emotional regulation,it reflects a bidirectional resonance between the physician and the patient:the physician achieves'guiding the needle with the original Shen',while the patient maintains'focused consciousness' .Through the principle of'guarding Qi without dispersion',this interaction sustains the flow of Qi beneath the needle,deepening and prolonging therapeutic efficacy.This process harmonizes the Shen of five Zang organs and Qi transformation of three burners,ultimately achieving the unity of form and Shen and the harmony of Qi and blood.Based on the three-layer needling method from Jin Zhen Fu,which features layered needling techniques to precisely regulate pathological changes at different tissue levels,this approach promotes Qi and blood circulation,unblocks meridians,and relieves pain.Guided by the'treating Shen and regulating Qi'theory,the three-layer needling method simultaneously addresses both the holistic and local aspects of disease,realizing an integrative treatment from the mind-body perspective.By uniting Shen and Qi therapy,it breaks the vicious cycle of pain and psychological stress,offering a novel therapeutic approach for LDH.
郑宜函;王树东
辽宁中医药大学,辽宁沈阳 110847辽宁中医药大学,辽宁沈阳 110847
医药卫生
腰椎间盘突出症治神守气理论三才刺法
Lumbar disc herniationTreating Shen and regulating Qi theoryThree-level needling method
《针灸临床杂志》 2026 (2)
6-10,5
国家自然科学基金,编号:83274480辽宁省科技厅面上项目,编号:2023-MS-229辽宁省教育厅课题,编号:LJKZ0878.
评论