基于"膜原为枢,气街为传"探讨针刺治疗膈肌肌筋膜疼痛综合征OA

Diaphragmatic myofascial pain syndrome(DMPS)is clinically characterized by localized pain and complex,variable referred pain.Because the lesion is deeply situated and the symptoms are often diffuse,its diagnosis and treatment present considerable challenges.This article introduces the traditional Chinese medicine theories of membrane source and qi pathway,and in combination with modern anatomy and the theory of myofascial trigger points(MTrPs),proposes that the core pathomechanism of DMPS lies in"pathogenic factors lurking in the membrane source and being transmitted through the qi pathway."Clinically,acupuncture treatment is guided by the principle of"opening and freeing the membrane source,regulating the pivotal mechanism,and unblocking the qi pathway,"thereby establishing a therapeutic framework that progresses from local to systemic regulation and from meridian unblocking to zang-fu modulation.This framework provides an effective perspective and practical approach for the clinical diagnosis and treatment of complex pain disorders.