中医临床研究2025，Vol.17Issue(24)：49-54,6.DOI:10.3969/j.issn.1674-7860.2025.24.008
张闻东运用肝脾肾三经同调针刺法治疗颈肩肌筋膜疼痛综合征的临床经验
Clinical experience of ZHANG Wendong in treating cervicoshoulder myofascial pain syndrome through triple meridian regulation acupuncture targeting liver,spleen,and kidney
摘要
Abstract
Cervical and shoulder myofascial pain syndrome(CMPS)is a common clinical chronic soft tissue-derived pain disorder,characterized by persistent neck and shoulder pain,stiffness,and limited mobility.It severely affects patients quality of life and falls into the categories of"impediment disease"and"impediment of the sinew"in traditional Chinese medicine.Currently,clinical acupuncture treatments mostly adopt acupoint selection along meridians or direct needling at trigger points,which have certain therapeutic effects but insufficiently focus on the overall connection between visceral dysfunction and local lesions.Based on over 30 years of clinical experience,Professor ZHANG Wendong proposed that the pathogenesis of CMPS follows the transmission law of"originating from the liver,spreading to the spleen over time,and further involving the kidney"and established the"Zang-fu(脏腑)organs-meridians-muscles and bones"axis theory.This theory emphasizes that the liver,spleen,and kidney belong to internal Zang-fu organs,which are closely connected to the tendons,muscles,and bones of the neck and shoulders through external meridians.The dysfunction of these three organs is the core pathogenesis of CMPS:liver Qi(气)stagnation leads to Qi obstruction and tendon spasm;spleen dysfunction in transportation causes Qi and blood deficiency as well as internal generation of phlegm-dampness;kidney essence deficiency results in malnutrition of muscles and bones along with phlegm-stasis blocking collaterals.Moreover,the pathological changes of the three organs interact with each other,forming a progressive pathological process of"liver depression → spleen deficiency → kidney deficiency".Based on this,Professor ZHANG created the acupuncture method of simultaneous regulation of the liver,spleen,and kidney meridians,adhering to the principle of"regulating tendons and resolving knots to treat the symptoms,and balancing Zang-fu organs to treat the root cause".For treating the symptoms,it focuses on local tendon regulation:by needling the tender knots in the neck and shoulder area,and performing the shaking manipulation after obtaining Qi to dredge local Qi and blood.For treating the root cause,it emphasizes simultaneous regulation of the three meridians,achieving"when Zang-fu organs are stable,meridians are unobstructed;when meridians are unobstructed,muscles and bones are nourished"through acupoint matching along the meridians,exterior-interior compatibility,well-point stimulation,and Yin-Yang(阴阳)harmony.Clinical practice has confirmed that this acupuncture method can effectively relieve pain symptoms and improve functional activities in CMPS patients,providing new ideas for the diagnosis and treatment of chronic pain.关键词
颈肩肌筋膜疼痛综合征/肝脾肾三经/针刺法/名医经验Key words
Cervicoshoulder myofascial pain syndrome/Liver-Spleen-Kidney meridians/Acupuncture/Expert experience分类
医药卫生引用本文复制引用
秦冰,张闻东,方静,陈子,王伟影..张闻东运用肝脾肾三经同调针刺法治疗颈肩肌筋膜疼痛综合征的临床经验[J].中医临床研究,2025,17(24):49-54,6.基金项目
2025年国家中医优势专科建设(国中医药医政函[2024]90号) （国中医药医政函[2024]90号）
第七批全国老中医药专家学术经验继承工作项目[国中医药人教函[2022]76号] （）
安徽省重点研发与开发计划项目(2022e070026). （2022e070026）
