中医临床研究2026，Vol.18Issue(1)：96-101,6.DOI:10.3969/j.issn.1674-7860.2026.01.014
从"以结为腧"探讨壮医经筋疗法治疗经筋痹痛的理念与特色
Discussion on the concept and characteristics of Zhuang ethnic meridian-sinew therapy for meridian-sinew impediment pain base on the"taking impeding nodes as acupuncture points"theory
摘要
Abstract
Based on the clinically common condition of meridian-sinew impediment pain,this paper addresses the limitations of the traditional Chinese medicine(TCM)principle of"taking the pain points as the acupuncture points"in treating deep-seated,complex,and stubborn meridian-sinew disorders.It systematically explores and elaborates on the theoretical innovation and unique clinical value of the core concept of"taking the nodes as the acupuncture points"in Zhuang ethnic medicine meridian-sinew therapy.Zhuang ethnic medicine theory proposes that the core pathogenesis of meridian-sinew impediment pain lies in"blockage of the two pathways,causing pain due to sinew nodes",meaning that the human body's"Long Lu"(龙路)and"Huo Lu"(火路)are obstructed,forming palpable"sinew nodes",which are the root cause of pain.Based on this,Zhuang ethnic medicine establishes a precise positioning system of"pain point-sinew node-acupoint",treating the sinew node(meridian-sinew acupoint)as the core target for diagnosis and treatment.This approach breaks through the traditional method of relying solely on pain points for localization,addressing the insufficiency of the traditional"pain point-based acupoint selection"method.In clinical practice,this therapy first employs the unique"meridian-sinew palpation technique"to locate sinew node acupoints.It then comprehensively applies characteristic Zhuang ethnic medicine external treatment techniques such as meridian-sinew manipulation,fire needling with"consolidating the node and needling"technique,and bamboo cupping therapy.These therapies aim to"resolve nodes and dredge collaterals",achieving both symptomatic and root cause treatment.Research shows that this therapy,by resolving nodes and eliminating foci,unblocks the Long Lu and Huo Lu pathways,effectively restoring the mechanical balance and Qi(气)-blood circulation of the meridian-sinew pathways.It provides a targeted,effective,and precise ethnic medical solution for meridian-sinew impediment pain.The concept and practice of"taking the nodes as the acupuncture points"in Zhuang ethnic medicine not only significantly enhance clinical efficacy but also hold great value for enriching and developing the theoretical system of external treatments in TCM.关键词
以结为腧/痹痛/壮医经筋疗法/经筋病Key words
Node-based acupoint selection/Zhuang ethnic medicine/Meridian sinew therapy/Impediment pain/Meridian sinew disease分类
医药卫生引用本文复制引用
廖文彦,陈敬涛,龙炳材,黑锦麟,李季莲,符英楠,陆海娇,刘小群,莫巧明..从"以结为腧"探讨壮医经筋疗法治疗经筋痹痛的理念与特色[J].中医临床研究,2026,18(1):96-101,6.基金项目
广西重点研发计划项目(桂科AB23026054) （桂科AB23026054）
广西中医药适宜技术开发与推广项目(GZSY2025051) （GZSY2025051）
广西中医药大学校级科研项目(2019ZD005) （2019ZD005）
广西国际壮医医院引进人才科研启动基金项目(GZ2021RC011) （GZ2021RC011）
广西国际壮医医院"青苗工程"人才培育项目(2022001) （2022001）
广西国际壮医医院院级科研课题(2019006、2019009) （2019006、2019009）
广西壮族自治区中医药管理局自筹经费科研课题(GXZYA20240206). （GXZYA20240206）
