山东中医杂志2026,Vol.45Issue(5):492-496,5.DOI:10.16295/j.cnki.0257-358x.2026.05.007
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
Exploring Acupuncture Treatment for Diaphragmatic Myofascial Pain Syndrome Based on Theory of "Membrane Source as Pivot and Qi Pathway as Transmission"
摘要
Abstract
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.关键词
肌筋膜疼痛综合征/膈肌/膜原/气街/疼痛触发点Key words
myofascial pain syndrome/diaphragm/membrane source/qi pathway/myofascial trigger points分类
医药卫生引用本文复制引用
冯微,姬迎月,王熠峰,张玉飞,王新义..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[J].山东中医杂志,2026,45(5):492-496,5.基金项目
河南中医药拔尖人才培养项目(批文号:豫中医科教[2021]15号) (批文号:豫中医科教[2021]15号)
河南省中医高水平专科(批文号:豫卫中医函[2023]63号) (批文号:豫卫中医函[2023]63号)
河南中医药重点学科建设项目(批文号:豫卫中医药科教[2024]01号) (批文号:豫卫中医药科教[2024]01号)
国家中医优势专科建设项目(批文号:国中医药医政函[2024]90号) (批文号:国中医药医政函[2024]90号)