基于经筋理论探究推拿辨证论治产后盆底功能障碍
首发时间:2022-06-14
摘要:《灵枢 经筋篇》认为经筋病分为筋急和筋痿,分别是由寒邪和湿热引起,现代研究发现由产后盆底肌松弛引发的女性盆底功能障碍性疾病主要属于中医经筋病范畴。本次研究以产后盆底功能障碍为研究对象,通过对相关文献的梳理,深入挖掘经筋理论对女性盆底功能改善的指导作用。结果表明治疗经筋病,应针对筋急、筋痿的病因病机分别以通导阳气、祛湿泻热为主要治法,在中医辨证论治的基础上通过推拿点穴、理筋、循经按揉、捏脊等方法,配合对经筋局部的调筋正骨,可实现调整脏腑功能、振奋阳气、健脾化湿、调畅气血、疏通经络、运化营养等作用,并促使骨正筋柔状态的达成,从而改善女性盆底肌肉的肌张力和肌力,解筋急紧张拘挛和筋痿痿软不用的症状,最终恢复盆底筋经的正常生理功能。本次研究表明,推拿疗法在妇科领域中具有独特优势,在治疗产后经筋病方面能够取得较好的临床疗效。
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Exploration of Tuina syndrome differentiation and treatment of postpartum pelvic floor dysfunction based on \'Theory of Meridian Sinew\'
Abstract:According to "Lingshu Jingjin Chapter" , Tendons disease can be divided into Tendons acute and Tendons flaccid , which are caused by cold evil and damp heat evil respectively. Modern research has found that female pelvic floor dysfunction diseases caused by postpartum pelvic floor muscle relaxation mainly belong to the category of Jingjin disease in traditional Chinese medicine. This study takes the postpartum pelvic floor dysfunction as the research object, and deeply excavates the guiding role of Jingjin theory on the improvement of female pelvic floor function through combing the relevant literature. The results showed that the treatment of meridian tendon disease should be based on the etiology and pathogenesis of tendon urgency and tendon impotence. On the basis of syndrome differentiation and treatment in traditional Chinese medicine, the effects of regulating viscera function, invigorating yang qi, invigorating spleen and removing dampness, regulating qi and blood, dredging meridians, and transporting nutrition can be achieved by massage and acupoints, regulating tendons, kneading along the meridians, kneading the spine, etc, And promote the achievement of the bone positive tendon soft state, so as to improve the muscle tension and muscle strength of the female pelvic floor muscles, alleviate the symptoms of tension contracture and muscle flaccidity, and finally restore the normal physiological function of the pelvic floor muscles. This study shows that massage therapy has unique advantages in the field of Gynecology, and can achieve good clinical efficacy in the treatment of postpartum tendon diseases.
Keywords: Tuina Theory of meridian sinew Syndrome differentiation and treatment Postpartum recovery Pelvic floor dysfunction
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基于经筋理论探究推拿辨证论治产后盆底功能障碍
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