Xu Yang, Zhao Ying-kai, Cheng Jian-bin
Institute of Medicinal Plant Development, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100094, China.
Zhongguo Zhen Jiu. 2007 May;27(5):379-82.
Neck-shoulder pain syndrome is a commonly-seen disease clinically. Modern medicine has had no better therapy for it yet. Acupuncture and moxibustion have a better therapeutic effect, but improper treatment easily induces protracted course. For the treatment, detailed syndrome differentiation, paying attention to pulse-taking, in combination with local palpation diagnosis and channel palpation, selection of proper acupoints should first be carried out; for manipulation of needling, do not seek first for arrival of qi, but waiting for arrival of qi is important, and warming needle treatment should be combined; for the patient with yang-qi not reaching the four limbs, firstly warming reinforcing yang of the spleen and kidney, then opening the 4 gates, Hegu (LI 4) and Taichong (LR 3) are carried out to promote yang-qi going, and then acupuncture is given at the neck-shoulder based on syndrome differentiation.
颈肩痛综合征是临床常见疾病。现代医学对此尚无更好的治疗方法。针灸治疗效果较好,但治疗不当易导致病程迁延。治疗时,应先进行详细的辨证,注重切脉,结合局部触诊诊断和经络触诊,选取合适的穴位;针刺操作时,不必先求气至,但候气很重要,应结合温针治疗;对于阳气不达四肢的患者,先温补脾肾之阳,再开四关,即针刺合谷(LI 4)和太冲(LR 3)以促进阳气运行,然后根据辨证在颈肩部进行针刺。