主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2019, Vol. 42 ›› Issue (6): 451-454.doi: 10.3969/j.issn.1006-2157.2019.06.002

• 理论研究 • 上一篇    下一篇

基于肝与大肠相通理论论治肩项部疼痛*

陈敬文, 刘珍珠, 张宁, 李梦琳, 刘金涛, 王维广, 黄薰莹, 席崇程, 翟双庆#   

  1. 北京中医药大学中医学院 北京 100029
  • 出版日期:2019-06-05 发布日期:2019-06-05
  • 通讯作者: 翟双庆,男,博士,教授,博士生导师,研究方向:《黄帝内经》理论研究,E-mail: zsq2098@163.com
  • 作者简介:陈敬文,男,在读博士生
  • 基金资助:
    国家重点基础研究发展计划(973计划)资助项目(No.2013CB532001)

Treatment of shoulder and neck pain based on the connection between liver and large intestine*

Chen Jingwen, Liu Zhenzhu, Zhang Ning, Li Menglin, Liu Jintao, Wang Weiguang, Huang Xunying, Xi Chongcheng, Zhai Shuangqing#   

  1. School of Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100029, China
  • Online:2019-06-05 Published:2019-06-05
  • Contact: Prof. Zhai Shuangqing, Ph.D., Doctoral Supervisor. School of Chinese Medicine, Beijing University of Chinese Medicine, No.11, North Third Ring Road, Chaoyang District, Beijing, 100029. E-mail: zsq2098@163.com

摘要: 肝与大肠相通理论出自脏腑相通理论,首见于明代李梴《医学入门》。无论是从金木交合的五行气化理论去理解,还是从血能润肠、肠能导滞而助疏泄的形质层面去理解,又或是从六经开阖枢的同气相求关系去推导,都能证实肝与大肠之间的密切关系。同时,肝与大肠分别透过脏腑对应肢体以及经络循行而与肩项部有所联系。现代社会人们对手机的过度使用(久视伤血),加上熬夜作息颠倒(肝血不藏),使得临床上许多肩项疼痛由肝血不足、筋脉失养所导致。肝血不足可使肝气郁结,还可使大肠失去濡润而便秘,通过养肝血以润肠、通大肠腑以疏肝,能使此类型的肩项疼痛得到很好的缓解,这与一般临床从寒凝、气滞、血瘀等方向论治有较大的区别。肝与大肠相通理论为肩项部疼痛的治疗提供新思路。

关键词: 肝, 大肠, 脏腑相通, 肝之俞在颈项, 肩项部疼痛

Abstract: The theory of the connection between liver and large intestine is a part of the theory of the connection of zang-fu organs. The earliest record of this theory is seen in the book Introduction to Medicine by Li Chan published in the Ming Dynasty. We can understand the close relationship between liver and large intestine in terms of the interaction between wood and metal according to the theory of five elements. Also, blood can moisten large intestine and removing stagnancy and obstruction in the intestines can help soothe the liver. In addition, according to the opening, closing and pivoting nature of the six meridians, the foot jueyin liver meridian and the hand taiyang large intestine meridian correspond with each other as both are of closing nature. In addition, liver and large intestine are associated with shoulder and neck based on the correspondence between zang-fu organs and body parts, and on meridian circulations. In the modern society, cellphone has been overused, leading to eyestrain, which in turn impairs blood as long looking at something impairs blood. Furthermore, the night-owl lifestyle negatively impacts liver’s function of storing blood. As a result, the shoulder and neck pain of many patients is caused by liver blood insufficiency and sinew and muscle malnutrition. Liver blood insufficiency gives rise to stagnation of liver qi and constipation, since the large intestine cannot be moistened. Thus, clinical practitioners can nourish liver blood to moisten large intestine and remove stagnancy and obstruction in large intestine to soothe the liver, which will have excellent curative effect on this kind of shoulder and neck pain. As this method is rather different from treatments targeted at cold congealing, qi stagnation and blood stasis, it could provide a new approach to the treatment of shoulder and neck pain.

Key words: liver, large intestine, connection between zang-fu organs, acupoint of liver on the neck, shoulder and neck pain

中图分类号: 

  • R223.1