Investigating the pathomechanism and distinguishing treatment of fibromyalgia syndrome based on the brain-heart-liver axis

LIU Zixia; LIU Ying

doi:10.3969/j.issn.1006-2157.2023.06.018

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Investigating the pathomechanism and distinguishing treatment of fibromyalgia syndrome based on the brain-heart-liver axis

Thought and Method | 更新时间：2023-07-05

- Investigating the pathomechanism and distinguishing treatment of fibromyalgia syndrome based on the brain-heart-liver axis
- Journal of Beijing University of Traditional Chinese Medicine Vol. 46, Issue 6, Pages: 859-863(2023)
- 作者机构：
  
  1.山东中医药大学第一临床医学院　济南　250199
  2.山东中医药大学附属医院
- 作者简介：
  
  LIU Ying, Ph.D., Chief physician, Doctoral supervisor. Affiliated Hospital of Shandong University of Traditional Chinese Medicine, No.42, Wenhua West Road, Lixia District, Jinan 250011. E-mail: 1483321820@qq.com
- 基金信息：
  
  Academic Experience Inheritance Project of the Sixth Batch of National Old Traditional Chinese Medicine Experts of the State Administration of Traditional Chinese Medicine
- DOI：10.3969/j.issn.1006-2157.2023.06.018
  CLC： R255.6
- Received：17 December 2022，
  
  Online First：06 May 2023，
  
  Published：30 June 2023
- 稿件说明：
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LIU Zixia, LIU Ying. Investigating the pathomechanism and distinguishing treatment of fibromyalgia syndrome based on the brain-heart-liver axis[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(6): 859-863.
DOI：

LIU Zixia, LIU Ying. Investigating the pathomechanism and distinguishing treatment of fibromyalgia syndrome based on the brain-heart-liver axis[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(6): 859-863. DOI： 10.3969/j.issn.1006-2157.2023.06.018.

摘要

纤维肌痛综合征以全身弥漫性疼痛为典型的临床症状，疼痛性质多样，休息常不能缓解，且大多数患者伴有睡眠障碍、疲乏、认知功能障碍等神经功能症状。基于以督脉为枢纽的脑－心－肝轴探讨纤维肌痛综合征的发病病机，认为风寒湿热之邪侵袭筋脉为起病外因，髓减脑消、血枯筋泣为发病之根本。神是机体一切活动的主宰，五脏精气作为神的物质基础，五脏气血调和，神乃自生。对于这样形神同病的疾病，治疗应注重形神同调，以情胜情，审证求因，辨证施治。调形以养神，畅神以调形，通过调整机体气血阴阳平衡状态以复神机、和形体、舒筋止痛。

Abstract

The typical clinical symptom of fibromyalgia syndrome(FMS) is systemic diffuse pain

which is diverse in nature and cannot be relieved by rest. Additionally

most patients have sleep disorder

fatigue

and cognitive dysfunction. Based on the brain-heart-liver axis with Du meridian as the pivot

the pathogenesis of FMS is discussed here. It was considered that the invasion of muscles by wind

cold

damp

and heat was the external cause of the onset of disease

while the marrow reduced brain and the blood withered tendons as the root of the disease onset. The function of the brain is regarded as the master of all of the activities of the body

the essence of the five internal organs is the material basis of brain

and the harmony of qi and blood in the five internal organs result in the formation of body fluid; mental activities then arise naturally. For this type of disease with a constitution-mentality basis

the treatment should address the regulation of physical and psychological aspects

examine the syndrome

seek the cause

and then perform treatment according to syndrome differentiation. By adjusting the physical body to nourish the spirit

smooth the spirit to adjust the physical body

and by adjusting the balance of qi

blood

yin

and yang

the body can recover the spirit

the body is harmonized

and the muscles and tendons relax to relieve pain.

关键词

Keywords

references

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