马惠昇采用毫火针齐刺经筋法辨证治疗肩周炎思路

肩关节周围炎中医属痹症范畴,根据其发病特点及临床症状又称“五十肩”“冻结肩”“肩凝症”,临床西医常采用口服非甾体抗炎药、关节镜、局部封闭术等治疗,中医常规采用毫针针刺十二经穴联合推拿及理疗等保守治疗。马惠昇老师经过长期的临床观察及阅读古籍,认为肩周炎的病位在经筋,病机以外感风寒湿邪、体虚筋脉失养、外力创伤等以致经筋痹阻,不通则痛为主。毫火针齐刺经筋联合中药口服治疗可以更好地温阳散寒,激发人体阳气,活血通筋,迅速消除或改善“不通则痛”的症状,且疗程较短,价格低廉,易为患者所接受。故临床上常采用“温通经筋”法治疗肩周炎,疗效显著。现结合临床病案将马惠昇老师治疗肩周炎的思路进行介绍。

Ma Huisheng's approach to dialectical treatment of frozen shoulder

Periarthritis of the shoulder belongs to the category of rheumatism in Chinese medicine.According to its clinical feature and symptoms,it is also called “fifty shoulders”“frozen shoulders” and “shoulder coagulopathy”.Western medicine often uses oral non-steroidal anti-inflammatory drugs,arthroscopy,local sealing and other treatments.Traditional Chinese medicine routinely uses acupuncture of twelve meridian points with filiform needles,combined with massage and physiotherapy,and other conservative treatments.After long-term clinical observation and reading ancient books,Ma Huisheng believes that the disease of frozen shoulder's location is in the meridians.The pathogenesis is mainly consists of affected by exogenous wind,cold and dampness,tendon and vessel malnitrition,external force trauma,etc.,which lead to the obstruction of the muscle meridian and thus arouse ache.Acupuncture of the muscle meridian with fibrous fire needles combined with oral treatment of traditional Chinese medicine can warm the yang and dispel cold better,inspire body's Yang Qi to promote blood circulation and relieve tendons,eliminate or improve the symptoms of “unreasonable pain” quckly.Moreover,the course of treatment is short,the price is low,and it is easy to be accepted by patients.Therefore,the method of “warming the meridians” is often used clinically,and the effect is remarkable.Introduce Ma Huisheng's thoughts on treating frozen shoulder in combination with clinical medical records.