Pain is used as a tendon to treat tendon disease

"Pain as a stomach" is the basic acupuncture principle for the treatment of tendon disease, its correctness and importance cannot be doubted, but because of the variety of causes and mechanisms of tendon disease, involving different organ meridians, the symptoms are different, if you stick to this, it is inevitable that it is too limited. Here, we will try to explore it from three aspects.

First, taking pain as a stomach is the most important way to treat tendon disease

When discussing the treatment of meridian disease, the "Lingshu Jingjian" chapter repeatedly pointed out that the principle of acupuncture is "taking pain as a stomach", and the understanding of this view is basically the same among successive generations of physicians, that is, taking the painful part or the tender place as the amus, and there is no need to be limited by the acupuncture point. For example, the "Class Sutra" says: "Take the pain as the stomach, that is, the sore point is also." The Yellow Emperor's Inner Jing Lingshu Commentary says: "Those who take pain as their stomach are also the Yu acupuncture points they take according to their pain." Zhang Yin'an Zhuyun: "Those who take pain as their stomach, according to their pain, are also the acupuncture points they take." Ma Wei said: "The acupuncture point it takes, that is, the sore spot is also, the Suyun Tianying acupuncture point." Yang Shangshan's "Yellow Emperor Neijing Taisu" even explains the reason for the pain as a stomach: "Losing, it is also a hole." Where the tendons hurt, that is, the holes, there is no need to lose them. With the tendon as the capital of the yin and yang qi, there is no time in it, and it is not allowed to travel up and down through the yin and yang qi, but the evil enters the tendon as a disease, and cannot be transferred, so the sick dwelling pain is used as a stomach. "The meridian tendons do not run qi and blood, and the required qi and blood nutrition is infiltrated by the meridians and veins, so an important pathogenesis of the meridian disease is that the evil knots are in the tendons, the tendons are injured, the qi and blood are stagnant, and the cloth must not be transfused, and if it is not passed, it is painful." Pain is the main symptom of transipathy, so the pain is the most direct way to dredge the stasis, and the acupuncture is simple and effective. Therefore, it can be said that for the local qi and blood stagnation caused by various causes, the qi of the tendons is not smooth, and the local pain of the tendons caused by "no general pain", it is necessary to take the pain place as the tendon, and a large number of clinical practices have also proved that this acupuncture method has a fast effect and a good effect. Therefore, "pain as a stomach" has always been the most important and effective way to treat tendon disease.

Second, take pain as the limitation and extension of the meaning

Symptoms of the same etiology can be different, as can transstatic tendon disease. Although the same qi and blood stagnation of the tendons, may not be manifested as pain and see other symptoms, in addition, another pathogenesis of the tendon disease is the meridian stasis or weakness of qi and blood caused by insufficient meridian qi and blood, local tendons can not be nourished, resulting in pain or other variety of different symptoms. That is to say, in addition to pain, there are many other manifestations of the tendon disease, such as the involvement of muscles and flesh, cramps, tendon rotation, rigidity and relaxation of muscles, snug mouth, paralysis and paralysis of limbs, weakness and unfavorable joint activity. In this regard, the local acupuncture point should also be taken, and if there is no pain, the local acupuncture point should not be taken, and its meaning is understood too limitedly. We can analyze it from the following aspects:

1． In the "Lingshu Wei Qi Disorder" chapter, it is said: "There is no yin and no yang in the tendons, no left and no right, and the place where the waiting disease is." The interpretation is: if the disease is in the tendon, it is not necessary to divide the yin and yang, but it can be treated according to the site of its occurrence. It is not pointed out that the tendon disease is pain and the pain is the stomach, but it is clearly pointed out that the "tendon disease" should be "where the disease is", that is, the local part of the disease is the aus, and the local apub and a are acupoint. The meaning of this passage is different from the literal meaning stated in the Lingshu Jingjian passage.

2． In each example of the meridian disease in the "Lingshu Meridian Tendon", in addition to pain, it also includes other local symptoms, such as the tendon disease of the foot and sun "ridge bending", the tendon of the foot yang Ming "stroke mouth", the tendon of the foot yin "the use of the yin organ", etc., as well as some internal organ diseases, which are not only referred to as a local pain. The so-called "paralysis", the saying "pain as a stomach" is because pain is a major disease of the tendon disease, take one and clearly indicate the other, in order to seek logical integrity, therefore, the deep meaning of "pain as a stomach" is that the meridian tendon disease is mainly based on local symptoms, and the acupuncture point is mainly taken.

3． Analysis of the "Taisu" note: "Evil into the tendon attack as a disease, can not be transferred, so the sick place as the input", for the "disease" is not "pain", for the "sick residence" is not "painful residence", but also shows that the tendon disease not only has pain, but also has other symptoms. Moreover, its "sore point" refers to the disease that occurs after the disease invades a certain menstrual tendon, including the part where the pain is located.

Through the above analysis, the meaning of "pain as a stomach" is further extended, and the so-called pain point does not only refer to the pain, but also refers to the place where the disease lesion is located.

Third, the one-sided treatment of menstrual tendon disease with pain as a stomach should be adjusted to treat the whole

The twelve meridians summarize the tendons of the whole body and belong to the twelve meridians, and the meridians and meridians are named in name, and the yin and yang distribution and positioning of the body, the beginning and end of the cycle and the parts passed are basically the same. "Tendons and pulses are also a system" ("Lingshu Da Confusion"), indicating that the twelve meridians are a system of twelve meridian qi gathering and scattered in the tendons and flesh joints, and its functional activities depend on the warm nourishment of the qi and blood running by the meridians and the regulation of the meridians, each meridian is closely related to the meridians of the same name, and the whole body meridians are closely related to the foot yin and liver meridians, the foot yang ming stomach meridian, the foot sun bladder meridian and the seesaw vein. In addition, the normal physiological function of the meridians is also inseparable from the nourishment of the vitality and blood of the organs, especially the functions of the liver, spleen, stomach and other organs.

Combined with clinical practice analysis, there are many diseases of the tendons, non-pain, but also some difficult and complicated diseases, if the "pain as a stomach" single treatment of the local is too one-sided, but must start from the treatment of the whole, and also treat the liver, spleen, stomach, and adjust the relevant meridians, with the relevant meridians for treatment, that is, "pain as a stomach" to treat the part of the tendons, with the meridian points "to the pulse to lead the meridian qi", in order to seek effectiveness. The mechanism lies in the fact that "the twelve meridians are mainly based on the flesh and qi, the internal camp is five internal organs, and the outer camp head and body limbs" ("Yellow Emperor Neijing Taisu"), so there are many meridian points that can treat the diseases of the meridians, as Yang Shangshan clearly stated: "Mingtang according to the acupuncture points to heal the tendon disease, this is to follow the pulse to induce the tendon qi also." "When dispensing acupuncture, the following four aspects can be considered:

1

Take the namesake meridian acupuncture points

The twelve meridians are distributed according to the twelve meridians, the twelve meridians are embedded in the twelve meridians, and the qi and blood of the meridians directly nourish the accompanying meridians of the same name, so for many meridian diseases, in addition to taking local acupuncture points, with the use of the same name meridian acupuncture points, often can significantly improve the efficacy. For example, in addition to taking the periarthritis of the shoulder, it is often combined with the valley, pension, external pass, etc.; in addition to the facial acupoint, patients with facial paralysis often cooperate with the valley, foot three miles and so on.

2

Take the acupuncture points that cure tendon disease

Yangling Spring is a tendon meeting, which can relax the tendons and sharp knots, and relieve pain. Tai Chong is the foot yin meridian acupuncture point, but also the original acupoint of the liver, can relax the tendons and slow down, nourish the blood and soft tendons, and relieve pain, so many menstrual tendon diseases can be used with these two acupuncture points.

3

Take the Yang Ming Meridian Point

Spleen and stomach biochemical qi and blood, Yang Ming meridian more qi and more blood, the main Runzong tendons, so take Yang Ming meridian points can moisten and nourish the tendons, for some tendon relaxation, tendon deficiency, more than the provision of foot three miles, three yin intercourse and other points. "Cure impotence alone to take yangming" is a principle for the treatment of menstrual tendon weakness.

4

With the evidence with acupuncture

Depending on the cause and mechanism of the disease, the relevant meridian points should be appropriately selected. For example, those with hepatobiliary qi fever, take kidney Yu, Taixi, Xingjian and Xiaxi; those whose liver pulse is not honored, take liver Yu, kidney Yu, Ququan, And Taixi; those with weak spleen and stomach, take the middle spleen, stomach Yu, spleen Yu, and sanyin intercourse; those with yang qi damage, take the large vertebrae, the life gate, Guan Yuan, Qi Hai, etc.

In addition, through clinical practice, people have also explored the "corresponding point" of the acupuncture lesion site to treat the tendon disease, such as the left and right side corresponding to the acupuncture point, shoulder-shoulder, elbow-elbow, wrist-wrist, hip-hip, knee-knee, ankle-ankle, while the "corresponding point" on the healthy side of acupuncture, so that the patient can move the affected joint on the affected side. In addition, there are also upper and lower counterparts, such as shoulder-hip, elbow-knee, wrist-ankle. This method has a strong effect of relieving tendons and joints, relieving urgency and relieving pain, the effect is significant and rapid, and because there is no pain or less pain during acupuncture, patients are more receptive.

Through the above analysis, it can be seen that "pain as a stomach" has a certain correctness and importance, but also has certain limitations and one-sidedness, the treatment of tendon disease should not only be "pain as a stomach", but also fully understand its extension meaning, that is, local acupuncture, but also pay attention to the allocation of acupuncture points that regulate the whole body. Of course, for the ancients to emphasize the principle of "taking pain as a hole", there may be another understanding: in emphasizing the overall concept, emphasizing the remote treatment role of the acupressus point, emphasizing the dialectical acupuncture at the same time, prompting the doctor not to ignore the proximal treatment of the acupuncture point, do not ignore the importance of local acupuncture, menstrual tendon disease is mainly pain, mainly local diseases, treatment should be "pain as a stomach", mainly to local acupuncture.

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