基于经络理论探讨膏摩法治疗气滞血瘀型漏肩风的临床研究进展

Exploring the Clinical Research Progress of Ointment Rubbing Therapy for Qi-Stagnation and Blood Stasis Type of Frozen Shoulder Based on the Theory of Meridian

摘要: 漏肩风，又称肩关节周围炎，是指以肩关节疼痛痠重，活动受限为主症的疾病。气滞血瘀型漏肩风的临床症状表现为患肩活动受限，动则痛甚，肩部关节肿胀刺痛，痛有定处，夜间为甚。其是现代生活的普遍性疾病，随着人们工作压力的增大，其发病率亦逐渐年轻化，其经常发生于长期伏案的上班族及上肢体力劳动量较多的体力劳动者和年老体弱的人群，降低了人们的生活质量，对患者的工作、生活造成严重困扰。在非手术治疗手段中，推拿疗法占据重要地位，而膏摩疗法作为常用的推拿辅助疗法，也发挥着不可忽视的作用。在经络理论的指导下，术者可选用擦法、摩法、推法和揉法4类膏摩手法有效治疗气滞血瘀型漏肩风。除此之外，膏摩疗法常常结合其他疗法，包括口服药物、其他常规推拿手法和物理治疗等，在临床实践中也取得了相应的科研成果，获得了患者的一致好评。

Abstract: Frozen shoulder, also known as periarthritis of the shoulder, is a condition primarily characterized by pain, soreness, and restricted movement of the shoulder joint. The clinical manifestations of the qi-stagnation and blood stasis type of frozen shoulder include limited shoulder mobility, exacerbated pain upon movement, swelling and stabbing pain in the shoulder joint with fixed pain locations, particularly severe at night. This condition has become a prevalent ailment in modern life, with increasing incidence among younger populations due to heightened work pressures. It frequently occurs among office workers who maintain prolonged sedentary postures, manual laborers with significant upper limb physical exertion, and the elderly or physically weak, significantly impairing quality of life and causing substantial disruption to patients’ work and daily activities. Among non-surgical treatment modalities, massage therapy holds a pivotal position, and the Ointment Rubbing therapy, as a commonly used adjunctive massage technique, plays an indispensable role. Guided by meridian theory, practitioners can effectively treat qi-stagnation and blood stasis type of frozen shoulder by employing four categories of Ointment Rubbing techniques: friction, kneading, pushing, and rolling. Furthermore, Ointment Rubbing therapy is often combined with other treatments, including oral medications, other conventional massage techniques, and physical therapy, achieving corresponding scientific research outcomes in clinical practice and receiving unanimous positive feedback from patients.