基于“肝藏筋膜之气”论治筋膜炎

Treatment of Fasciitis Based on the Theory That “the Liver Stores Qi of Fascia”

摘要: 筋膜炎属中医“筋痹”范畴，以局部筋膜酸痛僵硬、活动受限、反复发作作为主要临床特点。现代医学常采用运动康复、理疗、微创松解等方式对症干预，短期疗效尚可，但复发率较高。《素问·平人气象论》载：“藏真散于肝，肝藏筋膜之气也”，为从肝整体论治筋膜炎提供经典理论依据。本文立足于“肝藏筋膜之气”理论，溯源中医经典原文，剖析筋膜炎病因病机，结合现有临床研究成果梳理中药、针灸、微创外治等疗法，分析当前研究存在的问题并提出展望，旨在为筋膜炎的中医辨证诊疗提供新思路。

Abstract: Fasciitis falls into the category of “Bi-syndrome of tendons” in traditional Chinese medicine (TCM), which is mainly characterized by local fascia soreness and stiffness, limited movement, and recurrent attacks. Modern medicine often adopts symptomatic interventions including exercise rehabilitation, physical therapy and minimally invasive release. Although short‑term curative effect is acceptable, the recurrence rate remains high. Suwen·Pingren Qixiang Lun records that “Essence is distributed to the liver, and the liver stores qi of the fascia”, which provides a classical theoretical basis for the holistic treatment of fasciitis from the liver. Based on the theory that “the liver stores qi of the fascia and tendons”, this paper traces the original TCM classics, analyzes the etiology and pathogenesis of fasciitis, summarizes therapies such as Chinese herbal medicine, acupuncture and minimally invasive external treatment combined with available clinical studies, discusses existing deficiencies in current researches and puts forward prospects, aiming to provide new ideas for TCM syndrome differentiation and treatment of fasciitis.