基于“经筋理论”探讨特发性脊柱侧弯的病机和治疗

Based on “The Theory of Meridians and Tendons” to Explore the Pathogenesis and Treatment of Idiopathic Scoliosis

摘要: 特发性脊柱侧弯所引起的疼痛或功能障碍属于“经筋病”范畴。本文基于经筋理论探讨特发性脊柱侧弯的发病与经筋病变的关系，联合现代医学对脊柱生物力学及腰腹部核心肌群的理解，总结出其病机为经筋受阻，筋骨失衡；治疗应当通经舒筋，调肌正骨。分析在经筋理论指导下中医外治法在该病治疗中的独特优势，对特发性脊柱侧弯的病机和治疗提供新思路。

Abstract: The pain or dysfunction caused by idiopathic scoliosis falls into the category of “meridian tenopathy”. Based on the meridian tendon theory, this paper discusses the relationship between the pathogenesis of idiopathic scoliosis and meridian tendon lesions, combined with the understanding of spine biomechanics and lumbar and abdominal core muscles in modern medicine, and summarizes the pathogenesis of idiopathic scoliosis as meridian tendon obstruction and imbalance of muscles and bones. The treatment should be through the meridians and relax the tendons, adjust the muscles and set the bones to analyze the unique advantages of traditional Chinese medicine external treatment in the treatment of idiopathic scoliosis under the guidance of the “Theory of Meridians and Tendons” and to provide new ideas for the pathogenesis and treatment of idiopathic scoliosis.