針灸與易筋經導引治療下交叉症候群治療研究

Acupuncture and Yi-Jin-Jing Acts Treatments for Lower Cross Syndrome

蔡迪生(Ti-Sheng Tsai) ； 陳朝宗(Chao-Tsung Chen) ； 林舜穀(Shung-Gu Lin)

《中醫骨傷科醫學雜誌》 11期 (2012/12) Pp. 46-56

https://doi.org/10.30098/JCOT.201212.0007

摘要

下交叉症候群的特點是肌肉不平衡導致的姿勢不平衡。過度收縮與緊繃的肌肉包括腓腸肌、比目魚肌、髖屈肌、膕肌、內收肌、括筋膜張肌及梨狀肌。過度放鬆或與軟弱無力的肌肉有臀大肌、臀中肌、膝方肌、腓骨肌及腹部肌群。這樣的不平衡結果造成髖關節彎曲及代償性的腰椎過前凸，因而傾向於使髖關節和下背部承受過度的應力而產生疼痛。本文分析腰部結構的穩定性，詳述其體位肌與階段性肌，經絡循行與絡屬關係，並以此發展針刺治療的等局部取穴及遠側取穴的配穴方法，以及補瀉手法。並論述下交叉症候群導致下背痛的治療策略。希望作為臨床中醫師治療下背痛的參考。

關鍵字

下交叉症候群 ； 體位肌 ； 階段性肌 ； 針灸治

並列摘要

The lower crossed syndrome is characterized by muscle imbalances cause postural imbalance. Activate/shortening of muscles include the gastro-soleus muscle, hip flexors, hamstrings, adductors, piriformis muscle and tensor fasciae latae. Inactivate/inhibit muscles include the gluteus maximus, gluteus medius, quadratus plantae muscle, peronei muscle, and abdominal wall muscles. This imbalance will result in the hip joint bending and compensatory lumbar lordosis then cause the hip and lower back under excessive stress and pain. This paper analyzes the structural stability of the waist, its postural and phasic muscles, Meridian and collateral kinship relations, then develops acupuncture and moxibustion treatment of local and distal acupoints point method, and dealing the treatment policy of low back pain caused by lower crossed syndrome. We hope to propose treatment recommendations for clinical Chinese medicine practitioners in treatment of lower back pain.

並列關鍵字

lower crossed syndrome ； postural muscles ； phasic muscles ； acupuncture and moxibustion treatment