The way of the look from the structure of integrated therapy of traditional Chinese medicine and surgery

Time: 2016-01-07

Source: China's traditional Chinese medicine to author: GuanLing

If the channels and collaterals in fiber mesh structure, so the direct effect of acupuncture and manipulation treatment is more clear, adjust the stress to improve the space structure (of course not rule out some nerve reflex factors involved), and will enable us to better understand the function and the theory of acupuncture and massage.

Every part of the structure, the human body, are in a tension in the network, the normal tension, is the guarantee of function. If a cell with abnormal pressure or tension, around functions tend to change. Such as soft tissue pain that is often the skeletal muscle in an incorrect under stress, connective tissue dehydration, muscle spasms, cause local or pain in the distance. So there are two aspects to treatment of elements: open the organization and the correct tension.

, many effective methods of acupuncture is the accumulation of experience, on the principle and not say very clearly, and from the aspects of fiber power network, integrated structure, often can get very good explanation.

Anatomy is the basis of medicine, whether for traditional Chinese medicine or western medicine. Developed today, the peculiarity of science and technology, human beings seem to have mastered all the connotation of human anatomy, want to find any of the new structure is unlikely, however, the re-recognition of known structure tend to keep medicine can also be a big step forward. In the west, due to the demand of the technique research, a number of physiological and anatomists in clinical practice, under the guidance of functional anatomy, detailed study of a new understanding of known structure, a (theory, myofascial chain theory, theory of fascia, etc. The theory and practice is especially practical for soft tissue pain source sex. Even for traditional Chinese medicine acupuncture has explained effect, it is a great way to improve the curative effect. And see in a larger range, both in the west of rehabilitation medicine, physical therapy and acupuncture and massage of the east, or sports medicine and so on, in the face of the same source of soft tissue pain of patients, different treatment can be effective, we have to think, these treatments to move? Is adjusted the structure (bone, muscle and fascia) disorder.

So, from the structure of modern anatomy progress of TCM acupuncture have enlightenment? Here are some opinions on the learning experience of the author.

【 】 myofascial network basic concept and revelation

Fiber network is the framework of the human body, mechanics message

Human there are three kinds of networks, the neural network, the network of blood vessels, fiber network. Neural network pass electrical and chemical signals network of blood vessels, and fiber network is mechanical transmission system. Before we both have a lot of attention, and accounts for the largest human body weight, composition of fiber network, has long been neglected. The human body from outside to inside, and even to the nucleus in the cell nucleus and organelles microfilament system fetters, fixed, forming human cell scaffold. Full of extracellular matrix around the fiber network, to the nucleus group provides nutrition. Neurovascular among them, the muscle is a part of the enlargement of thickening. This reminds us of the role of channels and collaterals, contact list, communication inside and outside, qi and blood, moisten the zang-fu organs. So, if the channels and collaterals in fiber mesh structure, so that the direct effect of acupuncture and manipulation treatment is more clear, adjust the stress to improve the space structure (of course not rule out some nerve reflex factors involved), and will enable us to better understand the function and the theory of acupuncture and massage.

Online more muscle force is a function unit, common to complete the mechanical transmission

Modern research has found that there is inseparable between muscle fascia even muscle fiber connections. Fascia tissue tension, and able to transfer, at the same time to the synergist and antagonist muscle tension distributor is a human action. Therefore, author of the anatomy of the train, Thomas will muscles compared to train, joint compared to the station, is where the muscles to stay. And that muscle fascia is a whole, only the singular form, only a scalpel can turn it into a plural. This can often explain the distal find acupuncture. For example on the tibia muscle after too creek, three vaginal intercourse, etc., belong to the former line, deep fascia power line connected directly to the abdomen, chest, and throat. So can treat chest, throat disease.

Double bag structure of the human body, continuity

Many of the body structure has both inside and outside two layer membranes, for example, heart, lung, dirty layer and wall, muscle also have this kind of structure of double pouch, lining, two layers surrounding the outer membrane. , slippery bursa ligaments and tendons are part of the inner bag of thickening. So we treat muscle is put to pocket the contents, slippery bursa and ligament and treatment, is the thickening of the lining for the treatment of double bag. This treatment has great inspiration to us. Connective tissue diseases, rheumatoid disease, ankylosing spondylitis, for example, in synovial joints and slippery bursa, the lesion site belongs to the inner membrane of double bag, acupuncture treatment is through the outer membrane lining, because double bag is continuous. The treatment of meniscus injury and ligament damage principle is similar. Acupuncture thorn in fascia layer, Pierce muscles. Muscle is load-point, fascia didn't, is a connective tissue net, from inside to outside, from top to bottom, no impassability, so its spread and adjusting range is larger.

Stress is the source of damage, the space is the guarantee of function

Every part of the human body structure, are in a tension in the network, the normal tension is the guarantee of function. If a cell with abnormal pressure or tension, around functions tend to change. And soft tissue pain that is often the skeletal muscle in an incorrect under stress, connective tissue dehydration, muscle spasms, cause local or pain in the distance. So there are two key treatment, the first is the problem, the second is to remove the problem of abnormal tension. So there are two aspects to treatment of elements: open the organization and the correct tension. Only consider the effect of one aspect is not comprehensive and not lasting. This suggests we should pay attention to not correct sources of tension, a lot of chronic pain from incorrect posture and movement pattern, at the same time also prompted us to with exercise rehabilitation treatment.

All in all, from the structure and stress of the soft tissue pain and zang-fu organs disease etiology pathology and treatment will have a back to know again, and it also helps to understand the experiences of traditional Chinese medicine acupuncture.

"From the structure of the integrated review acupuncture theories and methods"

Many effective methods of acupuncture is the accumulation of experience, on the principle and not say very clearly, so we often use black box theory to avoid it. And from the aspects of fiber network, structure integration, tends to get very good explanation. In this we some clinical effective method, the author tries to do an explanation from the perspective of structure, also do a rethinking of acupuncture theory.

The new theory of acupuncture's call

Zhu Bing professor system acupuncture and professor Huang Longxiang the acupuncture academic history outline are mentioned, theory is the coat of truth, the contemporary theory of acupuncture is facing out gorgeous coat, refined the ancients discovered the clinical diagnosis and treatment. The law is objective existence, but is not necessarily accurate explain its theory. When developing to a certain degree of functional anatomy, we can discover, use it to explain acupuncture is a way. And necessary for the meridian theory is not acupuncture theory, it is well known that early in the medical literature, there are no meridian acupoints, and is outside the cave and the cavity effect is also very good, is not to locate, according to the meridian theory and modern rise of micro needle system, the effect is very good, also do not according to the meridian theoretical orientation, that is to say, necessary to the meridian theory is not necessarily a acupuncture theory. When new practice law have been found, the theory of update demand is becoming more and more obvious. Now we can't say there has been a mature theory of upgrading, but at least a further thinking and supplement to the traditional meridian theory.

Meridian is the diagram Between the main and collateral channels is an organization of developmental homology or close to nerve body fluids - endocrine - fiber network collaborative relationship. This includes local and overall corresponding relation based on neural reflex (based) micro needle system, local and regional relationship based on fiber networks (direct tension adjustment of acupuncture) two parts. Local and overall WeChat is a bit like mobile phones and the relation between us through phone WeChat will forward a picture circle of friends, at this moment you WeChat, your mobile phone has become a server, every mobile phone in the Internet mode is the server. When the acupuncture points on the micro needle system, the acupuncture point becomes a central, to other related sites to send signals. In addition, the adjustment of the acupuncture treatment site is spatial structure, the ideal space and mechanical balance is improvement and recovery of disease conditions. Space including the arrangement of bone, is the foundation of bonesetting and chiropractic, also includes the location of the muscle, muscle, and degree of extension and resilience, acupuncture is good at.

Gas is a manifestation of the force There is a lot of discussion about the nature of qi and blood, from the perspective of the structure of the gas is a kind of force, is in nervous system under the command of muscle force, including myocardial contraction, microcirculation of autonomy movement, skeletal muscle movement. Description of traditional Chinese medicine "gas handsome blood line" means the force. Much air in the treatment of acupuncture and moxibustion, the feeling is also on the fascia or muscle winding needle body strength is described. Keep gas and push the technique of gas, and the use of mechanics. Acupuncture clinical can also met a phenomenon - the needle body shake, after much air is a good technique, can see the needle body as the pulse frequency to beat, but it is not near large blood vessels. This technique can be interpreted as lead to tension transmission channels open, in the depth of the pulse transfer further, to reflect on the needle.

The reinforcement is myofascial chain of China In ancient China by reinforcement learning, is actually a skeletal muscle anatomy. Far more than the "western myofascial meridian" (see "anatomy trains" Thomas) complex, contains more functional unit. The following foot sun jin as a control. Enough of the sun, from little toe, on the ankle, inclined junction in knee (refers to the length of the fibula muscle peroneal muscles, third, the fibula capitulum); Which follow the foot external ankle, knot in the heel (refers to the little toe abductor muscle, check on the heel). Follow on root knot in popliteal (calf); Don't, the knot on the kick, popliteal within the budget (refer to the soleus, check at the upper tibia fibular to the inside of the popliteal fossa); And popliteal and knot in hip (refers to hamstring in parallel in the popliteal, come up in the hip); Carry on the ridge (sma for vertical); Its branch, don't into a knot on the tongue (shoulder tongue bone muscle). Its straight, knot in the occipital, under the above yan, knot in nasal (finger splenius, head half spinalis, pillow after muscle group, bonnet aponeurosis, frontal muscle); The team, as such, the knot in nine pages (refers to the orbicularis oculi muscle); After its branch, from axillary outside budget, to shoulder Yu (lats); Its branch, the armpit (the great circle muscle); Vacancies on the basin, the knot on the bone (refers to the longest sternocleidomastoid, head, head clip muscle and abdominal muscle after abdominal). On its branch, the office of basin, inclined for nine pages (refers to the neck, musculus masseter). Through sufficient sun jin from the bottom up, therefore, a myofascial chains, also include some walking on oblique muscle. There are some in front of the muscles. Their strain tend to influence each other. So on the basis of the modern anatomy, it is necessary to review the record of the contents of the ancients, dig the real meaning.

Reflection on practice of acupuncture and massage

From a functional anatomy and structure can have a more clear understanding on clinical experience, several clinical doctors experience focus here to try a principle explanation.

The wind pool hole treat foot heel pain (northwestern university health liu experience) of the pressure point on the top of the wind pool into the needle, let the patient with foot movement. Principle: the plantar aponeurosis, calf, hamstring and vertical spinal muscular, suboccipital muscles, bonnet aponeurosis of a functional unit that is continuous on anatomy, on the mechanical transmission is coherent, in anatomy trains become table after the "line". Adjust any part of them will affect this article whole myofascial meridian. On the other hand, foot treatment, can also be caused by the treatment of cap shape tendinous film have a headache.

Mention awn needle therapy to treat gastroptosis (the people's liberation army 463 hospital GeShuHan experience) from left CV 14 through huang shu, hysteresis needle lift, 4 hours. Principle: gastroptosis patients slender shape, less abdominal fat, lower abdominal. Needle into the external oblique muscle fascia layer, hysteresis needle, for making artificial gen, induce protective muscle spasms, increase abdominal pressure, make stomach place. Fascia layer hysteresis needle than muscle within the hysteresis effect time is long, long time protective spasm. By the same token, the embedded wire weight loss is also a fascia layer caused by edema, increased abdominal pressure, satiety.

Also the same facial paralysis tyra lag needle therapy (shanxi institute of acupuncture and moxibustion experience). In addition Joe in the middle of shanxi institute of acupuncture and moxibustion acupuncture method of bridge of the nose, its for two needles, cong yintang downward into a needle, a needle from liao Yin tang and upward direction into the needle, two to pull, retaining needle for a long time. Principle was the cause of fascia edema, subcutaneous periosteum has some trauma, even induce bone hyperplasia. Similar to this principle.

Wildfires burning through cold day, longhu warring compound technique Britain TCM Guo Songpeng to simplify the wildfires burning through cold day gimmick, summarized as sluggish needle down clockwise generate heat that lift and counterclockwise to produce cool feeling. Longhu engagement and filament winding needle body, and then to mechanical stimulation. Principle: the fascia superficial fascia, deep fascia, and deep fascia in the limbs and is divided into two layers, a layer called muscle's outer membrane and the other is a tendon fascia, together with the superficial fascia in three layers, corresponding method in the day, people, places. When acupuncture experience carefully. Compound technique is hierarchical fascia of the filament winding, do mention in the whole web will shock by force, make the whole fiber network in motion. Keep gas, god is looking for the feeling of this kind of filament winding under the needle.

Is o, slotted floating needle, oblique, silver needle, small needle knife therapy are aimed at different levels Floating needle for superficial fascia, o long needle in view of the outer membrane, is inclined to treat muscle belly, silver needle therapy muscle load-point, small needle knife therapy periosteum. These methods tend to be consistent, the final result of stress relief, the pain disappeared. Treatment can be on different structure stress adjustment. And insertion method is often in clearance, the fascia layer.

Stab winding bloodletting therapy On the one hand, this method is reduced pressure, on the other hand also is associated with abnormal blood vessels around the filament winding. Small blood vessels around annular collagen fiber winding and bondage, coarse needle bleeding and release of the filament winding. It is also why bleed effect not collaterals as distorted normal blood vessels.

Scrapping cupping therapy and clinical experience, sha mark can print scrapping cupping of subcutaneous blood stasis is associated with the state of the body. Normal person is not easy to appear, cold origin who feels. Principle: the pathological state of bad condition of the cycle of subcutaneous superficial fascia, blood capillary brittleness is big, negative pressure and positive pressure are easily broken, lead to subcutaneous bleeding. Resorption inspired reconstruction and repair at the same time, promoting disease rehabilitation and healing.

Heat and temperature heating acupuncture has an obvious effect of myofascial pain. Principle: in the higher animals, ubiquitous, hyaluronic acid is used to fill the extracellular space; In the loose connective tissue, a high concentration of hyaluronic acid is found, role is to increase fascia layer between the sliding. As a long chain composed of thousands of sugar. Features for acid condition bottom allied synthetic big chain, when they are heated decomposition can be broken down into small chain, inflammation reaction. So various methods to generate heat, all can make it into short chain, increasing sliding resistance, so as to ease the pain.

Membrane technique Fascia technique often for hierarchical release, key gaps in a muscle and muscle on the outer membrane. Principle, similar in front of the juice, by hand press roll grapefruit, destroyed its interval, squeeze juice to more easily. Fascia technique and its similar, to make it easier for fluid to flow to where "water".

"Building structure integration of Chinese medicine"

For soft tissue source sex disease, our country has rich clinical experience and theoretical basis and a wide variety of treatment tools, in addition to the traditional method of insertion, and xuan sting soft tissue surgery, medicine, shelly Zhu Hanzhang needle knife work through reinforcement learning, Huang Jingwei by reinforcement treatment, etc.; From the tools, in addition to the traditional nine, and # t conceive new nine needles, small silver needle, needle knife, long needle, needle blade, beryllium, etc. Especially the technical barriers between traditional Chinese medicine, western medicine is less, the number of western medicine in the needle knife and acupuncture work, become an important force in the development of acupuncture and moxibustion, and the doctor of traditional Chinese medicine doctors graduated from colleges and universities engaged in orthopedics, rehabilitation and physical therapy professional also common occurance. In addition, on the basis of the structure, can achieve real dialogue, compare Chinese and western medicine and communication. Orthopedics, surgery, rehabilitation, physical therapy, bonesetting, chiropractic, sports and other multi-disciplinary, more professional personnel together and eventually walk to arrive together, so to speak. So cross-border integration is the trend of The Times.

The acupuncture connotation and denotation expanded to non-drug therapy in traditional Chinese medicine

Medicine in ancient China can be divided into two kinds, one kind is the medicine of arteries and veins, is based on the theory of yin-yang five elements, syndrome differentiation and treatment, etc, the essence is a chemical treatment, the way is to adjust the body composition, suppress or eliminate diseases; Another kind is the acupuncture and moxibustion, massage, cupping, scrape sha, ear, hot compress, guidance, etc., all belong to non-drug therapy, is based on the theory of main and collateral channels, through differentiation, nature is a kind of physical therapy, way is to adjust the human body structure, stimulating the self-healing ability to repair the body. Acupuncture is a representative of the non-drug therapy in China, but not including needle and moxibustion, and also includes a variety of other methods. So it is suggested that acupuncture boundary to be able to highlight their non-drug therapy characteristics, to promote and promote this kind of treatment.

To build new technology integration mode of communication

We have designed four modules: anatomy is frame, technique is the foundation, tool is an extension of the technique, movement is the guarantee of the curative effect of rehabilitation. A comprehensive study, from the above four aspects through use. Acupuncture doctors to fill anatomy class, especially in functional anatomy, learn from technique therapist, learn from sports coach, only out of the circle of acupuncture and moxibustion, acupuncture doctors to see their own advantages and disadvantages, to find and develop new therapies. In sports coach inspired by, for example, we reformed the stitch, significantly improve the curative effect. In addition, when we can find a variety of means to treat the same patient, the biggest advantage is that Huang Longxiang professor said: "master, the more we close to the truth, the greater the likelihood of".

In short, in the perspective of the structure of looking at it, will find that Chinese medicine is facing unprecedented opportunities, if can integrate various therapy, combined various crossover talents, build already in the west of a structure of integrated medicine in China, will be a big opportunity of Chinese medicine.