[1]林宇辰,张幻真,江昌政,等.“按而收之”推拿治疗寒凝血瘀型痛经的机理探析[J].陕西中医,2025,46(12):1659-1662.[doi:DOI:10.3969/j.issn.1000-7369.2025.12.015]
　LIN Yuchen,ZHANG Huanzhen,JIANG Changzhen,et al.Mechanistic study on Press-and-Consolidate tuina therapy for Cold-Stasis dysmenorrhea[J].,2025,46(12):1659-1662.[doi:DOI:10.3969/j.issn.1000-7369.2025.12.015]
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“按而收之”推拿治疗寒凝血瘀型痛经的机理探析

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年12期
页码:
1659-1662
栏目:
学术探讨
出版日期:
2025-12-05

文章信息/Info

Title:
Mechanistic study on Press-and-Consolidate tuina therapy for Cold-Stasis dysmenorrhea
作者:
林宇辰1; 张幻真2; 江昌政1; 初芳宇1; 林志刚2; 陈水金2
（1.福建中医药大学，福建 福州 350122；2.福建中医药大学附属康复医院，福建 福州 350003）
Author(s):
LIN Yuchen1; ZHANG Huanzhen2; JIANG Changzhen1; CHU Fangyu1; LIN Zhigang2; CHEN Shuijin2
（1.Fujian University of Traditional Chinese Medicine，Fuzhou 350122， China;2.Fujian University of Traditional Chinese Medicine Affiliated Rehabilitation Hospital，Fuzhou 350003，China）
关键词:
按而收之; 推拿; 寒凝血瘀证; 原发性痛经; 机制
Keywords:
Press-and-Consolidate; Tuina; Cold-Stasis; Primary dysmenorrhea; Mechanistic
分类号:
R 271.113
DOI:
DOI:10.3969/j.issn.1000-7369.2025.12.015
文献标志码:
A
摘要:
原发性痛经是妇科常见疾病之一，寒凝血瘀型痛经尤为常见，其病机主要为寒邪侵袭冲任，血为寒凝，瘀滞不通，导致“不通则痛”。《黄帝内经·素问·阴阳应象大论》中提出：“其剽悍者，按而收之”，该理论强调通过按压手法制伏病势，缓解症状。本文旨在深入探讨“按而收之”理论在推拿治疗寒凝血瘀型原发性痛经中的作用机制，结合《黄帝内经》中“审其阴阳”“定其血气”的调节阴阳与气血运行的整体观，分析推拿如何通过调节经络气血来改善寒凝状态，达到缓解痛经的目的。
Abstract:
Primary dysmenorrhea is a common gynecological disorder,with cold coagulation and blood stasis type being particularly prevalent.Its pathogenesis involves cold pathogens invading the Chong and Ren meridians,leading to blood stagnation and obstruction,resulting in “pain due to blockage”.The Yellow Emperor’s Canon Plain Questions·The Great Treatise on Yin-Yang Correspondences states:“For aggressive conditions,apply pressure to subdue them”,emphasizing manual compression to alleviate symptoms.This study explores the mechanism of the “press and subdue” theory in massage therapy for cold coagulation-type primary dysmenorrhea.Integrating the Yellow Emperor’s Canon holistic principles of “assessing yin-yang” and “stabilizing qi-blood”,it analyzes how massage regulates meridians and blood flow to resolve cold stagnation,thereby relieving pain.The approach aligns with traditional Chinese medicine’s emphasis on balancing yin-yang and harmonizing qi-blood dynamics to restore physiological equilibrium.Clinical implications focus on targeted acupressure techniques to warm meridians,dissolve stasis,and reactivate circulation,offering a non-pharmacological strategy rooted in classical theory.

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备注/Memo

备注/Memo:
国家自然科学基金资助项目（82174523，82105039，82205303）；福建省杰出青年基金资助项目（2023J06037）；福建省卫生健康中青年领军人才研修培养项目(闽卫人函〔2023〕2839号)
更新日期/Last Update: 2025-12-08