从“阳气者，精则养神，柔则养筋”思考津沽脏腑推拿治疗慢性疲劳综合征的理论内涵

Humble opinion the theoretical connotation of Jingu Zang-fu massage in the treatment of CFS from the perspective of “yangqi,essence nourishes the spirit,and gentleness nourishes the tendons”

关键词:  精则养神  柔则养筋  津沽脏腑推拿  慢性疲劳综合征  理论内涵

Key words:  essence nourishes the mind  softness nourishes tendons  Jingu Zang-fu massage  chronic fatigue syndrome  theoretical connotation

摘要:

慢性疲劳综合征（CFS）是临床常见病、多发病，该病以“脾失健运，五脏虚衰，髓海失养”为主要病机，“周身疲劳，髓海空虚”为具体表现。《素问·生气通天论篇第三》记述有：“阳气者，精则养神，柔则养筋。”该论述为后世理解人体阳气“状态”及对应“功用”提出了纲领性指导。津沽脏腑推拿作为CFS的治疗手段之一，借助手法调节腹部脾胃，进而影响清阳生发，达到调治周身治疗疾病的目的。因此，可以从“阳气者，精则养神，柔则养筋”角度重新思考津沽脏腑推拿治疗CFS的理论内涵。

Abstract:

Chronic fatigue syndrome (CFS) is a common and frequently-occurring disease in clinic. The main pathogenesis of the disease is "loss of health and movement of the spleen,deficiency of the five internal organs,loss of nourishment of the sea of marrow",and "fatigue of the whole body and emptiness of the sea of marrow". "Third aritcle discussion of vital-qi corresponding to the heaven. The Plain questions" is described as follows:"yangqi,essence leads to spirit,and gentleness nourishes tendons". This discussion provides programmatic guidance for later generations to understand the "state" and corresponding "function" of human yangqi. As one of the treatment methods of CFS,Jingu Zang-fu massage regulates the abdomen,spleen and stomach,and then affects the hair growth of qingyang,so as to achieve the purpose of regulating the whole body to treat diseases. Therefore,we think that we can rethink the theoretical connotation of Jingu Zang-fu massage in the treatment of CFS from the point of view of "yangqi,essence leads to spirit,and gentleness nourishes tendons".