中医药研究论丛

201.22经络辨证合并解剖取穴针灸治疗髂胫束 症候群病例追踪

 

经络辨证合并解剖取穴针灸治疗髂胫束症候群病例追踪
A Case Report of Acupuncture Treatment in Iliotibial Band Syndrome Based on Differential Diagnostics of Meridians Combined with Anatomical Acupoint Selection
吴东谦1,2 林荣志1,3*
1 中山医学大学附设医院中西整合医疗科,台中,台湾
2 中国医药大学针灸研究所,台中,台湾
3 中山医学大学医学系,台中,台湾
【摘要】
髂胫束症候群是一种常见於跑者、自行车选手的运动伤害,传统西医复健休息时间动辄超过半年,影响跑者的训练计画,且增强训练强度时症容易复发。本病例为一30 岁男性患者於104/11/15 叁加21 公里半程马拉松,赛後右膝外侧股骨外髁在膝盖弯曲30 度时诱发强烈刺痛及灼热痛感,经休息後无显着缓解,故来本院寻求中医治疗以改善病情。经诊断为髂胫束症候群,并采用传统经络辨证,搭配解剖原理共同取穴以进行针灸治疗。经过一个针灸疗程治疗搭配卫教後疼痛完全消失,患者恢复路跑并持续增加训练强度,後续追踪超过半年症状皆无复发,使病患不用经历漫长的复健疗程遂能得到良好与巩固的疗效。
【关键词】
ITBS、髂胫束、跑者、针灸、经筋
 
Tong-Chien Wu1,2 Rong-Zhi Lin1,3*
1Department of Integrated Chinese and Western Medicine , Chung Shan Medical University
Hospital, Taichung, Taiwan
2Research Institute of Acupuncture Science in China Medical University, Taichung, Taiwan
3School of Medicine, College of Medicine, Chung Shan Medical University, Taichung, Taiwan
【Summary】
Iliotibial band syndrome(ITBS)is a common sport injury happening in runners, cyclists and endurance sports. It often takes more than six months for the traditional rehabilitation in western medicine, which puts off the athletes’ training schedules. Besides, the illness returns easily when increasing training intensity.
A 30-year-old man, who participated in a 21-km half marathon on November 15, 2015, felt sharp and burning pain over the lateral femoral epicondyle at approximately 30 degrees of knee flexion after running. The symptom was not relieved after resting for 2 days, so the man came to the hospital for the traditional Chinese medication. The patient was diagnosed as ITBS and received the acupuncture treatment based on differential diagnostics of meridians combined with anatomical acupoint selection. After the treatment program of acupuncture with health education, the knee pain was totally disappeared. In addition, the patient then restarted road running and gradually increased his training intensity, and the symptom did not even return after a follow-up for more than six months. Instead of having a long-term rehabilitation, this shows that the patients can receive great and solid effects under this treatment.
Keywords:ITBS, Iliotibial band syndrome, Runner, Acupuncture, Musculature
of meridian, Conduit sinew, Jing-Jin