从解剖学视角探讨推拿治疗偏头痛的常用穴位及作用机制

doi:10.13418/j.issn.1001-165x.2026.4.19

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中国临床解剖学杂志 ›› 2026, Vol. 44 ›› Issue (4) : 491-494. DOI: 10.13418/j.issn.1001-165x.2026.4.19

综述

从解剖学视角探讨推拿治疗偏头痛的常用穴位及作用机制

陈乙彬¹，谢思远²*，赵子琳³，李义凯²

作者信息 +

An anatomical perspective on commonly used acupoints and mechanisms of action in Tuina treatment for migraine

Chen Yibin¹, Xie Siyuan²*, Zhao Zilin³, Li Yikai²

Author information +

文章历史 +

摘要

推拿是治疗偏头痛的有效方法，其穴位特异性是临床关注的焦点。为从临床解剖学角度揭示其科学内涵，本文分析了风池、太阳等常用穴位的深层解剖结构，并探讨其与偏头痛核心病理通路，即三叉神经颈髓复合体（TCC）的关联。分析发现，这些穴位在解剖上多对应关键神经干或皮支的穿出点、神经血管束走行区或肌筋膜张力集中点。其作用机制可能涉及对TCC传入通路的神经调控和对肌筋膜源性疼痛的生物力学调节两个方面。本文认为，将传统穴位的“点”，与现代解剖学揭示的神经支配或肌筋膜等功能“面”相结合，有助于促进推拿手法发展与提升临床疗效。这种“点面结合”的思路，一方面肯定了传统经络腧穴理论的重要临床价值，另一方面也论证了现代解剖学知识能够为传统穴位赋予新的科学内涵。此外，应加强推拿与临床解剖学的结合，开发疗效更好的推拿穴位。

Abstract

Tuina is an effective treatment for migraine, and its acupoint specificity is a primary focus of clinical interest. To elucidate its scientific underpinnings from a clinical anatomy perspective, this paper analyzes the deep anatomical structures of commonly used acupoints, such as Fengchi and Taiyang, and explores their correlation with the core pathological pathway of migraine: Trigeminocervical Complex (TCC). The analysis reveals that these acupoints anatomically correspond to the emergence points of critical nerve trunks or cutaneous branches, the pathways of neurovascular bundles, or points of concentrated myofascial tension. Its therapeutic mechanism may involve two aspects: neuromodulation of the afferent pathways of TCC and biomechanical regulation of myofascial-derived pain. This paper posits that integrating the "points" of traditional acupoints with the functional "planes" revealed by modern anatomy (such as nerve distribution and myofascial planes) can promote the development of Tuina techniques and enhance clinical efficacy. This "point-plane integration" approach not only affirms the significant clinical value of traditional meridian and acupoint theory, but also demonstrates that modern anatomical knowledge can endow traditional acupoints with new scientific connotations. Furthermore, the integration of Tuina and clinical anatomy should be strengthened to develop acupressure points and techniques with improved therapeutic effects.

导出引用

陈乙彬, 谢思远, 赵子琳, 李义凯. 从解剖学视角探讨推拿治疗偏头痛的常用穴位及作用机制[J]. 中国临床解剖学杂志. 2026, 44(4): 491-494 https://doi.org/10.13418/j.issn.1001-165x.2026.4.19

Chen Yibin, Xie Siyuan, Zhao Zilin, Li Yikai. An anatomical perspective on commonly used acupoints and mechanisms of action in Tuina treatment for migraine[J]. Chinese Journal of Clinical Anatomy. 2026, 44(4): 491-494 https://doi.org/10.13418/j.issn.1001-165x.2026.4.19

中图分类号： R322.7

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