原发性冻结肩特色针刺疗法及选穴规律的研究进展*

作者：王煜民1,2，石 瑛1,2

单位：1.上海中医药大学附属曙光医院，上海 200000； 2.上海市中医药研究院骨伤科研究所，上海 200000

引用：引用：王煜民，石瑛.原发性冻结肩特色针刺疗法及选穴规律的研究进展[J].中医药导报,2025,31(9):122-125,151.

DOI：10.13862/j.cn43-1446/r.2025.09.021

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摘要：从原发性冻结肩的发生机制、特色针刺疗法及选穴规律等方面阐述原发性冻结肩特色针刺疗法的研究进展。原发性冻结肩是临床常见疾病，病机主要与先天不足、外感风寒湿热邪气、劳逸不当损伤经筋相关。临床治疗以针灸为主，特色针刺疗法包含特殊针刺手法、特殊针刺部位、特殊针具等，配合常规辅助治疗共同发挥改善肩关节韧带纤维化、消除局部组织粘连、缓解疼痛症状、对症祛散寒湿邪气等作用。选穴规律中肩髃、肩髎、肩贞、肩前选用频数最高，其次为阿是穴、阳陵泉、筋膜激痛点、条口、承山等穴，体现了近部取穴、远部取穴、以痛为腧等选穴特点。

关键词：原发性冻结肩；特色针刺；选穴规律；综述

Abstract：This article elucidates the research progress regarding characteristic acupuncture therapies for primary frozen shoulder, focusing on its pathogenesis, characteristic acupuncture techniques, and acupoint selection patterns. Primary frozen shoulder is a common clinical condition. Its pathogenesis in Traditional Chinese Medicine(TCM) is primarily related to congenital deficiency, invasion of exogenous pathogenic factors (wind, cold, dampness, heat), and improper daily life or exertion damaging the sinews. Clinical treatment predominantly involves acupuncture. Characteristic acupuncture therapies include special needling techniques, stimulation at specific sites, and the use of specialized needles, often combined with conventional auxiliary treatments. These approaches collectively work to improve shoulder ligament fibrosis, eliminate local tissue adhesion, relieve pain, and dispel cold-dampness pathogens. Regarding acupoint selection patterns, Jianyu (LI15), Jianliao (TE14), Jianzhen (SI9), and Jianqian (Extra) are the most frequently selected points, followed by Ashi points, Yanglingquan (GB34), fascial trigger points, Tiaokou (ST38), Chengshan (BL57), among others. This reflects the principles of selecting local points, distal points, and points based on tenderness.

Key words：primary frozen shoulder; characteristic acupuncture; acupoint selection rules; review

发布时间：2026-01-08

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