{"id":9119,"date":"2024-06-06T01:49:59","date_gmt":"2024-06-06T01:49:59","guid":{"rendered":"https:\/\/tcmdrma.com\/%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e9%92%88%e7%81%b8%e6%b2%bb%e7%96%97%e8%b7%9f%e8%85%b1%e7%82%8e%e4%b8%80%e4%be%8b\/"},"modified":"2025-05-09T11:49:33","modified_gmt":"2025-05-09T01:49:33","slug":"%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e9%92%88%e7%81%b8%e6%b2%bb%e7%96%97%e8%b7%9f%e8%85%b1%e7%82%8e%e4%b8%80%e4%be%8b","status":"publish","type":"post","link":"https:\/\/tcmdrma.com\/zh-hans\/%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e9%92%88%e7%81%b8%e6%b2%bb%e7%96%97%e8%b7%9f%e8%85%b1%e7%82%8e%e4%b8%80%e4%be%8b\/","title":{"rendered":"\u3010\u533b\u6848\u3011\u9488\u7078\u6cbb\u7597\u8ddf\u8171\u708e\u4e00\u4f8b"},"content":{"rendered":"

患者，女，白人，40多岁，两个月前因为长途徒步运动导致双侧脚踝受伤，跟腱部位疼痛，西医确诊为跟腱炎，做理疗持续至今。刻下跟腱部局部变形，略有肿胀，碰触则酸痛非常明显。患者目前走路时间一长，局部就会感觉非常酸痛不适。<\/p>\n

从局部受影响的经络而言，主要在足少阴肾经和足太阳膀胱经所过。患者自述之前西医的治疗效果非常明显。那么为什么历经两个多月还没有好呢？从患者急性期的“痛”感为主变成了慢性期的“酸”感为主，虽然患者感受的疼痛剧烈程度下降了，但是问题没有被解决。<\/p>\n

这里要提到一个西医没有，而对中医治疗非常重要的概念，就是虚实。这个患者的脉整体是偏虚的，尺脉尤其明显的细弱，该患者说她的心率一直比常人低。这是一个里虚，气血不足的脉。对于虚症的治疗，必须首先要补虚，否则此类患者是很难获得实质改善的。<\/strong>西医正是因为缺乏这个概念，这类问题它是很难处理的。同样的，如果中医治疗不考虑虚实因素，采用强刺激的方式去治疗，效果也不会好。<\/p>\n

我用针灸补法加局部治疗的方式，第一次治疗后患者说明显改善60%以上，第二次治疗后患者就没有再来，我想应该至少已经不影响她的正常生活了吧。<\/p>\n

 <\/p>\n

延伸阅读：曾骞：没有阴阳气血概念的治疗都是乱搞<\/a><\/p>\n

 <\/p>\n

注意：中医根据个体差异所采取的治疗手段和治疗效果亦有差异，医案分享不构成治疗建议。<\/p>\n

\n

NO.051<\/p>\n","protected":false},"excerpt":{"rendered":"

患者，女，白人，40 […]<\/p>\n","protected":false},"author":1,"featured_media":9120,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","footnotes":""},"categories":[76],"tags":[],"class_list":["post-9119","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-76"],"acf":[],"uagb_featured_image_src":{"full":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Achilles-tendonitis-e1621669738478.jpg",500,322,false],"thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Achilles-tendonitis-e1621669738478-150x150.jpg",150,150,true],"medium":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Achilles-tendonitis-e1621669738478-300x193.jpg",300,193,true],"medium_large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Achilles-tendonitis-e1621669738478.jpg",500,322,false],"large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Achilles-tendonitis-e1621669738478.jpg",500,322,false],"1536x1536":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Achilles-tendonitis-e1621669738478.jpg",500,322,false],"2048x2048":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Achilles-tendonitis-e1621669738478.jpg",500,322,false],"blog-large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Achilles-tendonitis-e1621669738478.jpg",422,272,false],"blog-medium":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Achilles-tendonitis-e1621669738478-320x206.jpg",314,202,true],"recent-posts":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Achilles-tendonitis-e1621669738478.jpg",500,322,false],"recent-works-thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Achilles-tendonitis-e1621669738478-66x43.jpg",66,43,true],"fusion-200":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Achilles-tendonitis-e1621669738478-200x129.jpg",200,129,true],"fusion-400":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Achilles-tendonitis-e1621669738478-400x258.jpg",400,258,true],"fusion-600":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Achilles-tendonitis-e1621669738478.jpg",500,322,false],"fusion-800":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Achilles-tendonitis-e1621669738478.jpg",500,322,false],"fusion-1200":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Achilles-tendonitis-e1621669738478.jpg",500,322,false],"portfolio-full":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Achilles-tendonitis-e1621669738478.jpg",500,322,false],"portfolio-one":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Achilles-tendonitis-e1621669738478.jpg",422,272,false],"portfolio-two":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Achilles-tendonitis-e1621669738478-460x296.jpg",458,295,true],"portfolio-three":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Achilles-tendonitis-e1621669738478-300x193.jpg",300,193,true],"portfolio-five":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Achilles-tendonitis-e1621669738478-177x114.jpg",177,114,true],"woocommerce_thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Achilles-tendonitis-e1621669738478.jpg",500,322,false],"woocommerce_single":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Achilles-tendonitis-e1621669738478.jpg",500,322,false],"woocommerce_gallery_thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Achilles-tendonitis-e1621669738478-100x100.jpg",100,100,true]},"uagb_author_info":{"display_name":"Max Ma","author_link":"https:\/\/tcmdrma.com\/zh-hans\/author\/tcmdrma-com\/"},"uagb_comment_info":0,"uagb_excerpt":"患者，女，白人…","_links":{"self":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9119","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/comments?post=9119"}],"version-history":[{"count":1,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9119\/revisions"}],"predecessor-version":[{"id":13925,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9119\/revisions\/13925"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/media\/9120"}],"wp:attachment":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/media?parent=9119"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/categories?post=9119"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/tags?post=9119"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}