张振宇精点力学手法治疗胸长神经卡压综合征的临床经验  

Clinical experience of Professor ZHANG Zhen-yu's Precise Positioning Mani Pulation in Treating Long Chest Nerve Entrapment Syndrome

作　　者：潘珺俊[1] 张振宇[1] 范肃[1] 徐佳音[1] 王成远[1] 司江涛[1] 韩箫潇 苏红 万友红 PAN Jun-ju;ZHANG Zhen-yu;FAN Su;XU Jia-yin;WANG Cheng-yuan;SI Jiang-tao;HAN Xiao-xiao;SU Hong;WAN You-hong(Wangjing Hospital,China Academy of Chinese Medicial Science 100102,China)

机构地区：[1]中国中医科学院望京医院特色诊疗部,北京100102

出　　处：《中国中医基础医学杂志》2020年第8期1183-1186,共4页JOURNAL OF BASIC CHINESE MEDICINE

基　　金：北京市中医管理局北京市中医药治未病健康促进工程市级服务团队张振宇团队项目(京中医政字2017-77号);中国中医科学院院级自主选题项目(ZZ0908014)-中药熏蒸配合推拿手法治疗颈肩部肌筋膜疼痛综合征的临床研究。

摘　　要：胸长神经卡压综合征临床表现不典型,患者常以颈椎病、心绞痛等其他疾病进行就诊,极易被临床医生所忽视。张振宇教授应用解剖学与运动康复理论相结合,在复杂症状中善抓主证明确诊断,依据现代解剖学定位精准治疗。本文列举其精点力学手法治疗以心脏疾患、心理疾患及颈椎病、带状疱疹后遗神经痛、肩周炎就诊,但实则为胸长神经卡压综合征的4则验案,为同仁提供明确诊断及精点定位手法的心得。诊断是基础,手法是关键,在临床诊病中应结合现代解剖学及诊断技术准确诊断,精准定位作用点,合理施以手法,才是抓住辨证论治的精髓。The clinical manifestations of the long thoracic nerve entrapment syndrome are not typical.The patients are often treated with cervical spondylosis,angina pectoris and other diseases,which are easily ignored by clinicians.Professor Zhang Zhenyu applied the theory of anatomy and sports rehabilitation to make clear the diagnosis of the main symptoms of complex symptoms,and to make precise treatment based on modern anatomy.In this paper,Professor Zhang Zhenyu's precise positioning manipulation is cited to treat the heart disease,psychological disease,cervical spondylosis,postherpetic neuralgia and periarthritis of shoulder,but in fact,it is the basis of four cases of chest long nerve entrapment syndrome,and provides the colleagues with the experience of clear diagnosis and precise mechanical manipulation.However,in clinical diagnosis,modern anatomy and diagnostic technology should be combined with differentiation.

关 键 词：精点力学手法 胸长神经卡压综合征 名医经验 张振宇 

分 类 号：R244.1[医药卫生—针灸推拿学]