基于“骨错缝,筋出槽”探讨林氏正骨手法治疗急性腰扭伤的临床效果  

Discussion on Lin′s Bone-setting Technique for Acute Lumbar Sprain Based on“Bone Dislocation,Tendons Out of Groove”

作　　者：洪晓燕 赵家友 范志勇 吴山 HONG Xiaoyan;ZHAO Jiayou;FAN Zhiyong;WU Shan(School of Second Clinical Medicine of Guangzhou University of Chinese Medicine,Guangzhou 510006,China;Guangdong Provincial Hospital of Traditional Chinese Medicine/Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405,China)

机构地区：[1]广州中医药大学第二临床医学院,广州510006 [2]广东省中医院/广州中医药大学第二附属医院,广州510405

出　　处：《世界中医药》2022年第21期3070-3073,共4页World Chinese Medicine

基　　金：国家自然科学基金项目(81874511)——手法调节IVDD大鼠Wnt/β-catenin通路影响软骨细胞退变的力学-生物信号转导机制研究;广东省中医药局立项资助项目(20201136)——侧卧定点踩跷法治疗腰椎间盘突出症的动力学参数采集及临床疗效分析。

摘　　要：急性腰扭伤,作为腰部急性病变的常见病之一,归属于中医学“腰痛”以及俗称的“闪腰”“岔气”等范畴,其主要临床症状表现为腰部疼痛及功能活动受限。目前急性腰扭伤的治疗主要包括西医以消炎镇痛为主的治疗、中药治疗、针灸治疗、推拿正骨手法、运动疗法、联合治疗等,其中推拿正骨手法具有通畅血脉、解痉通络、消肿镇痛的作用,通过作用于腰骶部局部肌肉,给予一定刺激,促进软组织痉挛的解除和炎症介质的吸收,同时改善局部血液循环,从而达到镇痛的目的。岭南林氏正骨手法为林应强教授所创立,以爆发力的使用为特点,讲求筋骨并重,手法正骨兼理筋,对于急性腰扭伤有着显著的临床疗效。Acute lumbar sprain,a common disease of acute lumbar lesions,belongs to the category of“low back pain”in traditional Chinese medicine and commonly known as“Shanyao”and“Chaqi”in Chinese.Its main clinical symptoms are low back pain and limited functional activities.At present,the treatment of acute lumbar sprain mainly includes Western medicine(mainly anti-inflammatory and analgesic),Chinese medicine,acupuncture,massage bone-setting manipulation,exercise therapy,and combined therapy.Among them,massage bone-setting technique,with the effects of unblocking blood vessels,relieving spasm,dredging meridian,reducing swelling and analgesia,gives certain stimulation by acting on local muscles of lumbosacral region,which promotes the release of soft tissue spasm and the absorption of inflammatory substances and improves local blood circulation,thereby achieving the purpose of analgesia.Lingnan Lin′s bone-setting manipulation was founded by Professor Lin Yingqiang.It is characterized by explosive force,and places equal emphasis on muscles and bones as well as manual bone-setting and tendon management,revealing a significant clinical effect on acute lumbar sprain.In this paper,the authors discussed the treatment of acute lumbar sprain by this manipulation from the theory of“bone dislocation,tendons out of grooves”,to share the same approach.

关 键 词：骨错缝 筋出槽 急性腰扭伤 林氏经筋弹拨手法 林氏正骨手法 垫枕背伸定点按压法 立体定位斜扳法 林氏提拉旋转斜扳法 

分 类 号：R274.9[医药卫生—中西医结合]