张振宇教授基于“在筋守筋”理论动静结合精准舒筋手法治疗肩胛上神经卡压综合征经验总结  

Summarization of Professor Zhang Zhenyu’s experience in the treatment of suprascapular nerve entrapment syndrome based on the theory of“keeping tendons in tendons”and dynamic and static combination by manipulations of precise tendon relaxation

作　　者：胡芊 张振宇[1] 范肃[1] 万友红 苏红 张西 李美娇 HU Qian;ZHANG Zhenyu;FAN Su;WAN Youhong;SU Hong;ZHANG Xi;LI Meijiao(Characteristic Diagnosis and Treatment Center,Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China;Graduate School,Guizhou University of Traditional Chinese Medicine,Guizhou Province,Guiyang 550002,China)

机构地区：[1]中国中医科学院望京医院特色诊疗中心,北京100102 [2]贵州中医药大学研究生院,贵州贵阳550002

出　　处：《中国医药导报》2023年第7期152-156,共5页China Medical Herald

基　　金：北京市中医管理局北京市中医住院医师规范化培训三优教学团队项目(京中医科字[2017]125号)。

摘　　要：肩胛上神经卡压综合征临床极易与颈椎病及肩关节部疾患混淆而延误治疗,导致后期出现冈上肌和冈下肌萎缩,肩功能受限。早期准确诊断并有效的干预,对于患者的肩关节功能的恢复,避免肌萎缩有很大的意义。本文基于“在筋守筋”理论,从“筋”论治,初期邪郁肌表,采用精准推拿手法松解局部筋结祛除神经卡压点,使阳气来复,邪从表散;中期病程较久血瘀气滞,还需配合运动牵伸手法以舒筋通络,柔筋助动;后期经脉亏虚,筋肉痿弱,通过自我锻炼,扶助正气,增加肌肉丰满度,为疾病的诊断及手法治疗提供新的思路。Suprascapular nerve entrapment syndrome is easily confused with cervical spondylosis and shoulder joint diseases in clinic,which makes the treatment be delayed,thus,resulting in atrophy of supraspinatus and infraspinatus muscles and limited shoulder function in the later stage.Early accurate diagnosis and effective intervention are of great significance for the recovery of shoulder joint function and the avoidance of muscular atrophy.Based on the theory of keeping the tendons diseases in tendons,this article discusses the treatment from“jin”,which provides new ideas for clinical related diagnosis and manipulative treatment.During initial period evil encroach fleshy exterior by using precise massage to release the local tendons and remove the nerve trapped point,so that yang qi can recover.The middle course of the disease is so long that blood stasis and qi stagnation,which need to cooperate with the exercise stretching technique to relax the tendons and collaterals,soft tendons to help movement.While in the late,the meridian is short of qi and blood,making the weakness of tendon and muscle,through self-exercise enhancing healthy qi and increase muscle fullness.

关 键 词：肩胛上神经卡压综合征 张振宇 推拿 名医经验 

分 类 号：R274.31[医药卫生—中医骨伤科学]