浙派中医章氏伤科正骨经验探析  

Study on the Bone-setting Experience of ZHANG’s Orthopedics Department of Zhejiang School of Traditional Chinese Medicine

作　　者：颜夏卫 何生[1] 章鸣[1] 胡玉祥[1] 蔡国荣[1] 金海兵[1] 张金福[1] YAN Xiawei;HE Sheng;ZHANG Ming(Taizhou Orthopaedic Hospital,Wenling(317500),China)

机构地区：[1]台州骨伤医院,浙江温岭317500

出　　处：《浙江中医药大学学报》2023年第8期893-896,共4页Journal of Zhejiang Chinese Medical University

基　　金：浙江省中医药科技计划项目(2022ZA185)。

摘　　要：[目的]系统挖掘、总结章氏伤科正骨学术经验,丰富章氏伤科学术思想,传承中医骨伤特色。[方法]通过走访章氏伤科后人及传承人,收集整理章氏伤科现存手稿、验案等文献,查阅相关古代骨伤医籍,结合章氏后人访谈记录,全面真实地反映章氏伤科正骨经验与特色。[结果]浙派中医章氏伤科谨守“和合”学术思想,形成了颇具特色的“整体辨证、手法整复、杉皮固定、内外兼治、功能锻炼”正骨理论及实践经验。其正骨手法强调法正术柔,可概括为“四字”“十法”“三要素”;用药详辨证,重气血,注重陈伤防治,突出“破血、和血、养血”三期用药原则;功法遵循“筋骨互用并重,动静互补平衡”原则,提出骨折三期筋骨动静辨证理念,并创立“十二经筋拉伸功法”。[结论]明晰章氏伤科正骨经验与特色,对充实浙江中医骨伤流派学术内涵,推动浙江中医药事业的发展,意义深远。[Objective]To systematically excavate and summarize the academic experience of ZHANG’s orthopaedics department,enrich the academic thoughts of ZHANG’s orthopaedics department,inherit the characteristics of bone injury in traditional Chinese medicine(TCM).[Methods]Through visiting the descendants and successors of ZHANG’s orthopaedics department,collecting and collating the existing manuscripts,case examination and other documents of ZHANG’s orthopaedics department,consulting relevant ancient records of bone injury doctors,and combining with the interviewed records of ZHANG’s descendants,it comprehensively and truly reflects the experience and characteristics of ZHANG’s orthopaedics department.[Results]ZHANG’s orthopaedics department of TCM of Zhejiang school follows the academic thought of“harmony”,and has formed the distinctive theory and practical experience of“whole syndrome differentiation,manipulation,fir skin fixation,internal and external treatment,functional exercise”in bone-setting.ZHANG’s orthopaedics department emphasizes the right approach and superior technology,which can be summarized as“four characters”“ten methods”and“three elements”;differentiating detailed medication,emphasizing Qi and blood,paying attention to the prevention and treatment of old injuries,highlighting the three-stage medication principle of“activating blood,harmonizing blood,nourishing blood”;following the principle of“equal emphasis on the use of muscles and bones,and complementary balance between dynamic and static”,putting forward the theory of syndrome differentiation between muscles and bones and dynamic and static in the three stages of fracture,and establishing the“twelve meridians tendons stretching method”.[Conclusion]Clarifying the bone setting experience and characteristics of ZHANG’s orthopaedics department,should play a positive role in enriching the academic connotation,and promote the development of TCM of Zhejiang.

关 键 词：浙派中医 章氏伤科 正骨经验 和合 学术思想 正骨特色 

分 类 号：R681[医药卫生—骨科学]