沈景允论治冻结肩经验介绍  

Experience Introduction of SHEN Jingyun Treating Frozen Shoulder

作　　者：乔祖康 熊俊龙 金昕 向莉 郑如伊 杜红根[1] QIAO Zukang;XIONG Junlong;JIN Xin;XIANG Li;ZHENG Ruyi;DU Honggen(The First Affiliated Hospital of Zhejiang Chinese Medical University(Zhejiang Provincial Hospital of Traditional Chinese Medicine),Hangzhou Zhejiang 310003,China;The First Clinical Medical College of Zhejiang Chinese Medical University,Hangzhou Zhejiang 310053,China)

机构地区：[1]浙江中医药大学附属第一医院(浙江省中医院),浙江杭州310003 [2]浙江中医药大学第一临床医学院,浙江杭州310053

出　　处：《新中医》2024年第4期199-203,共5页New Chinese Medicine

基　　金：浙江省中医药科技计划项目(2022ZA058);浙江省卫生医药科技计划项目(2023KY855)。

摘　　要：总结介绍名中医沈景允治疗冻结肩的临床经验。沈景允认为阳气不足为冻结肩发病的主要病因。阳气温煦失常,则寒从中生、筋脉失养,经络循行不畅、气血凝滞,久之则挛急疼痛,进而导致肩关节筋骨失衡、屈伸不利为本病关键病机。治疗上首先着眼整体,重视阳气盛衰;其次重视局部,疏经通络;通过辨构论治,恢复肩关节筋骨平衡。采用独创二位分粘法结合推拿治疗冻结肩,术后配合八段锦导引功法防止再次粘连。简而言之,沈景允基于“阴阳为纲、经络为目、筋骨为轴”理论,以调和阴阳、治筋整骨、辨构论治为治疗原则,防、治、养结合,内外兼顾论治冻结肩,收效甚佳。This paper summarizes and introduces the clinical experience of SHEN Jingyun,a renowned Chinese medicine practitioner,in treating frozen shoulders.SHEN Jingyun believes that yang qi insufficiency is the main cause of frozen shoulder.If the yang qi is abnormal,it will lead to the generation of cold,sinews malnutrition,poor circulation of channels and collaterals,stagnation of qi and blood,and over time,it will cause acute and painful contractions,leading to imbalance of the shoulder joint muscles and bones,and unfavorable flexion and extension,which are the key pathogenesis of this disease.In terms of treatment,the first thing to focus on is the overall situation,emphasizing the exuberance and decline of yang qi;secondly,the local area should be emphasized to dredge the channels and collaterals;the balance of the shoulder joint muscles and bones needs to be restored through differentiation and treatment of the structure.The original two-position adhesive separation method combined with tuina are applied to treat frozen shoulder,and the Guiding Technique in Eight Section Brocade was additionally applied after surgery to prevent re-adhesion.In short,based on the theory of"yin and yang as the principle,channels and collaterals as the objective,and sinews and bones as the axis",SHEN Jingyun follows the treatment principle of regulating yin and yang,treating sinews and bones,and distinguishing structures for treatment,and combines prevention,treatment and nourishment together to treat frozen shoulders both internally and externally,achieving excellent results.

关 键 词：冻结肩 二位分粘法 沈景允 

分 类 号：R249[医药卫生—中医临床基础]