许丽治疗小儿先天性肌性斜颈失治经验介绍  

Introduction of XU Li's Experience in Treating Congenital Muscular Torticollis in Children

作　　者：林依玮 陈思龙 许丽(指导)[2] LIN Yiwei;CHEN Silong;XU Li(The Third School of Clinical Medicine of Zhejiang Chinese Medical University,Hangzhou Zhejiang 310053,China;The Third Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou Zhejiang 310005,China)

机构地区：[1]浙江中医药大学第三临床医学院,浙江杭州310053 [2]浙江中医药大学附属第三医院,浙江杭州310005

出　　处：《新中医》2024年第8期208-212,共5页New Chinese Medicine

基　　金：浙江省中医药管理局基金资助项目(2023ZL470);浙江省范炳华名老中医专家传承工作室建设项目(GZS2012017)。

摘　　要：介绍许丽教授治疗小儿先天性肌性斜颈失治的临床经验。许丽教授认为,本病作为先天胎产疾病,首先当问责于肾,随着患儿大动作发育,脾主四肢肌肉的作用在本病的发展转归中也越来越重要。故辨治原则主要为脾肾经同治,注重肌肉的养护。从现代解剖学上看,本病不应仅是局部胸锁乳突肌的问题,周围肌肉(肩背部、腰部、下肢部)也会出现代偿性变化,故辨治宜整体固护。在治疗对象上,不能局限于小儿,也应关注患儿家长的心理状态,减少家长在日常相处时传达给患儿的不良情绪,从而提高整体疗效。具体治法:补脾益肾法;揉捏牵转法;整体操作法;家庭调护法。This paper introduces Professor XU Li's clinical experience in treating congenital muscular torticollis in children.Professor XU believes that the pathogenesis of this disease is a congenital birth disease,lies in the kidney.With the development of children's gross motor,the role of the spleen in governing the limbs is becoming more and more important in the development and outcome of the disease.Therefore,the principle of differentiation and treatment is mainly to treat the spleen and the kidney meridians simultaneously,and attention is also paid to the maintenance of muscles.From the perspective of modern anatomy,this disease should not only be the problem of local sternocleidomastoid muscle,but also the surrounding muscles(shoulder and back,waist,lower limbs)with compensatory changes,so the differentiated treatment should be in a whole to consolidate and protect.In terms of treatment objects,it is not suitable to limit to children,and the attention should also be paid to the psychological state of the parents of children;the negative emotions conveyed to children by parents during daily interaction should be reduced,thereby improving the overall effects.Specific treatments include method of supplementing the spleen and boosting kidney,method of kneading,pinching,pulling and twirling,overall operation method and family care.

关 键 词：小儿先天性肌性斜颈失治 高低肩 脾肾同治 推拿疗法 许丽 

分 类 号：R729[医药卫生—儿科] R249[医药卫生—临床医学]