基于柔筋解结法综合防治慢性筋骨病损述要  

Integrated Management of Chronic Musculoskeletal Disorders and Injuries Based on“Softening Tendons and Relieving Knots” Method

作　　者：任我行 丁立鹏 杨宗睿 王媛媛 刘永铭 詹红生[1,2,3] REN Woxing;DING Lipeng;YANG Zongrui;WANG Yuanyuan;LIU Yongming;ZHAN Hongsheng(Shi′s Injury Medical Center,Shuguang Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Institute of Orthopaedics and Injuries,Shanghai Institute of Traditional Chinese Medicine,Shanghai 201203,China;Zhan Hongsheng National Famous Old Chinese Medicine Experts Inheritance Studio,Shanghai 201203,China)

机构地区：[1]上海中医药大学附属曙光医院石氏伤科医学中心,上海201203 [2]上海市中医药研究院骨伤科研究所,上海201203 [3]詹红生全国名老中医药专家传承工作室,上海201203

出　　处：《辽宁中医杂志》2024年第7期54-56,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(81973871、82074466);上海市慢性筋骨病临床医学研究中心(20MC1920600);上海市临床重点专科“中医骨伤科”(shslczdzk03901)。

摘　　要：筋结是筋受伤的表现,是慢性筋骨病损的开端。筋作为人体的重要组成部分,受伤以后其形态结构发生改变,引起“筋出槽”,形成筋结,致其功能受损,表现出慢性疼痛。但随着科学技术发展,施术者在诊疗过程中往往忽视或不够重视筋的作用,从而误诊、失治,导致病情迁延难愈,形成慢性筋骨病损。文章基于詹红生教授“筋主骨从、筋为骨用”的学术思想,强调“筋结”这一关键病因病机,阐述以“柔筋解结”为核心,“四‘以’相合、医患合作”为总则,重视体格检查,顺应四时规律,注重医患合作,结合中医整体辨证施治思维综合论治慢性筋骨病损的科学性、合理性及重要性。Tendon knots are the manifestation of tendon injuries and the beginning of chronic musculoskeletal diseases and injuries.The tendons are an essential part of the human body.After the injury,their morphology and structure change,causing“tendon out of groove”and forming tendon knots,resulting in impaired function and chronic pain.However,with the development of science and technology,practitioners often neglect or do not pay enough attention to the role of tendons in the treatment process,resulting in misdiagnosis and failure to treat the condition,resulting in chronic tendon damage.The article is based on Professor ZHAN Hongsheng′s academic thought that“tendons are the mainstay of bones,and tendons are used for bones”,and emphasizes the key pathogenesis of tendon knots.The article highlights the key cause and mechanism of tendon knots and explains the scientific and rational nature and importance of treating chronic tendon and bone diseases and injuries in a comprehensive manner,with the“four phases to harmony and the cooperation between the doctor and the patient”as the general rule,emphasizing physical examination,following the four seasons,focusing on the cooperation between the doctor and the patient,and combining the holistic dialectical treatment thinking of traditional Chinese medicine.

关 键 词：筋结 柔筋解结 慢性筋骨病损 詹红生 

分 类 号：R256.4[医药卫生—中医内科学]