基于敛筋束骨理论探讨手法治疗慢性踝关节不稳  

Exploration of Manual Therapy for Chronic Ankle Instability Based on Theory of“Tightening Tendons and Binding Bones”

作　　者：张馨匀 王轶稀[2] 逯晓阳 丁全茂[2] ZHANG Xin-yun;WANG Yi-xi;LU Xiao-yang;DING Quan-mao(Beijing University of Chinese Medicine,Beijing 100029;Tuina Department,Guang'anmen Hospital,Chinese Academy of Chinese Medical Sciences,Beijing 100053)

机构地区：[1]北京中医药大学,北京100029 [2]中国中医科学院广安门医院推拿科,北京100053

出　　处：《世界中西医结合杂志》2024年第8期1689-1692,共4页World Journal of Integrated Traditional and Western Medicine

基　　金：中国中医科学院科技创新工程(C12021A03601)。

摘　　要：从敛筋束骨理论探讨慢性踝关节不稳(Chronic ankle instability,CAI)的病理机制、手法治疗的临证思路及具体治疗手法,其病理机制主要为阳明亏虚、血瘀气滞、筋弛骨错,临证以不同韧带、肌群损伤辨别受累经络与筋脉,以修复受损韧带、提高肌群力量、稳定关节位置为治疗目标,手法理筋、点穴、整复为治则。To explore the pathological mechanisms of chronic ankle instability(CAI)based on the theory of“tightening tendons and binding bones”and discuss the clinical treatment strategies and specific manual therapy techniques.The primary pathological mechanisms involve Yang Ming deficiency,blood stasis,Qi stagnation,tendons laxity,and bone misalignment.In clinical practice,the differentiation of affected meridians and tendons is determined by specific ligament and muscle group injuries.The treatment goals are to repair damaged ligaments,strengthen the muscle groups,and stabilize joint alignment.The core treatment principles include tendon manipulation,acupoint massage,and joint realignment.

关 键 词：慢性踝关节不稳 筋弛骨错 推拿 手法 

分 类 号：R684[医药卫生—骨科学]