基于“骨错缝,筋出槽”理论探讨林氏正骨推拿手法在陈旧性踝关节扭伤中的应用  

Exploration and Reflection on the Application of"Bone Dislocation and Tendon Out of Groove"in the Treatment of Chronic Ankle Sprain by Lin's Orthopedic Manipulation Technique Based on Modern Medical Theory

作　　者：张天康 崔文仲 黄彦斌 范志勇[1,2] 田强[1,2] 吴山[1,2] ZHANG Tiankang;CUI Wenzhong;HUANG Yanbin;FAN Zhiyong;TIAN Qiang;WU Shan(Guangzhou University of Chinese Medicine,Guangzhou,Guangdong 510405;Guangdong Provincial Hospital(The Second Affiliated Hospital of Guangzhou University of Chinese Medicine),Guangzhou,Guangdong 510120)

机构地区：[1]广州中医药大学,广东广州510405 [2]广东省中医院(广州中医药大学第二附属医院),广东广州510120

出　　处：《中医康复》2024年第12期12-17,共6页Traditional Chinese Medicine Rehabilitation

基　　金：广东省中医药局科研项目(20222060);2024年广东省名中医传承工作室建设项目(0102018007)。

摘　　要：“骨错缝,筋出槽”理论是中医骨伤科诊治筋骨疾病的重要理论。踝关节扭伤是常见的运动损伤,若治疗不当或未能及时恢复,可能导致陈旧性踝关节扭伤,引发长期疼痛与不稳定,在中医学中属于“骨错缝,筋出槽”范畴,推拿手法治疗在此领域具有独特优势。其中林氏正骨推拿手法结合了现代医学知识与传统武术绝技,通过爆发力与精准手法相结合,快速恢复踝关节解剖关系,具有显著疗效。本文基于“骨错缝,筋出槽”理论,对林氏正骨推拿手法在陈旧性踝关节扭伤的治疗进行了探讨,分析并总结其在临床实践中的优势与价值。The theory of"Bone Dislocation and Tendon Out of Groove"is a crucial concept in the diagnosis and treatment of musculoskeletal disorders in traditional Chinese medicine Orthopedics and traumatology.Ankle sprain,a common sports injury,can result in chronic pain and instability if not properly treated or allowed to heal adequately.In traditional Chinese medicine,it falls under the category of"Bone Dislocation and Tendon Out of Groove",where manual therapy holds unique advantages.Lin's orthopedic manipulation technique combines modern medical knowledge with traditional martial arts skills to swiftly restore the anatomical relationship of the ankle joint through explosive force and precise techniques,yielding significant results.This paper discusses the application of Lin's orthopedic manipulation technique for treating chronic ankle sprains within the framework of"Bone Dislocation and Tendon Out of Groove",analyzing its clinical advantages and value.

关 键 词：陈旧性踝关节扭伤 骨错缝 筋出槽 手法治疗 机制 

分 类 号：R473.5[医药卫生—护理学]