石氏伤科斜刺治疗筋出槽临床经验探析OA
Clinical analysis of Shi's traumatology with oblique needling for tendon off position treatment
伤筋病是骨伤科临床常见病,其核心病机为筋出槽,临床以可触及筋结为特征表现,伴有局部压痛、活动障碍.筋结既是筋出槽局部结构性变化的病理标志,也是临床诊疗的重要靶点.对于筋结的诊治,石氏伤科强调"以手法为先,知其体相,识其部位",通过触诊精准判定筋出槽的程度与范围,从而为治疗提供依据.詹红生教授在继承石氏伤科学术思想的基础上,结合多年临床实践与基础研究,系统提出"从筋论治"的学术理念,并采用针刺作为"解结"基本方法,取得了较好的临床疗效.
Tendon injuries are common in orthopedic clinical practice,with the core pathogenesis being tendon off position,which is clinically characterized by palpable tendon knots,local tenderness,and restricted movement.Tendon knots not only serve as pathological markers of the structural changes in tendon off position but also represent an important therapeutic target in clinical diagnosis and treatment.In the diagnosis and treatment of tendon knots,Shi's traumatology emphasizes"prioritizing manipulation techniques,understanding the body structure and identifying the precise location".Through palpation,it enables accurate determination of the extent and range of tendon misalignment,thereby providing a basis for treatment.Professor Zhan Hongsheng,building upon academic principles of Shi's traumatology and integrating years of clinical practice and foundational research,systematically proposes the academic idea of"treating from the tendon"and uses needling as the fundamental method for"releasing the knot",achieving significant clinical results.
李正言;林勋;詹红生;葛海雅;郭小玉;杨光月;林锋山;杜国庆;高宁阳;沈知彼;赵咏芳
上海中医药大学附属曙光医院(上海 201203)上海中医药大学附属曙光医院(上海 201203)上海中医药大学附属曙光医院(上海 201203)上海市中医药研究院骨伤科研究所(上海 201203)上海中医药大学附属曙光医院(上海 201203)上海中医药大学附属曙光医院(上海 201203)泉州市正骨医院(福建 泉州 362000)上海中医药大学附属曙光医院(上海 201203)上海中医药大学附属曙光医院(上海 201203)上海中医药大学附属曙光医院(上海 201203)上海中医药大学附属曙光医院(上海 201203)
筋出槽筋结针刺石氏伤科中医骨伤
tendon off positiontendon knotacupunctureShi's traumatologytraditional Chinese medicine orthopedics and traumatology
《上海中医药杂志》 2026 (3)
60-63,4
国家自然科学基金项目(82374481)中华中医药学会《脊柱筋出槽骨错缝临床诊疗指南》标准化项目(20210805z-BZ-CACM)上海市教委2021年高水平地方高校创新团队项目(沪教委人[2022]3号)国家中医药管理局2022年全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号)
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