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论五体理论在推拿中的核心指导地位OA

Theoretic analysis of five-constituent theory as core guiding role of Tuina

中文摘要英文摘要

目前推拿指导理论呈现出多元化局面,其核心指导理论尚未明确.手法治疗是推拿的基本特征,通过直接施治于人体由表及里的不同层次结构,即皮、肉、筋、脉、骨(合称"五体"),从而发挥治疗作用.因此,以"五体"为切入点,从推拿诊断、手法治疗、手法效应出发,探析五体理论在推拿中的核心指导地位.

At present,the guiding theories of Tuina present a diversified landscape,yet a definitive core principle remains unclear.Manual manipulation is the fundamental characteristic of Tuina.By directly targeting distinct anatomical layers of the human body from the exterior to the interior,namely the skin,muscles,tendons,vessels,and bones,collectively termed the"five body constituents",therapeutic effects are achieved.Therefore,this analysis explores the five-constituent theory as the core guiding role of Tuina from the perspectives of diagnostic differentiation,manual intervention,and therapeutic effects of manipulation.

夏心瑀;龚利

上海中医药大学附属岳阳中西医结合医院推拿科(上海 200437)上海中医药大学附属岳阳中西医结合医院推拿科(上海 200437)

五体理论推拿手法中医理论中医外治法

five-constituent theoryTuinamanipulationtraditional Chinese medicine theorytraditional Chinese medicine external therapy

《上海中医药杂志》 2026 (6)

27-31,5

国家中医药管理局高水平中医药重点学科建设项目(zyyzdxk-2023061)上海市科委科技计划项目(23Y11921700)上海市科委"科技创新行动计划"社会发展科技攻关项目(23DZ1204004)上海市卫健委中医药标准化项目(2025BZ013)上海市虹口区卫健委中医药科研课题(HKZYY-2024-17)

10.16305/j.1007-1334.2026.z20251103001

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