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"筋骨并重"思想指导下急性腰扭伤序贯治疗探讨OA

Discussion on Sequential Treatment of Acute Lumbar Sprain Guided by the Academic Thought of"Equal Emphasis on Tendons and Bones"

中文摘要英文摘要

本文基于杨利学教授对传统中医急性筋骨损伤理论以及现代脊柱生物力学理论有机结合形成的"筋骨并重"学术思想,结合团队多年来临床实践经验,提出并系统阐述了一种适用于急性腰扭伤的分期序贯治疗方案.该方案在急性疼痛期以推拿正骨手法为主,旨在纠正小关节紊乱、缓解肌痉挛、恢复脊柱力学平衡,实现快速镇痛;在恢复期实施口服中药配合功能锻炼,以促进软组织修复、巩固疗效并预防复发.该方案体现了手法干预与药物、康复训练相结合的分阶段整合思路,具有操作清晰、安全性高的特点,临床显示其在快速镇痛与功能恢复方面具有良好效果,为急性腰扭伤的中西医结合规范化诊疗提供了参考.

Based on Professor Yang Lixue's academic thought of"equal emphasis on tendons and bones",which integrates traditional TCM theories on acute tendon-bone injuries and modern spinal biomechanics,combined with the team's long-term clinical experience,this study proposes and systematically elaborates a staged sequential ther-apeutic regimen for acute lumbar sprain.In the acute pain stage,tuina and bone-setting manipulation are adopted as the core intervention to correct facet joint disorder,relieve muscular spasm,restore spinal mechanical balance and achieve rapid analgesia.In the recovery stage,oral traditional Chinese medicine combined with functional exer-cise is applied to promote soft tissue repair,consolidate curative effect and prevent recurrence.This regimen re-flects a phased integrated strategy combining manual therapy,medication and rehabilitation training,featuring clear operation procedures and high safety.Clinical practice verifies its favorable performance in rapid pain relief and functional recovery,providing reference for standardized integrated traditional Chinese and western medicine diagnosis and treatment of acute lumbar sprain.

刘骁;袁重;邵顺康;王晨曦;杨利学

陕西中医药大学,陕西 咸阳 712000陕西中医药大学,陕西 咸阳 712000陕西中医药大学,陕西 咸阳 712000陕西中医药大学,陕西 咸阳 712000陕西中医药大学附属医院骨伤医院,陕西 咸阳 712000

医药卫生

急性腰扭伤筋骨并重正骨推拿中药内服生物力学功能康复

Acute lumbar sprainEqual emphasis on tendons and bonesBone-setting tuinaOral traditional Chinese medicineBiomechanicsFunctional rehabilitation

《中国中医急症》 2026 (9)

1037-1041,5

陕西省教育厅2022年度服务地方专项科研计划项目(22JC027)陕西省第二届名中医工作室建设项目——杨利学名中医工作室(陕中医药函[2013]259号)

10.3969/j.issn.1004-745X.2026.09.010

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