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巴渝正骨推拿流派调筋治脏理论及方药应用OA

Theory of Tendon Regulation for Zang-Fu Treatment and Its Prescription Application of Bayu Bone-Setting and Tuina School

中文摘要英文摘要

巴渝正骨推拿流派以"调筋治脏"为核心理论,构建了融合经筋理论与脏腑功能为一体的诊疗体系.该理论源于《黄帝内经》《难经》等中医经典,历经万云程、彭厚荣、张培忠等医家的实践发展,形成"筋病及脏、脏病显筋""膈膜为筋脏联结之枢"等核心观点,并建立了"膈筋三结、膜原五门"的诊疗框架.在方药应用方面,提出"辨筋-辨病-辨证"三位一体的用药原则,强调筋脏同调、通补兼施、三焦分治等配伍规律,形成宣痹活血汤、除湿活血汤等经典方剂.临床实践表明,该体系在筋骨疾病及内脏共病等方面疗效显著,体现了"筋柔气通、脏安病除"的整体治疗理念,为急慢性筋骨-脏腑共病的防治提供了有效路径.

Centered on the core theory of"regulating tendons to treat zang-fu organs",Bayu Bone-Setting and Tuina School has established a diagnosis and treatment system integrating tendon meridian theory and visceral functions.Derived from classic TCM works including Huangdi Neijing and Nan Jing,this theory has been prac-ticed and developed by physicians such as Wan Yuncheng,Peng Hourong and Zhang Peizhong.It puts forward core viewpoints that"tendon disorders involve zang-fu organs and visceral diseases manifest on tendons"and"the diaphragm serves as the pivotal connection between tendons and zang-fu organs",and constructs the diagnostic and therapeutic framework of"three diaphragmatic tendon junctions and five membranous origifices".In terms of prescription medication,a three-in-one therapeutic principle of"differentiating tendons,diseases and syndromes"is proposed,with emphasis on compatibility rules such as simultaneous regulation of tendons and zang-fu organs,combined unblocking and elimination,and sanjiao-based differential treatment.Classic formulas including Xuanbi Huoxue Decoction and Chushi Huoxue Decoction have been formulated.Clinical practice has verified its remark-able efficacy in treating musculoskeletal disorders combined with visceral complications.It embodies the holistic therapeutic idea that"flexible tendons lead to unobstructed qi and cured visceral disorders",providing an effective strategy for prevention and treatment of acute and chronic comorbidities of musculoskeletal and visceral diseases.

付洋;彭齐峰;江恒;向涛;樊效鸿;葛远鑫;周杰

重庆市中医院,重庆 400021重庆市中医院,重庆 400021重庆市中医院,重庆 400021重庆市江北区中医院,重庆 400020成都中医药大学附属医院,四川 成都 610000成都中医药大学附属医院,四川 成都 610000重庆市中医院,重庆 400021

医药卫生

巴渝正骨推拿流派调筋治脏经筋理论方药应用筋脏同治

Bayu Bone-Setting and Tuina SchoolRegulating tendons to treat zang-fu organsTendon meridian theoryPrescription applicationSimultaneous treatment of tendons and zang-fu organs

《中国中医急症》 2026 (9)

1100-1103,1111,5

重庆市科卫联合中医药科研项目(2024ZYZD006)

10.3969/j.issn.1004-745X.2026.09.026

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