基于骨正筋柔理论探讨林氏正骨疗法治疗枕大神经痛
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摘要
林氏正骨推拿流派是林应强教授从中医整体观念出发,将武术和古人的经验与现代医学结合创立的以爆发力为特点的徒手正骨推拿技术。在诊治骨错缝、筋出槽方面疗效显著,枕大神经痛属筋骨类疾病,尤其适合使用林氏正骨手法进行治疗,本文从骨正筋柔理论探析林氏正骨疗法治疗枕大神经痛的理论渊源和临证思路,为临床运用林氏正骨疗法治疗枕大神经痛提供参考。
LIN's bone-setting massage doctrine is an unarmed bone-setting massage technique characterized by the use of explosive power,which was developed by Professor LIN Ying-Qiang through the combination of Chinese Wushu and the ancients' experiences with modern medicine based on traditional Chinese medicine(TCM)holism concept. It has remarkable curative effect for the diagnosis and treatment of bone dislocation and tendon malposition. In the field of TCM,the greater occipital neuralgia belongs to tendon and bone diseases and is the very indication of LIN's bone-setting manipulation. We discussed the theoretical origin and clinical guideline of LIN's bone-setting massage in treating greater occipital neuralgia so as to provide the reference for it clinical application.
LIN's bone-setting massage doctrine is an unarmed bone-setting massage technique characterized by the use of explosive power,which was developed by Professor LIN Ying-Qiang through the combination of Chinese Wushu and the ancients' experiences with modern medicine based on traditional Chinese medicine(TCM)holism concept. It has remarkable curative effect for the diagnosis and treatment of bone dislocation and tendon malposition. In the field of TCM,the greater occipital neuralgia belongs to tendon and bone diseases and is the very indication of LIN's bone-setting manipulation. We discussed the theoretical origin and clinical guideline of LIN's bone-setting massage in treating greater occipital neuralgia so as to provide the reference for it clinical application.
引文
[1] Kalpana K. Occipital neuralgia:a review[J]. J Pain Manage Med,2018,4(1):1.
[2] Choi I,Jeon S R. Neuralgias of the head:occipital neuralgia[J].J Korean Med Sci,2016,31(4):479.
[3] Barmherzig R. Occipital neuralgia and cervicogenic headache:diagnosis and management[J]. Current neurology and neuroscience reports,2019,19(5):20.
[4] Slavin K V,Isagulyan E D,Gomez C. Occipital nerve stimulation[J]. Neurosurgery clinics of North America,2019,30(2):211.
[5]范志勇,李振宝,郭汝松,等.岭南林氏正骨推拿流派学术渊源、传承脉络及主要学术成就[J].广州中医药大学学报,2016,33(3):440.
[6]苟刚,罗详飞,肖清清,等.从“骨正筋柔”理论探讨膝骨关节炎的手法治疗策略[J].中国中医药信息杂志,2016,23(6):111.
[7]叶朝辉.《黄帝内经》论治筋伤探讨[J].河南中医,2013,33(10):1620.
[8]滕蔚然,金立伦,王乐杨,等.基于中医骨正筋柔理论治疗膝关节骨关节炎的疗效研究[J].河北医药,2012,34(7):1081.
[9]李黎,王金玲,吴山,等.从筋骨力学平衡理论探讨林氏颈椎定点旋转扳法治疗急性颈性眩晕的理论来源及诊疗方法[J].中国中医急症,2016,25(9):1714.
[10]薛少驰,张德林,王辉,等.浅述“筋骨并重”[J].河南中医,2014,34(10):1944.
[11] Vital J M,Grenier F,Dautheribes M,et al. An anatomic and dynamic study of the greater occipital nerve(n. of Arnold)[J].Surg Radiol Anat,1989,11(3):205.
[12] Janis J E, Hatef D A, Reece E M, et al. Neurovascular compression of the greater occipital nerve:Implications for migraine headaches[J]. Plast Reconstr Surg, 2010, 126(6):1996.
[13] Ducic I,Hartmann E C,Larson E E. Indications and outcomes for surgical treatment of patients with chronic migraine headaches caused by occipital neuralgia[J]. Plast Reconstr Surg, 2009,123(5):1453.
[14]吴山.林应强筋伤学术经验撷英[M].北京:人民卫生出版社,2015:44-45.
[15]闫学晶,张巧德,陈颜霞,等.松肌复式推拿对肌肉劳损治疗效果的例证及有关机制探讨[J].实用医药杂志,2018,35(5):397.
[16]范志勇,粟漩,王卫强,等.基于fMRI技术探讨中医推拿诱发的中枢效应[J].长春中医药大学学报,2012,28(4):590.
[17] Ko H C, Choi J G, Son B C. Hemifacial trigeminal pain referred from occipital neuralgia due to compression of the greater occipital nerve by the occipital artery[J]. J Neurol Surg A Cent Eur Neurosurg,2018,79(5):442.
[2] Choi I,Jeon S R. Neuralgias of the head:occipital neuralgia[J].J Korean Med Sci,2016,31(4):479.
[3] Barmherzig R. Occipital neuralgia and cervicogenic headache:diagnosis and management[J]. Current neurology and neuroscience reports,2019,19(5):20.
[4] Slavin K V,Isagulyan E D,Gomez C. Occipital nerve stimulation[J]. Neurosurgery clinics of North America,2019,30(2):211.
[5]范志勇,李振宝,郭汝松,等.岭南林氏正骨推拿流派学术渊源、传承脉络及主要学术成就[J].广州中医药大学学报,2016,33(3):440.
[6]苟刚,罗详飞,肖清清,等.从“骨正筋柔”理论探讨膝骨关节炎的手法治疗策略[J].中国中医药信息杂志,2016,23(6):111.
[7]叶朝辉.《黄帝内经》论治筋伤探讨[J].河南中医,2013,33(10):1620.
[8]滕蔚然,金立伦,王乐杨,等.基于中医骨正筋柔理论治疗膝关节骨关节炎的疗效研究[J].河北医药,2012,34(7):1081.
[9]李黎,王金玲,吴山,等.从筋骨力学平衡理论探讨林氏颈椎定点旋转扳法治疗急性颈性眩晕的理论来源及诊疗方法[J].中国中医急症,2016,25(9):1714.
[10]薛少驰,张德林,王辉,等.浅述“筋骨并重”[J].河南中医,2014,34(10):1944.
[11] Vital J M,Grenier F,Dautheribes M,et al. An anatomic and dynamic study of the greater occipital nerve(n. of Arnold)[J].Surg Radiol Anat,1989,11(3):205.
[12] Janis J E, Hatef D A, Reece E M, et al. Neurovascular compression of the greater occipital nerve:Implications for migraine headaches[J]. Plast Reconstr Surg, 2010, 126(6):1996.
[13] Ducic I,Hartmann E C,Larson E E. Indications and outcomes for surgical treatment of patients with chronic migraine headaches caused by occipital neuralgia[J]. Plast Reconstr Surg, 2009,123(5):1453.
[14]吴山.林应强筋伤学术经验撷英[M].北京:人民卫生出版社,2015:44-45.
[15]闫学晶,张巧德,陈颜霞,等.松肌复式推拿对肌肉劳损治疗效果的例证及有关机制探讨[J].实用医药杂志,2018,35(5):397.
[16]范志勇,粟漩,王卫强,等.基于fMRI技术探讨中医推拿诱发的中枢效应[J].长春中医药大学学报,2012,28(4):590.
[17] Ko H C, Choi J G, Son B C. Hemifacial trigeminal pain referred from occipital neuralgia due to compression of the greater occipital nerve by the occipital artery[J]. J Neurol Surg A Cent Eur Neurosurg,2018,79(5):442.