范炳华教授诊治前斜角肌综合征的经验总结

发布时间：2018-06-18 12:52

本文选题：前斜角肌综合征 + 范炳华　；参考：《浙江中医药大学》2017年硕士论文

【摘要】：目的本课题研究旨在整理归纳范炳华教授对前斜角肌综合征的理论认识,总结诊治该病的学术思想,以期进一步规范临床诊疗。方法跟随范师临床学习,记录范师对前斜角肌综合征的见解,收集相关临床资料加以统计分析,查阅范师的相关论文著作及疾病有关文献进行佐证,总结归纳范师的经验思想。结果1.通过中医释名对前斜角肌综合征进行重新认识;2.对病因进行明确分级,一级病因为内在因素,二级病因为外来因素,三级病因则是与疾病症状相关的人体病理改变,分别作为治疗与预防调护的目标;3.从经络理论、经筋理论及骨错缝、筋出槽理论三方面对前斜角肌综合征的中医病机进行阐述;4.从西医解剖学角度认识到由于斜角肌的结构基础与变异情况,容易对相关神经血管造成腱性压迫及刺激,从而产生症状;将前斜角肌综合征的临床症状归纳为"痛、麻、肿、胀、凉、白、紫",认为"痛"是炎症刺激症状,"麻"是神经受压症状,"凉、白"是动脉供血不足所致,"肿、胀、紫"是静脉回流受阻所引起;5.范师依据"治因为先"的原则治疗前斜角肌综合征,注重以一指禅推法在颈臂穴的操作及整复手法对错缝的小关节进行"有错必纠";6.本研究观测范师治疗的31例该病患者,痊愈6例,显效18例,有效5例,无效2例,总有效率达93.5%。结论范炳华教授在对于前斜角肌综合征的诊治上有独到的见解,采用"辨因论治"思维进行推拿手法治疗,针对性强,安全性高,疗效佳。
[Abstract]:Objective to summarize Professor Fan Binghua's theoretical understanding of anterior scalene muscle syndrome and to summarize the academic ideas of diagnosis and treatment of the disease in order to further standardize the clinical diagnosis and treatment. Methods follow the clinical study of the teacher, record the teacher's opinion on the anterior scalene muscle syndrome, collect the relevant clinical data for statistical analysis, consult the related papers and diseases related literature to prove, sum up the experience thought of the teacher. Result 1. Through the Chinese medicine release of the name of the anterior scalene muscle syndrome for a new understanding of 2. The etiology was classified as internal factor, secondary etiology as external factor, and tertiary etiology as human pathological changes related to disease symptoms, respectively, as the goal of treatment and prevention and nursing adjustment. 3. From three aspects of meridian theory, bone suture theory, gluten out groove theory, this paper expounds the TCM pathogenesis of anterior scalene muscle syndrome. From the perspective of western medicine anatomy, we know that because of the structural basis and variation of the scalene muscle, it is easy to cause tendinous compression and stimulation to the related nerve and blood vessels, thus producing symptoms, and to sum up the clinical symptoms of the anterior scalene muscle syndrome as "pain, anaesthesia, swelling," "pain" is a symptom of inflammatory stimulation, "hemp" is a symptom of nerve compression, "cool, white" is caused by insufficient arterial blood supply, "swollen, purple" is caused by obstruction of venous reflux. Fan Shi according to the principle of "treatment because of the first" treatment of anterior scalene muscle syndrome, pay attention to the use of a Zen method in the operation of the point of the neck and arm and repair of the manipulation of the small joints of the wrong seam, "mistakes must be corrected" 6. In this study, 31 patients treated by Fan Shi were cured in 6 cases, marked effect in 18 cases, effective in 5 cases and ineffective in 2 cases. The total effective rate was 93.5. Conclusion Professor Fan Binghua has a unique opinion on the diagnosis and treatment of anterior scalene muscle syndrome. The treatment of massage manipulation with the thinking of "differentiation of cause and treatment" has strong pertinence, high safety and good curative effect.
【学位授予单位】：浙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R249;R274.9

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