抖法分析课件.pptVIP

抖 法 Shaking Manipulation 概念 Concept 用双手握住患者的上肢或下肢远端，用力做连续的小幅度上下颤动的手法，称为抖法。 A manipulation by which the doctor holds the distal end of the patients affected upper or lower limbs and makes a constant, narrow range,up and down shaking. 动作结构Structure of Operation 术者取马步势，上身略向前倾，两上肢自然向前伸出，屈肘约130°～160°之间，两手握住腕部或踝部，将患肢牵引至自然伸直位。抖上肢时，将患肢固定在外展45°～60°位；抖下肢时，将患肢抬起至约离床面30°处，再缓缓做连续不断的小幅度上下抖动。 The doctor is in a half-squatting position. His two upper limbs are naturally extended forwards and elbows are flexed for 130―160 degrees.He holds the patients wrist or ankle with two hands, and pulls the affected limb into a natural straight position;fixes the affected limb in a abducted position of 45～60 degrees while shaking the upper limbs;raises the affected limb to form a 30 degree angle with the bed while shaking lower limbs, and then shakes it up and down slowly, constantly, in a narrow range. 注意事项 Precaution 应注意固定患肢的双手不要捏得太紧，不要将抖动的肢体牵拉的太紧，颤动的幅度要由小到大，频率要快。 Be careful that the two hands fixing the affected limbs should not be held too tightly. Do not pull the shaken limbs too straight and the range of shaking should be from narrow to wide. Rapid frequency is needed. 功效 Effect 具有调和气血﹑放松肌肉与理顺组织的作用。 It has the function of regulating qi-blood and tissues, and relaxing muscles. 临床应用 Clinical Application 本法主要用于四肢，常在搓法之后使用，作为治疗的结束手法。 This manipulation is mainly applied to extremities and mostly after foulage as an ending manipulation of therapy. 本法可用于腰部。操作时，将受术者双下肢同时提起，用力牵拉抖动，使产生的震动力直达腰部，故此法又称“抖动法”。 Its also applied to the waist. In operation, raise the two lower limbs of the patient simultaneously and pull-shake powerfully to get the vibrating force directly to the waist. Thus it is also called “shaking-pulling manipulation”. 该法主要用来治疗腰椎间盘突出症，能拉宽椎间隙，促使突出髓核还纳；松解突出物与神经根粘连，以缓解或解除对神经根的压迫。 Its used primarily to treat prolapse of lumbar intervertebral disc, which can enlarge the interspace of lumbar vertebrae to help reduce projecting pulpiform nucleus, relax adhes