纪清推拿治疗腰痛经验.docVIP

纪清推拿治疗腰痛经验 　　[摘要] 本文对纪清主任推拿治疗腰痛的诊疗经验、特色手法结合临床验案进行了系统的总结。纪清主任临床诊治腰痛时充分渗透了中医的整体观思想，重视多因素与腰痛之间的关系，心身同治，防病与治病相结合，还努力延伸推拿功用，手法与功法并施，筋骨并重；取穴中注重远部选穴的效用，以远治近，避免对急性腰痛患者痉挛肌肉的不良激惹；在传统手法诊治的基础上，注重经筋推拿，重视触诊，在筋结处施以一指禅推法等，起到理筋整复、舒筋解痉的作用。纪清主任将理论与实践相结合，通过三十年临床上不断摸索与优化诊疗措施，在腰痛的治疗上取得了良好的疗效。 　　[关键词] 腰痛；纪清；推拿；经验 　　[中图分类号] R244.1 [文献标识码] A [文章编号] 1673-7210（2016）07（a）-0080-04 　　[Abstract] In this paper， the experience of the diagnosis and treatment of lumbago by Ji Qing director， combined with characteristic technique and clinical case， are systematically summarized. Throughout the diagnosis and treatment of lumbago， Ji Qing emphasizes the combination of traditional Chinese holistic concept. He pays more attention to the relationship between multiple factors and lumbago， not only treating the body but also curing the mind. To combining disease prevention and treatment， he also efforts to extend the massage function， he uses both technique and working method and pays equal attention to tendon and bone. He also emphasizes selection of distant points which can avoid irritating spasmodic muscle. On basis of traditional technique， he lays emphasis on Jingjin massage， searching for Jingjin points and pushing manipulation with one-finger on them， which can relax muscles and tendons. Through thirty years of continuous exploration and optimization of diagnosis and treatment measures， Ji Qing director takes combination of theory and practice and he has achieved good curative effects in the treatment of lumbago. 　　[Key words] Lumbago； Ji Qing； Massage； Experience 　　腰痛是以下腰背部疼痛为共同特征的一组疾病。欧洲指南[1]把腰痛分为三类：潜在的严重的脊柱疾患、坐骨神经痛和非特异性腰痛。它具有高发病率[2]、易复发[3]等特点。除了造成人们工作能力下降和生活质量的降低，还是造成社会负担和经济损失的重要原因之一[4]。腰痛古代中医文献称之为“腰腿痛”“腰胯痛”“痹症”，在《黄帝内经》中首次出现“腰痛”[5]。腰痛在中医理论中的病因病机[6]可概括为外邪侵袭、闪挫跌扑、年老久病等因素导致经脉痹阻腰府失养而发为腰痛。《素问?痹论》云：“风寒湿三气杂至，合而为痹也。”又云：“痛者，寒气多也，有寒故痛也。”“湿性重浊，湿性趋下，湿邪留滞经络关节，故见腰腿关节疼痛，肌肤不仁，沉重。寒湿凝滞，以致气滞血瘀，故出现腰腿刺痛或窜痛、胀痛。”《金匾翼》云：“瘀血腰痛者，闪挫及强力举重得之。盖腰者，一身之要，屈伸俯仰，无不由之。若一有损伤，则血脉凝涩，经络奎滞，令人率痛不能转侧，其脉涩，日轻夜重者是也。”《巢氏病源》说：“劳则肾虚，虚则受于