常见运动创伤的针灸临床应用概要1.pptVIP

Clinical Application of Acupuncture in Common Sports Injuries常見運動創傷的針灸臨床應用 馮偉業 Kerry Fung BHSc(ChMed), PDPT, PDCM, PCSpinManipTher, PCPeripManipTher, DipAc, CSpHSc Sports Injuries In Broad Terms Injuries caused by participation of sporting activities May include different systems of the body For the purpose of this seminar Limit to that of the Musculoskeletal System Especially that of soft tissues Soft tissue injuries Falls within the subject of Traumatology in Chinese Medicine (中醫傷科學) Classified as Jin injuries (傷筋 / 筋傷) Jin 筋 Jin in Chinese Medicine represents virtually all soft tissues of the musculoskeletal system It encompasses everything from fascia, tendons, ligaments, muscles; to subcutaneous tissues, joint capsules, fibrocartilages, etc. Etiology of Jin Injury Exogenous Factors (外因) External force 外力傷害 Direct violence 直接暴力 Indirect violence 間接暴力 Continuous overuse 持續勞損 Exogenous environmental factors 外感六淫邪氣 Especially related to Wind, Coldness and Dampness 風、寒、濕邪 Etiology of Jin Injury Endogenous Factors (內因) Age 年齡 Physique 體質 Anatomical structure 局部解剖結構 Occupation 職業 Mechanism of Jin injuries Jin injuries can lead to a series of problems in the whole body “肢體損於外, 則氣血傷於內, 營衛有所不貫, 臟腑由之不和。” Mechanism of Jin injuries Qi and Blood 氣血 Acute Jin injury ? dysfunction of the flow of Qi and blood急性筋傷 – 急驟的暴力可致氣血運行失常 Chronic Jin injury – inadequacy in Qi and Blood ? cannot resist exogenous factors and violence慢性筋傷 – 氣血虛弱, 筋肉失養, 失養則虛, 虛則不耐疲勞 Mechanism of Jin injuries Jin Yi (Nourishing fluid) 津液 Acute Jin injury – wasting of Jin Yi ? dysfunction of Jin Yi metabolism急性筋傷 – 津液虧耗, 津液代謝失調 Chronic Jin injury – Jin Yi inadequacy ? poor joint mobility, stagnation of fluid movement and metabolism ? stagnation and swelling津液虛少, 不能濡潤關節, 屈伸不利; 勞損引起津液代謝失調, 積聚腫脹 Mechanism of Jin injuries Zang Fu 臟腑 Liver is responsible for Jin 肝主筋 Kidney is responsible for Bones and Marrow 腎主骨, 生髓 Spleen is responsible for muscles, limbs metabolism; Stomach is responsible for nutrition 脾主