本文選題：撥法 + 臨床病例　； 參考：《北京中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：背景：本論文基于教材、文獻(xiàn)和臨床經(jīng)驗(yàn),深入研究撥法的演變、差異和應(yīng)用;并通過(guò)導(dǎo)師于天源教授的臨床病例,闡明了撥法的應(yīng)用。文章主要討論的治療手法--撥法,是按摩推拿治療肌肉、韌帶、肌腱相關(guān)疾病的重要手法。于天源教授從事推拿治療多年,并從實(shí)踐中總結(jié)出一套新方法。此方法以經(jīng)絡(luò)理論為基礎(chǔ),并著眼于手法的機(jī)制和療效。本論文目的是定義、闡明、評(píng)價(jià)撥法的演變、療效和安全性。目的:通過(guò)查閱教科書、綜述文獻(xiàn)和總結(jié)導(dǎo)師于天源教授在治療神經(jīng)根型頸椎病的臨床經(jīng)驗(yàn),研究撥法的演變、療效和應(yīng)用。方法:文章以研究撥法的演變、應(yīng)用、療效和治療肌肉、肌腱、韌帶相關(guān)疾病的原理為目的,綜述了中國(guó)知網(wǎng)的相關(guān)文章,分析了過(guò)去57年間推拿教材上的撥法,以及總結(jié)了使用撥法治療神經(jīng)根型頸椎病的病例。在中國(guó)知網(wǎng)搜索使用撥法治療多種疾病及其相關(guān),共得到1991至2017年間的129篇文獻(xiàn)。剔除掉缺乏證明及重復(fù)的文章,64篇文章有參考意義,而本文引用了 10篇主題相關(guān)文章。其余文章因缺乏撥法演變或以其他手法為主而被剔除。本文引用了自1959至2016年,共57年間的推拿教科書,以闡述撥法的演變和歷史。并以撥法在神經(jīng)根型頸椎病中的應(yīng)用為例,總結(jié)了導(dǎo)師于天源教授在國(guó)醫(yī)堂出診時(shí),撥法在治療過(guò)程中的應(yīng)用。結(jié)果:1.通過(guò)近十年撥法的文獻(xiàn)比較發(fā)現(xiàn),對(duì)撥法療效的理解已日益深入,論證了近年來(lái)?yè)芊ǖ陌l(fā)展進(jìn)步,并成為推拿治療疼痛及其相關(guān)疾病的主要手法,在治療例如頸椎病、腰椎間盤突出癥等肌肉和神經(jīng)相關(guān)疾病中,取得了顯著療效.2.文章亦觀察了撥法如何單獨(dú)使用和與其他手法,例如揉法;針灸和熱敷共同使用,以期在傷科疾病的治療中取得更好效果。此外,未觀察到撥法產(chǎn)生明顯副作用,且撥法在疼痛緩解方面有顯著效果。結(jié)論:近年來(lái),撥法有了顯著提高,并成為現(xiàn)代推拿治療的主要手法。在臨床應(yīng)用中,療效顯著,實(shí)用性強(qiáng)。撥法可以作為無(wú)副作用的手法,治療疼痛及相關(guān)疾病。因此可得出結(jié)論,撥法可作為單一治療手段,應(yīng)用于肌肉、肌腱、韌帶疼痛。
[Abstract]:Background: based on the teaching materials, literature and clinical experience, this paper deeply studies the evolution, difference and application of the allocation method, and illustrates the application of the method through the clinical case of Professor Yu Tianyuan. This paper mainly discusses the treatment of muscle, ligaments and tendon-related diseases by massage and massage. Professor Yu Tianyuan engaged in massage therapy for many years and summed up a new method from practice. This method is based on meridian theory and focuses on the mechanism and efficacy of manipulation. The purpose of this paper is to define, clarify, and evaluate the evolution, efficacy and safety of allocative methods. Objective: to review the literature and summarize the clinical experience of professor Yu Tianyuan in the treatment of cervical spondylopathy of nerve root type, and to study the evolution, curative effect and application of the method. Methods: in order to study the evolvement, application, curative effect and the principle of treating muscle, tendon and ligament-related diseases, the article summarized the related articles of Chinese knowledge net, and analyzed the methods of manipulation in the past 57 years. The cases of cervical spondylosis of nerve root type were summarized. A total of 129 articles were collected from 1991 to 2017 in China to search for the use of dialing method in the treatment of various diseases and related diseases. Eliminating the lack of proof and repetition of 64 articles is useful, while this paper cites 10 relevant articles on the subject. The rest of the articles were rejected for lack of evolution or other techniques. In this paper, 57 years of massage textbooks from 1959 to 2016 are cited to illustrate the evolution and history of the allocation method. Taking the application of plucking method in cervical spondylopathy of nerve root type as an example, the application of professor Yu Tianyuan, in the course of treatment was summarized. The result is 1: 1. Through the comparison of literature in the past ten years, it is found that the understanding of the curative effect of the method has been deepening day by day, and the development and progress of the method in recent years has been demonstrated, and it has become the main technique for massage treatment of pain and related diseases, such as cervical spondylosis, in the treatment of cervical spondylopathy. In muscle and nerve related diseases such as lumbar disc herniation, significant curative effect was obtained. 2. 2. The article also observed how to use it alone and with other techniques, such as kneading, acupuncture and hot compress, in order to achieve better results in the treatment of injuries. In addition, no obvious side effects were observed, and there was significant effect in pain relief. Conclusion: in recent years, the modus operandi has been improved significantly, and has become the main technique of modern massage therapy. In the clinical application, the curative effect is remarkable, the practicability is strong. It can be used to treat pain and related diseases without side effects. Therefore, it can be concluded that the method can be used as a single treatment for muscle, tendon and ligament pain.
【學(xué)位授予單位】：北京中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R244.1

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本文編號(hào)：1948132