發(fā)布時間：2018-06-18 12:52

  本文選題：前斜角肌綜合征 + 范炳華　； 參考：《浙江中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的本課題研究旨在整理歸納范炳華教授對前斜角肌綜合征的理論認(rèn)識,總結(jié)診治該病的學(xué)術(shù)思想,以期進(jìn)一步規(guī)范臨床診療。方法跟隨范師臨床學(xué)習(xí),記錄范師對前斜角肌綜合征的見解,收集相關(guān)臨床資料加以統(tǒng)計分析,查閱范師的相關(guān)論文著作及疾病有關(guān)文獻(xiàn)進(jìn)行佐證,總結(jié)歸納范師的經(jīng)驗思想。結(jié)果1.通過中醫(yī)釋名對前斜角肌綜合征進(jìn)行重新認(rèn)識;2.對病因進(jìn)行明確分級,一級病因為內(nèi)在因素,二級病因為外來因素,三級病因則是與疾病癥狀相關(guān)的人體病理改變,分別作為治療與預(yù)防調(diào)護(hù)的目標(biāo);3.從經(jīng)絡(luò)理論、經(jīng)筋理論及骨錯縫、筋出槽理論三方面對前斜角肌綜合征的中醫(yī)病機(jī)進(jìn)行闡述;4.從西醫(yī)解剖學(xué)角度認(rèn)識到由于斜角肌的結(jié)構(gòu)基礎(chǔ)與變異情況,容易對相關(guān)神經(jīng)血管造成腱性壓迫及刺激,從而產(chǎn)生癥狀;將前斜角肌綜合征的臨床癥狀歸納為"痛、麻、腫、脹、涼、白、紫",認(rèn)為"痛"是炎癥刺激癥狀,"麻"是神經(jīng)受壓癥狀,"涼、白"是動脈供血不足所致,"腫、脹、紫"是靜脈回流受阻所引起;5.范師依據(jù)"治因為先"的原則治療前斜角肌綜合征,注重以一指禪推法在頸臂穴的操作及整復(fù)手法對錯縫的小關(guān)節(jié)進(jìn)行"有錯必糾";6.本研究觀測范師治療的31例該病患者,痊愈6例,顯效18例,有效5例,無效2例,總有效率達(dá)93.5%。結(jié)論范炳華教授在對于前斜角肌綜合征的診治上有獨(dú)到的見解,采用"辨因論治"思維進(jìn)行推拿手法治療,針對性強(qiáng),安全性高,療效佳。
[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.
【學(xué)位授予單位】：浙江中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R249;R274.9

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