| 颜夏卫,何生,章鸣,等.浙派中医章氏伤科筋伤经验探析[J].浙江中医药大学学报,2023,47(9):1045-1048. |
| 浙派中医章氏伤科筋伤经验探析 |
| Analysis on the Tendon Injury Experience of ZHANG’s Orthopaedics Department of Zhejiang School of Traditional Chinese Medicine |
| DOI：10.16466/j.issn1005-5509.2023.09.011 |
| 中文关键词: 浙派中医 章氏伤科 筋伤 学术思想 学术经验 理论体系 和合 |
| 英文关键词: Zhejiang school of traditional Chinese medicine ZHANG’s orthopaedics department tendon injury academic thought academic experience theoretical system harmony |
| 基金项目:浙江省中医药科技计划项目(2022ZA185) |
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| 中文摘要: |
| [目的] 探析浙派中医章氏伤科诊治筋伤的学术经验，丰富章氏伤科学术思想，弘扬浙江中医骨伤流派。[方法] 通过走访章氏伤科后人及传承人，收集整理章氏伤科现存手稿、验案等文献，查阅相关古代骨伤医籍，结合章氏后人访谈记录，全面真实地反映章氏伤科诊治筋伤的经验与特色。[结果] 章氏伤科论治筋伤以“和合”学术思想为总则，识病强调“一体三辨”，建立了以整体观为核心，辨病、辨证、辨位相结合的理论体系；治病推崇“杂合以治，法推综合”，提出“内调脏腑气血，外治筋骨经络”的治疗准则，其用药重气血，顾兼邪，分部位，突出“破、和、养”三期辨证用药原则，其针法注重“气血经筋骨同治”，其理筋手法强调“三精”原则，并总结出了一套独特的理筋十法，其功法遵循“筋骨互用、动静互补”理念，创立“十二经筋拉伸功法”；防病注重“防治结合，心身同治”，提出“筋伤十八字防治法则”。[结论] 章氏伤科博采众长，守正创新，形成了一套完整、独特的筋伤理论体系，进一步充实了章氏伤科学术内涵，对推动浙派中医和浙江中医药事业的发展，具有重要意义。 |
| 英文摘要: |
| [Objective] To explore the academic experience in the diagnosis and treatment of tendon injury in ZHANG’s orthopaedics department of Zhejiang school of traditional Chinese medicine(TCM)， enrich the academic thoughts of ZHANG’s orthopaedics department， and promote the bone injury in Zhejiang school of TCM. [Methods] Through visiting the descendants and inheritors of ZHANG’s orthopaedics department， collecting and sorting out the existing manuscripts， medical cases and other documents of ZHANG’s orthopaedics department， consulting related ancient records of bone injury doctors， and combining with the interviewing records of ZHANG’s descendants， comprehensively and truly reflecting the experience and characteristics of ZHANG’s orthopaedics department in the diagnosis and treatment of tendon injury. [Results] The academic thought of “harmony”was taken as the general principle in the treatment of tendon injury in ZHANG’s orthopaedics department， and the recognition of disease emphasized “one body and three discriminations”. A theoretical system of disease discrimination， syndrome differentiation and location discrimination was established with the whole view as the core. It advocates the principle of “hybrid treatment and comprehensive treatment by methods”， and puts forward the treatment principle of “internal regulation of viscera Qi and blood， external treatment of muscles and bones meridians”. Its medication pays attention to Qi and blood， takes into account evil and distinguishes disease location， highlighting the principle of “breaking， harmonizing and nourishing” in three phases of syndrome differentiation. Its acupuncture method emphasizes “simultaneous treatment of Qi and blood meridians， muscles and bones together”， and its tendon regulating technique emphasizes the principle of “three essences”， and summarizes a unique set of ten tendon regulating methods， which follows the concept of “mutual use of muscles and bones， dynamic and static complementation”， creates “twelve meridian musculature stretching technique”; disease prevention focuses on “combination of prevention and treatment， and treatment of mind and body”， and puts forward “eighteen characters prevention and treatment rule for tendon injury”. [Conclusion] ZHANG’s orthopaedics department is a comprehensive and unique theoretical system of muscle injury， which is of great significance to further enriching the academic connotation of ZHANG’s orthopaedics department and promoting the development of Zhejiang school of TCM and Zhejiang TCM cause. |
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