| Objective:The inheritance work of old Chinese medicine experts’ academic experience has been carried out to the fifth batch,to conduct the research of the old Chinese academic thoughts,clinical experience and technical expertise,is one of the most important work in the development of Chinese medicine.According to the work requirements of the State Administration of traditional Chinese medicine,to summarized Professor Xu Changwei’s unique academic view and clinical experience in orthopedics and traumatdogy,is for thepurpose of speeding up the talent training,improveing the level of difficulty disease diagnosis and treatment of traditional Chinese medicine,promoting TCM academic progress.Method:Under the big background of the old Chinese medicine experts’ academic experience inheritance work,In the three years with architect of the study,through the division of outpatient service and wards center;and had a refining,of classical study of TCM,seminar,finishing methods such as typical cases,Such as the angle in the theory of traditional Chinese medicine,etiology and pathogenesis,syndrome differentiation method,and combining the theoretical knowledge of modern medical science,on the basis of clinical diagnosis and treatment practice,the professor Xu Changwei’s academic thoughts in orthopedics and traumatdogy and clinical experience,carries on the analysis,sorting,mining,refining,inheritance.Result:In this paper,starting from the lumbar disc herniation,Use the experience of one point to lead the whole area,a summary of the features and originality on manipulation treatment.This thesis is divided into three parts.The first part is the Professor Xu Changwei’s clinical experience summary of manipulation treatment combined with traditional Chinese medicine in lumbar disc herniation.From the old traditional Chinese medicine of traditional Chinese and western medicine for lumbar intervertebral disc protrusion XuChangwei experience the understanding of the etiology and pathogenesis of combined traditional Chinese medicine in the treatment of lumbar intervertebral disc protrusion by using skill experience as the breakthrough point,combining the analysis of typical cases in the clinical,further summarizes the thinking and subtle changes of professor xu in technique application of the original place.Fully embodies that the professor xu has depth understanding on lumbar disc herniation and small joint disorder in technique treatment.Confirmed that Xu Changwei’s academic experience of traditional Chinese medicine is scientific,ingenuity and advancement,and has its profound realistic significance in the clinical work.The main techniques are summarized as follows:1 Professor Xu Changwei’ technique is summarized in two categories of conditioning and reduction techniques.Conditioning technique is summed up the three steps:(1)the palm and knead technique;(2)Point and press technique;(3)wipe and pat technique;reduction technique is divided into six kinds:(1)sit rotary reset method;(2)prone position rotation reduction method;(3)lateral rotation reduction method;(4)the lateral position of rotatory reduction manipulation;(5)the prone position pull leg,(6)prone to pull the shoulder method.2.Combined the manuever therapy with pathogenesis and syndrome differentiation.According to the different Pathogenesis,the differentiation of the treatment will be different,of course,according to the patient’s age,physical and other factors to adjust their own way of intensity,order and time.As Professor Xu Changwei’ principle in lumbar intervertebral disc herniation,manipulative treatment is divided into four forms such as tendon,Quxie,warming,reset,according to the different pathogenesis.3 Both techniques and drugs.Treatment with the same drug treatment,is the treatment of the disease,there is no good or bad.Manual treatment for acute small joint disorder effect is obvious,the effect is generally stable after reduction.But if encounter a lumbar instability,often lumbar sprain,and manipulative reduction can alleviate the effect of temporary,still with conditioning technique and strong Du Mai,hearten Yang Qi,stimulate the Kidney Qi,regulating Qi Ji;Chinese medicine dialectical therapy of nourishing liver and kidney,strong bones and muscles,the tendons was raised and tendons can bundle bone,to cure for this,consolidate curative effect.4 Don’t try to force the manipulative reduction,don’t reset the reset.Some patients because of severe pain,mental tension,muscle spasm,sometimes after conditioning technique of counselingis still not completely with manual reduction;there are some patients the manipulative reduction,does not appear to be expected,"Kacha" sound,these are not repeated use of manipulative reduction,lest produce new damage.5 Carefully understand the subtle changes in the way.In clinical application should always observe the patients reaction,the experience with great concentration under the feeling,take the corresponding methods and intensity,resourceful,put of one mind.Repeated training,repeated experience,thinking,with painstaking research,can truly achieve the heart to turn,the law from the hand out of the state.The second part is the summary of Professor Xu Changwei’s academic thought.The understanding and the experience on lumbar intervertebral disc protrusion,extrapolate,summed up the summary of Professor Xu Changwei’s academic thought in orthopedics and traumatdogy of TCM,summarized as follows: 1.Pay attention to the differentiation of,advocate of liver and kidney.2.The four diagnostic parameter,emphasize inspection,touch.3.The Chinese and western medicine and complementary to each other.4.The internal and external treatment combined,both techniques and drugs.5.Action,doctor-patient cooperation.6.Owned a combination of curing illnesses.The third part is the review.Based on the summary of the research progress in the manipulation treatment of lumbar disc herniation,It is looking for orthopedics technique of inheritance and development,and look for the common.Conclusion:Proffessor Xu Changwei,loves the traditional Chinese medicine.And his traditional Chinese medicine theory attainments deep,accumulated the rich combine traditional Chinese and western medicine treatment of orthopedics disease clinical experience,good at using the technique in the treatment of spinal degenerative diseases,combined with traditional Chinese medicine especially rotating pull method,treatment of cervical spondylosis,lumbar intervertebral disc protrusion thoracolumbar small joint disorder is famous in jing-sha,such as a must.Technique applied in clinical curative effect of treatment of lumbar intervertebral disc protrusion combined with traditional Chinese medicine,its academic experience has certain scientific and advanced nature,we should inherit and carry forward.This paper proves that name old doctor of traditional Chinese medicine academic thoughts and clinical experience are valuable wealth to the cause of Chinese medicine,it is our duty to study hard,grasp,to inheritance and carry forward!... |
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