对肩关节周围炎患者实施中医康复治疗的方法

Chinese medicine rehabilitative therapy for periarthritis of shoulder

目的:通过分析中医药防治肩关节周围炎(简称肩周炎)的方法,指导肩周炎患者的康复治疗。方法:归纳总结中医对肩周炎的辨证施治,以及饮食调养、药膳、中成药、验方、外治法、功能锻炼、日常保健等防治措施。结果:①按中医肩周炎可分为风寒湿型,治疗原则为祛风散寒,通络止痛;瘀滞型,治疗原则为活血化瘀,通络止痛;气血虚型,治疗原则为益气养血,祛风通络。②饮食调养包括葛根、鳝鱼、海马、甲鱼。③药膳有当归煮蛋、桑枝炖鸡、芪归炖鸡、归参羊肉汤、桂枝苡仁粥、仙茅五加粥、海马山甲酒、葛根黑豆酒、黄芪当归酒。④中成药有伸筋丹、风湿寒痛片、痹苦乃停片、痹隆清安片、昆明山海棠片、风痛安胶囊、祛风止痛胶囊。⑤验方包括玉竹汤、羌活汤、桂枝四物汤、黄芪桂枝汤、祛风宣痹汤、桑枝羌活饮、祛痰通痹饮。⑥外治法包括热熨法、外敷法、淋洗法、膏药法。⑦根据自身的情况可进行屈肘甩手、手指爬墙、体后拉手、展翅、后伸摸棘、梳头等交替功能锻炼。结论:中医药防治肩周炎有规范的诊断标准和防治措施,在肩周炎的治疗康复中发挥着重要的作用。

AIM： Through analyzing the effect of Chinese herb on preventing periarthritis of shoulder, to guide the rehabilitation of periarthritis of shoulder. METHODS： The diagnosis and treatment of periarthritis of shoulder based on overall analysis of symptoms and signs with Chinese herb were summarized, and the prevention and cure measures such as diet recuperation, medicined diet, Chinese formulated products, prescription, external treatment, functional exercise and daily health care were also summed up. RESULTS：①In traditional Chinese medicine, periarthritis of shoulder was divided into wind-cold-damp type, which was cured by expelling wind and removing cold, and activating meridians to stop pain; accumulation of blood stasis type, which was cured by promoting blood circulation by removing blood stasis; deficiency of both qi and blood type, which was cured by supplementing qi and nourishing blood, dispelling wind and removing obstruction in the meridians. ②Diet recuperation included kudzuvine root, eel, seahorse and green turtle. ③Medicined diet covered boiling the egg with angelica, stewing chicken with mulberry twig, stewing chicken with membranous mikvetch root and angelica, mutton and angelica soup, ramulus cinnamomi and semen coicis porridge, curculiginis acanthopanax porridge, seahorse and wine, kudzuvine root and black bean wine, and astragali radix and angelica wine. ④Chinese formulated products included shenjin dan, wind and dampness relief tablet, dapsone, bilong qing＇an tablet, Kunming shanhaitang tablet, fengtong an capsule, and qufeng zhitong capsule. ⑤ Prescription included yuzhu tang, qianghuo tang, guizhisiwu tang, huangqiguizhi tang, qufengxuanbi tang, sangzhiqianghuo yin, and qutantongbi yin.⑥External treatment included hot medicated ironing, outside administration, shower, and plaster method. ⑦Functional exercise such as bending elbow and throwing arm, climbing the wall with fingers, stretching the hand behind the body, spreading the arms, stretching behind, combing the hair and so on was performed according to self condition. CONCLUSION： Chinese herb has standard diagnosed criteria and prevention measures in preventing and treating periarthritis of shoulder, which plays an important role in treatment and rehabilitation of periarthritis of shoulder.