马勇运用活血利水法论治急性筋伤经验

MA Yong's experience in treating acute tendon injury with activating blood circulation and promoting diuresis

文章系统介绍马勇教授治疗急性筋伤经验,认为其发病过程为:局部感受暴力之后,筋不束骨,机关不利,遏阻气机,血水停滞,瘀水为患,乃为肿痛。马教授突破传统活血化瘀治法的思想束缚,将活血利水的学术理念贯穿内治法与外治法始末。内治方面,独创活血利水1号方内服,并结合查体、现代影像学检查以及现代药理研究进行辨证用药,性猛量大。外治方面,采用局部针灸点刺放血解决急性肿痛症状。将活血利水法内外同施,取得了显著疗效,同时也为临床治疗急性筋伤提供了宝贵经验。

Professor MA Yong experience in treating acute tendon injury was systematically introduced in this essay. Pathogenesis process of this illness is deemed that suffering from violence causes the soft tissues failing to restrain the movement of bones, which is detrimental to the pivot and activity of qi. Blood as well as water remain stagnant contributing to swelling and pain as a result. The academic idea of promoting blood and water circulation is applied throughout internal and external treatment by professor MA instead of activating blood and removing stasis, which is considered to be a traditional treatment. In internal treatment, an oral prescription named ＇No.1 promoting blood and water circulation＇ based on syndrome differentiation is original with professor MA, who usually uses a large number of strong herbs according to the results of physical examinations, imaging examinations and modern pharmacological researches. In external treatment, pricking blood with acupuncture is used to solve the acute swelling and pain. Overall, professor MA obtains remarkable effect by utilizing activating blood circulation and promoting diuresis in both internal and external treatment. Meanwhile, precious experience is also provided in treating acute tendon injury in clinical.