摘要
四边孔综合征病情初期症状表现不典型,临床就诊时仅靠问诊和简单触诊检查,加之临证极易被影像学检查所误导,无法做到迅速而精确的诊断而延误治疗,所以强调早期诊断和早期治疗,避免因腋神经卡压过久出现的纤维化和不可逆损伤。张振宇教授认为四边孔综合征主要由经筋痹阻所致,基于神经卡压理论采取六步舒筋法推拿治疗,具有精准定位、远近相配、动静结合、标本兼治的特点,取得较好的临床疗效,为该病诊断及手法治疗提供了新思路。
The symptoms of Quadrilateral space syndrome are not typical at the early stage of the disease,and the clinical diagnosis cannot be made quickly and accurately because doctors only rely on consultation and simple palpation,in addition to the clinical evidence easily misled by imaging examination,delaying treatment.Therefore,early diagnosis and treatment should be emphasized to avoid fibrosis and irreversible injury due to too long axillary nerve compression.Professor Zhang Zhenyu believes that the Quadrilateral space syndrome is mainly caused by the paralysis of meridians and tendons.Based on the theory of nerve compression,he adopts the six-step tuina treatment method,which has the characteristics of precise position,integrated distant and near,and combination of activity and interia,concurrent treatment of biao-ben.He achieves good clinical efficiency,providing new ideas for the diagnosis and treatment of the disease.
作者
张西
张振宇
范肃
胡芊
苏红
万友红
李美娇
ZHANG Xi;ZHANG Zhenyu;FAN Su;HU Qian;SU Hong;WAN Youhong;LI Meijiao(Specialized Medical Department,Wangjing Hospital Of China Academy of Chinese Medical Sciences,Beijing 100102,China;Graduate School of Guizhou University of Traditional Chinese Medicine,Guiyang 550002,China)
出处
《中国中医基础医学杂志》
CAS
CSCD
北大核心
2022年第11期1868-1871,共4页
JOURNAL OF BASIC CHINESE MEDICINE
基金
北京市中医管理局北京市中医住院医师规范化培训三优教学团队项目(京中医科字[2017]125号)。
关键词
四边孔综合征
神经卡压理论
经筋理论
精准推拿
名医经验
张振宇
Quadrilateral space syndrome
theory of nerve compression
meridians and tendons
Precision massage
experience of famous doctors
Zhang Zhenyu