Clinical observation of sinew-regulating and bone-setting manipulation combined with Xiaoyu Jiegu Powder in treating knee osteoarthritis

Objective:To evaluate the clinical efficacy of sinew-regulating and bone-setting manipulation(SRBSM)combined with Xiaoyu Jiegu Powder(XYJGP)in treating knee osteoarthritis(KOA).Methods:Sixty patients were randomly divided into treatment group(30 cases)and control group(30 cases).The treatment group was treated with SRBSM combined with XYJGP and the control group was given intermediate frequency electrotherapy and XYJGP.Visual Analogue Scale(VAS).The Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC),Flexion range of motion of the knee joint,and surface electromyography(sEMG)were used to evaluate and compare the patients'knee function before and after treatment.The efficacy was observed with diagnosis and efficacy standards of TCM.Results:After treatment,compared with the same group before treatment,muscle fatigue and muscle tension decreased,pain was reduced,range of motion of the knee joint was increased,and motor function was improved(P<0.05).The improvement degree of the treatment group was better than that of the control group(P<0.05).The total effective rate of the treatment group was 96.6%(29/30),higher than that of the control group(80.0%),P<0.05.Conclusion:SRBSM combined with XYJGP can effectively reduce the pain of KOA patients,improve the range of motion of the joints,and improve the quality of life of the patients,and its curative effect is better than that of intermediate frequency electrotherapy combined with XYJGP.

Reduction in nerve root compression by the nucleus pulposus after Feng's Spinal Manipulation

Ninety-four patients with lumbar intervertebral disc herniation were enrolled in this study. Of these, 48 were treated with Feng＇s Spinal Manipulation, hot fomentation, and bed rest （treatment group）. The remaining 46 patients were treated with hot fomentation and bed rest only （control group）. After 3 weeks of treatment, clinical parameters including the angle of straight-leg raising, visual analogue scale pain score, and Japanese Orthopaedic Association score for low back pain were improved. The treatment group had significantly better improvement in scores than the control group. Magnetic resonance myelography three-dimensional reconstruction imaging of the vertebral canal demonstrated that filling of the compressed nerve root sleeve with cerebrospinal fluid increased significantly in the treatment group. The diameter of the nerve root sleeve was significantly larger in the treatment group than in the control group. However, the sagittal diameter index of the herniated nucleus pulposus and the angle between the nerve root sleeve and the thecal sac did not change significantly in either the treatment or control groups. The effectiveness of Feng＇s Spinal Manipulation for the treatment of symptoms associated with lumbar intervertebral disc herniation may be attributable to the relief of nerve root compression, without affecting the herniated nucleus pulposus or changing the morphology or position of the nerve root.

李盛华教授运用陇中正骨手法治疗“骨错缝、筋出槽”病例报告

陇中正骨学术流派第三代传人李盛华教授批判性吸纳各家流派治疗“骨错缝、筋出槽”患者的方法,并在陇中正骨学术流派学术思想“整体辨证、筋骨并重、内外兼治、动静互补、精准微创”的指导下,在治疗“骨错缝,筋出槽”过程中提出“稳、准、轻、巧”四字法则,同时还强调“心身同治”的理念,恰到好处的手法可有效整复“骨错缝、筋出槽”,恢复关节功能。此外,他根据不同的损伤部位,选择相应的手法进行复位,即可缓解患者的疼痛、功能障碍,使其效果立竿见影,充分发挥了中医骨伤治疗骨伤疾病“简、便、效、廉”的优势。

基于“筋骨平衡”理念的陇中正骨手法治疗早期膝骨性关节炎探讨

从陇中正骨手法的发展历程、陇中正骨手法-膝关节调衡手法、陇中正骨手法治疗膝骨性关节炎(knee osteoarthritis,KOA)3方面探讨基于“筋骨平衡”理念的陇中正骨手法治疗早期KOA的理论机制,指出陇中正骨调衡手法在传统手法的基础上注重“筋骨平衡”理念,在治疗KOA的过程中融入动静结合、筋骨并重的思想,重在纠正筋骨力学失衡,达到筋骨并调的目的,为手法治疗早期KOA提供了新策略。

李盛华教授运用陇中正骨手法治疗踝关节滑膜嵌顿临证经验撷英

介绍李盛华教授运用陇中正骨手法治疗踝关节滑膜嵌顿的临床经验,对其治疗该病的临床思路及手法进行系统总结。李盛华教授以“顺于自然、手稳法巧、筋骨相通、内外兼治、身心并重”的理论体系为中心治则,运用“拔、揉、摇、落”的正骨手法技巧,达到“筋脉归位,骨正筋柔”的治疗目的。

调衡理念与陇中正骨手法关系探讨——以早期膝骨性关节炎为例

通过研究调衡力学理论,并结合陇中正骨手法原理,尝试提出用陇中调衡手法治疗早期膝骨性关节炎的方法。

陇中正骨手法配合两种外固定法治疗旋后内收型踝关节骨折临床观察

目的:观察陇中正骨手法配合两种外固定方法治疗Lauge-Hansen旋后内收型踝关节骨折的临床疗效。方法:将旋后内收型踝关节骨折患者64例随机分为治疗组、对照组各32例,2组均先采用陇中正骨手法予以良好复位,之后治疗组采用新型低温热塑支具固定,对照组采用传统石膏外固定,随访12～22个月。采用Oler ud-Molander踝关节功能评分系统评价2组疗效,并观察并发症发生情况(严重红肿、严重瘙痒、皮肤压疮、骨折再移位)。结果:优良率治疗组为87. 5%,对照组为62.5%,2组比较差异有统计学意义(P<0. 05);并发症发生率治疗组为12. 5%,对照组为53.1%,2组比较差异有统计学意义(P<0. 05)。结论:采用陇中正骨手法配合低温热塑型支具治疗Lauge-Hansen旋后内收型踝关节骨折临床疗效优于配合传统石膏外固定治疗,而且并发症少。

陇中正骨手法整复石膏外固定治疗踝关节骨折40例

目的:观察陇中正骨手法整复石膏外固定治疗踝关节骨折的临床疗效。方法:将80例患者随机分为观察组、对照组各40例。观察组采用陇中正骨手法整复石膏外固定治疗,对照组采用手术治疗。结果:观察组优24例,良10例,及格6例,差0例,优良率85.0%;对照组优22例,良12例,及格2例,差4例,优良率85.0%。2组优良率比较,差异无统计学意义(P>0.05)。Kofoed评分2组治疗2个月后比较,差异有统计学意义(P<0.05)。结论:陇中正骨手法整复石膏外固定治疗踝关节骨折疗效可靠,操作简单,固定方便。

陇中正骨旋扳手法治疗关节突关节源性腰痛的临床研究

目的:观察陇中正骨旋扳手法治疗关节突关节源性腰痛的临床疗效及安全性。方法:将126例患者随机分为观察组、对照组各63例。观察组采用陇中正骨旋扳手法治疗,左右侧卧位各实施手法1次,每周治疗1次,连续治疗3次;对照组给予双氯芬酸钠口服,50 mg/次,2次/d,连续治疗3周。观察2组治疗前后视觉模拟评分(visual analogue scores,VAS)的变化情况、并发症的发生情况及临床疗效。结果:VAS评分治疗后2组均明显降低(P<0.05),观察组降低更明显(P<0.05)。总有效率观察组为79.36%,对照组为66.67%,2组比较差异有统计学意义(P<0.05)。观察组未见关节突关节骨折、腰痛加重等并发症。对照组中有26例患者服药后出现胃部不适、纳差等症状,给予对症治疗后症状缓解,停药后症状消失。结论:陇中正骨旋扳手法治疗关节突关节源性腰痛效果显著,安全可靠。

李盛华应用陇中理筋调衡手法治疗“骨错缝、筋出槽”验案举隅

文章介绍李盛华教授通过多年中医骨科临床实践经验总结出的“顺于自然、手稳法巧、筋重于骨、内外兼治、身心并重”的治则内涵,以此内涵为基础,介绍了陇中理筋调衡手法治疗“骨错缝、筋出槽”两例典型病例的方案。陇中理筋调衡手法作为陇中正骨学术流派中经典手法,通过医者对受术部位施加的外力巧妙作用于损伤部位,借自然力量和手法技巧调节机体的病理、生理变化,达到治愈疾病的目的。

陇中旋提手法配合微创小针刀疗法治疗颈型颈椎病临床观察

目的:观察微创小针刀配合陇中旋提手法治疗颈型颈椎病的临床疗效。方法:选择92例颈型颈椎病患者,随机分为传统手法组、陇中旋提手法+小针刀组、陇中旋提手法组、小针刀组,每组23例,经治疗后比较各组治疗前后视觉模拟量表法(VAS)疼痛评分、Vernon颈椎废用指数评分及临床疗效。结果:治疗后,陇中旋提手法+小针刀组患者疼痛的缓解程度、Vernon颈椎废用指数评分和临床疗效均较治疗前有明显改善,且优于其他3组,差异有统计学意义(P<0.01)。陇中旋提手法+小针刀组治愈率及总有效率显著高于传统手法组、陇中旋提手法组与小针刀组,差异有统计学意义(P<0.05)。结论:微创小针刀疗法配合陇中旋提手法治疗颈型颈椎病临床疗效显著,且简便易行,值得临床推广。

陇中正骨学术流派及其特色诊疗理念概述

文章从陇中正骨学术流派的特色诊疗理念和原则“整体辨证、内外兼治、筋骨并重”出发,简要归纳总结上述特色诊疗理念在创伤、脊柱、关节类的骨伤科多发和常见疾病的诊疗思想,从各类骨伤病种的手法和药物进行综述整理,旨在推广陇中正骨学术流派在临床治疗中的有效性手段,提高临床应用率。