摘要
1975 年,在传统医学“骨错缝、筋出槽”的临床研究基础上,首次提出损伤性脊柱疾病发病和诊治机理的单(多)个椎体位移理论及脊柱内外平衡失调学说,并创用脊柱(定点)旋转复位法。超荷载直压旋转应力作用于损伤、退变、失稳的椎体上是导致脊柱内外平衡失调,患椎沿三维空间、六个自由度轻度位移的直接原因;椎体与棘突是联动的整体,椎体位移必然导致棘突偏歪、关节突关节错位和椎间韧带损伤。医师触诊检查患棘突偏歪是单(多)个椎体位移的重要体征;脊柱生理曲线改变、骨质增生等是脊柱内外平衡失调后的代偿或失代偿性变化。用脊柱(定点)旋转复位法,拔正偏歪棘突,使“骨对缝、筋入槽”,可恢复脊柱内外平衡,使症状体征减轻或消失。恢复生理曲线或形成代偿性曲线是取得疗效的客观标准。
On the basis of the clinic study on Chinese Traditional Medicine(1976,Feng) the author,first,claimed the hypothesis of the inner outer unbalance of spine column that provides the explanation of the pathological mechanism and the diagnosis base for the spinal joint impairment disorder,and also created a special spinal manipulation called Feng's Spinal Maniulation (FSM),which productively raise up the effectiveness of the conservative treatment in the clinic of manipulative orthopedics.The hypothesis and the treatment have been rapidly spread out in the PLA troop's health care association and proved a great success.The paper introduces the major points of the hypothesis.The completely new idea believes that the single/multiple vertebral subluxasion is the primary pathological element of innerouter unbalance of spine column.The direct reason for vertebral subluxasion is an over loading torsion force on an unstable vertebra column in the result of injury and/or degeneration.The involved vertebra might be moderately displaced in 3 dimensions with six motional angles.The spinous process will then reflect,to a certain extent,the signs of vertebral displacement and intervertebral ligament injuries.The misalignment of the spinous processes by palpitation will detect the signs of vertebral subluxasion.According to the physiological curve disappearing or changing of spine and vertebral oesteophyte doctors could decide whether the unbalance of the spine to be compensated.The FSM treatment is accordingly applied for correcting the displacement of involved vertebrae in order to restore the inner outer balance of spine,or to “replace jin and joint”according to traditional Chinese orthopedic principle.The restore of the anatomic or compensatory curve of the spine is an objective criterion for the effectiveness of the treatment.
出处
《空军总医院学报》
1997年第2期63-66,共4页
Journal of General Hospital of Air Force,PLA