基于“形气辨证”理论龙江医派推拿治疗肩周炎急性期的处方探析

Analysis of the Prescription of Longjiang Medical School’s Tuina for the Acute Stage of Scapulohumeral Periarthritis Based on the Theory of “Syndrome Differentiation of Physical Form and Qi”

摘要: 肩周炎(Scapulohumeral Periarthritis, SP)是以肩关节疼痛、活动功能障碍和肌肉萎缩为主要特征的慢性无菌性炎症。早期对肩周炎采取干预治疗，有助于缩短病程，加速病情恢复，降低并发症发生率。推拿治疗急性期肩周炎疗效确切，推拿学也应同方剂学的组方原则一样，有科学的推拿处方原则。龙江医派王选章教授以《黄帝内经》为核心理论，结合自身多年伤科疾病诊疗经验提出“形气辨证”法用于临床伤科疾病的辨治。本文基于“形气辨证”理论对龙江医派推拿治疗肩周炎急性期的推拿处方进行理论探讨，望为肩周炎的临床治疗提供新思路。

Abstract: Scapulohumeral periarthritis (SP) is a chronic aseptic inflammatory disease mainly characterized by pain around the shoulder joint, dysfunction of shoulder joint movement, and atrophy of the muscles around the shoulder joint. Early active intervention and treatment of periarthritis of the shoulder can shorten the course of the disease, promote recovery and reduce the occurrence of complications. Tuina therapy has a definite therapeutic effect on acute periarthritis of the shoulder. Science of Chinese Tuina should also have scientific principles for tuina prescriptions, just like the principles of formula composition in Formulas of Chinese Medicine. Professor Wang Xuanzhang of Longjiang Medical School, taking the “Huangdi Neijing” as the core theory and combining his many years of experience in the diagnosis and treatment of traumatology diseases, proposed the “Syndrome differentiation of physical form and Qi” method for the clinical diagnosis and treatment of traumatology diseases. Based on the theory of “Syndrome differentiation of physical form and Qi”, this article conducts a theoretical discussion on the tuina prescriptions of Longjiang Medical School for the acute stage of scapulohumeral periarthritis, hoping to provide new ideas for the clinical treatment of scapulohumeral periarthritis.