罗才贵运用四步启关手法联合中药治疗颞下颌关节紊乱验案一则

A Clinical Case of Luo Caigui Treating Temporomandibular Joint Disorder by Four-Step Opening-Regulating Manipulation Combined with Traditional Chinese Medicine

摘要: 本文分享罗才贵教授运用四步启关手法联合中药治疗颞下颌关节紊乱的验案一则。探讨峨眉伤科流派特色推拿手法——四步启关手法的临床应用，通过“松、分、温、顺”四步序贯操作，改善颞下颌关节活动异常与弹响症状，缓解局部疼痛及牵拉不适感；同时结合中医辨证论治，采用六味地黄汤合柴胡百花汤加减施治，以实现身心同调、标本兼顾，临床疗效确切，为颞下颌关节紊乱综合征的临床治疗与后续研究提供思路与参考。

Abstract: This paper presents a proven clinical case of Professor Luo Caigui in the treatment of temporomandibular joint disorder with the four-step Qiguan manipulation combined with traditional Chinese herbal medicine. It explores the clinical application of the characteristic tuina manipulation of the Emei Traumatology School—the four-step Qiguan manipulation. Through sequential operation of four procedures of relaxation, separation, warming and regulation, the manipulation can ameliorate abnormal temporomandibular joint movement and clicking symptoms, and relieve local pain and pulling discomfort. Meanwhile, guided by TCM treatment based on syndrome differentiation, modified Liuwei Dihuang Decoction combined with Chaihu Baihua Decoction is administered to achieve simultaneous regulation of both physical and mental conditions and treatment of both manifestation and root cause. It has definite clinical efficacy, which provides ideas and references for the clinical treatment and further research of temporomandibular joint disorder syndrome.