中医临床研究2025，Vol.17Issue(22)：123-129,7.DOI:10.3969/j.issn.1674-7860.2025.22.016
詹强教授从"气血同调,筋骨并重"论治特发性早发性脊柱侧弯经验
The experience of Professor ZHAN Qiang in treating idiopathic early-onset scoliosis from the perspective of"regulating Qi and blood simultaneously,and emphasizing both muscles and bones"
摘要
Abstract
Idiopathic early-onset scoliosis(IEOS)is a common three-dimensional structural deformity during the bone development period of children,and the key indicator for diagnosis is a Cobb angle greater than 10°.The disease is characterized by rapid progression and potential pulmonary damages,and is classified under the category of"musculoskeletal diseases"in traditional Chinese medicine(TCM).In this study,based on the academic thought of Professor ZHAN Qiang,a renowned TCM doctor in Zhejiang Province,that"supple tendons and strong bones come from harmonizing Qi(气)and blood",a TCM diagnosis and treatment system for IEOS is elaborated systematically,with Qi and blood deficiency as the root cause of the onset,Qi stagnation and blood stasis as the pathological mechanism,and tendon-bone imbalance as the outcome.Based on the characteristic of mutual root and storage of Qi-blood and Yin(阴)-Yang(阳)in TCM,the pathophysiological view of IEOS of"supple tendons and strong bones come from harmonizing Qi and blood"is expounded in this study,and an overall treatment plan of"massage for relaxing tendons-knife needle for unblocking meridians-spinal adjustment and bone setting-exercise for strengthening the foundation-Chinese medicine for nourishing the essence"is proposed.Specifically,By applying the Pingmi massage technique,a combination of heavy manual release on the spastic side and light manual stimulation on the concave side is carried out,with both tonifying and purging effects;based on the theory of"Bi points on meridians(经痹点)"for syndrome differentiation and treatment,deep needling on the convex side with a blade needle is used to clear excess and shallow needling on the concave side to replenish,combined with cupping to remove blood stasis and promote regeneration;creatively applying the three-dimensional fixed-point reduction technology for the thoracic vertebrae,the mechanical balance of the spine is restored through the combined manipulation of sitting rotation and dorsal extension and upward lifting;developing home exercise programs such as standing against the wall is used to enhance core muscle strength;prescriptions such as Liuwei Dihuang Wan(六味地黄丸)plus Yupingfeng San(玉屏风散)is supplemented with to nourish and acquired foundation.By regulating the dynamic balances of Qi-blood and tendons-bones,the method breaks through the limitation of local relaxation of traditional massage and establishes a new TCM therapeutic concept of"regulating and supplementing Qi and Blood,and softening tendons and realigning bones",which has shown significant efficacy in ameliorating Cobb angles and delaying progression,providing an innovative idea that combines TCM theory with biomechanics for the prevention and treatment of IEOS,and embodying the unique TCM concept of integrating treatment and health maintenance.关键词
筋骨平衡/气血平衡/特发性早发性脊柱侧弯/名医经验Key words
Balance of muscles and bones/Balance of Qi and blood/Idiopathic early-onset scoliosis/Clinical experience of famous doctor分类
医药卫生引用本文复制引用
黄佳沅,王宝东,陈灏天,徐登峰,徐赟赟,詹强..詹强教授从"气血同调,筋骨并重"论治特发性早发性脊柱侧弯经验[J].中医临床研究,2025,17(22):123-129,7.基金项目
浙江省中医药现代化专项项目(2022ZX015) （2022ZX015）
浙江省卫生健康科技计划(2022PY019) （2022PY019）
詹强名老中医专家传承工作室(GZS2020034). （GZS2020034）
