上海中医药杂志2026，Vol.60Issue(3)：60-63,4.DOI:10.16305/j.1007-1334.2026.z20250404003
石氏伤科斜刺治疗筋出槽临床经验探析
Clinical analysis of Shi's traumatology with oblique needling for tendon off position treatment
摘要
Abstract
Tendon injuries are common in orthopedic clinical practice,with the core pathogenesis being tendon off position,which is clinically characterized by palpable tendon knots,local tenderness,and restricted movement.Tendon knots not only serve as pathological markers of the structural changes in tendon off position but also represent an important therapeutic target in clinical diagnosis and treatment.In the diagnosis and treatment of tendon knots,Shi's traumatology emphasizes"prioritizing manipulation techniques,understanding the body structure and identifying the precise location".Through palpation,it enables accurate determination of the extent and range of tendon misalignment,thereby providing a basis for treatment.Professor Zhan Hongsheng,building upon academic principles of Shi's traumatology and integrating years of clinical practice and foundational research,systematically proposes the academic idea of"treating from the tendon"and uses needling as the fundamental method for"releasing the knot",achieving significant clinical results.关键词
筋出槽/筋结/针刺/石氏伤科/中医骨伤Key words
tendon off position/tendon knot/acupuncture/Shi's traumatology/traditional Chinese medicine orthopedics and traumatology引用本文复制引用
李正言,林勋,詹红生,葛海雅,郭小玉,杨光月,林锋山,杜国庆,高宁阳,沈知彼,赵咏芳..石氏伤科斜刺治疗筋出槽临床经验探析[J].上海中医药杂志,2026,60(3):60-63,4.基金项目
国家自然科学基金项目(82374481) （82374481）
中华中医药学会《脊柱筋出槽骨错缝临床诊疗指南》标准化项目(20210805z-BZ-CACM) （20210805z-BZ-CACM）
上海市教委2021年高水平地方高校创新团队项目(沪教委人[2022]3号) （沪教委人[2022]3号）
国家中医药管理局2022年全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号) （国中医药人教函[2022]75号）
