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基于经筋理论探讨推拿治疗坐骨神经痛的临床研究进展
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Abstract:
坐骨神经痛是一种临床中常见的神经病理性疼痛，表现为以坐骨神经径路烧灼样、刀割样疼痛及麻木等症状，对患者的日常生活、正常工作、心理都造成了很大的影响。在中医保守治疗中，推拿是治疗经筋损伤、神经疼痛的主要手段，其作用机理在于改善局部血供、缓解肌肉筋挛、减轻对神经的压迫；具有活血化瘀、松解黏连、疏通经络、缓解神经痛的作用。推拿还有费用低，不良反应少，疗效显著等特点，在临床上广受欢迎。在经筋理论的指导下，医者可选择拔伸类、松解类、斜扳类3大类手法给与患者治疗，此外，推拿手法还可结合针灸、中药及电针一起使用，往往可取得满意疗效。
Sciatica is a common neuropathic pain in clinical practice, manifested as sciatic nerve path burning, knife cut pain and numbness, and other symptoms, which have a great impact on patients’ daily life, normal work and psychology. In the conservative treatment of traditional Chinese medicine, massage is the main means to treat tendon injury and nerve pain. Its mechanism of action is to improve local blood supply, relieve muscle clonus and reduce the pressure on nerves; It has the effect of activating blood circulation and removing blood stasis, releasing adhesion, dredging meridians and relieving neuralgia. Massage also has the characteristics of low cost, less adverse reactions and significant curative effect, which is widely popular in clinical practice. Under the guidance of the theory of tendons, doctors can choose to give patients with three major categories of manipulation, such as pulling, loosening and oblique manipulation. In addition, massage manipulation can also be used together with acupuncture, traditional Chinese medicine and electro-acupuncture, which can often achieve satisfactory results.
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