| 引用本文: |
向家雨, 李一帆, 刘畅, 李柯, 李志杰, 牛鹏霖, 张世卿.“筋-肌-骨平衡”理论下河洛理筋正骨术治疗儿童寰枢关节半脱位诱发抽动症[J].湖南中医药大学学报,2025,45(12):2346-2351[点击复制] |
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| “筋-肌-骨平衡”理论下河洛理筋正骨术治疗儿童寰枢关节半脱位诱发抽动症 |
| 向家雨,李一帆,刘畅,李柯,李志杰,牛鹏霖,张世卿 |
| (河南中医药大学, 河南 郑州 450046;河南中医药大学第一附属医院推拿科, 河南 郑州 450000) |
| 摘要: |
| 儿童寰枢关节半脱位是诱发抽动症的重要病因之一，临床表现为不自主运动或发声抽动，病程迁延，严重影响患儿身心健康。本文基于“筋-肌-骨平衡”理论，结合河图洛书思维、解剖学、肌筋膜链理论、脊柱生物力学及神经调控理论，创立“河洛理筋正骨术”，提出“三维调衡-形神共治”的综合干预策略。该手法从“筋、肌、骨”3个层次入手，松解肌筋膜、整复关节错位、调节生物力线，配合头部河洛九宫指针点穴术以柔肝调神、平衡阴阳，从而纠正寰枢关节对合异常，恢复椎动脉-交感神经轴功能，调节皮质-纹状体-丘脑-皮质回路，多靶点改善抽动症状。本文系统阐述该疗法的理论基础与操作内涵，以期为抽动症的中医外治研究提供新思路。 |
| 关键词: 抽动症 寰枢关节半脱位 筋-肌-骨平衡 河洛理筋正骨术 儿童 |
| DOI：10.3969/j.issn.1674-070X.2025.12.014 |
| 投稿时间：2025-08-13 |
| 基金项目:河南省中医药重点学科建设专项（CZ0320-04）；河南省中医药科学研究专项（2023ZXZX1030）；河南省中医药科学研究专项（2023ZXZX1083）；河南省中医药科学研究专项（2024ZY2029）。 |
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| Treatment of tics induced by pediatric atlanto-axial subluxation using the He Luo sinew-regulating and bone-aligning manipulation based on the theory of "muscle-tendon-bone equilibrium" |
| XIANG Jiayu, LI Yifan, LIU Chang, LI Ke, LI Zhijie, NIU Penglin, ZHANG Shiqing |
| (Henan University of Chinese Medicine, Zhengzhou, Henan 450046, China;Department of Massage Therapy, the First Affiliated Hospital of Henan University of CM, Zhengzhou, Henan 450000, China) |
| Abstract: |
| Pediatric atlanto-axial subluxation (PAAS) is one of the significant etiological factors inducing tics, presenting clinically with involuntary movements or vocal tics. The protracted course of the condition severely impacts the physical and mental health of affected children. This paper establishes the "He Luo sinew-regulating and bone-aligning manipulation" based on the "muscle-tendon-bone equilibrium" theory, integrating the concepts of Hetu and Luoshu, anatomy, myofascial chain theory, spinal biomechanics, and neuromodulation theory. It proposes a comprehensive intervention strategy of "three-dimensional balance adjustment-holistic treatment of form and spirit." This technique addresses three levels—"tendons, muscles, and bones"—by releasing myofascial tension, realigning joint dislocations, and regulating biomechanical lines. It is complemented by the He Luo nine palaces finger-needle acupoint technique on the head to nourish the liver and regulate the spirit, balancing yin and yang. This corrects atlantoaxial joint misalignment, restores vertebral artery-sympathetic axis function, and modulates the cortical-striatal-thalamic-cortical circuit, thereby improving tic symptoms through multi-targeted mechanisms. This paper systematically elaborates the theoretical foundations and operational principles of this therapy, aiming to provide new insights for tics research in TCM external therapies. |
| Key words: tics atlanto-axial subluxation muscle-tendon-bone equilibrium He Luo sinew-regulating and bone-aligning manipulation children |
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