《中英针刀医学简介》PPT课件

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1、针刀医学简介Brief Introduction toACUPOTOMOLOGY,世界中医药学会联合会针刀专业委员会 成 树 江 Committee of Acupotomology of World Federation of Chinese Medicine Societies Cheng Shujiang,一、针 刀 医 学 的 定 义 The definition of acupotomology,针刀医学是将中医和西医的部分基础理论融合为一体,再创造而形成的一种新的医学理论体系。 Acupotomology, a fusion of the basic theories of tra

2、ditional Chinese and modern western medicine, has formed a complete system of medical science. This is a revolution in the medical field. Moreover, it symbolizes a new era in the medical science.,针刀医学理论体系由四个基础理论组成The basic theory can be divided into four parts,针刀医学有四个基本理论，可以说是这一新学科的精髓和基石，针刀医学的一切诊疗都离

3、不开这四个基本理论作为指导和根据，针刀医学之所以对临床上许多常见的疑难病能取得特殊的疗效，都是由于这四个基本理论所阐明的新的病因、病理机制和操作技术的结果，这四个基本理论是：,1， 关 于 闭 合 性 手 术 理 论 the theory concerning closed surgery 2 ，慢性软组织组织损伤病因、病理学理论 the theory concerning the etiology and pathology of chronic lesions to soft tissues,3， 骨 质 增 生 新 的 病 因 学 理 论 the theory concerning th

4、e etiology and pathology of abnormal bony growths 4，关 于 经 络 实 质 的 一 些 新 认 识 the theory concerning the essence of channels and collaterals of traditional Chinese medicine,一、关于闭合性手术的理论 the theory concerning closed surgery,闭合性手术是近代医学一直都在追求的理想，但是由于都没能建立起一套闭合性手术的理论而未能实现，在开放性手术的理论指导下是不能进行闭合性手术的，即使勉强进行也难以成

5、功。针刀医学从八个方面建立了闭合性手术的基本理论与方法，使闭合性手术进入了可以操作的阶段，这是针刀治疗技术在近20年迅速发展的根本条件和原因。这套理论包括以下主要内容,微观解剖学 micromic anatomy 立体解剖学 steoro anatomy 动态解剖学 dynamic anatomy 体表定位学 body surface location,闭合性手术的理论的优越性 Superiority 使外科手术无创伤，避免了过去外科手术的并发症和后遗症，痛苦小，花钱少，疗程短，功能恢复好，使外科手术进入了一个新时期。 make surgery with no trauma and avoid

6、 the complication and sequelae after surgery; less pain, less expenditure, shorter period of therapy and better recovery of function; promote surgery into a new era .,慢性软组织损伤的病因、病理学的新认识 Theory concerning the etiology and pathology of chronic soft tissue lesions,针刀医学系统地提出了慢性软组织损伤的概念、范围，通过对软组织损伤的各种形式和

7、病理变化过程的研究，发现慢性软组织损伤的根本病因是人体动态平衡失调(Imbalance of dynamic equilibrium, the root cause of chronic soft-tissue lesions )，而造成动态平衡失调有四种基本的病理因素，即粘连、挛缩、疤痕和堵塞。,针刀医学对慢性软组织损伤病因病理新认识在临床上的意义Academic values,针刀医学对慢性软组织损伤病因病理的新认识，给治疗这一大类疾病找到了明确的治疗目标，再加上针刀闭合性手术在临床上的应用，使这一大类疾病成为简单而易治的疾病。 Chronic soft-tissue lesions ar

8、e regarded as a big clinical problem difficult to solve for ages. It is mainly because the etiology and pathology are unclear. If we discover the real etiology and pathology of this kind of disease, we can thoroughly resolve the treatment problem. The theory concerning imbalance of dynamic equilibri

9、um, in a word, solves this difficult problem of research.,关于慢性软组织损伤的理论价值,关于慢性软组织损伤这一重要的病因病理的新认识，揭开了这一类疾病久治不愈的根本原因，并由此提出了内脏器官软组织损伤的新概念，和脊柱区带病因学的新理论，从而第一次把慢性软组织损伤的原理应用到内脏病的研究和治疗当中，使许多临床难以解决的慢性内脏器官疾病得到了很好的，甚至是根治性的治疗。国内外大量临床实践也证实它是符合客观实际的，这为我们今后进一步研究久治不愈的内脏器官疾病的研究打开了一条新思路。 According to the theory of imb

10、alance of dynamic equilibrium, the chronic soft-tissue lesion, regarded as a big clinical problem difficult to resolve for ages, can be easy to cure now, with little pain, little cost, rapid effect, and with well functional recovery. The treatment has simple, easy, low-price and testable characteris

11、tics.,关于慢性软组织损伤病因病理的新认识的 主要内容theory concerning the etiology and pathology of chronic soft tissue lesions,关于骨质增生新的病因学理论 theory concerning the etiology of hyperosteogeny,人体内应力平衡失调是骨质增生（骨刺）的根本范围，人体内力学状态错综复杂，但归纳起来有三种状态：拉应力、压应力、涨应力。这三种应力失衡日久，人体内力学代偿机制就会发生作用，在高应力力点处形成钙化、骨化和骨质增生。 Imbalance of dynamic equil

12、ibrium is the root cause of abnormal bony growths. Although the inner body stresses are complicate, three main states may be summarized as: traction, pressure and inflation. Where there occurs an imbalance of these three stress factors, the compensator y mechanism of the inner body stresses will giv

13、e the action, so calcification, ossification, then hyperosteogeny may occur, which indicates the site of the higher inner stress.,骨质增生新的病因学理论的学术价值,骨质增生疾病，发病率很高，而关于骨质增生的病因一直不清楚。一般即退行性变（老化）来认识，这种认识除了不能解释客观临床现象（因为有许多中、青年人也患骨质增生疾病），更重要的是，使临床无法找到一种根本性的治疗办法，而使一部分病患者长期处于痛苦之中而束手无策。而关于骨质增生新的病因学理论的确立，不仅解决了以往治

14、疗学在这方面上的问题，使大部分患者迅速恢复健康，同时也解决了这一医学上的理论难题。,The hyperosteogenic diseases have a quite high incidence. The etiology is still to be u nknown. Generally it was thought that the etiology was due to retrograde degeneration (for aging ) . But this theory could not explain the objective clinical phenomenon (

15、Because many people in the middle age or even young people were suffered from the disease); more over, it made the clinical doctors cannot find a thorough way to cure it. They felt quite helpless to a large part of the patients suffering from long time pain. With the foundation of the new etiologica

16、l theory of overgrowth and protuberance of bony tissure , it has now solved the treatment problem and made apid recovery of the most part of the patients. It has also solved the difficult theoretical problem in the medical field simultaneously.,骨质增生新的病因学理论的优越性 Superiority of the etiology of hyperost

17、eogeny,骨质增生病因学这个新理论的确立，使过去大量错综复杂骨质增生疾病的发病原因豁然开朗，从而找到一种有效的治疗途径，使大量骨质增生患者迅速解除痛苦，恢复健康。 The foundation of the new etiological theory of overgrowth and protuberance of bony tissue has enlighted the etiology of a great deal of intricate hyperosteogeny diseases, thus an effective therapeutic method has bee

18、n found. It has soon removed the pain of many patients, and recovered their health.,骨质增生新的病因学的新认识Content of the etiology of hyperosteogeny,关于经络实质的新认识theory concerning the essence of channels and collaterals science,针刀医学对经络的实质进行了认真的研究，吸取了老一辈专家研究的成果，用抽象思维的方式对其进行推论，根据自己推论的观点，认为人体的经络就是人体所特有的一种电线路， 神经反射系

19、统、电生理传导系统、体液传导系统的综合效应组成该统一系统人体信息反应系统（a united system consists of synthetic effects of neural reflex system, electrophysical conduction system and body fluid conduction system body information reactive system. ），进而认识到人体内存在着一个巨大的电线路网络，经络只是它的干线，根据这种观点用针刀在临床上进行大量应用，取得了很好的效果。,针刀医学关于经络实质新认识的主要内容Content of

20、 the essence of channels and collaterals science,经络实质的理论的学术价值和优越性 Academic values and Superiority,阐明了经络学说客观存在的本质内涵，科学地解释了针刺治病和小针刀治疗内科杂病的原理，克服了过去经络学说研究的困难局面，使经络学说现代化。提高了针刺疗效，从理论和方法上使针刺疗法进入了一个新阶段，使大多数病患者免服化学药物，由此避免了化学药物的副作用，缩短了疗程，使许多不治的内科杂病找到了出路。 objectively elucidate the essential meaning existing in

21、 channels and collaterals science, scientifically explain the principle of acupuncture therapy and small needle-scapel therapy to difficult diseases; therefore modernize the traditional channels and collaterals theory. Meanwhile overcome the difficult situation met in the past research on the channe

22、ls and collaterals theory. Improve the effects of acupuncture and lead the acupuncture therapy into a new stage as for theory and method, prevent most patients from chemical drugs, side effects, shorten t he period of therapy, and find a new way to cure many difficult diseases.,针刀医学的特点 Features of A

23、cupotomology,1、针刀的临床实践有自己独特的理论指导，使中、西医两种基础理论在一些领域融为一体，逐渐形成了四个基本理论，即关于闭合性手术、关于慢性软组织损伤的病因病理、关于骨质增生的病因、关于经络实质的新认识。在这些新观点的指导下，又形成了一套自己的较完整的诊疗规范，包括病因病理学、影像学、手法学、诊断学、治疗学和护理学等方面，能够对疾病进行精确的定位和准确的治疗。 Clinical practices of acupotomology are guided by unique theories. These theories integrate basics of both Ch

24、inese and western medicine. In specific, they are the theory concerning closed surgery, that concerning the etiology and pathology of chronic soft tissue lesion, that concerning the etiology of hyperosteogeny, and that concerning the essence of channels and collateral. Under the guidance of these in

25、novative theories, acupotomology has developed a complete set of standards for diagnosis and treatment. These standards can be found in pathogen & pathology, imagery, science of manipulation, diagnostics, therapeutics and nursing. They help to precisely diagnose and treat disease.,2、在闭合性手术理论指导下，针刀把一

26、部分开放性手术变为闭合性手术. With the application of the theory concerning closed surgery, acupotomology can now perform closed surgeries on diseases where only open surgeries were feasible. 3、以独特的医疗器械-针刀作为主要的治疗手段，这种器械既能发挥刀的作用，又能发挥针的作用。The special apparatus in acupotomyneedle-scalpel can be used both as a needle

27、 and as a scalpel.,4、独特的手术操作方法：针刀在治疗时有四步八法十一种闭合性手术入路方法，这些操作方法可保证针刀治疗的安全性和有效性。 Acupotomology has its unique manipulation. Its four-step eight-way manipulation and eleven enter ways of closed surgery ensure safety and efficiency of the surgeries. 5、有明确的适应症范围：通过二十余年在临床上的广泛应用，对其适应症范围内的疾病有肯定的疗效。Acupotomo

28、logy has specific indications. With 20 years clinical application, it proves remarkable curative effect in many diseases.,6、独特的手法配合治疗：针刀治疗后可进行必要的手法配合，但这种手法不同于传统的手法。它主要借用中医徒手治病的经验，但不以经络为基础，而以生理学、病理学、解剖学和生物力学为理论基础，使手法治疗变得科学、省时、省力。 The therapy of acupotomology is combined with special follow-up manipul

29、ations when necessary. Such manipulations are different from traditional ones. Building on bare-handed treatment in TCM, they draw more upon physiology, pathology, anatomy and biological dynamics than on the theories of channels and collaterals. New theoretical bases make the treatment more scientif

30、ic, efficient and labor-saving.,7、针刀可在短期内反复、多次、连续进行手术治疗. Patients can undergo acupotomological therapy repeatedly and continuously even within a short period of time. 8、针刀治疗不会给病人遗留任何后遗症和并发症。Patients are freed from sequelas or complications.,针刀医学的安全性 Safety of Acupotomology,在进行针刀治疗时，医生应熟悉相关的解剖知识，并严格按

31、照针刀的进针四步规程进行操作，如果操作规范，对解剖结构掌握清楚，针刀治疗的安全性是完全能够得到保证的。 To practice acupotomology, a doctor should have profound knowledge in antanomy and should follow strictly the four-step manipulation procedure. As long as these two conditions are met, the safety of acupotomology can be fully guaranteed,1976年 发明针刀疗

32、法 1976 Acupotomology was brought forward. 1978年 江苏省卫生厅将其列为重点医学科研课题，并在南京医学院、南京中医学院、南京铁道医学院的附属医院进行临床研究 ，1984年通过江苏省卫生厅鉴定，85年批准向全国推广。 1978 The MOH of Jiangsu Province listed acupotomology as a key scientific and research subject. Clinical studies were carried out in Nanjing Academy of Medicine, Nanjing

33、Academy of TCM and the Affiliate Hospital of Nanjing Railway Academy of Medicine. Having been certified by the MOH of Jiangsu Province in 1984, the therapy began to spread across the nation from 1985 onwards.,针刀医学临床进展Clinical Progress of Acupotomology,1993年中华中医学会针刀医学分会成立 ,近十年来，澳大利亚、韩国、马来西亚等十五个国家和地区相

34、继成立了针刀医学会。有四十多国家和地区都成立了针刀诊疗机构。 In 1993, the Acupotomology Association under the China Association of Chinese Medicine was established. In the past decade, acupotomology associations have been established in 15 countries and regions including Australia, Korea and Malaysia. More than forty countries a

35、nd regions have acupotomology diagnosis and treatment centers.,2003年9月通过国家中医药局组织的关于针刀疗法的听证鉴定会，针刀疗法正式被命名为针刀医学，并确定为一个医学新学科。 In September 2003, the State Administration of TCM organized a hearing to identify the curative effect of acupotomological treatment. In that hearing,30 Chinese and western medic

36、ine experts and professors agreed unanimously to name acupotomy as acupotomology，and to define it as a new branch of medicine.,针刀医学专著，如小针刀疗法、 针刀医学临床诊断和治疗、针刀医学原理等，已被六十多本著作整篇整版的引用；小针刀疗法一书现已被翻译为英文版、韩文版、法文版等多种文字的版本，在全世界发行已达12万册；作为国家高等医学院校正规教材的针刀医学已于2003年出版，供全国各大医学高校培养大学本科学生使用。 Dedicated works on acupoto

37、mology, such as Small Needle Scalpel Therapy, Clinical diagnosis and Treatment of Acupotomology, Theory of Acupotomology have been directly and completely quoted by more than 60 medical works. Small Needle Scalpel Therapy has been translated into English, Korean, French and other foreign languages.

38、The publication now boasts a circulation of more than 120,000. Acupotomology was published in 2003. It is used as a textbook for undergraduate students in higher medical colleges.,据中华中医药学会针刀医学会的统计，目前，中国从事针刀工作的医务工作者已有十万余人，培养的外国医生也有三千余人，每天在国内接受针刀治疗的患者约五十万人次以上。 According to the statistics of the Acupot

39、omology Association under the China Association of Chinese Medicine, currently more than 100,000 Chinese medical staff are practicing acupotomology, and over 3000 foreign doctors have been trained. Every day 500,000 domestic patients are receiving the therapy.,针刀医学文献积累Acupotomology Literature,通过检索19

40、86-2002年中文生物医学期刊数据库，我们收录了发表在国家学术期刊的有关针刀医学论文1287篇（在86年之前，以针刀、针刀疗法、针刀医学为主题词未检索到一篇文章，这与针刀疗法在86年开始向全国推广的时间正好相符），并对检索到的文献进行整理分析，以期达到对针刀临床应用概况做出客观量化评价的目的，更好地促进针刀医学发展。 Among Chinese biological and medical periodicals between 1986 and 2002, 1287 papers concerning acupotomology are included in national acade

41、mic periodicals. These papers record the effectiveness of acupotomology in treating orthopedics and traumatology, internal and external diseases, dermatological, pediatric, and gynecological diseases. The overall effective rate is 99%, and the curative rate is as high as 95%, both of which are unparalleled by other western and Chinese medical therapies.,谢 谢！ Thank you,