中醫內傷之手法運用

Application of Chinese Medical Science to Inner Injury

盧文瑞(Wen-Ruey Lu)

《中醫骨傷科醫學雜誌》 8期 (2009/12) Pp. 50-59

https://doi.org/10.30098/JCOT.200912.0007

摘要

中醫傷科臨床急症門診，胸脅肋的創挫損傷症狀很常見到。大多見於車禍時方向盤或安全氣囊打傷胸部、緊急剎車安全帶勒傷脅肋、或打球互撞胸脅；或鬥毆棍棒創傷、或見騎車側摔肩部著地時肘臂內收頂傷肋骨、亦有人因治療以脊骨矯正時肋背壓傷氣悶甚或肋骨斷裂、更有工作勞傷壓力緊張、坐姿不良引發胸脅悶痛等……種種原因，致內部氣血、胸膜或內臟受傷；如重大車禍的撞擊傷造成胸腹腔內出血、腑臟損傷，斯屬重症；若僅見胸肋廓受傷尚可行動只是言語、起床翻身疼痛、不能用力則屬輕傷，中醫傷科臨床門診以後者多見。 臨症診斷當分清傷氣、傷血、氣血兩傷來論治之；治療原則當依新傷之急性期、亞急期性，中期、及後期、或陳舊傷分期治療之。 本文主要探討幾個主要手法「胸肋順摩法」、「提臂仰身擴胸法」、「掩鼻提胸端脅法」，運用於胸肋挫傷或岔氣弩傷時的舒通經絡、開展胸肋肌膜，分別運用於急性期、亞急性期及中期後段；並配合用放血、針灸、方葯原則加以靈活運用，以冀俾益此纇損傷迅速痊癒。

關鍵字

內傷 ； 內損 ； 外損 ； 弩傷 ； 岔氣 ； 胸肋順摩法 ； 提臂仰身擴胸法 ； 掩鼻提胸端脅法

並列摘要

Casualties or hurts on the chest and the flank are frequent emergency-cases in the clinic outpatient of Chinese medical science. The casualties are often caused by SRS air bags, by safety straps and in the ball games. The hurts may be also caused by rods and sticks in fighting, with elbows propping in a fall when riding, and even result in broken ribs and dull pains while strengthening back bones. Furthermore, dull pains in chest and flank caused by stress disease, and bad sitting posture may lead to inner injury. Seriously, bumps in traffic accidents will cause inner hemorrhage and injured viscera. Slightly, pains in chests or ribs will cause the difficulty in rising up and speaking, as well as make the patient unable to exert himself. The slight symptoms are quite often in the clinic outpatient of Chinese medical science mainly deal with the latter slight.
In clinic diagnose, the treatment should be given according to the qi-injure, blood- injure, or both qi and blood injure. As a matter of principle, the treatment should be given according to whether the wounds are acute or second-acute, new or old, in the initial stage or the middle stage.
The essay mainly research into several methods: chest-and-rib massage, body-lifting and chest-stretching, deep-breath with chest stretched and nose covered. They are applied to obstruction and suppression of breath, discomfort in the chest. Accompanied with bloodletting, acupuncture and prescription, this kind of wounds are supposed to be healed sooner.

並列關鍵字

Inner injury ； obstruction and suppression of breath ； chest-and-rib massage ； ody-lifting and chest-stretching ； deep-breath with chest stretched and nose covered