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Discussion on the application principle of tuina manipulations for lumbar intervertebral disc herniation in Chinese literatures in recent 30 years

近30年中文文献中推拿治疗腰椎间盘突出症手法应用规律探讨

  • Literature Study
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Journal of Acupuncture and Tuina Science Aims and scope Submit manuscript

Abstract

Objective

To discuss the application principle in tuina manipulation for lumbar intervertebral disc herniation (UDH) in Chinese literatures published in recent 30 years.

Methods

The three major Chinese databases, Wanfang Academic Journal Full-text Database (Wanfang), Chongqing VIP Database (CQVIP) and China National Knowledge Infrastructure (CNKI), were searched to collect the studies of tuina manipulations in treatment of LIDH published in recent 30 years. Clustering analysis was applied to analyze the top 20 tuina manipulations for UDH.

Results

The top 20 most frequently used manipulations for LIDH were Gun-rolling, Rou-kneading, Dian-digital pressing, oblique Ban-pulling, An-pressing, Tanbo-plucking, Bashen-pulling and extending, horizontal Tui-pushing, Na-grasping, Anrou-pressing and kneading, Dou-shaking, Yao-rocking, Ca-scrubbing, Pai-patting, post-extension Ban-pulling, Mo-rubbing, Zhen-vibrating, Nie-pinching, fist-back Ji-tapping, and dorsal Shen-extending methods. The involved manipulations can be divided into two categories by the treated body areas. One category is applied to the soft tissues, including Gun-rolling, Rou-kneading, Dian-digital pressing, An-pressing, Tanbo-plucking, horizontal Tui-pushing, Na-grasping, Anrou-pressing and kneading, Ca-scrubbing, Pai-patting, Mo-rubbing, Zhen-vibrating, Nie-pinching, and fist-back Ji-tapping methods. The other category is applied to bones and joints, including oblique Ban-pulling, Bashen-pulling and extending, Dou-shaking, Yao-rocking, post-extension Ban-pulling, and dorsal Shen-extending methods.

Conclusion

Based on the treated body area, the tuina manipulations applied to treat LIDH are predominated by the ones performed on soft tissues, assisted by those on bones and joints. From the way of force exertion, the involved manipulations are majorly the swinging methods, followed by squeezing and pressing ones. The manipulations applied to bones and joints are predominated by the Ban-pulling ones, followed by the Bashen-pulling and extending ones.

摘要

目的

探讨近30年中文文献中推拿手法治疗腰椎间盘突出症(LIDH)的应用规律。

方法

在万方(Wanfang)、 重庆维普(CQVIP)和中国知网(CNKI)三大中文数据库中检索近30年推拿手法治疗LIDH的文献, 采用聚类统计方法分 析治疗LIDH的前20种手法。

结果

治疗LIDH使用频次在前20位的手法依次为法、 揉法、 点法、 斜扳法、 按法、 弹拨法、 拔伸法、 平推法、 拿法、 按揉法、 抖法、 摇法、 擦法、 拍法、 后伸扳法、 摩法、 振法、 捏法、 拳背击法和背伸法。 根据手法作用部位的不同, 可分为2类, 一类是作用于人体软组织的手法, 包括法、 揉法、 点法、 按法、弹拨法、平推法、拿法、按揉法、擦法、拍法、摩法、振法、捏法和拳背击法; 一类是作用于人体骨与关节的手法, 包括斜扳法、拔伸法、抖法、摇法、后伸扳法和背伸法。

结论

从手法作用部位分析, 治疗LIDH的推拿手法以作用于人体软组织的手法为主, 以作用于人体骨与关节的手法为辅。从手法发力特点分析, 作用于人体软组织的手法中以摆动类手法为主, 以挤压类手法为辅; 作用于骨与关节的手法中以扳动类手法为主, 以拔伸类手法为辅。

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Acknowledgments

This work was supported by Regional Science Fund of National Natural Science Foundation of China (国家自然科学基金地区基金, No. 81460736); General Project of Science and Technology Plan of Yunnan Province (云南省科技计划面上项目, No. 2016FB141); Scientific Project of Internal Research Institutes in Medical and Health Institutions in Yunnan Province (云南省医疗卫生单位内设研究机构科研项目, No. 2014NS329).

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Authors and Affiliations

  1. Zhaotong Hospital of Traditional Chinese Medicine, Yunnan Province, Zhaotong, 657000, China

    Yu-rong Li  (李玉荣)

  2. Yunnan University of Chinese Medicine, Kunming, 650500, China

    Yu-rong Li  (李玉荣), Fu-chong Lai  (赖福崇), Wen-hao Li  (李文豪), Ji-zheng Li  (李骥征), Jia-jia Wei  (韦佳佳), Wei-qiang Zhang  (张伟强), Tao Jia  (贾涛), Peng-fei Li  (李鹏飞) & Ju-bao Li  (李具宝)

  3. Yunnan Provincial Hospital of Traditional Chinese Medicine, Kunming, 650021, China

    Fu-chong Lai  (赖福崇), Wen-hao Li  (李文豪), Ji-zheng Li  (李骥征), Jia-jia Wei  (韦佳佳), Wei-qiang Zhang  (张伟强), Tao Jia  (贾涛), Peng-fei Li  (李鹏飞) & Ju-bao Li  (李具宝)

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  1. Yu-rong Li  (李玉荣)
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Correspondence to Ju-bao Li  (李具宝).

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Li, Yr., Lai, Fc., Li, Wh. et al. Discussion on the application principle of tuina manipulations for lumbar intervertebral disc herniation in Chinese literatures in recent 30 years. J. Acupunct. Tuina. Sci. 17, 270–277 (2019). https://doi.org/10.1007/s11726-019-1126-7

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  • DOI: https://doi.org/10.1007/s11726-019-1126-7

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