少林派伤科

少林派原单指武术而言,因武术与伤科关系极为密切,有武必致伤,有伤必求医,故而从武术派生出武术伤科,少林派武术而衍生出少林派伤科,本文重点介绍少林派伤科。     

佛家伤科基础理论研探

佛家伤科的基础理论仍以中医的解剖学说、气血学说、经络学说、脏象学说、阴阳学说为基础理论,尤重前三种学说,明清时期新创立伤科子午流注、易理伤科学说。武医(伤科)结合是佛家伤科一特点,其基础理论可见于武术、气功诸著作中,其伤科著述都略之,翻读少林伤科有关著作颇感拙理论,重临床方面,这应值得研究者注意。解剖学说解剖学说是医学的基础理论,亦是少林武术——卸骨术、擒拿术、点穴术的基础理论。卸骨、擒拿两法,其最主要是必须先详知人身内部的结构,一筋一骨的构造。必须深知人体诸骨的解剖位置,其连络衔接的式样,尤其是各关节。即使…     

论佛教少林功夫的骨伤科辨治特色

佛教少林功夫发源于唐以前．于河南登封县少室山北麓五乳峰下少林寺，由于拳脚棍棒格斗而致筋骨气血伤损，故诊治筋骨伤损之少林伤科应之前生．武医相合为少林功大。辨治特色中国现代中医骨伤科发展至今已有二千余年的历史。在辨别跃报诸症时少林功夫强调以气血、经络为基础．以穴位，气血．脏腑为辨伤所在详加分析。一般分拳伤辨，穴道辨和脏腑辨三种形式。由1少林武术多为拳脚棍棒为主，刀枪剑为次，故辨拳伤时认为“向上为顺气，平拳为寒气，倒插为逆气为最凶，各样内伤总怕倒插，血随气转，气逆血则凝固也。”若“心前背相对处伤穴成怯…     

“津血同源”理论在伤科临床上的运用

伤科疾患中,瘀血所见极多,堪称伤科百病之源。是故治瘀便成为伤科重要治疗手段。就具体治疗方法说,有行气化瘀、凉血化瘀及益气化瘀等法,但结合津液进行的治疗,尚未被广泛重视。多年来,笔者根据“津血同源”这一生理特点,以津血并顾的原则治疗瘀血,往往事半功倍,收到满意疗效。     

书讯3

《伤科集成》一书由丁继华主编 ,余瀛鳌、施杞任副主编 ,人民卫生出版社出版。该书共分四个部分 ,其中“伤科专著载述”、“伤科古医案、医话”和“伤科有关专著”三个部分收集和引用了自春秋战国至明清各个历史时期的有关伤科的古医著近 30 0册 ,加上第四部分的有关现代文献、科研课题、伤科专业机构和人物的检索 ,共 440万字 ,分上下两册。在数千历史长河中 ,伤科专著甚少 ,多散在各医著中 ,但《集成》一书收集的伤科专著即近百册 ,其中近二十册为引自海外或私人献出的藏书 ,多为珍本和孤本 ,尚未列入《中医图书联合目录》中。同时 ,我们…     

“时辰穴位伤方”疗伤验案

“时辰、穴位伤方”是武术家所秘传的一种治伤方法,是祖国医学伤科遗产中的重要组成部分。现整理医案三则,以抛砖引玉。     

集大成绽放折肱术——评《伤科集成》

高质量的全书能够反映出该领域内的学术全貌和学者们的综合实力。中医学人素有致力编写全书的优良传统,历代以来集大成之著述甚多,例如杨继洲等《针灸大成》、裘庆元辑《珍本医书集成》等等,皆为传世名著,学术界称此为“集大成者得天下”。最近由丁继华教授主编、人民卫生出版社出版的《伤科集成》,就是中医伤科集古通今的扛鼎之作。在医学史上,无论是东方还是西方,伤科都是最早发展起来的带头学科。早在原始社会时期,先民在生产劳动中,与野兽搏斗或部落间争战中,都最容易发生创伤,“多病兴医”,伤科成熟也早,是那个时代医学的带头学科。在…     

《正体类要》伤科内治初探

“正体类要”是明代薛已撰写的一部骨科专著,刊于1529年。书中记述了正体主治大法19条,扑伤,坠跌、金伤及汤火伤三类医案共64例,伤科方药71首。薛己强调整体观念和八纲辨证施治,主张补气补血,养血活血,即“平补法”治伤,并在书中附亲身治验,是祖国医学第一部专论伤科内治的专书。其后,清·吴谦等人编篡《医宗金鉴·正骨心法要旨》,有关内治杂证大部份录于此书,可见《正体类要》对后世伤科的影响。     

“七厘散”源流

“七厘散”是伤科的一个名方,始载于异远真人的《跌损妙方》。索其源,唐·蔺道人《仙授理伤续断方》有“常用整骨药方”,宋代经过加减名“续骨丸”,明代异远真人在此方基础上加入了活血化瘀和开窍药,创立了“七厘散”。(见附表)     

伤科外用药治疗机理研究进展

伤科外用药是指用于伤患局部的药物,在伤科治疗中占有重要的地位。它具有消肿,镇痛,提高机体免疫力,促进骨折愈合等多方面作用。     

Traumatology of sailing injuries

In a period of 3 years 68 injuries during sailing have been registered. The hand (32.3 p.c.) and the head (17.6 p.c.) are most frequently damaged. Bleeding wounds (26.4 p.c.), contusions (22.0 p.c.) and fractures (17.6 p.c.) are very common lesions. The injuries are mainly caused by the dolorous contact with the boom, by stumbling on board a ship and by jumping on the landing-stage. An effective prevention is discussed.     

Traumatology of the alar ligaments

A postmortem study of craniocerebral traumas of varying severity was done to determine the pattern of injury of the alar ligaments. It was found that in the entire group of patients (n = 30) the alar ligaments were ruptured or suffused with blood 11 times. No close relationship was found between the massive nature of the cranial trauma and the severity of the injury of the alar ligaments. In some cases the alar ligaments were not at all involved even though the skull had suffered extensive osseous lesions, whereas on the other hand the ligaments were injured even though only soft parts had been involved (e.g., haematoma or dehiscent wounds of the scalp). Ruptures of the alar ligaments were typically involved in extended ruptures of the ligamentous apparatus (see Figure 6a involving the ligamentum apicis dentis, ligamentum transversum atlantis, m.atlanto-occipitalis anterior, m.tectoria, m.atlanto-axialis anterior et posterior). In some cases the pattern of injury of the alar ligaments was found to be decisive in enabling reconstruction of the course of the accident. Damage to the alar ligaments near the dens axis represent rotation injuries. On the other hand, insertion tears out of the condyli occipitales must be related to a lateral thrust tendency in indirect fracture of the skull (bursting fracture). Within this overall framework a new mechanism of fracture of the condylus occipitalis is described. As a matter of principle, the alar ligaments can become involved in consequence of rotation, traction and compression of the cranium.