- 仇湘中骨伤科临床经验集(国家名老中医药专家学术经验传承丛书)
- 仇湘中 张信成主编
- 1717字
- 2024-12-28 13:00:59
内容简介
本书首次对仇湘中近40年临床经验进行了系统总结。全书分为七个部分:第一部分学术思想与传承,总结了仇湘中的学医成才之路及学术思想。第二部分用药心得,归纳整理了仇湘中临床常用药物及药对。第三部分经验处方集锦,归纳整理了仇湘中临床治病的常用有效方剂。第四部分临床经验,从辨病要点、病因病机、辨证论治、典型医案几方面归纳整理了仇湘中治疗脊柱骨关节病、骨折筋伤病、骨科杂病等25个骨伤科病种(如腰椎间盘突出症、颈椎病、膝骨关节炎、椎间盘源性腰痛、股骨头坏死、强直性脊柱炎、骨折病)的经验,所附典型医案对仇湘中学术思想予以临床佐证,同时在每一个病案的最后对其经验进行小结,从理论高度总结其辨治规律,以利于读者参考。第五部分手法治疗,简要介绍了仇湘中及其弟子对整脊手法、骨病针法进行整理、传承、创新、应用的体会。第六部分论文选读,收集了仇湘中及弟子们对其学术经验进行总结的论文多篇,反映了仇湘中个病辨证和遣方用药的经验。第七部分科研探索,简要整理了仇湘中在强骨颗粒对骨质疏松症骨骼质量的影响、补肝健腰方防治椎间盘退变及突出的临床及机制研究、舒筋通络液外治腰椎间盘突出症、补肝健膝方治疗膝骨关节炎的临床及机制研究等方面的成果,并附部分研究论文。
本书对临床医师,特别是中青年骨伤科医师和基层全科医师有重要的指导意义,亦可供骨伤患者及其家属求医问药时参考。
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P1_448.jpg?sign=1739515452-GIVc4e7CXr8mpDg33Gl1zZB3vad5rpuH-0-19cc810e07d5e7cbc986eaf8c56cb51c)
全国老中医药专家学术经验继承指导老师证书
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P1_451.jpg?sign=1739515452-sZiRl3y4c599BCGNtpi1B3NqKMMl80b2-0-c7c9858b063022a990fa1dd301993ccb)
湖南省名中医证书
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P1_454.jpg?sign=1739515452-xoFzbxXYkbBuTBYeEwTDjm5U3AzOT3UE-0-6c3c949e63e89c412dbbe7948d14cc1c)
仇湘中教授指导学生学习工作照
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P2_534.jpg?sign=1739515452-Ln94bVxtlmgUVx97vF7xAGrrdku7OVaI-0-c6ecd27b081d0036cf2acd0d1abff881)
仇湘中教授参加学术会议做报告
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P2_531.jpg?sign=1739515452-eUgoadJhI7H5s3sXOsOS0NMVYP1zngtH-0-6fe72c08b4d43e879b3211298942f04e)
仇湘中教授生活照
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仇湘中教授和部分弟子及工作室同事合影
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P4_557.jpg?sign=1739515452-5e7YgbxhYVlkJIHXYuDF5yA2F02lUXC0-0-e85111630e969c24009644a2f8393e24)
彩图5-1 卧位操作方法
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彩图5-2 坐位操作方法
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P4_563.jpg?sign=1739515452-A6IldcnGXq9zcJ6sp4nmg1KTdyJ7z5MS-0-6c020793ae9147b4ef66a35d94b917db)
彩图5-3 坐位旋转复位法
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P4_566.jpg?sign=1739515452-RtG1aQ0icJdInKMiec6qB3kfw57XVaDi-0-b52cc0a0071295ccf094635cb2436307)
彩图5-4 椎后关节旋转式错位复位法
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P4_569.jpg?sign=1739515452-0a34RU5mm3KYehDQfDQ335JZyNJ68yi0-0-2a8bccf0f0e71cd82c54554278477909)
彩图5-5 钩椎关节旋转式错位复位法
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P4_572.jpg?sign=1739515452-uKX51WRnbFll42nAdYuaiCfg1kZGi6WR-0-abe3b2dc7836a13df2c051ac105d19af)
彩图5-6 颈椎2~4后关节滑膜嵌顿并错位复位法
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P5_575.jpg?sign=1739515452-iBbEUXnx8imgOt3WJU4e2vwHjJ3wExlU-0-63f4a3a4aabc4288eee44dd2189915f4)
彩图5-7 俯卧交叉冲压法
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P5_578.jpg?sign=1739515452-RrEvwETZZGBXZof73VdBTlgmJgtjh47u-0-fa803338a66b6337fee9ed9857b6a04e)
彩图5-8 膝顶法
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彩图5-9 侧卧斜扳法
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彩图7-1 假手术组 光镜×200倍
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P5_590.jpg?sign=1739515452-OPoVjt7wkB3AgRTi2mHe5Z51o1nOf0mF-0-c040b0eed4894180aa3511f9b30eea1c)
彩图7-2 模型组 光镜×200倍
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P5_587.jpg?sign=1739515452-pzzBjJZdSg7C8k31hvbMrQ3zFs2uazyJ-0-35cd2cf9ffe73d493c374b65a9b0f8a1)
彩图7-3 布洛芬组 光镜×200倍
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P5_593.jpg?sign=1739515452-XyorfJKieKP0GpeG9VwPb3MMAJktaEal-0-d261d5c593b2b5dade9bae767f13a529)
彩图7-4 补肝健腰方组 光镜×200倍
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P6_608.jpg?sign=1739515452-DKKL9XTZtCPwgOYwVDy47X6CgIDvvCVh-0-104eaa23f9e8725d397a23f540a10fe3)
彩图7-5 假手术组 透射电镜,细胞膜完整、光滑,细胞器正常
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P6_611.jpg?sign=1739515452-I1T3yj6P8Ju46PJinEwuSHNbRm7KK1qn-0-263ae0dc46678241194d8988351b9250)
彩图7-6 模型组 透射电镜,髓核细胞胞膜不完整,胞核尚可见,胞核内可见大小不一的空泡,线粒体少见(×5000)
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P6_596.jpg?sign=1739515452-SzSGqcFXymRqSWZvYdXFieedKBpOCgzp-0-d0a816eeba7363791ad87ef08c19588a)
彩图7-7 布洛芬组 透射电镜,髓核细胞胞膜周围可见绒毛状突起,胞质内细胞器尚完整,胞核内偶见空泡(×5000)
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P6_599.jpg?sign=1739515452-UlFqwkoZakzxENP7TCPydQVP3zjgSze4-0-553c631eeb0ed2d5ecb13d69ae512e17)
彩图7-8 补肝健腰方组 透射电镜,髓核细胞胞膜周围有绒毛状突起,胞质内细胞器完整,胞核内异染色质占优势(×5000)
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P6_602.jpg?sign=1739515452-MF1WtCdgiL2MimOfzK35ywbomypklouz-0-69bdafa13156c90bddb947c2ecdad39a)
彩图7-9 各组大鼠干预前腰椎间盘MMP-3免疫组化图×400(A:假手术组,B:模型组,C:补肝健腰组,D:腰痹通组,E:强力霉素组)
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P6_605.jpg?sign=1739515452-fKY5cEzRJJmmdcoq2SITPqF13jSm1Swb-0-563d5ad9325a482f7bffca4be693f9cf)
彩图7-10 各组大鼠干预第20天腰椎间盘MMP-3免疫组化图×400(A:假手术组,B:模型组,C:补肝健腰组,D:腰痹通组,E:强力霉素组)
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P7_614.jpg?sign=1739515452-6Q9WJgJIsDngNAe99sVj0R2LmjWEjP5C-0-811f6e04907c2f055064fffdc412a0eb)
彩图7-11 各组大鼠干预第40天腰椎间盘MMP-3免疫组化图×400(A:假手术组,B:模型组,C:补肝健腰组,D:腰痹通组,E:强力霉素组)
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P7_617.jpg?sign=1739515452-jkHT0walkudck06HXVf3hQR9yaFoI2y9-0-d7ff04188c46c49e4cbd313e528a01ad)
彩图7-12 各组大鼠干预前腰椎间盘TIMP-1免疫组化图×400(A:假手术组,B:模型组,C:补肝健腰组,D:腰痹通组,E:强力霉素组)
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P7_620.jpg?sign=1739515452-pjkFEvwK3ojkxff3JpbIZI1MoFnvUyNt-0-06bd54140347f5dc6fde00f63995fc1a)
彩图7-13 各组大鼠干预20天腰椎间盘TIMP-1免疫组化图×400(A:假手术组,B:模型组,C:补肝健腰组,D:腰痹通组,E:强力霉素组)
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P7_623.jpg?sign=1739515452-muYVlnh1LaK6tIzeIz9VSrfpChYFZFsN-0-17c795c89390cf8a21e30fbe705f367a)
彩图7-14 各组大鼠干预40天腰椎间盘TIMP-1免疫组化图×400(A:假手术组,B:模型组,C:补肝健腰组,D:腰痹通组,E:强力霉素组)
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P7_627.jpg?sign=1739515452-0Pr3neKmUCLnKAq970v6kjmVAWoX4UJj-0-4f11a89bdbe8ec7e7fb65d55a853d0a5)
彩图7-15 MMP-3 mRNA扩张曲线图
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彩图7-16 MMP-3 mRNA溶解曲线图
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彩图7-17 TIMP-1 mRNA扩张曲线图
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彩图7-18 TIMP-1 mRNA溶解曲线图
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P8_637.jpg?sign=1739515452-nCkh6V0zP2wlwrmVd3lKPFph0XLws8Tx-0-713e675d5d023fbad20be6cde279128a)
彩图7-19 各组大鼠腰椎间盘突出组织干预前免疫组织化学图
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彩图7-20 各组大鼠腰椎间盘突出组织第1周免疫组化图
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彩图7-21 各组大鼠腰椎间盘突出组织第2周免疫组化图
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彩图7-22 各组大鼠腰椎间盘突出组织第3周免疫组化图(谭旭仪、仇杰、仇湘中、蒋盛昶、赵迪民、张信成、唐皓等整理)
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P10_644.jpg?sign=1739515452-eNAy68trin9TVmofHOY5dNAmKKxfVPkN-0-35df317a30909ace4ca36fb5e54dc6b7)
彩图7-23 典型病例影像资料
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彩图7-24 正常对照组关节面
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彩图7-25 模型组关节面
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彩图7-26 仙灵骨葆组关节面
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彩图7-27 补肝健膝方组关节面
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彩图7-28 正常组镜下软骨
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彩图7-29 模型组镜下软骨
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彩图7-30 仙灵骨葆组镜下软骨
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P11_670.jpg?sign=1739515452-NkKFxsxurVD7vCoVz6mlKAmkm9nmINLd-0-456176c45e3b6312a1aaf28f20871f72)
彩图7-31 补肝健膝方组镜下软骨
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P11_673.jpg?sign=1739515452-3dwEaYdBQj8fcxh2cjgog0UCJYBbCtCs-0-e027020e1d2442b4f88eab763f0fd4d8)
彩图7-32 对照组干预前TNFα
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彩图7-33 对照组干预后TNFα
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彩图7-34 补肝健膝方组干预前TNFα
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P11_682.jpg?sign=1739515452-IPRwBgSIps25XqjFCR570DUg86pENnrt-0-51c24786210d1da8a84d3c0779b66c4f)
彩图7-35 补肝健膝方组干预后TNFα
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P11_685.jpg?sign=1739515452-Mccf6EaggTbHbVuoU9Dn0kPepYDLtgUN-0-914d076e4a336b5863e581a73e480666)
彩图7-36 对照组干预前镜下软骨病理
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P11_688.jpg?sign=1739515452-GyUjnxUHAq3v1a7lvXd8GYVp7huKQGxa-0-29ae8435e301d3c45bbac32ae5487db1)
彩图7-37 对照组干预后镜下软骨病理
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P11_691.jpg?sign=1739515452-r3uu2ZQZxwNeXDVOSizUBZPs1BrTXo5Y-0-9c6b51093376c527bcc907809660683d)
彩图7-38 补肝健膝方组干预前镜下软骨病理
![](https://epubservercos.yuewen.com/0336F7/31398876903056306/epubprivate/OEBPS/Images/Figure-P11_694.jpg?sign=1739515452-PbXklKiOvj4wk4kv3ehOSIMzou9wKFoY-0-021c3ce06245759cc91b579d617189d4)
彩图7-39 补肝健膝方组干预后镜下软骨病理