袁世民基于筋骨理论采用微针刀网状切开法治疗屈指肌腱狭窄性腱鞘炎经验介绍

Introduction to YUAN Shimin's Experience in Treating Stenosing Tenosynovitis of the Flexor Digitorum Tendons Using Micro-Acupotomy Mesh Incision Based on the Sinew- Bone Theory

摘要:

屈指肌腱狭窄性腱鞘炎是肌腱和腱鞘的慢性损伤性炎症。袁世民教授基于筋骨理论及临床经验，认为该病的核心病机为筋脉劳损、筋骨失衡，气血亏虚、筋骨失养。袁教授临证创制微针刀网状切开法，以“滑动定靶点”手法精准定位病灶，以微针刀网状切割粘连组织。该法微创松解筋结，疏通瘀滞气血，从而濡养筋脉，恢复局部筋骨平衡，临床疗效确切。

Abstract:

Abstract：Stenosing tenosynovitis of the flexor digitorum tendons is a chronic inflammatory condition induced by repetitive strain of the tendons and tendon sheaths. Based on the sinew-bone theory of traditional Chinese medicine and clinical experience， Professor YUAN Shimin holds that the core pathogenesis of this disease consists of sinews and vessels strain leading to imbalance between sinews and bones，and qi and blood deficiency leading to malnourishment of the sinews and bones. Professor YUAN developed the micro-acupotomy mesh incision technique in clinical practice. which uses the "target localization via palpation of the sliding swollen tendon" maneuver to precisely locate the affected area，and employs the micro-acupotomy mesh to incise the adhesive tissues. This technique releases sinew nodules in a minimally invasive manner，dredges stagnated qi and blood，thereby nourishing the sinews and vessels，restoring local sinew-bone balance，and demonstrates reliable clinical efficacy.