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借鉴行为改变技术分类法及理论编码方案的理念，提出手法医学“手法效果单元”理论模型，并构建连接“操作目的 （理论驱动）-操作技术（精准实施）-预期效应（即时验证）”的逻辑框架。在剖析手法医学作为复杂干预的方法学问题、梳理现有研究框架的意义与局限的基础上，阐释“手法效果单元”理论模型的核心内涵、理论架构与多层编码体系，并以推拿治疗膝骨关节炎为例阐释应用逻辑，同时提出基于共识、技术融合与人工智能的“手法效果单元”理论模型在复杂干预中的应用和发展路径。该模型旨在为手法干预的标准化描述、可重复研究及有效成分识别提供方法学基础，并推动手法医学从经验传承迈向理论指导与证据优化的新阶段。
Abstract：Drawing on the concepts of behavioural change taxonomies and theoretical coding schemes, this paper designs a theoretical model of "manipulative effect units" for manual medicine, establishing a logical framework that links "treatment objectives(theory-driven)-treatment techniques(precise implementation)-expected effects(immediate verification)". First, it analyses the methodological challenges faced by manual medicine as a complex intervention, reviewing the insights and limitations of existing research frameworks. It then focuses on the model's core concepts, theoretical architecture and multi-level coding system of "manipulative effect units", illustrating its application logic using tuina for knee osteoarthritis as an example. Finally, it proposes a development pathway of "manipulative effect units" model in complex interventions based on consensus, technological integration and artificial intelligence. This model aims to provide a unified methodological foundation for the standardised description, reproducible research and identification of active components in manual interventions, thereby propelling manual medicine from empirical transmission towards a new phase guided by theory and evidence optimization.
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基本信息:
DOI：10.13288/j.11-2166/r.2026.13.003
中图分类号:R244.1
引用信息:
[1]孙亚男,牛群,于长禾.“手法效果单元”理论模型的构建及其在手法医学复杂干预中的应用[J].中医杂志,2026,67(13):1365-1372.DOI:10.13288/j.11-2166/r.2026.13.003.
基金信息:
国家自然科学基金（82374617,81803956）; 北京市自然科学基金（7252232）; 中央高校基本科研业务费专项资金（2025-JYB-JBGS-015）
2026-07-02
2026-07-02