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总结房敏教授基于“重治筋，微调骨”治疗原则运用推拿疗法治疗慢性脊柱病的临证经验。认为慢性脊柱病发病的关键病机在于筋骨失衡、以筋为先，据此提出重治筋、微调骨的基本治疗原则，并结合现代解剖学和传统中医腧穴经络理论，对慢性脊柱病采用“先致失稳、逆向调整、复而后立”和“分层推拿、点线面有机结合”的推拿治疗策略，往往能达到较为满意的治疗效果。
Abstract：To summarise clinical experience of Professor FANG Min in treating chronic spinal disease with tuina therapy based on the principle of "focusing on sinews and fine-regulating bones". It is believed that the key mechanism of chronic spinal disease lies in the imbalance of sinews and bones, with sinews being the first, accordingly, the basic treatment principle of "focusing on sinews and fine-regulating bones" is put forward. Combining with the modern anatomical science and the theory of traditional Chinese medicine acupoints and meridians, the treatment of chronic spinal disease adopts the principles of "causing instability in the first, making adjustments in the reverse direction, then recovering and standing up" and "layering tuina, and combining points, lines and surfaces organically", which can often achieve a more satisfactory therapeutic effect.
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基本信息:
DOI：10.13288/j.11-2166/r.2025.13.004
中图分类号:R249;R244.1
引用信息:
[1]陈博,张昊,孔令军等.房敏基于“重治筋，微调骨”治则推拿治疗慢性脊柱病经验[J].中医杂志,2025,66(13):1322-1326.DOI:10.13288/j.11-2166/r.2025.13.004.
基金信息:
国家中医药管理局全国老中医药专家学术经验继承工作建设项目（国中医药人教函[2022]76号）; 上海市名老中医学术经验研究工作室建设项目（SHGZS-202238）