目 录目录篇 针刀医学基础章 针刀医学概述 ··············································································· 3节 针刀的诞生 ··················································································· 3第二节 针刀疗法的形成与发展 ···································································· 3第三节 针刀医学理论体系的创立 ································································· 4第二章 针刀医学基础理论 ········································································ 7节 针刀闭合性手术理论 ······································································· 7一、精细解剖学 ······················································································ 7二、立体解剖学 ······················································································ 8三、动态解剖学 ······················································································ 9四、体表定位学 ······················································································ 9五、针刀应用解剖学 ·············································································· 13第二节 慢性软组织损伤病因病理学理论 ······················································ 17一、慢性软组织损伤的概述 ····································································· 17二、慢性软组织损伤的范围 ····································································· 19三、软组织损伤的各种形式 ····································································· 19四、慢性软组织损伤的病因 ····································································· 21五、慢性软组织损伤的病理机制——网眼理论 ············································· 24六、慢性软组织损伤病因病理学理论对针刀治疗的指导作用 ··························· 28第三节 慢性内脏疾病病因病理学理论 ························································· 30一、慢性内脏疾病的概述 ········································································ 30二、慢性内脏疾病的病因 ········································································ 31三、常见慢性内脏疾病的病理机制 ···························································· 33四、慢性内脏疾病病因病理学理论对针刀治疗的指导作用 ······························ 35第四节 骨质增生病因病理学理论 ······························································· 36CONTENTS2目 录一、骨质增生的概述 ··············································································· 36二、人体内的三种力学形式 ····································································· 37三、人体对异常力学状态的调节与适应 ······················································ 38四、骨质增生的病因 ··············································································· 40五、骨质增生的病理机制 ········································································ 43六、骨质增生病因病理学理论对针刀治疗的指导作用 ···································· 44第五节 经络理论在针刀治疗中的作用 ························································· 44一、常见经筋病灶表现特点 ····································································· 44二、针刀治疗经筋病 ··············································································· 45三、经络腧穴理论对针刀治疗慢性内脏疾病的作用 ······································· 45第六节 骨与软组织的力学系统——人体弓弦力学解剖系统 ······························· 46一、人体与力的关系 ··············································································· 46二、骨杠杆力学系统 ··············································································· 47三、人体弓弦力学解剖系统 ····································································· 48第七节 脊柱区带病因学 ············································································ 54一、脊柱区带概述 ·················································································· 54二、脊柱区带的范围 ··············································································· 54三、脊柱区带相关疾病的病因 ·································································· 56四、脊柱区带相关疾病的病理机制 ···························································· 56五、脊柱区带病因病理学理论对针刀治疗的指导作用 ···································· 57第三章 针刀操作技术 ············································································· 58节 常用术语及针刀刀具简介 ······························································· 58一、术语和定义 ····················································································· 58二、常用针刀刀具 ·················································································· 58第二节 针刀术前准备 ··············································································· 60一、针刀手术的无菌操作 ········································································ 60二、患者体位的选择 ··············································································· 60三、针刀手术的麻醉选择 ········································································ 63第三节 常用针刀刀法 ··············································································· 64一、持针刀姿势 ····················································································· 64二、进针刀方法 ····················································································· 65三、常用针刀手术入路············································································ 65四、常用针刀刀法 ·················································································· 66第四节 针刀术后手法 ··············································································· 68一、针刀术后手法的原理 ········································································ 68二、针刀术后手法必须达到3 个标准 ························································· 69第五节 针刀术后康复 ··············································································· 713目 录一、概述 ····························································································· 71二、针刀术后康复的必要性 ····································································· 72第六节 针刀治疗的适应证与禁忌证 ···························································· 72一、针刀治疗的适应证 ··········································································· 72二、针刀治疗的禁忌证 ··········································································· 73第七节 针刀操作注意事项 ········································································ 73第八节 针刀异常情况的处理与预防 ···························································· 74一、晕针刀 ·························································································· 74二、断针刀 ·························································································· 75三、出血 ····························································································· 76四、周围神经损伤 ················································································· 77五、针刀引起创伤性气胸 ········································································ 78六、针刀引起内脏损伤 ··········································································· 79第二篇 初级班讲授内容第四章 软组织损伤疾病 ········································································· 83节 头颈部软组织损伤 ········································································ 83一、帽状腱膜挛缩 ················································································· 83二、斜方肌损伤 ···················································································· 85三、胸锁乳突肌肌腱炎 ··········································································· 87四、头夹肌损伤 ···················································································· 89五、肩胛提肌损伤 ················································································· 91第二节 躯干部软组织损伤 ········································································ 94一、菱形肌损伤 ···················································································· 94二、棘上韧带损伤 ················································································· 98三、棘间韧带损伤 ················································································· 99四、第三腰椎横突综合征 ······································································· 100五、髂腰韧带损伤 ················································································ 102六、竖脊肌下段损伤 ············································································· 104第三节 上肢部软组织损伤 ······································································· 109一、冈上肌损伤 ··················································································· 109二、冈下肌损伤 ··················································································· 110三、三角肌滑囊炎 ················································································ 112四、肱二头肌短头肌腱炎 ······································································· 113五、肱二头肌长头腱鞘炎 ······································································· 115六、肱骨外上髁炎 ················································································ 1164目 录七、肱骨内上髁炎 ················································································ 118八、肱桡关节滑囊炎 ············································································· 120九、桡骨茎突狭窄性腱鞘炎 ··································································· 123十、腕背侧腱鞘囊肿 ············································································· 124十一、屈指肌腱腱鞘炎·········································································· 126第四节 下肢软组织损伤 ·········································································· 128一、臀中肌损伤 ··················································································· 128二、膝关节内侧副韧带损伤 ··································································· 130三、髌韧带损伤 ··················································································· 132四、髌下脂肪垫损伤 ············································································· 134五、鹅足滑囊炎 ··················································································· 135六、踝关节陈旧性损伤·········································································· 136七、慢性跟腱炎 ··················································································· 145八、跟痛症 ························································································· 148第三篇 中级班讲授内容第五章 神经卡压综合征 ········································································ 153节 枕大神经卡压综合征 ··································································· 153第二节 肩胛上神经卡压综合征 ································································ 155第三节 四边孔综合征 ············································································· 157第四节 腕管综合征 ················································································ 159第五节 臀上皮神经卡压综合征 ································································ 162第六节 梨状肌综合征 ············································································· 163第七节 股外侧皮神经卡压综合征 ····························································· 166第八节 腓总神经卡压综合征 ··································································· 168第九节 腓浅神经卡压综合征 ··································································· 170第十节 跖管综合征 ················································································ 172第六章 骨关节疾病 ··············································································· 174节 颈椎病 ······················································································ 174第二节 肩周炎 ······················································································ 194第三节 腰椎间盘突出症 ·········································································· 200第四节 膝关节骨性关节炎······································································· 2195目 录第四篇 不错班讲授内容第七章 疑难疾病 ·················································································· 233节 中风后遗症 ················································································ 233第二节 痉挛性脑瘫 ················································································ 239第三节 三叉神经痛 ················································································ 251第四节 脊柱侧弯 ··················································································· 256第五节 强直性脊柱炎 ············································································· 266第六节 类风湿关节炎 ············································································· 283第七节 股骨头坏死 ················································································ 307第八节 痛风性关节炎 ············································································· 320第五篇 美容减肥微整形班讲授内容第八章 常见美容减肥与整形科疾病 ······················································· 329节 黄褐斑 ······················································································ 329第二节 雀斑 ························································································· 334第三节 痤疮 ························································································· 336第四节 面部皱纹 ··················································································· 339第五节 眼袋 ························································································· 345第六节 带状疱疹后遗症 ·········································································· 348第七节 条索状瘢痕挛缩 ·········································································· 352第八节 马蹄内翻足 ················································································ 354第九节 足外翻 ··················································································· 360第十节 鸡眼 ························································································· 364第十一节 胼胝 ······················································································ 365第十二节 肥胖症 ··················································································· 3676

本培训教材分为五篇，共计八章。篇为公共基础课，包括章至第三章，章介绍针刀医学概述；第二章介绍针刀医学基础理论；第三章介绍针刀操作技术；第二篇为初级班讲授疾病，包括第四章，介绍软组织损伤疾病；第三篇为中级班讲授疾病，包括第五章和第六章，第五章介绍神经卡压综合征；第六章介绍骨关节疾病；第四篇为不错班讲授疾病，包括第七章，介绍疑难疾病；第五篇为美容减肥微整形班讲授疾病，包括第八章，介绍常见美容减肥与整形科疾病。