内医大中医推拿学课件：抖法

抖法

ShakingManipulation概念Concept用双手握住患者的上肢或下肢远端，用力做连续的小幅度上下颤动的手法，称为抖法。Amanipulationbywhichthedoctorholdsthedistalendofthepatient'saffectedupperorlowerlimbsandmakesaconstant,narrowrange,upanddownshaking.动作结构

StructureofOperation

术者取马步势，上身略向前倾，两上肢自然向前伸出，屈肘约130°～160°之间，两手握住腕部或踝部，将患肢牵引至自然伸直位。抖上肢时，将患肢固定在外展45°～60°位；抖下肢时，将患肢抬起至约离床面30°处，再缓缓做连续不断的小幅度上下抖动。

Thedoctorisinahalf-squattingposition.Histwoupperlimbsarenaturallyextendedforwardsandelbowsareflexedfor130―160degrees.Heholdsthepatient'swristoranklewithtwohands,andpullstheaffectedlimbintoanaturalstraightposition;fixestheaffectedlimbinaabductedpositionof45～60degreeswhileshakingtheupperlimbs;raisestheaffectedlimbtoforma30degreeanglewiththebedwhileshakinglowerlimbs,andthenshakesitupanddownslowly,constantly,inanarrowrange.注意事项Precaution

应注意固定患肢的双手不要捏得太紧，不要将抖动的肢体牵拉的太紧，颤动的幅度要由小到大，频率要快。

Becarefulthatthetwohandsfixingtheaffectedlimbsshouldnotbeheldtootightly.Donotpulltheshakenlimbstoostraightandtherangeofshakingshouldbefromnarrowtowide.Rapidfrequencyisneeded.功效Effect

具有调和气血﹑放松肌肉与理顺组织的作用。

Ithasthefunctionofregulatingqi-bloodandtissues,andrelaxingmuscles.临床应用

ClinicalApplication本法主要用于四肢，常在搓法之后使用，作为治疗的结束手法。Thismanipulationismainlyappliedtoextremitiesandmostlyafterfoulageasanendingmanipulationoftherapy.本法可用于腰部。操作时，将受术者双下肢同时提起，用力牵拉抖动，使产生的震动力直达腰部，故此法又称“抖动法”。It'salsoappliedtothewaist.Inoperation,raisethetwolowerlimbsofthepatientsimultaneouslyandpull-shakepowerfullytogetthevibratingforcedirectlytothewaist.Thusitisalsocalled“shaking-pullingmanipulation”.

该法主要用来治疗腰椎间盘突出症，能拉宽椎间隙，促使突出髓核还纳；松解突出物与神经根粘连，以缓解或解除对神经根的压迫。It'susedprimarilytotreatprolapseoflumbarintervertebraldisc,whichcanenlargetheinterspaceoflumbarvertebraetohelpreduceprojectingpulpiformnucleus,relaxadhesionbetweentheprojectionandnerverootstoremitorreleaseitspressureuponnerveroots.用抖法抖动肢体时，每次操作十几次；抖动腰椎时，每次做3～4次即可。

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