[关键词]
[摘要]
李佩弦先生是我国深具影响力的武术名家、正骨名家,是医武兼修的典范;作为中国近现代武术与中医骨伤科领域 的代表性人物之一,其创立的“佩弦医武手法”具有鲜明的手法特点及临床特色。该手法体系基于中医之“形神合一”观 点,强调“医武结合,以武强身,以武助医”的理念,融合武术的筋骨训练法与岭南骨伤科手法,以达“以武强身,内壮 调气”“以武助医,外劲充足”“导引气功,防治结合”的目的。传承者在学习其武术套路、导引气功外,在技术与理论层 面融汇中西、传承创新,进一步发扬了该手法。传承弟子中,广东省名中医岑泽波教授擅长运用手法治疗骨折、脱位,也 是中西医结合的先行者;林应强教授将推拿按摩手法与武术的指法、掌法相结合,自创提拉旋转斜扳法、定位旋转扳法、 挤压疗法等以爆发力为核心的手法,以治疗骨关节疾病;作为李佩弦之子李家驹的弟子,林定坤教授将佩弦医武手法与现 代骨骼肌肉的解剖知识、运动疗法等进行融合,在慢性筋骨病的诊疗方面,创新性地提出慢性筋骨病“筋、节、骨、髓” 的筋骨辨证分型,总结出慢性筋骨病的“平衡筋骨,调和气血,并除兼邪”的治疗原则,提出采用“以手法为主,针、灸、 药、导引练功为辅”的中医特色疗法组合,以治疗各种筋骨疾病,该法在临床实践中展现出显著的平衡筋骨优势。佩弦医 武手法体现了岭南医武结合的文化特色及岭南骨伤科的诊疗特点。
[Key word]
[Abstract]
Mr. Li Peixian was a highly influential master of Wushu(Chinese martial arts) and bone-setting specialist in China, and was an example of practicing in both medicine and martial arts. As one of the representative figures in modern wushu and orthopedics-traumatology,he established the Peixian Medical-Wushu Manipulations, which exhibit distinct technical features and clinical characteristics. The manipulations are grounded in the life view of physique-spirit integration in traditional Chinese medicine (TCM),and emphasize the principles of integration of medicine and wushu,strengthening the body by wushu exercises,and assisting medical practice with wushu. The manipulations integrate the muscle-bone training methods of wushu with Lingnan orthopedics-traumatology techniques,aiming to strengthen the body through wushu exercises and enhance internal vitality by regulating qi, assist medical practice with wushu and ensure sufficient external force, and combine daoyin and qigong for prevention and treatment. Inheritors of the manipulations have further developed them by integrating Chinese and western knowledge and making innovations in both technical and theoretical aspects,in addition to learning the wushu forms and doing daoyin-qigong exercises. Among the disciples,Professor Cen Zebo, a renowned TCM practitioner of Guangdong Province,excelled in using manual techniques to treat fractures and dislocations and was also a pioneer in integrating Chinese and western medicine; Professor Lin Yingqiang combined tuina manipulations with finger and palm techniques of wushu, and created explosive force-based manipulations such as the lift-rotation oblique-pull method, fixed-position rotation-pull method, and compression therapy for treating bone and joint disorders;as the disciple of Li Jiaju (son of Li Peixian),Professor Lin Dingkun integrated the Peixian Medical-Wushu Manipulations with the knowledge of modern musculoskeletal anatomy and exercise therapy, and then innovatively proposed the tendon-joint-bone-marrow syndrome differentiation for chronic musculoskeletal diseases,summarized the treatment principle of “balancing tendons and bones,harmonizing qi and blood,and eliminating accompanying pathogenic factors” for chronic musculoskeletal diseases,and advocated a comprehensive TCM-featured therapy mainly by manipulations and supplemented by acupuncture, moxibustion, herbal medicine, and daoyin exercises, which is indicated for various musculoskeletal conditions and has demonstrated significant advantages of balancing tendons and bones in clinical practice. The Peixian Medical-Wushu Manipulations reflect the Lingnan cultural characteristics of integrating medicine and wushu,as well as the diagnostic and therapeutic features of Lingnan orthopedics-traumatology.
[中图分类号]
R274
[基金项目]
国家自然科学基金项目(编号:82474533);国家中医药管理局中医药领军人才项目岐黄学者项目(国中医药人教司 [2022] 6号); 广东省中医院中医药科学技术研究专项(编号:YN2022GK03);林定坤广东省名中医传承工作室建设项目(编号:0103030912);岭南骨伤 流派传承工作室建设项目(编号:E43607);石仰山学术经验传承工作室建设项目(编号:E43715);广州市颈椎力学生物学重点实验室项目 (编号:2024A03J0045)