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現代臨床實用骨科學：從基礎理論到前沿技術 作者： 王建國、李明華、張偉 編著 齣版社： 人民衛生齣版社 裝幀： 精裝 定價： 388.00 元 --- 內容簡介： 《現代臨床實用骨科學》是一部集骨科基礎研究、臨床診斷、手術技術及康復理念於一體的權威性、係統性著作。本書匯集瞭國內外頂尖骨科專傢的智慧與臨床經驗，旨在為廣大骨科臨床醫生、研究生及相關醫務人員提供一本全麵、深入、與時俱進的參考手冊和學習教材。全書內容緊密結閤臨床實踐，力求在理論深度與操作實用性之間找到最佳平衡點。 本書共分為七大部分，三十五章節，內容涵蓋瞭骨科疾病譜的廣度和深度，尤其側重於近年來快速發展的微創技術、生物力學研究及其在臨床決策中的應用。 --- 第一部分：骨科基礎與生物力學（Fundamentals and Biomechanics） 本部分奠定瞭讀者理解骨科疾病發生、發展及治療的生物學基礎。 第一章：骨組織與關節的分子生物學 深入探討成骨細胞、破骨細胞的分化與調控機製，分析骨重建的分子信號通路，包括Wnt/$eta$-catenin信號通路、RANKL/OPG係統在骨質疏鬆和骨愈閤中的作用。詳細闡述軟骨細胞的代謝特性及退變機製，為骨關節炎的病理生理學理解提供微觀基礎。 第二章：骨骼生物力學與材料學 詳細闡述皮質骨和鬆質骨的力學特性（彈性模量、屈服強度、疲勞極限）。重點分析應力骨摺的發生機製，以及不同負荷模式（壓、拉、剪、扭）對骨骼結構的影響。材料學方麵，係統介紹瞭鈦閤金、鈷鉻閤金、陶瓷材料的相容性、耐磨性和疲勞壽命，為人工關節的設計選型提供理論依據。同時，探討瞭生物活性材料（如磷酸鈣陶瓷、生物活性玻璃）在骨缺損修復中的最新進展。 第三章：創傷愈閤與內固定力學 全麵梳理骨摺愈閤的四個階段：血腫形成、軟骨形成、骨性愈閤和塑形重塑。深入分析不同固定方式（剛性固定與柔性固定）的力學原理，對比螺釘、鋼闆、髓內釘在不同類型骨摺中的受力情況，強調“生物力學匹配”在內固定設計中的核心地位。 --- 第二部分：脊柱外科（Spine Surgery） 本部分聚焦脊柱退變性疾病、畸形矯正及脊柱腫瘤與感染的診療策略。 第四章：頸椎病（Cervical Spondylosis）的診斷與階梯治療 詳述頸椎的生物力學特點與退變序列。重點介紹影像學（MRI、CT三維重建）的判讀標準，尤其是對神經根和脊髓壓迫程度的精確評估。治療上，詳細闡述保守治療（物理因子、藥物）的適應癥，並係統介紹： 前路手術： ACDE（椎間盤切除融閤術）的入路選擇、植骨技術（椎間融閤器應用）及並發癥預防。 後路手術： 椎闆成形術、後路椎弓根螺釘內固定技術（包括S2AI螺釘技術），強調脊柱穩定性的重建與平衡。 第五章：腰椎間盤疾病與椎管狹窄 深入探討腰椎間盤突齣癥的神經根受壓機製。手術部分著重對比：微創經皮椎間盤鏡（MD）、椎間孔鏡（PEJD）與傳統開放式椎間融閤術（PLIF/TLIF）的適應癥、手術入路及長期療效。對復雜性椎管狹窄的減壓策略，特彆是對於閤並脊柱不穩的病例，強調減壓與融閤時機的把握。 第六章：脊柱畸形矯正（Scoliosis and Kyphosis） 涵蓋青少年特發性脊柱側彎（AIS）的評估（Cobb角、Risser徵、矢狀麵平衡）。詳細介紹矯形截骨（如Ponte截骨、Smith-Petersen截骨）的時機與技術要點。對成人復雜性脊柱畸形的長期矯正目標、矢狀麵重建（Sagittal Realignment）的量化指標及其實現方法進行瞭深入剖析。 第七章：脊柱感染與腫瘤 闡述脊柱結核、化膿性脊柱炎的影像學特徵（如Pott病）及抗菌治療方案。對於脊柱腫瘤（原發性與轉移性），強調術前腫瘤分級（如Enneking分級）、神經減壓的徹底性與內固定植骨的充分性。 --- 第三部分：關節外科與置換（Arthroplasty） 本部分聚焦髖、膝關節的退行性病變、創傷及人工關節置換的最新技術。 第八章：髖關節置換（THA） 從股骨頭無菌性壞死的病理分型齣發，詳述人工髖關節置換術（THA）的入路選擇（前、後、側方入路）的優缺點對比。重點闡述微創技術（如小切口入路、骨標誌法）的應用。對翻修手術中骨缺損的評估及填充技術（如骨移植、襯墊技術）給予詳細指導。 第九章：膝關節置換（TKA） 係統介紹全膝關節置換術（TKA）的力綫重建原則，包括機械軸綫與個體生理軸綫的調整。細緻講解初次置換（Primary TKA）中的韌帶平衡技術，以及單髁置換術（UKA）的精準適應癥。對常見翻修術中的鬆動原因分析及處理流程進行瞭梳理。 第十-十一章：運動損傷與關節鏡技術（Arthroscopy） 肩關節： 重點介紹肩袖損傷（Rotator Cuff Tears）的修復技術，包括錨點選擇、縫閤技術（單排、雙排、錨式）及術後早期康復方案。對肩關節不穩（Bankart病變）的穩定化手術進行詳細闡述。 膝關節： 詳細描述半月闆修復與切除的標準指徵。前交叉韌帶（ACL）重建的解剖學隧道定位技術（利用解剖隧道技術），以及不同移植物（自體、異體、同種異體）的選擇與固定方式的比較。 --- 第四部分：創傷骨科與骨摺內固定（Trauma Orthopedics） 本部分依據AO/OTA分類係統，係統講解四肢及骨盆骨摺的評估與標準化治療。 第十二章：復雜四肢骨摺的生物力學與評估 強調“損傷控製性骨科治療（Damage Control Orthopedics, DCO）”理念。詳細介紹Gustilo-Anderson分類的實際應用，以及骨缺血的早期識彆。 第十三章：乾骺端及關節周圍骨摺 重點講解脛骨近端平颱骨摺（Schatzker分型）的復位原則，強調關節麵解剖的精確復位。對股骨近端（髖部）骨摺，對比人工關節置換與內固定（動力性髖螺釘DHS）的適應癥及手術時機。 第十四章：手部與足踝創傷 對手部骨摺（如舟骨、掌骨）的特殊生物力學考量及微血管吻閤在開放性損傷中的應用。足踝部分，詳述踝關節骨摺的Pilon骨摺、Trimalleolar骨摺的復位挑戰與踝關節融閤/置換的選擇。 第十五章：骨盆與髖臼骨摺 基於Tile和Young-Burgess分類係統，詳細指導骨盆環的穩定性和力學重建。重點講解經皮椎弓根螺釘（PPS）在後方固定中的應用，以及髖臼骨摺（如後壁、骨柱骨摺）的後入路或髂腹入路復位技術。 --- 第五部分：手外科與顯微外科（Hand and Microsurgery） 本部分聚焦手部復雜損傷的修復與功能重建。 第十六章：手部常見骨摺與脫位 對手指末節、掌骨、橈骨遠端骨摺的特殊處理技術，如Spica夾闆的應用、小夾闆技術。 第十七章：神經與肌腱修復 詳細圖解周圍神經的顯微外科修復技術（束膜外/束膜內縫閤），強調神經鬆解的必要性。對屈肌與伸肌腱的修復方案進行對比，並提供標準化的早期功能性康復方案。 第十八章：血管化遊離皮瓣與骨移植 介紹局部皮瓣（如橈動脈反行皮瓣）與遊離皮瓣（如腓腸肌皮瓣）在軟組織覆蓋中的應用。詳細闡述帶血供的腓骨遊離植骨技術在骨缺損和不愈閤中的應用流程。 --- 第六部分：骨腫瘤與骨感染（Tumors and Infections） 第十九章：骨腫瘤的診斷與多學科管理 強調影像學（MRI、CT、PET-CT）在定性與分期中的關鍵作用。對骨巨細胞瘤、骨肉瘤、軟骨肉瘤的規範化新輔助化療與保肢手術（腫瘤置換假體）技術進行深入探討。 第二十章：骨感染（Osteomyelitis）的治療策略 區分急性與慢性骨髓炎的病理生理特點。詳述死骨清除、局部負壓吸引（NPWT）及抗生素骨水泥瘤的應用，以及骨缺損的Ilizarov外固定架技術在感染期後的應用。 --- 第七部分：康復與生物製劑（Rehabilitation and Biologics） 第二十一章：骨科術後康復的循證醫學 詳細規劃術後早期、中期、晚期的康復目標。如人工關節置換的早期活動度訓練，脊柱術後的核心肌群激活訓練。強調康復進程的量化評估（如VAS、ROM、功能評分）。 第二十二章：骨質疏鬆與生物製劑 詳述骨質疏鬆的診斷標準（T值、Z值）。重點分析新型抗骨吸收藥物（如地舒單抗）與促進成骨藥物（如特立帕肽）的作用機製與臨床應用時機。 --- 特色與創新： 1. 臨床決策路徑圖： 全書嵌入近百個“臨床決策路徑圖”，將復雜的診斷和治療流程可視化，便於快速掌握。 2. 手術視頻資源鏈接： 附帶二維碼鏈接至配套的在綫視頻庫，收錄瞭書中所述核心手術（如椎間孔鏡入路、單髁置換技術）的實際操作錄像。 3. 並發癥管理專欄： 針對每類手術最常見的並發癥（如深靜脈血栓、神經損傷、假體鬆動），提供詳細的預防措施和搶救流程。 4. 循證醫學證據（EBM）： 書中引用的所有關鍵性治療方案均標注瞭相關的關鍵性臨床試驗（RCTs）或係統綜述證據等級。 本書是骨科領域近年來集大成之作，不僅是學習的階梯，更是臨床工作中的得力助手。
作者簡介
目錄資訊
CONTENTS
PREFACE
PART A
General Introduction l Mechanisms and Principles of Acupuncture and Moxi-
bustion Therapy
A. Mechanisms of Acupuncture and Moxibustion Therapy
1. Dredging Meridians, Regulating Qi and Blood Circulation
2. Reinforcing Deficiency and Reducing Excess Strengthening Body Resistance to Remove
Pathogenic Factors
3. Equtlibrating Yin and Yang, Regulating Physical Functions
B. Treatment Principle of Acupuncture and Moxibustion
l. Remforcing Deficiency and Reducing Excess
1) Reinforcing Deficiency
(1) Reinforcing the Diseased Meridian
(2) Reinforcing the Exterior-lnterior Meridian
(3) Reinforcing the Mother Organ Meridian
2) Reducing Excess
(1) Reducing the Diseased Meridian
(2) Reducing the Exterior-lnterior Meridian
(3) Reducing the Son Organ Meridian
3) Reinforcing and Reducing in Combination
2 Clearing Away Heat and Warming Cold
1) Clearing Away Heat
(1) Cleanng Away Exterior Heat
(2) Clearing Away Interior Heat
a. Clearing Away Lung Heat
b. Removing Heat in the Liver and Gallbladder
c. Removing Heat in the Spleen and Stomach
(3) Removing Deficiency Heat
a. Removing Lung Heat due to Deficiency
b. Removing Heart Heat due to Deficiency
c. Removing Deficiency Heat of the Liver and Kidney
2) Warmmg Cold
(1) Warming Yang to Dispel Cold
a. Warming the Lung to Dispel Cold
b. Warming Middle Jiao to Dispel Cold
c. Warming the Kidney to Dispel Cold
(2) Warming Yang and Tonifymg Deficiency
3) Warming Yang and Removing Heat in Combination
(1) Syndrome with Heat in the Upper and Cold in the Lower
(2) Syndrome due to Exterior Cold and Interior Heat
3. Treating the Incidental and Fundamental
1) Treating Biao (the incidental) for Acute Cases
2) Treating Ben (the Fundamental) for Chronic Cases
3) Treating Biao and Ben in Combination
4.Treating the Same Disease with Different Methods and Treating Different Diseases with
the Same Method
1) Treating the Same Disease with Different Methods
2) Treating Different Diseases with the Same Method
General Introduction ll The Science of Acupoint Prescription
A. Method of Acupoint Selection
1. Selection of the Local Points
2. Selection of the Distal Points
3. Selection of the Left-right Points
4 Selection of Symptomatic Points
B. Selection of Points According to Syndromes
1. Lung
1) Syndromes of the Viscera
(1) Lung Yin Deficiency
(2) Lung Qi Deficiency
(3) Invasion of the Lung by Wind Cold
(4) Accumulation of Heat in the Lung
(5) Obstruction of the Lung due to Phlegm
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Lung Meridian
2. Large Intestine
1) Syndromes of the Viscera
(1) Cold Syndrome
(2) Heat Syndrome
(3) Deficiency Syndrome
(4) Excess Syndrome
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Mendian
3.Spleen
1) Syndromes of the Viscera
(1) Spleen Qi Deficiency
(2) Excess Syndrome of the Spleen
(3) Cold Syndrome of the Spleen
(4) Heat Syndrome of the Spleen
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Meridian
4.Stomach
1) Syndromes of the Viscera
(1) Deficiency Cold Syndrome
(2) Excess Heat Syndrome
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Meridian
5. Heart
1) Syndromes of the Viscera
(1) Heart Yang Deficiency
(2) Heart Yin Deficiency
(3) Flaring-up of Heart Fire
(4) Heart Orifice Misted by Phlegm Fire
(5) Blood Stasis of Heart
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in ttie Meridian
(2) Accumulation of Pathogenic Heat in the Meridian
6.Small Intestine
1) Syndromes of the Viscera
(1) Cold Syndrome
(2) Heat Syndrome (Heat in the Heart Shifting to the Small Intestine)
(3) Hernia
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Meridian
7. Kidney
1) Syndromes of the Viscera
(1) Kidney Yang Deficiency
(2) Failure of the Kidney in Receiving Qi
(3) Kidney Yin Deficiency
(4) Hyperactivity of Yang due to Yin Deficiency
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Meridian
8. Bladder
1) Syndromes of the Viscera
(1) Deficiency Cold Syndrome
(2) Excess Heat Syndrome
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Meridian
9. Pericardium
10.Sanjiao
1) Syndromes of the Viscera
(1) Deficiency Syndrome
(2) Excess Syndrome
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Meridian
11. Liver
1) Syndromes of the Viscera
(1) Liver Qi Stagnation
(2) Hyperactivity of Liver Fire
(3) Hyperactivity of Liver Yang
(4) Intemal Stirring of Liver Wind
2) Syndrome of the Meridian
Accumulation of the Cold in the Liver Meridian
12 Gallbladder
l) Syndromes of the Viscera
(1) Excess Syndrome
(2) Deficiency Syndrome
2) Syndrome of the Meridian
Stagnant Wind and Cold in the Meridian
C. The Application of Specific Acupoints
1. Five-Shu Points
2. Yuan- (Source) Points
3. Back-Shu Points
4. Front-Mu Points
5. Luo- (Connecting) Points
6. Xi- (Cleft) Points
7. Lower He- (Sea) Points
8. Eight Influential Points
9. Eight Confluent Points
10. Crossing Points
11. Four General Points and Ma Danyang Twelve Points
D. Combining Point Methods
1 Combining Point Methods of Different Body Parts
1) Combining Points on the Same Meridians
2) Combining Exterior-lnterior Points
3) Combining Points on Meridians with the Same Name
4) Combining Anterior-Posterior Points
5) Combining Superior-lnferior Points
6) Combining Bilateral Points
7) Combining Distal-Local Points
8) Combining Lateral-Medial Points
2.Combining Methods of Specific Acupoints
1) Combination of Back-Shu and Front-Mu Points
2) Combination of Source and Connecting Points
3) Combination of Xi- (Cleft) Points and Eight Influential-Points
Appendix: The Indications of Acupuncture and Moxibustion
1. Indications of Acupuncture
2. Therapeutic Effects and Indications of Moxibustion
PART B
Chapter l Internal Diseases
1. Endogenous Fever (內傷發熱, Nei Shang Pa Re)
Appendix: High Fever (高熱, Gao Re)
2. Syncope Syndrome (厥證, Jue Zheng)
3. Convulsive Diseases (痙證, Jing Zheng)
4. Collapse Syndrome (脫證, Tuo Zheng)
5. Hemorrhagic Syndrome ( 血證, Xue Zheng)
6. Eruptions (發疹, Fa Zhen)
7. Common Cold ( 感冒, Gan Mao)
8. Sunstroke ( 中暑， Zhong Shu)
9. Cough (咳嗽， Ke Sou)
10. Sweating Syndrome (汗證, Han Zheng)
11. Chest Blockage Syndrome (胸痹, Xiong Bi Zheng)
12. Palpitation (心悸, Xin Ji)
13. Hiccup ( 呃逆, E Ni)
14. Acid Regurgitation (吞酸, Tun Suan)
15. Vomiting (嘔吐, Ou Tu)
16. Stomachache (胃痛i, Wei Tong)
17. Abdominal Pain (腹痛，Fu Tong)
18. Diarrhea (泄瀉, Xie Xie)
19. Dysentery (痢疾, Li Ji)
20. Constipation (便 秘, Bian Bi)
21. Prolapse of Rectum (脫肛， Tuo Gang)
22. Hypochondriac Pain (脅痛, Xie Tong)
23. Jaundice Syndrome (黃疸, Huang Dan)
24. Tympanites (臌脹, Gu Zhang)
25. Edema (水腫, Shui Zhong)
26. Xiao Ke Syndrome (消渴, Wasting and Thirsting Syndrome)
27. Obesity (肥胖, Fei Pang)
28. Emaciation (消瘦, Xiao Shou)
29. Heat in the Upper and Cold in the Lower (上熱下寒， Shang Re Xia Han)
Appendix: Cool Syndrome (冷證E, Leng Zheng)
30. Insomnia ( 失眠, Shi Mian)
31. Sleepiness (嗜睡S, Shi Shui)
32. Amnesia (健忘, Jian Wang)
33. Lassitude (倦怠, Juan Dai)
34. Manic-Depressive Disorder (癲狂, Dian Kuang)
35. Melancholy (鬱證, Yu Zheng)
36. Stranguria (淋證， Lin Zheng)
37. Seminal Emission (遺精, Yi Jing)
Appendix: Sexual Intercourse in Dream (夢交, Meng Jiao)
38. Impotence ( 陽痿, Yang Wei)
39. Hemia (疝氣, Shan Qi)
40. Headache ( 頭痛, Tou Tong)
41. Dizziness (眩暈, Xuan Yun)
42. Windstroke ( 中風, Zhong Feng)
43. Bi Syndrome (痹證, Bi Zheng)
44. Flaccidity Syndrome (痿證, Wei Zheng)
45. Torticollis (落枕, Lao Zhen)
46. Pain in the Elbow Joint (肘痛, Zhou Tong)
47. Lumbar Pain (腰痛, Yao Tong)
Chapter ll Gynecological Diseases
48. irregular Menstruation ( 月經不調, Yue Jing Bu Tiao)
49. Amenorrhea (經閉, Jing Bi)
50. Metrorrhagia and Metrostaxis ( 崩漏, Beng Lou)
51. Dysmenorrhea (痛經, Tong Jing)
52. Morbid Leukorrhea (帶下, Dai Xia)
53. Moming Sickness (妊娠惡陰, Ren Shen E Zu)
54. Malposition of Fetus (胎位不正, Tai Wei Bu Zheng)
55. Eclampsia (子癇, Zi Xian)
56. Prolonged Labor (滯産, Zhi Chan)
57. Retention of Placenta (胞衣不下, Bao Yi Bu Xia)
58. Lochiostasis (惡露不下, E Lu Bu Xia)
59. Lochiorrhea (惡露不絕e, E Lu Bu Jue)
60. Postpartum Vertigo ( 産後血暈, Chan Hou Xue Yun)
61. Postpartum Abdominal Pain (産後腹痛, Chan Hou Fu Tong)
62. Hypogalactia ( 乳少, Ru Shao)
63. Pruritus Vulvae ( 陰癢, Yin Yang)
64. infertility (不孕癥, Bu Yun Zheng)
Chapter lll Pediatric Diseases
65. infantile Pertussis Cough (小兒頓咳, Xiao Er Dun Ke)
66. Children's Diarrhea (小兒泄瀉, Xiao Er Xie Xie)
67. infantile Malnutrition Syndrome (小兒遺尿, Xiao Er Gan Ji)
68. infantile Convulsion (小兒驚風, Xiao Er Jing Feng)
69. Nocturnal Enuresis in Children (小兒遺尿, Xiao Er Yi Niao)
70. Morbid Night Crying (小兒夜啼, Xiao Er Ye Ti)
Chapter iV Diseases of Eyes, Ears, Nose and Throat
7!. Conjunctivitis (目赤腫痛, Mu Chi Zhong Tong)
72. Ptosis to the Eyelid (眼瞼下垂, Yan Jian Xia Chui)
73. Dacryorrhea (流淚, Liu Lei)
74. Nebula (目翳, Mu Yi)
75. Sudden Blindness (暴盲, Bao Mang)
76. Night Blindness (夜盲, Ye Mang)
77. Toothache ( 牙痛, Ya Tong)
78. Halitosis (口臭, Kou Chou)
79. Sialorrhea ( 口角流涎, Kou Jiao Liu Xian)
80. Aphtha ( 口瘡, Kou Chuang)
8!. Swelling and Pain of the Throat (咽喉腫痛, Yan Hou Zhong Tong)
82. Globus Hystericus (梅核氣,, Mei He Qi)
83. Aphonia (失音, Shi Yin)
84. Tinnitus and Deafness (耳鳴, Er Ming耳聾 Er Long)
85. Auricular itch (耳癢, Er Yang)
86. Deafiiess and Muteness (聾啞, Long Ya)
87. Rhinorrhea (鼻淵, Bi Yuan)
Chapter V Dermatological and Other Diseases
88. Rosa Cea (酒渣鼻, Jiu Zha Bi)
89. Nail-Like Furuncle (疔瘡, Ding Chuang)
90. Erysipelas ( 丹毒, Dan Du)
91. Stopping Smoking (戒煙, Jie Yan)
92. Periarthritis of the Shoulder (肩凝證, Jian Ning Zheng)
Appendix Reference Books
index l Terms of TCM in English Alphabetical Order
index ll Terms of TCM in Chinese Alphabetical Order
· · · · · · (收起)
PREFACE
PART A
General Introduction l Mechanisms and Principles of Acupuncture and Moxi-
bustion Therapy
A. Mechanisms of Acupuncture and Moxibustion Therapy
1. Dredging Meridians, Regulating Qi and Blood Circulation
2. Reinforcing Deficiency and Reducing Excess Strengthening Body Resistance to Remove
Pathogenic Factors
3. Equtlibrating Yin and Yang, Regulating Physical Functions
B. Treatment Principle of Acupuncture and Moxibustion
l. Remforcing Deficiency and Reducing Excess
1) Reinforcing Deficiency
(1) Reinforcing the Diseased Meridian
(2) Reinforcing the Exterior-lnterior Meridian
(3) Reinforcing the Mother Organ Meridian
2) Reducing Excess
(1) Reducing the Diseased Meridian
(2) Reducing the Exterior-lnterior Meridian
(3) Reducing the Son Organ Meridian
3) Reinforcing and Reducing in Combination
2 Clearing Away Heat and Warming Cold
1) Clearing Away Heat
(1) Cleanng Away Exterior Heat
(2) Clearing Away Interior Heat
a. Clearing Away Lung Heat
b. Removing Heat in the Liver and Gallbladder
c. Removing Heat in the Spleen and Stomach
(3) Removing Deficiency Heat
a. Removing Lung Heat due to Deficiency
b. Removing Heart Heat due to Deficiency
c. Removing Deficiency Heat of the Liver and Kidney
2) Warmmg Cold
(1) Warming Yang to Dispel Cold
a. Warming the Lung to Dispel Cold
b. Warming Middle Jiao to Dispel Cold
c. Warming the Kidney to Dispel Cold
(2) Warming Yang and Tonifymg Deficiency
3) Warming Yang and Removing Heat in Combination
(1) Syndrome with Heat in the Upper and Cold in the Lower
(2) Syndrome due to Exterior Cold and Interior Heat
3. Treating the Incidental and Fundamental
1) Treating Biao (the incidental) for Acute Cases
2) Treating Ben (the Fundamental) for Chronic Cases
3) Treating Biao and Ben in Combination
4.Treating the Same Disease with Different Methods and Treating Different Diseases with
the Same Method
1) Treating the Same Disease with Different Methods
2) Treating Different Diseases with the Same Method
General Introduction ll The Science of Acupoint Prescription
A. Method of Acupoint Selection
1. Selection of the Local Points
2. Selection of the Distal Points
3. Selection of the Left-right Points
4 Selection of Symptomatic Points
B. Selection of Points According to Syndromes
1. Lung
1) Syndromes of the Viscera
(1) Lung Yin Deficiency
(2) Lung Qi Deficiency
(3) Invasion of the Lung by Wind Cold
(4) Accumulation of Heat in the Lung
(5) Obstruction of the Lung due to Phlegm
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Lung Meridian
2. Large Intestine
1) Syndromes of the Viscera
(1) Cold Syndrome
(2) Heat Syndrome
(3) Deficiency Syndrome
(4) Excess Syndrome
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Mendian
3.Spleen
1) Syndromes of the Viscera
(1) Spleen Qi Deficiency
(2) Excess Syndrome of the Spleen
(3) Cold Syndrome of the Spleen
(4) Heat Syndrome of the Spleen
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Meridian
4.Stomach
1) Syndromes of the Viscera
(1) Deficiency Cold Syndrome
(2) Excess Heat Syndrome
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Meridian
5. Heart
1) Syndromes of the Viscera
(1) Heart Yang Deficiency
(2) Heart Yin Deficiency
(3) Flaring-up of Heart Fire
(4) Heart Orifice Misted by Phlegm Fire
(5) Blood Stasis of Heart
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in ttie Meridian
(2) Accumulation of Pathogenic Heat in the Meridian
6.Small Intestine
1) Syndromes of the Viscera
(1) Cold Syndrome
(2) Heat Syndrome (Heat in the Heart Shifting to the Small Intestine)
(3) Hernia
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Meridian
7. Kidney
1) Syndromes of the Viscera
(1) Kidney Yang Deficiency
(2) Failure of the Kidney in Receiving Qi
(3) Kidney Yin Deficiency
(4) Hyperactivity of Yang due to Yin Deficiency
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Meridian
8. Bladder
1) Syndromes of the Viscera
(1) Deficiency Cold Syndrome
(2) Excess Heat Syndrome
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Meridian
9. Pericardium
10.Sanjiao
1) Syndromes of the Viscera
(1) Deficiency Syndrome
(2) Excess Syndrome
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Meridian
11. Liver
1) Syndromes of the Viscera
(1) Liver Qi Stagnation
(2) Hyperactivity of Liver Fire
(3) Hyperactivity of Liver Yang
(4) Intemal Stirring of Liver Wind
2) Syndrome of the Meridian
Accumulation of the Cold in the Liver Meridian
12 Gallbladder
l) Syndromes of the Viscera
(1) Excess Syndrome
(2) Deficiency Syndrome
2) Syndrome of the Meridian
Stagnant Wind and Cold in the Meridian
C. The Application of Specific Acupoints
1. Five-Shu Points
2. Yuan- (Source) Points
3. Back-Shu Points
4. Front-Mu Points
5. Luo- (Connecting) Points
6. Xi- (Cleft) Points
7. Lower He- (Sea) Points
8. Eight Influential Points
9. Eight Confluent Points
10. Crossing Points
11. Four General Points and Ma Danyang Twelve Points
D. Combining Point Methods
1 Combining Point Methods of Different Body Parts
1) Combining Points on the Same Meridians
2) Combining Exterior-lnterior Points
3) Combining Points on Meridians with the Same Name
4) Combining Anterior-Posterior Points
5) Combining Superior-lnferior Points
6) Combining Bilateral Points
7) Combining Distal-Local Points
8) Combining Lateral-Medial Points
2.Combining Methods of Specific Acupoints
1) Combination of Back-Shu and Front-Mu Points
2) Combination of Source and Connecting Points
3) Combination of Xi- (Cleft) Points and Eight Influential-Points
Appendix: The Indications of Acupuncture and Moxibustion
1. Indications of Acupuncture
2. Therapeutic Effects and Indications of Moxibustion
PART B
Chapter l Internal Diseases
1. Endogenous Fever (內傷發熱, Nei Shang Pa Re)
Appendix: High Fever (高熱, Gao Re)
2. Syncope Syndrome (厥證, Jue Zheng)
3. Convulsive Diseases (痙證, Jing Zheng)
4. Collapse Syndrome (脫證, Tuo Zheng)
5. Hemorrhagic Syndrome ( 血證, Xue Zheng)
6. Eruptions (發疹, Fa Zhen)
7. Common Cold ( 感冒, Gan Mao)
8. Sunstroke ( 中暑， Zhong Shu)
9. Cough (咳嗽， Ke Sou)
10. Sweating Syndrome (汗證, Han Zheng)
11. Chest Blockage Syndrome (胸痹, Xiong Bi Zheng)
12. Palpitation (心悸, Xin Ji)
13. Hiccup ( 呃逆, E Ni)
14. Acid Regurgitation (吞酸, Tun Suan)
15. Vomiting (嘔吐, Ou Tu)
16. Stomachache (胃痛i, Wei Tong)
17. Abdominal Pain (腹痛，Fu Tong)
18. Diarrhea (泄瀉, Xie Xie)
19. Dysentery (痢疾, Li Ji)
20. Constipation (便 秘, Bian Bi)
21. Prolapse of Rectum (脫肛， Tuo Gang)
22. Hypochondriac Pain (脅痛, Xie Tong)
23. Jaundice Syndrome (黃疸, Huang Dan)
24. Tympanites (臌脹, Gu Zhang)
25. Edema (水腫, Shui Zhong)
26. Xiao Ke Syndrome (消渴, Wasting and Thirsting Syndrome)
27. Obesity (肥胖, Fei Pang)
28. Emaciation (消瘦, Xiao Shou)
29. Heat in the Upper and Cold in the Lower (上熱下寒， Shang Re Xia Han)
Appendix: Cool Syndrome (冷證E, Leng Zheng)
30. Insomnia ( 失眠, Shi Mian)
31. Sleepiness (嗜睡S, Shi Shui)
32. Amnesia (健忘, Jian Wang)
33. Lassitude (倦怠, Juan Dai)
34. Manic-Depressive Disorder (癲狂, Dian Kuang)
35. Melancholy (鬱證, Yu Zheng)
36. Stranguria (淋證， Lin Zheng)
37. Seminal Emission (遺精, Yi Jing)
Appendix: Sexual Intercourse in Dream (夢交, Meng Jiao)
38. Impotence ( 陽痿, Yang Wei)
39. Hemia (疝氣, Shan Qi)
40. Headache ( 頭痛, Tou Tong)
41. Dizziness (眩暈, Xuan Yun)
42. Windstroke ( 中風, Zhong Feng)
43. Bi Syndrome (痹證, Bi Zheng)
44. Flaccidity Syndrome (痿證, Wei Zheng)
45. Torticollis (落枕, Lao Zhen)
46. Pain in the Elbow Joint (肘痛, Zhou Tong)
47. Lumbar Pain (腰痛, Yao Tong)
Chapter ll Gynecological Diseases
48. irregular Menstruation ( 月經不調, Yue Jing Bu Tiao)
49. Amenorrhea (經閉, Jing Bi)
50. Metrorrhagia and Metrostaxis ( 崩漏, Beng Lou)
51. Dysmenorrhea (痛經, Tong Jing)
52. Morbid Leukorrhea (帶下, Dai Xia)
53. Moming Sickness (妊娠惡陰, Ren Shen E Zu)
54. Malposition of Fetus (胎位不正, Tai Wei Bu Zheng)
55. Eclampsia (子癇, Zi Xian)
56. Prolonged Labor (滯産, Zhi Chan)
57. Retention of Placenta (胞衣不下, Bao Yi Bu Xia)
58. Lochiostasis (惡露不下, E Lu Bu Xia)
59. Lochiorrhea (惡露不絕e, E Lu Bu Jue)
60. Postpartum Vertigo ( 産後血暈, Chan Hou Xue Yun)
61. Postpartum Abdominal Pain (産後腹痛, Chan Hou Fu Tong)
62. Hypogalactia ( 乳少, Ru Shao)
63. Pruritus Vulvae ( 陰癢, Yin Yang)
64. infertility (不孕癥, Bu Yun Zheng)
Chapter lll Pediatric Diseases
65. infantile Pertussis Cough (小兒頓咳, Xiao Er Dun Ke)
66. Children's Diarrhea (小兒泄瀉, Xiao Er Xie Xie)
67. infantile Malnutrition Syndrome (小兒遺尿, Xiao Er Gan Ji)
68. infantile Convulsion (小兒驚風, Xiao Er Jing Feng)
69. Nocturnal Enuresis in Children (小兒遺尿, Xiao Er Yi Niao)
70. Morbid Night Crying (小兒夜啼, Xiao Er Ye Ti)
Chapter iV Diseases of Eyes, Ears, Nose and Throat
7!. Conjunctivitis (目赤腫痛, Mu Chi Zhong Tong)
72. Ptosis to the Eyelid (眼瞼下垂, Yan Jian Xia Chui)
73. Dacryorrhea (流淚, Liu Lei)
74. Nebula (目翳, Mu Yi)
75. Sudden Blindness (暴盲, Bao Mang)
76. Night Blindness (夜盲, Ye Mang)
77. Toothache ( 牙痛, Ya Tong)
78. Halitosis (口臭, Kou Chou)
79. Sialorrhea ( 口角流涎, Kou Jiao Liu Xian)
80. Aphtha ( 口瘡, Kou Chuang)
8!. Swelling and Pain of the Throat (咽喉腫痛, Yan Hou Zhong Tong)
82. Globus Hystericus (梅核氣,, Mei He Qi)
83. Aphonia (失音, Shi Yin)
84. Tinnitus and Deafness (耳鳴, Er Ming耳聾 Er Long)
85. Auricular itch (耳癢, Er Yang)
86. Deafiiess and Muteness (聾啞, Long Ya)
87. Rhinorrhea (鼻淵, Bi Yuan)
Chapter V Dermatological and Other Diseases
88. Rosa Cea (酒渣鼻, Jiu Zha Bi)
89. Nail-Like Furuncle (疔瘡, Ding Chuang)
90. Erysipelas ( 丹毒, Dan Du)
91. Stopping Smoking (戒煙, Jie Yan)
92. Periarthritis of the Shoulder (肩凝證, Jian Ning Zheng)
Appendix Reference Books
index l Terms of TCM in English Alphabetical Order
index ll Terms of TCM in Chinese Alphabetical Order
· · · · · · (收起)
讀後感
評分
評分
評分
評分
評分
用戶評價
评分
這本書的學術深度和廣度讓我這個老中醫都感到驚喜，它在傳承基礎上對傳統理論的再挖掘和提升，是真正有價值的貢獻。我注意到作者在論述“經絡實質”時，引用瞭大量的古代醫籍，比如《內經》、《難經》中的晦澀段落，並用現代生物學和物理學的概念進行瞭富有洞察力的解讀，構建瞭一種跨越時空的對話感。這種深厚的學術功底，使得全書的論述有根有據，避免瞭當代針灸研究中常見的“玄學化”傾嚮。更值得稱道的是，它對不同流派針灸思想的兼收並蓄，沒有偏廢任何一方。比如，它對特定流派的特定手法（如特定流派的燒山火、瀉青龍等）進行瞭細緻的比較分析，指齣它們在適應證上的細微差異和理論基礎的異同。這種宏觀的視野和微觀的剖析相結閤，讓讀者在學習具體技術的同時，也能建立起一個完整的針灸理論體係地圖。對於希望深入研究針灸學理論源流的讀者來說，這本書無疑是一本絕佳的“放大鏡”和“導航儀”。
评分閱讀這本書的過程，體驗就像是跟隨一位經驗豐富、談吐風趣的導師進行一對一的實地教學。它的文字錶達非常注重讀者的體驗感，那種娓娓道來、層層遞進的敘事方式，讓人在吸收知識的同時，精神上也得到瞭極大的愉悅。我個人對書中的“穴位應用小貼士”特彆感興趣，這些部分通常以小標題或者邊欄的形式齣現，內容非常生活化。比如，書中提到在特定節氣如何通過按摩某些特定穴位來預防季節性疾病，這些小竅門雖然看似簡單，卻是作者多年臨床經驗的沉澱，非常接地氣。而且，作者在講解復雜概念時，經常會穿插一些形象的比喻，比如將氣血運行比作水流的漲落，將病竈比作需要疏通的隘口，這些比喻既生動又準確，極大地增強瞭概念的可理解性。這種“潤物細無聲”的教學風格，讓閱讀過程充滿瞭發現的樂趣，完全沒有傳統學術著作那種枯燥乏味的感覺，讓人忍不住想一頁接一頁地讀下去，生怕錯過任何一個精妙的見解。
评分我是一名康復科的年輕醫生，在選擇參考書時，最看重的是其臨床實用性和案例的代錶性。這本書在案例分析這塊做得非常紮實，它並沒有停留在理論層麵，而是深入到瞭各種復雜病癥的辨證論治過程。我仔細研究瞭其中關於“疑難雜癥”的章節，比如一些慢性疼痛綜閤徵和功能性障礙的治療思路。作者不是簡單地羅列幾個常用穴位，而是構建瞭一個完整的思維框架：從病機分析到選穴原則，再到手法加減，每一步都有理有據，邏輯鏈條異常清晰。特彆是對於不同年齡段患者的個體化治療方案的探討，體現瞭極高的臨床智慧。舉個例子，書中討論瞭老年患者體虛狀態下如何調整針刺的深度和刺激強度，這在許多教材中常常被一筆帶過，但這本書卻進行瞭詳細的闡述，提供瞭非常實用的劑量控製參考。讀完這些案例，我感覺自己對如何應對那些“教科書上沒有寫明”的棘手情況，心裏更有底氣瞭。這絕不是一本隻能用來“做樣子”的書，而是真正能指導臨床決策的利器。
评分這本書的參考文獻和索引係統做得極其專業和嚴謹，這對於做學術研究或者需要快速查閱資料的專業人士來說，簡直是福音。我嘗試著查找瞭幾個我感興趣的特定病癥的最新研究進展，發現凡是書中提及的具有爭議性的觀點或需要佐證的結論，其後都清晰地標注瞭引文的齣處和年份。這種對學術規範的尊重，使得整本書的可信度大大提高。此外，它的術語對照錶非常全麵，不僅包含瞭規範的中文術語，還對一些曆史遺留的舊稱和國際上通用的拉丁文或英文名稱進行瞭對照，這對於那些需要進行跨文化學術交流的讀者來說，提供瞭極大的便利。更值得稱贊的是，書後的索引設計非常人性化，它不僅按筆畫和拼音排列瞭穴位名稱，還特彆增加瞭一個“病癥索引”，可以直接通過你關心的疾病名稱，快速定位到書中涉及該病的所有理論闡述和治療方案。這種細緻入微的組織結構，體現瞭齣版方對讀者需求的深刻理解，極大地提升瞭這本書作為案頭工具書的價值和使用效率。
评分這本書的裝幀設計著實讓人眼前一亮，封麵那種沉穩又不失深邃的藍色調，配上燙金的書名，拿在手裏就感覺分量十足。我特意挑選瞭一個光綫好的下午，在書房裏慢慢翻閱。最初的幾頁，我注意到作者在引言部分對“仁心仁術”的闡釋，寫得極其細膩，不僅僅是傳統醫術的復述，更融入瞭現代醫學倫理的思考。這種將古典智慧與當代視角相結閤的做法，是很多同類書籍所欠缺的。尤其是關於穴位定位的圖解部分，采用瞭高清的三維人體模型插圖，綫條的精準度和陰影的層次感處理得非常到位，即便對於初學者來說，也能清晰地辨識齣不同經絡的走嚮和關鍵取穴點，這大大降低瞭學習的門檻。我特彆欣賞它在描述具體操作手法時所采用的那種近乎於詩意的語言，比如描述“得氣”的瞬間，那種“氣至病所，脈弦而鬆”的境界，讓人仿佛能透過文字感受到針尖與經絡的微妙互動。整體來看，這本書在視覺傳達和理論構建上都達到瞭一個相當高的水準，讓人有強烈的閱讀衝動，想要立刻投入到實踐的探索中去。
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