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Chinese acupuncture diagnosis and treatment of heat(Chinese Edition)

WU XU PING

ISBN 10: 7506775352 / ISBN 13: 9787506775359
Nuovi Condizione: New Rilegato
Da liu xing (JiangSu, JS, Cina)

Libreria AbeBooks dal 7 aprile 2009 Valutazione Libreria 5 stelle

Quantità: 5

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Spedizione: Gratis Da: Cina a: U.S.A. Destinazione, tempi e costi
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Language:Chinese.Chinese acupuncture diagnosis and treatment of heat. Codice inventario libreria CV002375

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Titolo: Chinese acupuncture diagnosis and treatment ...

Legatura: Hardcover

Condizione libro: New

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Riassunto:

《中华内热针临床诊断与治疗》分为上、下两篇。上篇总论介绍了内热针疗法概述、慢性软组织损伤理论及骨质增生病因病理学理论,重点阐述内热针临床应用解剖、诊断学基础、内热针操作技术、内热针治疗学基础、内热针术前准备及术后处理等内容。下篇各论介绍了内热针治疗软组织损伤、骨关节疾病、周围神经疾病及内科、妇科、五官科、皮肤科疾病,共计60种病症。每种病症按概述、临床应用解剖、病因病理、临床表现、诊断要点及内热针治疗的体例编写。全书内容丰富翔实,图文并茂,言简意赅,实用性强。适用于针灸科、疼痛科、康复科的临床医师使用,亦可供全国高等中医药院校的针灸推拿学、中医骨伤及中西医临床医学专业大学生、研究生阅读参考。《中华内热针临床诊断与治疗》:(3)在枕骨大孔后下缘处的局部浸润麻醉法枕骨大孔后下缘的局麻比较特殊,平常少用,不甚熟悉,操作步骤也较复杂。于定点处垂直皮面进针达皮下,然后调整进针方向,针筒向尾侧倾斜,几乎与皮面平行,缓慢、匀速向枕骨大孔后上缘骨面推进,由于进针角度几乎与皮面平行,针尖到达的骨面可能在枕骨大孔的后上方,距枕骨大孔骨缘可能稍远。这时,可沿骨面稍微调整,使针尖距枕骨缘稍近些,也就是枕骨大孔边缘较平的骨面,回吸确实无血、无液时再注入局部麻醉药0.5~0.75%利多卡因1~2ml,然后边退针边回吸无血无液后,在内热针经过的路径上,注入少量局麻药。(4)在胸、腰椎横突上的浸润麻醉方法胸、腰椎横突位置本来较深,对于肥胖病人来说则更深,故常选用20ml注射器、7"80mm长针。其操作方法是:刺入皮肤后,垂直进针,直达横突骨面,确定回吸无血、无液,针筒内呈负压状态后,于横突背面注入0.5%~0.75%利多卡因1~1.5ml,然后边退边回吸无血后注入药液,直至退出皮肤为止。2.局麻处无深部骨面标志的操作法(1)在腰椎棘间点的局部浸润麻醉法此点麻醉有两种方法:①以20ml注射器、7#80mm长针垂直进针,进入皮肤、皮下组织,穿过棘上韧带时应有明确冲破第二个阻力的消失感(第一个阻力消失部位是皮肤);然后,再深入至棘间5~10mm停止进针,认真回吸无血无液、针筒内呈负压状态后,边退边注药,边回吸边注药,直至退出皮肤为止。这里不可刺人过深,不可刺入硬脊膜外腔或蛛网膜下腔。棘间韧带痛觉本来不敏感,麻醉液不需很多。所以,在此处麻醉不是怕刺入太浅,而是怕刺人太深,甚至已进入硬脊膜外腔或蛛网膜下腔时还无察觉,这是最危险的。②另一种进针方法是,当穿刺针进入棘上韧带后,将针筒向头侧倾斜与皮面呈300~450,针尖直刺下位棘突上缘,触到骨面后再注入麻醉药;然后,再以同样方式将针头向相反方向倾斜、进针并达到上位棘突下缘骨面,回吸无血、无液后注入麻醉药。这种方法更为稳妥,绝对安全。(2)梨状肌下孔局部浸润麻醉法此处的内热针操作是通透坐骨神经与梨状肌下孔周围软组织粘连病变。梨状肌下孔处比腰椎横突的位置还要深,该处需用7#长针穿刺。垂直刺入皮肤后,要缓慢摸索进针,匀速向深部推进。与此同时,要时时询问病人有否有刺激坐骨神经的串麻感。当病人反应出现串麻感,立刻停止进针,而后将针头退回5~10mm,回吸无血、无液,针筒内呈负压状态后再边退针边注入局麻药,直到退出皮肤为止

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