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<p>　<strong>　治療原則：</strong>舒筋活血、通絡(luò)止痛、解除粘連、滑利關(guān)節(jié)。</p><p>　　1.用法在肩部操作，包括肩上、肩前、肩后及肩外等部位，若有壓痛點(diǎn)者，在壓痛部重點(diǎn)操作，如肱骨結(jié)節(jié)間溝部，治療要充分。若有疼痛波及部位者，操作范圍應(yīng)適當(dāng)擴(kuò)大。</p><p>　　2.用拿法配合掌、指揉法，在肩部操作，部位同上。</p><p>　　3.點(diǎn)按缺盆、肩髃、肩井、肩貞、肩內(nèi)陵、天宗、曲池、合谷等穴。</p><p>　　4.每穴點(diǎn)按后可在局部輕揉以緩解不適感。</p><p>　　5.取肱二頭肌長(zhǎng)頭腱腱鞘炎之第3法（搖按拔伸第一法），即患者坐位，醫(yī)者站于患者后外方，用一手拿住傷肩，拇指在后，余四指在前、中指壓在肱骨結(jié)節(jié)間溝。另一手握住腕關(guān)節(jié)上方，在拔伸牽引下做肩關(guān)節(jié)搖法（患者可以忍受最大幅度）6～7次，拿肩之手墊于腋下，拇指豎起，貼于痛處，向健側(cè)用力撐之，兩手同時(shí)用力相對(duì)拔伸，在保持牽引力的同時(shí)，上肢下垂，并屈肘內(nèi)收，使手盡量觸及健肩，再向上拔伸，此時(shí)墊于腋下之手拿出，用拇指在痛處按揉，本法可重復(fù)二次。</p><p>　　6.取岡上肌腱第三法（搖按拔伸第二法），患者坐位，醫(yī)者站于傷肩后側(cè)，一手拿住腕關(guān)節(jié)上方，另一手用大魚(yú)際壓住肩髃穴處，在拔伸牽引下做搖法6～7次，在保持牽引力的同時(shí)，拿肩之手墊于腋下，使傷肢下垂并屈肘內(nèi)收，手觸健肩。此時(shí)，拿腕之手前臂托住患肢肘關(guān)節(jié)尺側(cè)，做梳頭狀，當(dāng)繞至頭頂時(shí)使患側(cè)之手盡量觸及其對(duì)側(cè)耳尖部3～5次，再將傷肢向斜前上拔伸，同時(shí)拿肩之手大魚(yú)際在患處推按，本法可重復(fù)二次。</p><p>　　7.搖肩后伸法：患者坐位，醫(yī)者站于患肩后外側(cè)，先做搖法后將傷肢下垂，拿腕之手前臂抵住患肢肘關(guān)節(jié)做患肩后伸動(dòng)作并使患肢肘關(guān)節(jié)屈曲，背于體后，再上提腕關(guān)節(jié)，本法可重復(fù)做二次。</p><p>　　8.內(nèi)收牽拉法：患者坐位，醫(yī)者站于患者后面，令患者前醫(yī)學(xué)教育網(wǎng)搜集整理屈，并內(nèi)收肩關(guān)節(jié)，此時(shí)醫(yī)者一手（如左側(cè)患肩醫(yī)者用右手）拿住患肢腕關(guān)節(jié)上方，一手抵住健肩后側(cè)，雙手同時(shí)用力推拉（以改善內(nèi)收）2～3次。</p><p>　　9.托肘外旋法：患者坐位，醫(yī)者站于患者之前，一手握住腕關(guān)節(jié)上方，另一手握住屈曲之肘關(guān)節(jié)，輕柔、快速的做患者外旋1～2次</p><p>　　10.牽抖上提法：患者坐位，醫(yī)者站于患肩外側(cè)，雙手握住患肢腕關(guān)節(jié)上方，輕搖患肩3～5次，雙手同時(shí)用力上提牽抖患肢，用力要輕柔、快速。</p><p>　　11.患肩局部輕揉，并搓、抖上肢。</p><p><strong>　　注意：</strong></p><p>　?。?）本治療方法需要患者可以忍受的情況下進(jìn)行。</p><p>　　（2）在操作5～10法過(guò)程中每二法之間應(yīng)加入輕揉、輕按之法，以緩解疼痛及不適。</p> 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