杨丽秋 夏惠明 龙鑫 汪昂 岳阳 杨宇 杨阳 杨永兰

摘要：目的 明确夏教授辨证运用平推法作用于慢性腰肌损伤的兔动物模型后，柔和及渗透是手法的重要因素，为临床推广夏教授平推法的辨证学术经验打下基础。方法 取日本大耳白兔70只，随机分为不用手法对照组、作用时间长手法组、作用时间短手法组、频率快手法组、频率慢手法组、手下有压力组、手下无压力组，每组10只，采用人工固定家兔加桑枝击打腰部肌肉造模，经过周期治疗对比，测定兔血清中免疫功能、血液流变学，处死后腰肌病理切片，观察镜下肌肉组织的变化，后进行统计学分析。结果 有压力且作用时间长的平推法能提高慢性腰肌损伤的免疫力水平（P<0.05）;其余平推法组无显著性差异（P>0.05）。结论 夏惠明教授平推法能提高慢性腰肌损伤的免疫力水平，改善血流变学，在治疗慢性腰肌损伤手法的选择有较高的临床应用價值。

关键词：慢性腰肌损伤;推拿疗法;免疫功能

中图分类号：R244.1   文献标志码：B   文章编号：1007-2349（2021）07-0076-04

Research on Professor Xia Huiming's Flat Push Method on Intervention of theRabbit Model of Chronic Lumbar Muscle Injury

YANG Li-qiu， XIA Hui-ming， LONG Xin， WANG Ang， YUE Yang， YANG Yu， YANG Yang， YANG Yong-lan

（Yunnan Hospital of Traditional Chinese Medicine， Kunming 650021， China）

【Abstract】Objective： To make sure that the softness and penetration were important factors of the method after Professor Xia Huiming's flat push method was used to treat the rabbit animal model of chronic lumbar muscle injury and to lay a foundation for the clinical application of Professor Xia's dialectical academic experience of the method. Methods： 70 Japanese white rabbits were randomly divided into non-manipulation control group， long-acting time manipulation group， short-acting time manipulation group， fast frequency manipulation group， slow frequency manipulation group， pressure group and no pressure group， 10 rabbits each group. The artificially fixed rabbits and mulberry sticks were used to hit the waist muscles to create a model. After periodic treatment and comparison， the immune function and hemorheology in the rabbit serum were measured. The rats were sacrificed to make the pathological sections of the psoas muscles and the muscle tissues changes were observed under the microscope and then the statistical analysis was made. Results： The flat push method with pressure and long acting time can raise the immunity level of chronic psoas muscle injury （P<0.05）. There is no significant difference in the other flat push groups （P>0.05）. Conclusion： Professor Xia Huiming's flat push method can raise the immunity level of chronic psoas muscle injury and improve blood rheology and has higher clinical application value in the choice of treatment for chronic psoas muscle injury.

【Key words】Chronic Psoas Muscle Injury; Massage Therapy; Immune Function

慢性腰肌损伤是临床见疾病，是由于经常的反复的积累性轻微损伤（劳损）可引起肌肉附着点、骨膜、韧带等组织的充血，水肿渗液纤维组织增生和粘连等病理改变刺激和压迫神经末稍导致腰部的慢性疾病。在临床中证实，推拿治疗慢性腰肌损伤疗效明确有效，它是作为首选的治疗方案。本研究慢性腰肌损伤的兔动物模型，改良软组织损伤兔模型（参照kami，周忠群等机械冲击挫伤的造模方法用重锤整体……