諸方受,男,漢族,上(shang)海人(ren)。主任醫(yi)(yi)(yi)師,教授(shou),研究生導師。畢(bi)業于北京(jing)醫(yi)(yi)(yi)學院(yuan)(yuan),畢(bi)業后分(fen)配至(zhi)江蘇(su)省中(zhong)(zhong)醫(yi)(yi)(yi)院(yuan)(yuan)工作,曾任江蘇(su)省中(zhong)(zhong)醫(yi)(yi)(yi)院(yuan)(yuan)骨(gu)傷(shang)(shang)科主任、南京(jing)中(zhong)(zhong)醫(yi)(yi)(yi)藥(yao)大(da)學骨(gu)傷(shang)(shang)科教研室主任、中(zhong)(zhong)國中(zhong)(zhong)醫(yi)(yi)(yi)研究院(yuan)(yuan)客(ke)座教授(shou)等職。為第(di)一至(zhi)五(wu)批全國老中(zhong)(zhong)醫(yi)(yi)(yi)藥(yao)專(zhuan)家學術經驗繼承(cheng)工作指(zhi)導老師,石氏(shi)傷(shang)(shang)科第(di)四(si)代傳人(ren),享(xiang)受國務院(yuan)(yuan)政府特殊津(jin)貼(tie)。擅長診治(zhi)中(zhong)(zhong)西醫(yi)(yi)(yi)結(jie)合(he)治(zhi)療(liao)骨(gu)折。
1947年起,在上海(hai)青浦(pu)縣開(kai)業從事中(zhong)醫。
1957年,北京醫學院畢業后(hou)到江蘇(su)省中(zhong)(zhong)醫院骨(gu)(gu)傷科(ke)工(gong)作(zuo),曾(ceng)任江蘇(su)省中(zhong)(zhong)醫院骨(gu)(gu)傷科(ke)主任,南京中(zhong)(zhong)醫藥大學骨(gu)(gu)傷科(ke)教(jiao)研(yan)室主任,中(zhong)(zhong)國中(zhong)(zhong)醫研(yan)究院客座(zuo)教(jiao)授等職。
1996年(nian)退休后,在江蘇省中醫院繼續(xu)工作半天。
參加編寫(xie)《中(zhong)醫(yi)傷(shang)科(ke)學》、《中(zhong)醫(yi)骨(gu)傷(shang)科(ke)學》、《中(zhong)醫(yi)學》、《常見病中(zhong)醫(yi)臨(lin)床手冊》、《中(zhong)醫(yi)學概論》、《中(zhong)醫(yi)護病學》等6本教材和專著。
1.丁亮,諸(zhu)方(fang)(fang)受,王(wang)培(pei)民,范競.紫荊皮(pi)在古籍(ji)消腫止痛類外敷方(fang)(fang)中(zhong)的應用(yong)[J].中(zhong)國中(zhong)醫急癥,2012,21(03):428-429+435.
2.諸方受(shou).急性(xing)腰扭傷診治瑣談[J].江蘇(su)中醫,1999,(10):3-4.
3.諸方受,蔣東明,陳茂(mao)義.外(wai)傷(shang)性(xing)臟躁癥——癔(yi)病的診治(附癔(yi)病性(xing)癱瘓4例(li)報告(gao))[J].中醫正骨,1997,(06):22-23.
4.諸方受,李寧(ning),黃(huang)佰(bai)靈.治愈(yu)外(wai)傷性癔病截癱一例[J].南京中醫藥(yao)大學學報,1997,(01):46-47.
5.諸方受(shou).頸(jing)部外傷(shang)合并(bing)神經癥狀11例(li)的治療體會[J].江蘇中醫,1995,(10):20-21.
6.諸方(fang)受,許建安,趙毅,黃桂成,梅炯(jiong),李寧(ning).中(zhong)(zhong)藥頸枕(zhen)的研(yan)制與臨床應用(yong)375例小結[J].中(zhong)(zhong)國中(zhong)(zhong)醫骨傷科,1995,(05):40-42.
7.李寧,諸方受(shou).改良(liang)藥物頸枕治療頸椎病212例(li)報(bao)告[J].中醫雜志(zhi),1994,(08):484-486.
8.諸方(fang)受.腰椎(zhui)后關節錯(cuo)縫(feng)診治瑣談(tan)[J].中(zhong)醫(yi)正骨,1992,(03):1-2.
9.諸方受.正(zheng)確(que)使(shi)用小夾板治療(liao)骨折進一步提(ti)高臨床(chuang)療(liao)效——為紀念方先之教(jiao)授(shou)誕(dan)辰85周年而作[J].中(zhong)醫(yi)正(zheng)骨,1991,(04):1-2.
10.諸方受.隱性的第三(san)腰椎橫突綜(zong)合(he)癥[J].吉林(lin)中醫藥,1990,(01):19-20.
11.諸方(fang)受.化痰消腫方(fang)治肩(jian)臂足(zu)跟痛的經驗介紹[J].骨傷(shang)科通(tong)訊,1989,(01):8-10.
12.諸(zhu)方受.化痰消腫方治肩臂(bei)足跟痛[J].南京中(zhong)醫學院學報,1987,(04):71-72.
13.諸方(fang)受.石筱山老師傷科臨(lin)床(chuang)經驗點滴[J].江蘇中醫雜志(zhi),1986,(05):15.
14.諸方受.非手術(shu)治愈“腰突癥”的(de)機理初探[J].骨傷(shang)科(ke)通訊,1985,(01):42-45.
15.諸(zhu)方受,鄭祖剛(gang),李開金,許建安,蔡文輝(hui),卜(bu)慧.小夾板為主(zhu)治療(liao)“難治型(xing)”肱骨干骨折的體會[J].新(xin)中醫,1984,(03):23-25.
16.諸方(fang)受(shou).治療(liao)31例(li)胸、腰椎骨(gu)折的初步小結[J].江(jiang)蘇中醫,1964,(09):9-12.
17.諸方(fang)受.治(zhi)療(liao)19例(li)肋骨骨折簡介[J].江蘇中醫,1962,(09):6-10.
18.諸(zhu)方受(shou).中醫傷(shang)科和(he)骨科的發展(zhan)簡(jian)史[J].中醫雜志,1959,(05):64-67.
19.諸方(fang)受(shou).閉合(he)性骨折39例治療介紹[J].中醫雜志(zhi),1958,(07):457-461.
20.諸方受.祖(zu)國醫(yi)學(xue)對于(yu)風濕病關節型之記載及其(qi)治療(liao)概(gai)述[J].上海(hai)中醫(yi)藥雜志,1958,(01):17-21.
誠師敬業潛心治學
諸(zhu)老(lao)(lao)早于(yu)(yu)(yu)年(nian)(nian)投身(shen)杏(xing)林(lin)之(zhi)時乃中醫(yi)(yi)備受歧視(shi)之(zhi)秋,政策上冷落與師(shi)授口述的(de)(de)(de)教學方(fang)(fang)(fang)式使之(zhi)啟蒙教育頗為(wei)(wei)艱辛。初(chu)入茅廬,誠實為(wei)(wei)先,講究尊師(shi)敬業(ye),所謂(wei)“先生領進門(men),得道在(zai)自身(shen)”,在(zai)于(yu)(yu)(yu)啟迪(di)后(hou)學既(ji)要(yao)源于(yu)(yu)(yu)前人(ren)(ren),又(you)不(bu)(bu)囿于(yu)(yu)(yu)前人(ren)(ren),繼(ji)承學習之(zhi)綱要(yao)。滴(di)水穿石(shi)流逝光(guang)陰而鑿(zao)成,實學與悟(wu)性寓意于(yu)(yu)(yu)勞(lao)其(qi)筋骨(gu),苦(ku)其(qi)心志(zhi)(zhi)。諸(zhu)老(lao)(lao)早期教育思(si)想立足于(yu)(yu)(yu)較完整、準確地繼(ji)承石(shi)氏傷(shang)(shang)(shang)(shang)科(ke)(ke)(ke)的(de)(de)(de)學術思(si)想與經驗專長,基石(shi)以(yi)博學,觸類而旁通。例如正復(fu)肩(jian)關(guan)(guan)(guan)節(jie)脫位(wei),可(ke)有多種方(fang)(fang)(fang)法(fa)(fa),諸(zhu)老(lao)(lao)在(zai)受業(ye)石(shi)氏傷(shang)(shang)(shang)(shang)科(ke)(ke)(ke)及后(hou)來獨立行醫(yi)(yi)時,均以(yi)直(zhi)接(jie)牽引法(fa)(fa)治療,屢試(shi)皆效。但(dan)年(nian)(nian)曾遇(yu)二(er)例朧骨(gu)外(wai)(wai)科(ke)(ke)(ke)頸(jing)骨(gu)折(zhe)均為(wei)(wei)外(wai)(wai)院采(cai)用(yong)氏法(fa)(fa)正復(fu)肩(jian)脫位(wei)所引起。由于(yu)(yu)(yu)解剖(pou)結構關(guan)(guan)(guan)系,以(yi)氏法(fa)(fa)復(fu)位(wei)時,作用(yong)于(yu)(yu)(yu)肪骨(gu)外(wai)(wai)科(ke)(ke)(ke)頸(jing)的(de)(de)(de)力量(liang)較大,確有并發外(wai)(wai)科(ke)(ke)(ke)頸(jing)骨(gu)折(zhe)之(zhi)弊端,而采(cai)用(yong)直(zhi)接(jie)牽引法(fa)(fa)卻無此(ci)后(hou)顧之(zhi)慮(lv)。這(zhe)種區(qu)別(bie)于(yu)(yu)(yu)一(yi)般教科(ke)(ke)(ke)書(shu)的(de)(de)(de)方(fang)(fang)(fang)法(fa)(fa)曾介紹發表(biao)于(yu)(yu)(yu)當時的(de)(de)(de)《江蘇中醫(yi)(yi)雜(za)志(zhi)(zhi)》。胸(xiong)脅(xie)(xie)內(nei)(nei)(nei)傷(shang)(shang)(shang)(shang)的(de)(de)(de)治療向(xiang)來為(wei)(wei)石(shi)筱山先生的(de)(de)(de)臨證特色(se)之(zhi)一(yi)。早于(yu)(yu)(yu)年(nian)(nian),諸(zhu)老(lao)(lao)在(zai)《中醫(yi)(yi)雜(za)志(zhi)(zhi)》發表(biao)“胸(xiong)脅(xie)(xie)內(nei)(nei)(nei)傷(shang)(shang)(shang)(shang)證治探討”一(yi)文,從傷(shang)(shang)(shang)(shang)科(ke)(ke)(ke)古籍(ji)所載胸(xiong)脅(xie)(xie)部(bu)位(wei)之(zhi)傷(shang)(shang)(shang)(shang)氣、傷(shang)(shang)(shang)(shang)血、氣血兩傷(shang)(shang)(shang)(shang)及愉穴傷(shang)(shang)(shang)(shang)等(deng)內(nei)(nei)(nei)傷(shang)(shang)(shang)(shang),論及如何區(qu)別(bie)于(yu)(yu)(yu)勞(lao)倦內(nei)(nei)(nei)傷(shang)(shang)(shang)(shang)、胸(xiong)膜炎等(deng)內(nei)(nei)(nei)科(ke)(ke)(ke)病(bing)(bing)證,把(ba)傷(shang)(shang)(shang)(shang)科(ke)(ke)(ke)內(nei)(nei)(nei)傷(shang)(shang)(shang)(shang)臨床(chuang)證治歸納為(wei)(wei)若干類,逐一(yi)加(jia)以(yi)辨析,附以(yi)病(bing)(bing)例驗案于(yu)(yu)(yu)后(hou)。立法(fa)(fa)處方(fang)(fang)(fang)既(ji)有前人(ren)(ren)方(fang)(fang)(fang)藥隨證加(jia)減又(you)有自己(ji)用(yong)藥心得以(yi)供讀者借鑒,足見諸(zhu)老(lao)(lao)崇于(yu)(yu)(yu)石(shi)氏真傳,尤注(zhu)意醫(yi)(yi)理的(de)(de)(de)闡釋(shi),以(yi)石(shi)氏師(shi)授為(wei)(wei)主導,又(you)博采(cai)眾家之(zhi)長,使胸(xiong)脅(xie)(xie)內(nei)(nei)(nei)傷(shang)(shang)(shang)(shang)的(de)(de)(de)證法(fa)(fa)更(geng)見完備。嚴(yan)謹求實為(wei)(wei)諸(zhu)老(lao)(lao)從醫(yi)(yi)及教育思(si)想之(zhi)自律準則,治病(bing)(bing)救人(ren)(ren),枚關(guan)(guan)(guan)性命(ming)與功能,稍許差錯(cuo)都(dou)可(ke)造成病(bing)(bing)家終身(shen)遺憾(han)。嚴(yan)謹的(de)(de)(de)治學之(zhi)道的(de)(de)(de)內(nei)(nei)(nei)涵在(zai)于(yu)(yu)(yu)嚴(yan)于(yu)(yu)(yu)解剖(pou)自己(ji),每治愈一(yi)個病(bing)(bing)人(ren)(ren),多靜心反思(si)是(shi)“偶然(ran)中的(de)(de)(de)”,還是(shi)“必然(ran)所致”如此(ci)考究以(yi)遴選行之(zhi)有效的(de)(de)(de)治法(fa)(fa)方(fang)(fang)(fang)藥在(zai)于(yu)(yu)(yu)去偽存(cun)真,取其(qi)精要(yao)著述文章旨在(zai)啟迪(di)后(hou)學,更(geng)應慎(shen)之(zhi)又(you)慎(shen),臨床(chuang)經驗之(zhi)談、驗方(fang)(fang)(fang)之(zhi)效,必經反復(fu)推(tui)敲,驗證求實自己(ji)臨證有效,旁人(ren)(ren)仿之(zhi)亦有效,方(fang)(fang)(fang)作定論,其(qi)孜(zi)孜(zi)不(bu)(bu)倦的(de)(de)(de)科(ke)(ke)(ke)學態度可(ke)見一(yi)斑。
師古不泥融會新知
中(zhong)西醫(yi)結合(he)(he)(he)盛(sheng)行于(yu)年(nian)(nian)代(dai),上(shang)溯(su)于(yu)清(qing)代(dai)張(zhang)錫純醫(yi)學(xue)(xue)衷中(zhong)參西思想。秉承前賢、獨立(li)行醫(yi)實踐年(nian)(nian)后,諸(zhu)(zhu)老重又步入現代(dai)醫(yi)學(xue)(xue)殿堂系統研(yan)習年(nian)(nian),兼融中(zhong)西醫(yi)理論與(yu)思維方法于(yu)一體,以(yi)探中(zhong)醫(yi)正骨治(zhi)傷之真諦醫(yi)學(xue)(xue)之博,浩如煙海,已(yi)知(zhi)未知(zhi)層出不窮。以(yi)“痹”證(zheng)為(wei)(wei)例(li),可羅列現代(dai)醫(yi)學(xue)(xue)病名(ming)幾十余種,涉及臨床(chuang)多種學(xue)(xue)科,治(zhi)療方藥亦有(you)上(shang)百首之眾。宏觀辨(bian)證(zheng)與(yu)現代(dai)微觀檢(jian)查的(de)理論診(zhen)斷手段配合(he)(he)(he)有(you)助于(yu)對疾病的(de)深(shen)層認識,辨(bian)證(zheng)與(yu)辨(bian)病結合(he)(he)(he),則使遣方用(yong)(yong)藥更具針對性、合(he)(he)(he)理性。在(zai)借鑒(jian)雷公藤藥物治(zhi)療類(lei)風(feng)濕性關節炎(yan)的(de)成(cheng)功經驗(yan)基礎上(shang),取現代(dai)實驗(yan)研(yan)究的(de)免疫抑制、抗炎(yan)鎮痛效(xiao)果為(wei)(wei)依據(ju),觸類(lei)旁(pang)通,用(yong)(yong)以(yi)治(zhi)療以(yi)無菌(jun)性炎(yan)癥反應為(wei)(wei)病理表現的(de)頸(jing)肩腰(yao)腿痛癥,辨(bian)證(zheng)處方加(jia)用(yong)(yong)雷公藤,使臨床(chuang)療效(xiao)優于(yu)原有(you)效(xiao)果。諸(zhu)(zhu)老還根據(ju)自己(ji)的(de)用(yong)(yong)藥心得,認為(wei)(wei)配伍(wu)運用(yong)(yong)時無需(xu)單(dan)味先煎,使用(yong)(yong)中(zhong)并不影(ying)響療效(xiao)和(he)發生副作用(yong)(yong)。
頸椎病(bing)為人(ren)們所認識的時(shi)間(jian)并(bing)不長,散見于中醫“痹證”、“痰證”、“頭痛”、“項強”等癥,“同(tong)病(bing)異治(zhi)(zhi)”可以(yi)“異曲(qu)同(tong)工(gong)”。諸老將用之(zhi)于正骨治(zhi)(zhi)傷的動靜結合、內兼治(zhi)(zhi)的特(te)色延伸于頸椎病(bing)的綜(zong)合治(zhi)(zhi)療,創意(yi)(yi)以(yi)提(ti)項旋轉、方(fang)藥內治(zhi)(zhi)、藥枕(zhen)墊頸、頸托支架(jia)、功(gong)能鍛(duan)煉(lian)五(wu)種方(fang)法斌予非手術治(zhi)(zhi)療的新內容(rong),別具特(te)色,使前(qian)賢之(zhi)法得以(yi)發展。其立意(yi)(yi)既包容(rong)現(xian)代解剖知識,人(ren)體(ti)機能特(te)點及其基本病(bing)理(li)變化(hua)的實質,又體(ti)現(xian)整(zheng)體(ti)觀(guan)念、標本兼治(zhi)(zhi)之(zhi)精(jing)位(wei)。
勤于實踐厚積薄發
正(zheng)骨(gu)手(shou)(shou)(shou)法(fa)(fa)(fa),種類繁多(duo)。古有《醫宗(zong)金鑒(jian)》所(suo)(suo)述八法(fa)(fa)(fa),今有中(zhong)西醫結合經驗(yan)八法(fa)(fa)(fa),所(suo)(suo)列之(zhi)詳,多(duo)為(wei)(wei)后學者仿效。但真正(zheng)領悟“手(shou)(shou)(shou)隨心轉,法(fa)(fa)(fa)從手(shou)(shou)(shou)出(chu)”確屬(shu)不易,一(yi)(yi)旦步入(ru)生搬硬套(tao)的(de)(de)(de)誤區,勞而(er)無功(gong)則不知其所(suo)(suo)以(yi)(yi)然。諸老驗(yan)之(zhi)以(yi)(yi)活用(yong),實踐(jian)(jian)悟新義(yi),倡導(dao)“運(yun)(yun)動(dong)(dong)復位(wei)(wei)(wei)(wei)法(fa)(fa)(fa)”猶有獨到之(zhi)處(chu),認為(wei)(wei)骨(gu)折后在(zai)(zai)外力(li)(li)的(de)(de)(de)作用(yong)下所(suo)(suo)發生的(de)(de)(de)移位(wei)(wei)(wei)(wei)變化(hua),會使周圍軟(ruan)組(zu)織或(huo)(huo)多(duo)或(huo)(huo)少擠(ji)壓充填于(yu)斷(duan)端間,創傷血腫凝塊所(suo)(suo)形成占位(wei)(wei)(wei)(wei)性變化(hua),致使組(zu)織內(nei)(nei)壓力(li)(li)增(zeng)(zeng)大,單純作用(yong)于(yu)局部的(de)(de)(de)手(shou)(shou)(shou)法(fa)(fa)(fa)有加重(zhong)損傷之(zhi)趨勢。運(yun)(yun)動(dong)(dong)復位(wei)(wei)(wei)(wei)法(fa)(fa)(fa)是在(zai)(zai)適當的(de)(de)(de)牽(qian)引(yin)下通過(guo)損傷肢體(ti)的(de)(de)(de)運(yun)(yun)動(dong)(dong)變化(hua)把(ba)肌肉內(nei)(nei)在(zai)(zai)的(de)(de)(de)舒(shu)縮(suo)動(dong)(dong)力(li)(li)與骨(gu)干支(zhi)撐的(de)(de)(de)杠桿作用(yong)相互配合,既有助于(yu)嵌入(ru)骨(gu)折間的(de)(de)(de)軟(ruan)組(zu)織收縮(suo)回彈,又可(ke)使斷(duan)端間的(de)(de)(de)血腫凝塊松動(dong)(dong)讓(rang)位(wei)(wei)(wei)(wei),進而(er)減緩局部手(shou)(shou)(shou)法(fa)(fa)(fa)的(de)(de)(de)直接受力(li)(li)強度,促進骨(gu)折歸位(wei)(wei)(wei)(wei)。如伸直型肪骨(gu)裸上(shang)骨(gu)折,于(yu)損傷位(wei)(wei)(wei)(wei)的(de)(de)(de)拔(ba)伸牽(qian)引(yin)下,在(zai)(zai)轉向屈肘(zhou)時(shi)的(de)(de)(de)運(yun)(yun)動(dong)(dong)變化(hua)中(zhong),同時(shi)在(zai)(zai)局部施以(yi)(yi)端提擠(ji)按等手(shou)(shou)(shou)法(fa)(fa)(fa),可(ke)使一(yi)(yi)次(ci)復位(wei)(wei)(wei)(wei)的(de)(de)(de)成功(gong)率(lv)大為(wei)(wei)提高。又如朧(long)骨(gu)內(nei)(nei)上(shang)裸,“骨(gu)折伴肘(zhou)脫(tuo)位(wei)(wei)(wei)(wei),骨(gu)折片可(ke)卡(ka)入(ru)關(guan)節(jie)間隙(xi)內(nei)(nei),僅憑(ping)局部手(shou)(shou)(shou)法(fa)(fa)(fa)很難復位(wei)(wei)(wei)(wei)而(er)代(dai)之(zhi)以(yi)(yi)伸肘(zhou)撓(nao)偏旋后位(wei)(wei)(wei)(wei)的(de)(de)(de)牽(qian)引(yin),增(zeng)(zeng)大尺膿關(guan)節(jie)間隙(xi),在(zai)(zai)屈肌健(jian)的(de)(de)(de)緊張牽(qian)拉中(zhong)促使附著之(zhi)內(nei)(nei)上(shang)裸骨(gu)片脫(tuo)出(chu),后迅捷改作旋前位(wei)(wei)(wei)(wei)屈肘(zhou)運(yun)(yun)動(dong)(dong),并將拇指在(zai)(zai)肘(zhou)內(nei)(nei)側自下而(er)上(shang)推按,肘(zhou)脫(tuo)位(wei)(wei)(wei)(wei)及移位(wei)(wei)(wei)(wei)骨(gu)片均可(ke)同時(shi)到位(wei)(wei)(wei)(wei),方法(fa)(fa)(fa)簡潔有效,內(nei)(nei)蘊實踐(jian)(jian)之(zhi)精(jing)要。
小夾(jia)(jia)板治(zhi)(zhi)療骨(gu)折已(yi)成(cheng)為大多數專家學(xue)者(zhe)的(de)共(gong)識(shi),但臨床時(shi)有(you)(you)發(fa)(fa)生的(de)并(bing)發(fa)(fa)癥(zheng)亦使人(ren)感到困惑,反思(si)治(zhi)(zhi)療的(de)失(shi)誤固(gu)然重(zhong)要,而(er)似是而(er)非的(de)所(suo)(suo)(suo)(suo)謂(wei)“小夾(jia)(jia)板綜合(he)癥(zheng)”有(you)(you)待(dai)澄清。本(ben)著一切從(cong)實踐(jian)(jian)出發(fa)(fa)諸老分(fen)析(xi)并(bing)發(fa)(fa)癥(zheng)中最常見之血循環(huan)障礙有(you)(you)部分(fen)損傷時(shi)已(yi)經產生,有(you)(you)的(de)為治(zhi)(zhi)療不當所(suo)(suo)(suo)(suo)引發(fa)(fa),有(you)(you)的(de)為外固(gu)定(ding)器具所(suo)(suo)(suo)(suo)共(gong)有(you)(you),籠統冠(guan)之以“小夾(jia)(jia)板綜合(he)癥(zheng)”有(you)(you)失(shi)偏(pian)頗,從(cong)而(er)在理論與實踐(jian)(jian)上正本(ben)清源。并(bing)提出正確(que)使用小夾(jia)(jia)板所(suo)(suo)(suo)(suo)應注意事項(xiang)及血循環(huan)障礙等癥(zheng)狀(zhuang)的(de)早期觀(guan)察(cha)和(he)治(zhi)(zhi)療處理,強(qiang)調(diao)骨(gu)折治(zhi)(zhi)療是多方位(wei)的(de)系統工程(cheng),尤(you)應重(zhong)視(shi)治(zhi)(zhi)療措(cuo)施的(de)全面性,才(cai)能準確(que)反映(ying)整體觀(guan)念思(si)想指導下的(de)中醫學(xue)特(te)色。
勇于創新善于總結
近(jin)年(nian)來諸老(lao)致力于中(zhong)老(lao)年(nian)退行性病(bing)變的研究,在診治(zhi)膝關節增生(sheng)性炎癥(zheng)方(fang)面別有心(xin)得,認為(wei)人(ren)(ren)體令受(shou)衰老(lao)變化的自然進程影響,“膝為(wei)筋之府”,首當其(qi)沖,虛(xu)責肝(gan)腎不(bu)足。而(er)臨床表(biao)(biao)現以(yi)疼痛、腫脹、功(gong)能障礙居多(duo),實(shi)(shi)屬痰痕阻滯。針對虛(xu)實(shi)(shi)夾雜(za)的病(bing)理變化,創立“二藤湯”為(wei)代表(biao)(biao)方(fang)劑急(ji)治(zhi)其(qi)標(biao),求得速(su)效,待癥(zheng)狀有所減退,再緩治(zhi)其(qi)本,輔之以(yi)功(gong)能鍛煉(lian),流通氣血,增強體質,固本以(yi)防(fang)復(fu)發,這種逆受(shou)傷機制辨證思維更為(wei)符(fu)合中(zhong)老(lao)年(nian)人(ren)(ren)的生(sheng)理特點,每多(duo)應(ying)驗而(er)效,復(fu)發者較(jiao)少(shao)。
隨著社(she)會進入老齡化,頸(jing)椎(zhui)(zhui)病(bing)的發病(bing)率呈上(shang)升(sheng)態勢,尋求(qiu)便捷新穎的治(zhi)(zhi)(zhi)療(liao)方法受(shou)(shou)到人(ren)(ren)們的普遍關注諸(zhu)老立足于(yu)傳統牽引(yin)方法的改進提高,研制出“可活(huo)動(dong)式(shi)頸(jing)托支(zhi)架”,變坐或臥位不動(dong)的垂直懸吊牽引(yin)為(wei)(wei)可調(diao)節式(shi)頂托牽引(yin),使(shi)治(zhi)(zhi)(zhi)療(liao)過程不受(shou)(shou)走(zou)動(dong)及(ji)工作影響,既(ji)有利于(yu)頸(jing)肌(ji)鍛煉(lian),又(you)(you)質輕靈(ling)活(huo)而使(shi)用方便,深受(shou)(shou)病(bing)員好評。基(ji)于(yu)退行性變是(shi)產生諸(zhu)多(duo)癥狀的病(bing)理(li)(li)基(ji)礎,臨床(chuang)又(you)(you)以椎(zhui)(zhui)間隙(xi)狹(xia)窄及(ji)生理(li)(li)弧度(du)改變為(wei)(wei)主要特點,諸(zhu)老為(wei)(wei)中老年人(ren)(ren)設計之藥物頸(jing)枕,兼容治(zhi)(zhi)(zhi)療(liao)與預防兩(liang)種功(gong)效,內含種中藥,芳香怡人(ren)(ren),宣通毛竅(qiao),弧形(xing)高度(du)墊于(yu)頸(jing)后更符合(he)頸(jing)椎(zhui)(zhui)生理(li)(li)形(xing)狀,可有緩(huan)慢持久的牽引(yin)效果,又(you)(you)有助于(yu)恢復和改善頸(jing)曲,寓動(dong)于(yu)靜(jing),省時省事,已廣泛使(shi)用于(yu)臨床(chuang)。上(shang)述(shu)二項均(jun)獲省級科技成果獎(jiang),為(wei)(wei)頸(jing)椎(zhui)(zhui)病(bing)治(zhi)(zhi)(zhi)療(liao)方法增添(tian)了新內容。
對(dui)于(yu)常(chang)見的頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)椎(zhui)病(bing)的研究(jiu),諸(zhu)教(jiao)授有(you)2項(xiang)科研成(cheng)果,一為(wei)“支撐式(shi)可活動頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)托(tuo)(tuo)”,它既(ji)可支撐頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)椎(zhui)(因托(tuo)(tuo)頭顱,擴大頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)椎(zhui)間隙(xi),穩定和減輕(qing)(qing)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)椎(zhui)負荷),又(you)能(neng)(neng)使患(huan)者在(zai)輕(qing)(qing)度抗阻力下做頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)部(bu)活動,鍛練頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)肌,調節頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)椎(zhui)內外(wai)平衡,起(qi)到“動靜結合”的作用(yong)。該器具克(ke)服了石膏頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)托(tuo)(tuo)、固定頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)托(tuo)(tuo)可引起(qi)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)背肌肉萎縮(suo)和關節僵(jiang)凝的不足,獲江蘇(su)省衛生科技(ji)進(jin)步(bu)二等(deng)獎;第二項(xiang)科研成(cheng)果為(wei)中藥(yao)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)枕(zhen)治療頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)椎(zhui)病(bing),該頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)枕(zhen)是睡(shui)眠時墊于(yu)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)后部(bu)的中藥(yao)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)枕(zhen),功(gong)能(neng)(neng)為(wei)疏風活血(xue),改善頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)椎(zhui)生理弧(hu)度,質(zhi)地柔軟,富有(you)彈性,寓(yu)治療于(yu)休息之(zhi)中,深(shen)得頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)椎(zhui)病(bing)患(huan)者的贊譽。此項(xiang)成(cheng)果已轉讓(rang)給南(nan)京棲霞區營防理療器械(xie)廠,商品名為(wei)“頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)康樂中藥(yao)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)枕(zhen)”并(bing)投放市場,1995年獲江蘇(su)省衛生科技(ji)進(jin)步(bu)三等(deng)獎。
2016年榮(rong)獲江蘇(su)(su)十大“國醫名師(shi)”稱號,此(ci)外(wai),還曾榮(rong)獲第(di)二屆江蘇(su)(su)省“醫師(shi)終(zhong)身(shen)榮(rong)譽(yu)獎”,江蘇(su)(su)省中醫院“醫師(shi)終(zhong)身(shen)榮(rong)譽(yu)獎”等。