浅析运用平乐正骨手法治疗青少年腰椎间盘突出症

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[中图分类号] ；R249 [文献标志码］A [文章编号]0256-7415（2025）16-0050-06

DOI：10.13457/j.cnki.jncm.2025.16.009

Analysis on Pingle Bone-Setting Manipulation for Lumbar Disc Herniation in Youngsters

LIU Jia，BAO Tiezhou，LI Yang，FAN Jinhui，TIAN Jiangbo，SONG Yongwei uoyangOrthopedic-TraumatologicalHospitalofHenanProvince /HenanProvincialOrthopedicHospital，Luoyang Henan4700

Abstract：The clinical characteristics of lumbar disc herniation in youngsters are mild painand pronounced signs， which are easy tobe confused with other spinal diseases.Therefore，the experienceof Pingle bone-seting school in treating lumbar disc herniation inyoungsters issummarizedfrom theaspectsof etiologyand pathogenesis， characteristics of disease onset，therapeutic mechanismandapplicationof bone-seting manipulation.Theanalysis suggests that the etiology and pathogenesis of the disease can be summarized as follows：“immature governor vesel spine with underdeveloped physique-vitality”“exposure to external pathogens and improper lifestyle practices”and “physical trauma from falls and improper work-rest balance”；guided by Pingle bone-seting school's core conceptof “holistic syndrome differentiation and concurrent treatment of bones and soft tissueswith balanceas the guiding principle”，the following bone-seting techniques，including traction extension，tendon-targeted stretching，rapid traction-rotationrepositioningandthree-step traction-spring reductionof lowerlimbsareappiedaccordingtodiferent stages（acute，recoveryandrehabilitation）of the disease and the considerations in selection，keypoints and risk control of manipulation.These techniques have unique advantages in non-surgical treatment by relieving pain， correcting spinal deformity，and restoring spinal biomechanical balance.

KeyWords：Lumbar disc herniation in youngsters；Pingle bone-setting manipulation；Spinal biomechanical balance

腰椎间盘突出症是引发腰痛及坐骨神经痛的常见原因，属于一种普遍的成人疾病。（剩余8501字）