16/04/2026
〈徒手理筋整骨疗法〉/陈政心医师(群力医馆)
徒手理筋整骨疗法是一种通过物理手法直接作用于人体，对骨关节位移进行复位，并同步对软组织（筋膜、肌肉、韧带）进行松解的非器械治疗方法。
其核心理念是“应用力学原理达到松、顺、通目的”，即通过调整人体移位变形的结构，恢复其自然的生理平衡状态，从而改善功能并缓解疼痛。
1. 核心作用与功效
理筋整骨不仅能缓解局部的酸痛，还能从生物力学角度纠正整体体态。
• 骨骼矫正：针对颈椎、腰椎、骨盆、肩膀等部位的错位进行快速调整，恢复正常的解剖位置。
• 理筋消肿：通过点穴开筋、按揉弹拨等手法，松解僵硬的“筋结”，缓解肌肉痉挛，解除对神经和血管的压迫。
• 改善体态：用于纠正驼背、O型腿、X型腿以及骨盆前倾等问题。
• 促进循环：改善血液流动和淋巴排毒，刺激人体的自我修复机制。
2. 常见手法特点
不同于简单的放松按摩，理筋整骨更强调“离而复合”与“手摸心会”。
• 手法多样：包含扭转、牵拉、挤压、顿挫等力度较大的复位动作。
• 顺序讲究：通常遵循“先理筋、后整骨”的原则。先放松紧绷的肌肉和筋膜，增加组织弹性，再进行骨骼复位，以减少二次损伤。
• 精准定位：医生通过触诊（摸骨）判断错缝位置，施加适度的“巧劲”而非蛮力。
3. 适用人群与禁忌
并非所有身体不适都适合整骨，错误的操作可能导致骨折或神经损伤。
类别 详细情况适用症颈椎病、腰腿痛、肩周炎、关节错缝、慢性软组织损伤、体态不正等。严禁人群骨肿瘤、骨结核、严重骨质疏松、骨折急性期、局部皮肤破损或感染者。慎用人群严重心脏病、高血压患者，以及处于妊娠期或经期的女性。
4. 专业建议
• 选择正规机构：徒手整骨对技术要求极高。建议前往有资质的 中医院 或专业的康复诊所，由执业中医师或物理治疗师操作。
• 检查先行：在进行大动作的整骨复位前，最好先进行 X 光或 MRI 检查，排除骨裂或器质性病变。
• 术后护理：整骨后部分人可能会出现短期的酸痛加重，通常休息 2-3 天并适当热敷即可缓解。
〈Freehand tendon osteopathy〉/Dr. Chen Zhengxin (expert therapy service)
Manual tendon-removing osteopathic therapy is a non-instrumental treatment method that directly acts on the human body through physical manipulation, reduces bone and joint displacement, and simultaneously releases soft tissues (fascia, muscles, ligaments).
Its core concept is "applying mechanical principles to achieve the purpose of loosening, smoothness and communication", that is, by adjusting the structure of the human body's displacement deformation, restoring its natural physiological balance state, thereby improving function and relieving pain.
Core functions and efficacy.
Strengthening tendons and osteogenesis can not only relieve local soreness, but also correct the overall posture from a biomechanical perspective.
Bone correction: Rapid adjustment is carried out for the misalignment of the cervical spine, lumbar spine, pelvis, shoulders and other parts to restore the normal anatomical position.
Relieve the tendons and reduce swelling: Through techniques such as opening the tendons at points, pressing and plucking, loosening the stiff "tendon knots", relieving muscle spasm and relieving the compression on nerves and blood vessels.
Improve body posture: Used to correct problems such as hunchback, O-leg, X-leg and pelvic forward tilt.
Promote circulation: improve blood flow and lymphatic detoxification, and stimulate the self-repair mechanism of the human body.
Common features of techniques.
Unlike simple relaxation massage, tendon-building and osteogenesis emphasizes "removing and compounding" and "hand-touching the heart".
Various techniques: including twisting, pulling, squeezing, cadence and other powerful reset actions.
Pay attention to the order: usually follow the principle of "resolving the tendons first and then osteogenesis". First relax the tight muscles and fascia, increase tissue elasticity, and then perform bone reduction to reduce secondary damage.
Precise positioning: The doctor judges the position of the wrong seam through palpation (touching the bones) and exerts moderate "smart force" rather than brute force.
Applicable groups and taboos.
Not all physical discomfort is suitable for osteoplasty, and wrong operations may lead to fractures or nerve damage.
Category: Detailed information applies to cervical spondylosis, low back and leg pain, periarthritis of the shoulder, joint misalignment, chronic soft tissue injury, abnormal posture, etc. It is strictly prohibited to have bone tumors, bone tuberculosis, severe osteoporosis, acute fracture phase, local skin damage or infected people. Use with caution in people with severe heart disease, hypertension, and women during pregnancy or menstruation.
