中医药研究论丛

222.4 足踝扭伤中西医证治综论
TJ TCM.22(2) : 31-44, 2019
足踝扭伤中西医证治综论
A Literature Review of Ankle Sprain with Western Medicine Therapy and Chinese
Medicine Treatment
张维修1 陈建霖1,2 黄建荣1,3 黄蕙棻1,2*
1 佛教慈济医疗财团法人台北慈济医院中医部,新北,台湾
2 慈济大学学士後中医学系,花莲,台湾
3 台湾师范大学健康促进与卫生教育系博士班,台北,台湾
【摘要】
足踝扭伤是常见的下肢疾病之一,特别常发生在运动员与女性族群之中。医师在治疗上除恢复足踝结构外,也需注重後续功能复健。足踝扭伤西医根据临床分级而分别做不同的治疗,而中医师则依循中医理论,以理筋正骨、固定、内治法外敷法与针灸放血等治疗方式於临床上互相搭配使用,其中足踝伤科手法也是目前医学上较认可的处理方式之一。本文主要阐述足踝扭伤的原理机转、诊断、治疗,并藉由回顾以往中医与西医针对足踝扭伤治疗的文献与实证,除说明中西医各自的优势外,也提出未来中医能研究发展的目标供临床医师叁考。
【关键词】足踝扭伤、传统中医疗法、伤科手法治疗
Wei-Hsiu Chang1 Chien-Lin Chen1,2 Chien-Jung Huang1,3 Hui-Fen Huang1,2*
1Department of Traditional Chinese Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi
Medical Foundation, New Taipei City, Taiwan
2School of Post-Baccalaureate Chinese Medicine, Tzu Chi University, Hualien, Taiwan
3Department of Health Promotion and Health Education, National Taiwan Normal University,
Taipei, Taiwan
【Summary】
Ankle sprain is one of the most common musculoskeletal injuries in lower extremities, and occurs mostly in athletic population and women. Clinicians should focus on not only recovering anomalies of ankle structure, but also remodeling functional rehabilitation program for the patient. According to clinical classification, there are several types of treatment for ankle sprain in western medicine. On the other hand, according to traditional Chinese theory, clinicians use Chinese manipulative therapy, immobilization, Chinese herbal therapy,acupuncture, and bleeding therapy for the injury. In this article, we put our emphasis on elaborating the mechanism, diagnosis, and treatment of ankle sprain, narrating the advantages between Chinese and Western therapy in evidencebased medicine, and enlightening methods of modern research for Chinese traumatological doctor in this subject in the future.
【Keywords】Ankle sprain, Traditional Chinese medicine, Traumatological Manipulation