平乐正骨筋骨并重理论探讨

筋骨并重是平乐正骨主要学术思想之一，平乐正骨把筋骨并重思想贯穿于骨伤治疗的始终。理论上平乐正骨注重“筋骨”并重，认为人体筋骨相互依赖、相互影响；整复、固定手法上平乐正骨强调骨折固定时要护筋、用筋、调筋，要“动静结合”；辨证用用药上平乐正骨遵循肝肾同治、筋骨并重。但平乐正骨筋骨并重思想并非一蹴而就，是在《黄帝内经》《诸病源候论》《医宗金鉴》以及现代医学等历代理论发展与临床实践的影响下逐渐形成并成熟的。因此，从中医学及现代生物力学探讨平乐正骨“筋骨并重”学术思想的源流，有助于理解平乐正骨学术思想的内涵。

The Theoretical Origin of Pingle Orthopedic Manipulation Emphasizing on Sinews and Bones Treatment

Emphasis on sinews and bones treatment is one of the key academic theory of pingle orthopedic manipulation (POM). It is penetrated through orthopedic treatment from beginning to end. The theory of POM pay attention to sinews and bones treatment, think sinews and bones of that human is interdependence and mutual influence. The eduction and fixed way of POM emphasise tendon-protection, tendon-exhaust and tendon-regulation on the fracture fixation reinforcement, the theory of dynamic and static combination. On dialectical medication, POM is following liver and kidney syndrome, sinews and bones treatment. But the thought of POM on sinews and bones treatment is not accomplished at one stroke, is gradually formed and developed base on the past theory of Huangdi Neijing, Various Pathogenic Designate Theory, Golden Mirror of Medicine and the influence of clinical practice. Therefore, the origin of the academic thought of POM is investigated from Chinese medicine and modern biomechanics, which will contribute to understand the context of POM.