Giáo Trình Tác Động Cột Sống

DAp da trtioc. Khi co thu nhuan mOi dUng thu thuat. Khong co phan loai. An tay vao, no trat tra trat treo va di da.ng. Vu6t gdn len hinh thai ding chAc. Co loai tat nAm ngang trail d6t[r]

LU'O'NG Y NGUYtN THAM TAN TAC GIA

CAM NAN G vE

PHOING PHAP TAC BONG COT SONG BO 13(5C CUONG bien sown

QW.,N II

MUC LUC

Trang

1 Ngu6n goc va hi:6u qua caa phuang phap tac dOng cot song - 12

2 Ccit song 13 -16

3 Dfit sang lien quan void6t.sting 17

4 Ba diem khop ban 18 - 19

5 vang.tarn giac 20'- 22

6 Meiilien quan gicia dot Sling 23 - 24

7 Vi tri ctiem 25 - 28

8 Dieu nhi :et 29 - 30

9 Ivl& lien quan d6t song vol berth chitng 31 - 59

10 Trang thai cac hien Wong cam giac 60 - 61

11 Phuong thiic chin benh 62 - 65

12 Phuong thitc tri benh 66 - 76

13 COt song va benh chi ng 77 - 79

14 Cat can dau co nang 80

15 Cac berth chitng tren D11 va D3 81

16 Nhiet da lien quan den CNNT 82 - 85

17 Cam sot 86 - 88

18 Co xuong khop 89 - 96

19 Tam th .n kinh 97 -103

20 Tu.n hoan 104 - 112

21 Tieu hoa 113 - 118

22 Ho hap 119 - 122

23 Sinh duc 123 - 126

24 Not tit 127 - 130

25 Tiet nieu 131 - 132

26 Cac giac quan 133 - 135

27 Cam diec 136 - 137

28 Berth viem day than kinh hong to 138 - 147

CAM NANG Vg PHUGNG PHAP TAC DONG COT SONG NGUYEN THAM TAN

Kinh clang len Thdy luong y Nguyen Thom Tan kinh mkt, DOng kinh gui ccic ban dOng man dux PPTDCS than rne'n!

Toan bo cutin scich la nhung kinh nghiem guy, bdu 53 nam hanh nghe mkt Thdy chting to - Luang y Nguyen Thom Tan Thdy da day di va ccic ban clang mon tic nam 1979 can nam 2000

Cay dai thu cua phuong phap Tae clang cot sting da di "Ban tay nhung, ban tay yang cua Theiy" khong na-a Thel y mat di, 'de lei cho gia dinh, ban be va deing mon chting ta n6i mat mat dau thuong that la vez han M6i chting to chat berth bang phuorzg phcip Tae clang cot song, ai cung nho den Thay, nh& Thdy phu ho cho co sac khoe de chug benh cuu Hinh dnh cua Thety, lbi day cua Theiy mai mai la ngon dutic soi during cho chting to di

The theo nguyen vong cua ccic ban d6ng mon, toi bien soon lei tai lieu _da hoc, de' cling cdc ban nghien cuu va tip clang, gop phan den dcip lei ng-uyen vong tha thiet cua Thtly la: "Phitong phcip Tcic dong cot song phai duoc phcit trien va hoan thien, trly mat nen Y hoc cot song hien dai cua dan tac Viet Nam ta"

De ccic ban hieu biet them ve nhung viec Thdy da lam duoc, tai xin not rat so lupe ve ngu6n gtic cua phuong phcip va mat so' hieu qua cua phu-ong phcip ma toi da linh hoi duoc

I- NGUON GOC COA PHUONG PHAP TAC BONG COT SONG

Luong y NguAn Thom Tcin sinh nam 1915 6- xei Hoang Xd, huyen Thanh Thdy, tinh Phd Tho La they thtdc Bong y, Theiy rat coi nhung bai thtdic qu:y den gian Trong nhieu nam, Thdy de nhiL tam lac treo len ntii coo, rang sau tim kiern ccic loaf thulic quj, de chug benh

Nhung nam di tim thu6c, Thdy they ccic cu coo tudi hay dung vai tai, hodc 14 la ca y cho xdt len cot song rzgurii kenh Khi cat song co nhung vet d6, ccic cu clang bat hodc ld thu5c hay cua d6ng gia deip vao nhdrig vet d6, co dun soi thutic la de xong cho ngtthri.benh Chi co the ma khoi benh

Su viec tre'n lam Thdy suy nghi tai cot song lai chart clupc benh? Tai Bong - Tay y Ica khong chtia vac) cot sting? Stich Nai kinh ghi :"Tuj, song khong sri they, khong they nen khong the chaa duoc benh" COn Tay y chi churl dupe mot s5 rat it berth cua cot song Nhung khong chda dupc cdc benh not tang Phdi cheing day la mot khe ho ma Bong - Tay y chug di sau nghien cdu, ta nen nghien cdu then xem? Thdy nghi: "Tai cat song la mat thuc the, la mat hien tupng sinh ly Ma da la hien tuong sinh ly thi tat yeu phed CO hien tupng benh

Ter day, Thy b6 viec tim thu6c, quyet tam di sau ved cat sting Thdy da nghien ctiu ccic scich

CAM NANG VE PHUONG PHAP TAC DONG COT SONG BOI DUC CUONG BIN SCAN

dau bung He gia dinh haft ho hang hay nguai Zang xei, he dau bung la Thay den khdm va da chart kh6i benh

Cho den nay, mat s6 nguai u¢n can nghi hog' c? CO phcii Thay da tim phuong phdp tdc Bong cot sing hay khong? CO the' mat nguai nao da day Thay? Mat ngubi coo hoc vein nhu- Thay lam gi co kha ruing nghien cau nhieu van de hoc baa n.hzr not dung caa phuong phdp? Hoac có nguai cho rang Thay xem sdch bcio phuong Tay cip dung? Su th4t nghien cart phuong phdp tcic clang cot song la thbi ky khcirzg chien ii?t, lam gi co sdch bdo ma nghien curt 6 not than da lam gi c6 phuong tien de' hoc h6i

Den nam 2000, Thay da c6 hon 300 hoc tra Nhung chug có dong gap gi cho phuong phcip Chinh luong y Nguyjn Tham Thin da tit minh nghien curt, dzic ket lai va sting tao phuong phdp chart benh k3, die u NO khcfc Mn vai cdc tru:Png phdi khdc chCca benh & Viet Nam va tren the gio-i Tai cang nhir nhieu nguai da thdy: Thay Tcin rat thong minh, hoc dau nha d6 Truric rzgay di sa u vao cat song Thay da c6 nhieu sting tao Lam- duoc may gieo hat duoc tinh Phu Tho khen thuang Thay lai biet phan tich, tong h9p, chic nit kinh nghiem, vita lam, vita hoc Bac biet la co quyet tam cao, da tim du9c benh, lai chaa duoc benh, neri'47uly kien tri, nha n mai, say sua, dem que'n an, quen net tim cho du:pc ccich chart benh co hieu qua nit&

Thuc vay, xutit phat tit nhung kinh nghiem co truyen dan tpc va tren nhieu cot song cart rzgu&i benh, luong y Nguyen Tham Tdn da nhan thiic duoc nhung dac diem ceta he cot song lien quan den sinh ly va benh ly caa co the Bieu hien bang nhung bien•dPi tang va gicirn & tren dent gai sang va & ngogi vi xay dung phuong phdp chan va tri benh tren co s& xcic cl.inhsubien ceza he cot s6ng guy nap, chan docin benh va tdi lap sit can bang he cot s6ng bang cdc tha thuat clang pha n mem dau rzgon tay tdc clang tai diem tren he cot sang Sau &in cao, dcip bat tren nhung diem da chaa Khang dung dung cu, khong duct thu6c truc tiep veto co- the

Cong trinh ceta luong y Nguyen Tham Tdn, la mat soytr-irz.h_da.' sa, o, khcic Mn uoi cdc truang phdi chart benh khcic Thay da c6 gan50c0 bua-c chart tri ccic loci benh thupc cdc he co the 54 de tai có the' lam luan thong khoa hoc, xcic dinh hieu quci cad phuong phdp Nai dung cilia phuong phdp tdc clang cat so-rig that la phong pha gem c6: Cdc nguyen tac, ccic tha thuat, cdc phuong thzic va cdc tu-th'e chart tri benh hoan

Thely da not &benh vien Vinh Phri: "Toi vo sit, va sdch Khong duoc thay nao day d3, khong co kinh nghiem gia truyen Khang duct vao sdch v& Tit tai tim tbi, nghien curt nhung kinh nghiem truyen dan tac va tren hang tram cot tong caa nguai benh ma sang tao phuong phdp tdc clang Cat song" •

H - HISU QUA COA PHUONG PHAP

Rcit tiec la Thay khong c6 so ghi cam tzi6-ng can Twit-6i berth Chi xin neu mat so- rat it benh dien hinh, cheic chan can rat nhieu thieu sat clici vai hieu quci caaphu-ong phdp

Nam 1947, Thay bat dew chaa benh bang phuong phdp tdc clang cot song Vai 711177/ dart, chart benh gia dinh Benh nha n den cha-a rat clang, nhieu nguai kh6i berih Sau UBND xa HoangXd mbi Thely chaa benh & tram xci caa xei Cdc tinh den chug phcii co giei:y giai thieu caa Berth vien Huyen

CAM NANG Alt PHUONG PHAP TAC DONG COT S6NG NGUYEN TRAM TAN

They lay benh nhan mac benh tim da china 6- ccic benh vien Tay y, nhung chua kh6i Co nbaicoi suy tim, tim to, ngoai tam thu, so cang- dOng mach vanh, huye't cip cao, huye't cip thap, nhip tim nhanh v.v SS benh nhan &u dupc cac benh vien xet nghiem chdu, chap day du They chug benh nhan khei hcin Ca nguati da den ccic berth vien ca chieu chap lai, ccic kenh vien da xdc nhan khong can kenh tim naa

Ban Thanh tra y tinh Vinh Phil den kdm tra Ong trung ty y tinh lam tru6ng doan Lac clau Thay dug hi so ca day dii ccic xet nghiem Xem xong Ong truOng tru6-ng ban phdt 'Benh tim la kenh kho chart, &mg ngan tay china tren cot sang thi kh6i benh the nao dupc Co the' ccic berth vien truck da dodn sai" Cuai cling, Thay duo benh an chtnh Ong Thanh tra lam gieim do-c benh vien AIL khcim, ong cuai noi: "Co the lac do, Mi da kham sal"

Tat qud, They dinh dem at ca tai lieu di' nghien cz-ru dot sach May thay nha co cu ba Bang Thi Loan da khuyen gidi They They mai nguoi ngoai Thay nghi: "Da the to phai chug ccic benh nhan ma cling bat Do la nhung kenh nhan cam, liet"

So' benh nhan cam, liet có lac thing tai hon 40 nguati Thdy di' china cam cho ba em gdi cda ca Tang bi thu- Truing Chinh kh6i kenh MOt ba 6- Son Tcly co gcli cam de'n china Het gyo ba ve lay ggo Ddn tong nha Thay, gdi chay goi: "Mg oi" DOt ngOt qud, ba me vat di Tinh tai, ba noi: "Nuoi 18 nom nay, /an dela tieri chciu mai noi duoc"

Chu Ta Van Ly v huyen Vinh Lac tank Vinh Phil 1:4 liet, than teo co lai Ter nho, chi nei vi' le bang ban tay di hoc phcii nho ccic ban thay cOng Nam chd china kenh cid 13 tudi They china thcing Chd MI thing len, di lai binh thuang, Ve lang nguari lang no nzic don ngua4 liet da di lai binh thuang Gia dinh lam 12 ma m c6, an merng Thciy lie Ai cling muicn

nhin thdy doi ban tay yang cdcz Thciy Den tuai nhap ngil, chzi Ly nang 60kg, nhap nga nom,

tra lie lay vo sinh chdu deu kh6e manh Chic Ly xin Thay duoc lam nuoi

Bcic si Thily Linh o benh vien Hay nghi bi benh tam than phein liet Co lac a:4 chuang chay ra ngoai pha, They china kh6i Bile si trey lai cong tic Val nom sau, bdc si Thdy Linh cho biet di' có de tai rzghien cdu khoa hoc, duoc hOi dOng khoa hoc cda berth vien khen thuang

Nam 1972, giac My bcfp phi dc liet khdp noi The ma có lac hon 200 nguari- den chug benh Ho di lai lung tang Bo Cong an da cu can bp gia lam berth nhan den kdm try: thing chi co kenh gi Thdy clkt chug khei Sau mot so' thin tru6-ng BO cong an vi' gia dinh chdu den chug khOi nhieu benh, nen chinh ccic thd truOng BO da de nghi len co' Tong bi thu- Truing Chinh, co thin tuangPhym Van Deng vi' Bp truOng b:6 y va Van Cdn mai Thay ve Ha NOi chug berth

Ve Ha Noi, Thdy uao china berth 80 tu lenh Thong tin duoc nom Nhieu benh nhan trung cao don sic vi' quan sinduoc They chug kh6i benh

Ba An la vo mot thzi- trung BO Cong an bi suy tim, tim to, huye't lip cao, suy clOng vanh, ngoai tam thu China khdp noi khorzg khOi Ba dinh nghi huu Lac They china ba mai la dyi uy Chau kh6i kenh ba tiep tuc cong tic cho den nghi' him la doi td cong an Hien ba van can sang

CAM NANG VP PHUGNG PHAP TAC DONG COT SONG BUT DUC CUONG BIN SOAN

bi liet mot ccinh tay Chad ccic benh vien Ha N:6i, khong kh6i phdi sang Cong hba dan chd Dac chart thang cling khong kh6i Thei y chua kh6i benh Dcti tuong da ddnh bong ban duoc

Ong Nguyen Dar Thuan co chd tich HOi lien hiep Cong doan Viet Nam gieri thieu mot can bO cao cap Lien Xo sang giap ta thy dung Cung van h&c hau nghi Ong bi rapt melt da 17 nam nay, khong nhdm Twit duoc Mat ca mQ chang chang ke cd liic bet° tuyet, lam rat rat melt, chua

kheip noi Lien XO khong khoi Ong cho biet: "Ne-u cu khong chua kh6i cho toi, thi vc toi se b6 toi Co Zan dang ngd, co thice day thdy mat toi ca- nu cha-ng chang, co ay gia: t minh khoc thet len" Thd y chua mot thi i gian ?vein Ong nhelm melt binh thubng

Thely chua benh cho ba Ciic, va co Thd Wang Pham Van D6ng Ba Ctic bi benh tam thein, ca ngay chi vuot KJiong pluin biet duoc nguai than Dcti den tcio bon phdi chiu dau don, lan lOn tren givang rat kh6 s6 Theiy china cho ba dinh tinh tluin, khOi tao ban Ba da biet duoc ngubi than, cbn, biet hdt cd mot so bai ca h6i tru6c each mang Thd tiding Pham Van D6ng da mbi corn Thdy va mot tien sy y hoc Thd tuong rat ca ngai phuong phcip tdc clOng cOt song Thai tuong noi: "Bcic da chua khoi benh cho nhieu can bp each mang, tac la Bdc da cau cdch mang" Ong tien sy y hoc gop "Bac noi ro them nguyen nhan vi sao tac Bong cot song lai chart duoc benh" Thd

tuong trci lbi "Chang ta clang thing dien cho cdc nganh khoa hoc Den vein chua tim Mn chat cda dien Nhung ta van clang dien rat tot Lac ve thzt ky rieng cda thd tiro-rig "Chun bao gib- Thd tuong mai corn vet ru5i chuyen voi Bcic lau den the' "1 gib • 15 phut"

O khdch san Duang Thanh, Thdy chart benh nhein bi di tinh Tinh trang ta- Ong thocit lien tac, chi= noi nao chua duoc Benh nhein xanh sao, khong hoc hanh duoc Thdy chart kh6i Anh thy nutic ngoai hoc tap, c16 dat cao MOt chi phac vu khach san cia ngoai 20 tudi, bi benh dal m, chug nhie u noi khong kh6i CO khong ddm lay thong Tiuly chum kh6i benh Co lay ch6ng sinh Thdy than kh6i benh huyet dp cao cho trung taring Nguyen Hung Phong, chinh riy quan khu I Da gdn 20 nam benh khong tai phcit Nam 1978 Thdy duoc ve berth vie:n Bach Mai lam nghien tali chuyen de, xcic minh hie:u qud tai khoa y hoc dan tOc Thdy nh:dn chua benh viem cOt sting dinh kherp gido sic Deli-1g Van Trung chd nhiem khoa noi chez tri Viem cOt song dinh khop la benh nan y Ccic bdc si quen than voi thdy Be nghi Thdy nen chon Be tai khcfc Vi benh thy the- gioi da chiu, nen Thdy khong tong thi dau la su nghiep Nhung Thdy cam on va tin rang Thdy se chua kh6i Ket qud Thdy chart kh6i benh viem cOt song dinh khop dat ke-t qud tren 90% Thdy tong tie-p Be nghien cau benh viem thdn kinh tog dat tren 90%

Piety chart kh6i benh r6i loan than kinh thar vat cho gicio su- tien si Vu Tuyen Hoeing chd tich HO i lien hiep khoa hoc ky" thua: t da gel n 20 nam khong tai

Thdy lam de tai nghien cau chuyen Be voi Vie* n sinh ly hoa sinh gicio su tien si Nguyen Teti Luang Vie n trizerng chi tri de tai "Phut hoi ngu6n sum me" Ket qud dat tren 90% Dieu dac biet la: vdt sari cda nhung ba me dii saa thi hang sesinh ly cda glucide la 7%, lipide la 1,5% va protit la 0,5% Cbn saa cda cdc ba me thie-u sun cdc hang so sinh ly cleu cao hoac theip hon Nhung ba thieu sat dupe Thdy chum co saa r6i thi hang so sinh ly lai trb ve binh thuang Gicio sic Nguyen Teti Luang da lam mot bcio cao ket qud 25 trang gdi len ban Khoct gido Trung tong

CAM NANG Vt PHUONG PHAP TAC DONG COT SONG NGUYEN THAM TAN

duc Chaa thcing bcfc si Hdi thu thai Chart lien tuc den de Thdy ket hop v6i khoa sdn Bach Mai yet benh vien C de theo dOi ket qua Chciu Nguyen Ngoc Chau sinh rat thong minh ua march kho6 Luc de chciu, ca khoa sdn toi them Ho rat ngac nhien vi khoa scin da tiem thuOc cho cdc ba me c6 thai chet luu Khi de ra ccic chciu deu bi khuyet tat Rieng chciu Ngpc Chau lac manh khoe binh thuOng, dang hoc tai nhac vien Ha NOi

MO1 benh nhan nam del hon 30 tudi bi lcet duong Duong vat bi that hart uao trong, khong lay duoc vo Thdy chug duong vat tr6 lac binh thuang, chic da lei); vp- sinh

Ong Tien can b:o Phd thd tu6ng bi li.et duong dd lau Ong den yeu cdu thdy chaa Vi sau mot thcing Ong cu6i up: Thdy chuc kh6i, Ong sinh lien tiep hai chau trai

Thdy chap nhieu -truang hop vo chdng lay hang chuc nam khong c6 Chd Tam, dai dy phi ding va co va la gicio vien xinh xdn, nhung khong c6 BS me chting bdt dai ziy phdi b6 va, cho rang co khong de duct Theiy churl khoi CO gicio da c6 hai chciu gai kh6e marsh

Thdy chita kh6i berth suy tdy Thong thuong ca ba clang rruiu deu thieu hut Dong y chiu Tay y chi nhat mot tech la tiep mau turri, nhung den chang mz.sc 71a0 co the khong, tiep thu dupc, benh nhan chet dau don uo tang Thdy dal yeu cau phcii ket hap voi Tay y cho tiep mau Gic chdu benh vien Bach Mai va Vien nhi chap Thdy Nhieu chcizz cac tinh ca mien deu chaa kit& benh

mot die'n hinh la cu Nguyjn Thi Kiem 71.11771 nay hon 80 tudi 6- 70 Hang Chieu Ha NOi Kh.i

cu hon 60 thi bi benh suy tdy Vao benh vien Cuba lac d6 c6 ngubi suy tdy Rieng cu Kiem china Theiy, cu Kiem khOi benh gein 20 nam khong bi tdi phcit Can rigu&i del vinh uien ra di 6- berth vien Cuba

Chd Ta Vdn L5, 14 Het gioi thieu em ho la Trdn Van Tien, xei Yen Dong, huyen Vinh Lac, Vinh Phd bi suy tdy churl cdc not khong kh6i, Thdy da chap kh6i benh, chd Tien kh6e marsh, lay uo c6 Hon chuc nam benh khong tdi phcit

mot trung td quern dOi 6- Vinh Phd thocii hoa cat song co, tay Chan be liet, benh vien 103 hen md, nhung phcii ch6, chd Ta Van L.9 o Vinh Lac gioi thre:u den Thdy Den nha phcii c6 nguiri diu Thdy chap 20 horn benh khoi Ong truing to den 103, ccic bcic si bdo vao md Ong ay May nhdy vung than tay tai ch6 H6i chaa ai? Chaa cu Tan Moi nguai der biet cu nen rat hoan ngenh

mot nu benh nhan ngoai 20 tucli 14 to bang nha ngubi c6 thai 4-5 thcing Cd nha lo so Benh vien Bach Mai mai Thdy den cuing chdn docin Bdc si khcim nhung khong they tim thai, khong ket titan dupe Thdy khcim va cho rang: "Day la benh chda girl, iOi se nhan chaa" Thdy chaa bung nh6 lei binh thuang

Thdy chica duct nhieu berth ung thu- Nhung thciy yeu cdu khong tuyen truyen Vi not sinh rdc rdi nen Thdy bcio: "Ch'ing ta c& chap, benh nhan-se tuyen tru.yen cho ta"

Chinh toi del gioi thi:eu co Ha Nhi tong nhan huu tr.( so nha 307K1- tap thg in Tien BO bi ung thu- Amiddan Co ay chaa o benh uien Knhung khong not dupc, khong an duct ng6i cha chet

nha Toi der due va chdng co chd ay den, Thdy chap benh der kh6i CO den benh vien kham khong can bi ung thu Amidan Nay co van can song hon chuc nam

CAM NANG VE PHIJONG PHAP TAC DONG COT SONG 10 BUT DUC CUGNG BIEN SOAK

khong khci ruing chaa cho chau Bac phdi cho chdu ve horn Neu khong di thi chciu se Chet o doc dubng Me so qud den nh& theiy Chita 12 ldn chciu lai binh thuang, khdm o benh vien K khong thet'y ung thu Amidan nCca

Toi gi6i thieu rapt benh nhan có gitly nhap vien cda benh vien K de la: K vii mai vao Thei y der chart kh6i benh CO Nguyen Thi Nhan hipri song hon 10 nam kh6e rnanh, benh khong tai phdt, CO o rtgO Luang Sec A S6 nha 33 ph6 Qutic Tir Gidm

Ong Nguyen Van H6ng, nguyen truring phbng Tong hop Bp Giao thong Van tdi, di benh vien Hau Nghi khdm docin la ung thu trung that pho'i Duoc dieu tri, nhung benh cang ruing them Hei do, BO truOng Bp Y re- la Pham Song, lac la Gicim d6c berth vien da not voi Ong H6ng: "Anh bi benh nay, nhung anh co tien sic benh gan nen khong Wong duoc rephamicine Vi very, benh vien khong c6 cdch gi giap anh Anh nen ye right tai nha thoi" Ong kiting that vong Ong da den nhb Thdy chaa, Thdy chaa khocirtg &fin mint Di khdm ch5 ung thu- chi dam nh6, Ong H6ng duoc BO cho nghi o nha chaa benh.Dein clan ong kh6e Ong xin di lam

nem Sau 'Ong xin di lam ca cho can ve huu Ong sting dupc 12 nam, benh ung

thu khong tdi phcit Ong der rruit vi mot berth khcfc

Tit 1981 cltn 1985 6- benh vien Bach Mai Thei y da chaa 847 benh nhan vai 23 loci berth thuOc ccic he tub.' n hoan, ho hap, tam than, nOi tiet, tieu hba, sinh duc, dau co ruing va cdc benh ca xu-orzg khdp IC& quci'locti va khd tit 87% der/ 90%

Thdy vao trubng y hoc dan tOc, co truyen Tue TYn.h tic nam 1981 lam chd nhiem khoa tdc clOrzg cot song 1V7u1 tru&ng to chiic dupc 11 khoa hoc dao tao ve phuong phcip teic dOng cot song Rieng Bp Cling an da co nhieu y bdc si (3- cac trung tam y te tInh ve du Chat luting cac khoa deu dat loci khd va gi6i Cdc hoc vien deu say sun hoc tap Cuc y te" va Gidm d6c benh vien Y hpc dan tOc co truyen cda BO cong an da mbi Thay day kh6a Tring ::Ong la 13 khoci co hon 300 hoc vien "Trong gia dinh Thdy da lap co hon 40 hoc vien"

Trong thbi gian o trztong Thdy chaa duoc nhieu benh nhan

Theiy chaa cho ba vp Ong A-li-da-de bi thu- thzi nhat dai sic quern Lien XO Ba nartg 103 kg, di lai kho khan Thy chug, rat xuong 12 kg500 Ba bi va he' hoach, có thai Thdy da dieu hber kinh nguy:et cho, nen dupc binh thubng

Thdy duoc mai sang chaa benh Mcit-sco-va Mn., c6 them ba cong sit cling di thdng ChCta duoc 210 berth nhan Ket qua dat loci khd va tot 91,5% Co benh nhan liet duong, hai ch6ng cang chaa Horn sau, up- den chart da not ngay: "Bac si Viet Nam tuyet vbi, tuyet obi" MOt benh nhan Hang 82 kg Chart gidm dupe 17kg Vien than kinh trung uong Pi-go-r6p da

k'y hop d6ng vOi Thdy, rnbi sang chCca berth Nhung vi có dao chinh phdi ngang

Xu6ng phim tai lieu trung uong quay mot cEdn phim tai lieu not ve Thdy Bang thug hanh chaa benh ale dai phdt thanh, truyen hinh, dai tieng not Viet Nam, Tieng not clem-khuya phdt di nhieu bai tieng nu6c ngoai tuyen truyen nuric va nuoc npai Cele bdo Nhetn d,a'n, Quern dOi nhan dan, Tien phong, Phu nu Ha NOi, Khoa hoc va doi song, Ha NO i mvi, Cong an nhan dan, bdo cong gido v.v da nhieu /an ca ngoi phuong phdp "Tcic dong cot song"

CAM NANG Vg PHUONG PHAP TAC DONG COT SONG 11 NGUYEN TRAM TAN

ta mat phuong phdp chart bp.nh mai Co ca than va tri b:enh Nhung toi cling men chi la ngubi link chign Reit mong cdc nha khoa hoc clang dnh sang khoa hoc de' chring minh hi"eu guci va xay dung phuong phdp tdc dong cot s6ng tr6 mat nenY hoc cot s6ng Vi."?t Nam hipi dai Ket hop hai nen y hoc Ring y ua Tay y, tao mat "chat mo-i", chaa tri cho nhei n dein ta cang manh khoe de' bap ve va xei y dung dat nixie ta cang phtin vinh va hanh phitc"

Chting toi rat mong cdc ban dOng mon va cdc nha khoa hoc hay di sau vao cot song hoan thi:en vaphcit trieln phuong phcip tae dOng cot s6ng dat dupe mong Lilac czia Theiy

Mong dpi cdc ban piling mon cling clang gop them dl silt/ chi-a tai lieu not ho cho dupe hoan chinh

BUT DUC CUONG

CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 13 - BO1 DUC CUCFNG BIEN SOAN

COT SONG

COT SONG CO 33 HOAC 34 DOT 7 DOT SONG CO

(KS, hi:eu la C chit cldu ciia ter Cervicalis)

Cl - D6t dei (Atlas) nang hep s9, hinh met vong trim, det Than dot khong re Lei rat rang, dam bao cho hep s9 quay chuydn de dang, khong có gai sau Cl

thap, thay

C2 - D6t truc (Axis), co hinh Ichuyen trim, phia tren va track Ichuyen 16i len met mom, goi la mau rang Idle (mom rang) C2 16i cao trei len Neu tren C2 khong co lop co' benh 1Y, khong ductc chita va.o, de sinh benh

C3 - BO' &Teri C2 cao hon bo' tren C3, thap hon C2

C4 - Bo' dithi C3 cao hon bo' tren C4, thap nhat cac d6t c6 Thap hon C3 C4 ra triteec nhieu nhat

C5 - &lei C4 cao bang bo' tren C5 Cao hon C4 Bo' clued C5 thap horn bOe tren C6 Day tay thay bo' cltrOi C5 hoi

C6 - Cao hon C5 Thap hon C7 a mom ngang C6 có met chi3 161 cao Do la I6i tren (Tubercule de Chassaignas)

C7 - d mom gai C7 cung co met 16i cao rat re cao trei hon ca cu Chassaignas G9i la 16i chroi

Lay Cl va C7 lam m6c, thi cac d6t song c6 de'u cong vg phia trithc va C4 la clot cong sau nhat

- 14 - NGUYEN TEAM TAN CAM NANG Vt PHUCING ?HAP TAC DONG COT SONG

12 DOT SONG LUNG (Kf, lieu la D, chit cidu ctia trr Dorsalis)

Cac dot song lung, can tidp xuc voi cac dauxt/Ong sau, nen m8i d6t co 136n dien khop dd tidp giap xacmg sithn Cac to clOt deu tran Than d6t day, mom gai dai va thong sau Nen ta so thdy duOi gai cua mOt.d6t nao thi n.gon tay ta da dat ngang tam cua d6t duoi r6i

D1 - Cao, nam dui! 16i chroi ciia C7 BO' tren Di cao horn bo-dithi C7 Bo' Di cao horn be tren D2

D2 - Bc chthi D2 cao hon bo' tren D3

D3 - NAm tren cli/ong thong n6i 2 tren ciaa xvong ha, thdp ho'n D2 va Inthng phia truce Bo' dithi D3 tha.'p horn hoc bang be tren D4

D4 - L6i cab Bo' &re:6 D4 cao horn be tren D5

D5-6-7-8-9 - khe cac cl6t dgu bA.ng D7 n.dm tren dvOng thang n6i goc duai cua xixong ba

D10 - Loi cao

D11 - BO dithi D11 cao hornbctrenD12

D12 - dtthi D12 bang ho4c th6p horn be' tren Li

CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 15 - BUT DUC CUONG BIEN SOAN

5 DOT SONG THAT LUNG

(Kfr hi"Ou la L, cha dSu cila ter Lombalis)

Cac ci6t s6ng thAt lung so vOi cac (1(31 s6ng lung khoe hon vi thong phai chiu .toan be si.tc nang clia than tren gia tr9ng len no Cac mom gai ngAn, reng Ngang than d6t song to hcm., khong tie-p khoT) voi xuong soon nen cac mom ngang dai va nhen La d6t co hinh tam gia.c •

Li - BO' duoi Ll cao hon bO tren L2

L2 - Bo' duoi L2 cao hon bo tren L3 L2 nam tren &Tong thang not dAu xuo'ng soon cut (ch6 eo lung that

L3 - + Nam : B6 clued L3 cao hon 1DO tren L4 + Nu : bo duoi L3 b'a'ng be' tren L4

L4 - L4 nAm tren duong thAng not 2 b6 tren xucmg hong

+ Nam : Bo' duei L4 cao hcrn bo• tren L5 L4 dua phia tru&c + BO' cluoi L4 b&ng ba' tren L5

L5 - + Nam: Bo clued L5 tha-p hon b6 tren Si L4 - L5 dua phia truck nhiCSu hon Sr tha'y be' duoi L5 lom hon be? tren

+ NIs : BO' dual L5 bAng be' tren Si L4-5 th.A.ng d6u

5 MIT SONG VUNG CUNG (K.k hiOu la S, chi? da.0 ala ter Sacrilis)

• : C1 - -

2 C7

3 : D1 - -

▪ 4:D4,

5 : D8 D1 6 : L1— L3

7 :

8:51S5 • :Viing cut

- 16 - CAM NANG VE PHUONG PE-IAP TAC DONG COT SONG

INGUYtN TRAM TAN

5 DOT SONG GUT

(Kfl hiOu bAng cut van thing nguyen ter Coccyx)

Cac xuo'ng cut deu dita phia tni&c va cling lien tang

CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 17 - BUI DUC CUONG BIEN SOiNN

,

DOT SONG LQ DOT SONG *C1-2 // S1 -> - CUT

- Day than kinh 10 - V data - Mat - Dong td co lai - Tiet nuac bot - Chi tren - Darn r6i canh tay - TT tang nhip tim - Mui - DOng mach chd - Tim - Phi - Gan - Mat o Chi chrai - Ban chan - - MOng - Gan Asin - Co quan sinh duc - Ti6t niau - Tnrc trang - Co bop bang quang - Tian liat tuyen - Co ti cung - Niau dao - Dam r6i vi - Sigma - Td cung - Hau mOn

* C3 // L5

Tai TT tang nhip tim CUDC co lai Tim Ph6i Gan Mat DOng mach chti *Chi chnii -Ban chan - -Bang quang - Ti6t niau - Truc trang

* C4 // L4

- Luari - TT tang nhip tim DOng mach chti -Mang bao tim - Tim - Phi - Gan - Mat •Xtrcrng banh the - Chi dtroi - Sinh cluc nam - Ong dAn tinh

* C5 // L3

- DOng mach chti - Mang bao tim - Tim - Ph6i - Gan - Mat - Co dau - Phan xa gan - X quay tay - Thanh quan - Khi quan Co' quan sinh chic nu nam - cung - Bung trdng - Ngoc hanh - Than - Bertholine - RI* non - Xtrong banh the - Tic ch6 co bop bang quang - Tic ,co b6p v niau dao

* C6 // L2

- Xtrong quay tay - Phan xa gan - Ban tay co lai - KhuSiu tay - Co dau - Mang bao tim - Ng9c hanh - N quan s Co td cung - Than tir cung - tit cung - bu6ng tning - RuOt non - Rut gia - Bang quang - D R mac treo - Xtrong banh the - Bertholine - Sigma

C7 // Ll - TCN C6 - D9

- Ban tay co lai - Canh tay dui - KhuSfu tay - Mang bao tim - Tuy6n giap trang - Ti6t ntrot bgt - Tuy6n m6 hoi - Hanh nhan - Dong td ma to - Gan - Mat - Tuyen ntrot mat - Than ,4 Ha nang Nggc hanh Tix cung Bu6ng trtrng -Than td cung - N quan - RI* gia - RuOt thira - Tuy - Dam r6i mac treo - Co' vtIng niau dao

* D1 // D12 - TCN C6.7 - D8.9 - Tim - Ph6i - Tam nhi - DM ngodi da - Tim dap nhanh - DOng mach vanh - Tim trai -

efe-C:/

Tuy6n nuot mat - Tuy6n m6 hoi - Uco bap bang quang - Co' co bap yang niau dao - Chi trail - D6ng td ma to - BO' cong nh6 da day - Da day Rut non Rugt gia RuOt thira Gan -Mat - Tuy6n ntrOc b9t - Tuy Ng9c hanh - bu6ng trdng - Ong dan trdng - T>Y cung - Tian bat tuy6n - TT not tang du'iri co hoanh - ThuY &Teti than tug, Da bung Dam r6i ducmg -dung mach nh6 ph6i va nao - Than

* D2 // D11 - TCN D7-8

Tim Tim trai Tam nhi tim dap nhanh -Tuyen m6 hOi - DOng mach vanh - DOng mach nh6 ngoai da DOng mach nho bung -Dong mach nh6 phi va nao - Phi - Khi quail - Co' chan long - Chi trail - DOng mach chd - BO' cong nh6 da day - Tuy - Gan - RuOt non - RuOt thira o Bang quang - Ng9c hanh - Ong dan trdng - Niau dao - Dam r6i throng - Da bung

* D3 // D10 - TCN Dl-D7

Tim Tim trai Tam nhi Tim dap nhanh -Tuyen m6 hoi - DOng mach vanh - DOng mach nho ngoai da - DOng mach nh6 bung - dOng mach nh6 ph& va nao Ph6i Khi quan -Ca chan long - Chi tren - dOng mach chu - Da day - Tuy6n day da day - cong nh6 da day - Ta trang - Mang ruOt - RuOt non - RuOt gia - Vi toan - gan - Mat - Tuy - Than - Tuyen thuong than r Ngo c hanh - Than ter cung - Bung trdng - Tian hat tuy6n - Dam r6i ducmg

* D4 // D9 - TCN - D2-D6

- Tim - Tim trai - Tim dap nhanh manh - Chi tren - Ph6i - Khi quan - DOng mach - Tuy6n vu - Da day - cong nho da day - Ta trang - Lach - Rut non - RuOt gia - RuOt thira - Mang runt - Gan - - Mat-oN quail - Dam roi throng

* D5 // D8 - TCN D3-D5

- Tim - Tim trai - DOng mach chd - Da day - Tuy6n day da day - Bo' cong nh6 da day - Ta trang - Thuc quan - Gan - Mat - Mang runt - Ph& - Ph6 quail - Khi quan - Tuyen vu - Ruat non - RuOt gia - Lach - Tuy - RuOt thira thai throng - Darn r6i throng

CAM NANG Vi PHUONG PHAP TAC DONG COT 96NG - 18 - NGUYEN THAN' TAN

BA DIEM KHOP BAN LE

3 dam lien quan nhieu CQ CNNT va

benh chung, anh hub-ng ion den sac khok, benh tat chzia at diem nay, nang cao sac kho, tri dupe nhigu berth tat

I VUNG C1.2

Day la ch6 n6i tidp hanh tug' va cat sang, la throng day thong tin chinh CO day TK 10 TW giao cam, CQ ngoai tigt Wing dau c6 hop so co nhieu khap thong vai nap Thai throng lien quan Mat, Khap xuong tran lien Tian Vung chdrn

T" - Wing dau - Vung ca truck tim - Wing c6 phai - Wing c6 phai den D3.5 - Wing &rad *c phai Wing vai phai Wing gi*a lung D7 -Vung tru&c ran

• Cl

1 Trieu c.hting: - Liet cirng t* chi - Liet day

than kinh Chan tay run ray Ciing c6 -Mao m6m - Mgt tieng - Mat khOng nham &lac - Hay ch6ng mat - Nga bat tinh - Cam mao Vung gay lanh HAT Dau vai gay -Dau dau phia sau - Cha:m to bi - Say song, say xe - Di lao phia truac - DOng kinh - Mat lanh nhu bin - Tai die/c, tai u - Mgt ngu keo dai - Ngu qua nhieu - Tim dap cham

2 Chirc nang : Wing dau d6ng tik co lai

-Dam r6i canh tay - Day than kinh 10 - Tuyen nuac b9t - Than kinh giao cam

THUdNG TREN VUNG C1.2:

1 Tr9ng didm yang C1.2 khdc cac wing khac khong o ch6 co cOm ma diem nhiing ch6 x9 teo mong, day an vao dgy BN that' dau Trong,,,didm,n'arnr:tr6n n6n,s9, tren C1.2 bd thi co' thang ben cang, ben

chUng, teo nhuac Chda D4:ben rktufil co thang deu chung la cam diec bai'm sinh,

khong sO thgy C1.2 Clii2pLluas=c Gifra gay n6i len b6 co' cdng to bang chiec &rang sang trau, tir tren vUng chdm xuang C7 C -41

so:issaixJ1:19,bat.ngu,an,.4ua„acti,carlay,AKe.9 n4Lkat

5 C1.2 lech sang ben, bao gia co' thang, CUDC, h6 cham cling co cam v6 ben lech QInla,C6E-ma-136.41-goai-GlIDG

6 Chan: Ding nein tay cila tay ay t* sat goc ham sat mang tai xoay i tren trai chi6u vao vao gitla tren yang cham tren nen s9

c126 teo nhugs,,Irja,AN„„thdy,.stan,

len n4yde1Kung„s.a,u.n167.,,,yislita

II \TUNG C7 - D1

nguai ban chan lanh VUng trail nong -Tam than - Mat ngu keo dai - Ngoai tam thu - Dau dau kinh nien - Tim loan nhip nhanh - Dau nda dau - Dau dau bu6n non - TKSN - Tri nhar giam - Teo co - Cam diec - Cam diec bam sinh - Tieing not thO - Noi ngong - TO lueri TO c*ng lir6i Mat nhu co bui -Loan thi - Mat ma - Mat 16i - Sup mi - MAt mat phan xa - Dan don, nga - M6 hai tay - dong kinh - Cam mao - Choang yang nhu say song, say xe Suy sinh duc nam -Liet duong - Di mang hoat tinh - Giap h6p khong xugt tinh -.Lanh cam - Nix thus' dich khO Kinh nguyet khong &du - It sua Ett&u c6 - N6i hach c6 - Lung; gay cdng dau "1-1qH171VG Frittcr—TtfcritG—MkT—B- re teu-h-cTa-keni - Kliap

• C2

1 Trieu chi= : Dau Tau kinh nien - Dau vai

gay - Meo m6m - Mui chay ntrac - Mat may co giat - Tac mai - Dau to - Luai day - Ltrai qua dai - Luoi co rut - Ho - Mgt tieng - Noi ngong - Cam ba.'m sinh

2 Chirc nang : Mat - Mui - Khi quan - TK

hoanh cach Tim Gan Ph6i Mat Tuy -clang mach chU - Rut non

• Chan to vUng C1.2

- Cl co gai sau - Gai sau C2 cao hon Cl va C3 - Tim hien Wang mat d6i xdng gifia phai trai tren, ditai 6' thang va co' g6i dau Dung phuo'ng thtic chuyen to th6 c6 cui ngiYa nghieng phai, nghieng trai de' xac Binh lop ca va cl6t song benh 1Y

• C7

CAM NANGVE PHLJONG PHAP TAC DONG COT SONG - 19 - BCTI DUC CUONG BIEN SOAN

con - Phe thong - U phe quan - Run tay - U tai

2 Chirc nang : Tuyen giap Tuyen can gidp

-Tuyen nuarc bot - -Tuyen nuot mat - Chi tren - d6ng td ma to - Ban tay co lai - Ban tay, khuYu dui - Co Muyle - Mang bao tim

3 Nhiet : Vung nguc T Viing gida lung

-Than kinh not 661

III YONG L5-S1

1 Benh chung : - Cdc benh throng runt - Tre di tuft - Tdo bon - R6i loan tieu hod - Sa truc trang - Sa da - Dau that lung - Dau mat ca chan - dau quanh khop vai - DaU dau goi - Nuo'c dai d6 - Viem bang quang - Viem than - Liet duong - Bai liet - Lam thoa than • D1

1 Triezi chzing: HAC thodng me - Tam than kinh - Toan than co cUng - Dau dam kinh nien - Mat ng-ii keo dai.- Sq gio lzia - So' dnh sang - Sq not d6ng nquai - Su tieng deng - Lao dao mu6n nga - Ch6ng mat - Su vat quay cu6ng - H6i chi:mg tien Binh - may giat - Mat hoa trang, den, yang - B6c nong len mat D6ng kinh TKSN - Ngti ma dc m6ng - Than sac bac nlitrqc - Xay sa:m mat may Bai liet town than Liet ntla nguoi -Liet chi tren - Teo co - Chan tay co giat - Tay run - Buon c6 - Mat 161 - Thdp khop - Liet throng Dim6ng host tinh Tieng not the -Cam sot - U tai - Co gdy co giat - S6t ret - Cam barn sinh - Dau h9ng - Xdu da - Hen xuyren - Ngoai tam thu - KhOng có m6 hOi

2 Chzic nang: Tim Chi tren TK giao cam

-Deng mach nh6 ngoai da co that lai - Lam ner d6ng mach vanh - Lam tuyen m6 h6i bai tiet -Cacohbaonp - c

manh cci

long -Uct:o _u bopb*, cin quang

ma to - Lam Muyle co lai - Lam chay nuot mat - tuye'n mang tai - Lam tim dap nhanh manh - than kinh clan toi tam nhi trai va phai - Lop ngoai lam tim dap nhanh

3 Nhiet do: Wing nguc trai Wing c6 phai

-Vung gift lung

• Chan tri viing C7-D1:

1 Can cir dd chan benh \Tung C7-D1 la he co' xa cdng Ur ca vai vao d6t song phai china tin co vai 1*;9;P-s]!!E•vi=e, " "_

C7-D1-D3 - 1-3,D.11.16.m.mem 2-ca vai Neu C7-D1 lOm phai chda vao D8 dd nang C7-D1 16i lech, sau lam merrucu,.2 vai sAtcOt_sting se nen.rung.2 ngontay.tren

t*rig Cua „cling- la -vi-

chinh

minh

2 Nhiet : - V that lung phia sau - V that lung phai - V bung duoi - V cha.'m

• Si

1 Barth chzing: Bai liet - Liet chi &Teti - Te

chan Teo co' bap chd.n Dau khoeo chan -Chan to bi - Chu6t rut bAp chan - Liet throng - Tdo bon - Dai dam - Lung dau cap, nhoi

- Kinh nguyet khOng ddu - Sa truc trang -

2 Chu nand-: L5-S1 hay thodi hod lien quan

den: Bang quang Tiet nieu Truc trang -Phan xa gan

• Chan tri yang L5-S1

1 Chan: BN dtIng thAng buong chung tay va gan co' de' xem

a.) Cu thArig lung den ca chung có mat can bang khOng?

Vung hOng - that lung teo nhuruc hay xa f-P-i'cdng hoac hinh cdi xeng lam hAn xu6ng hay dap len lop cu day thoai hod hoA.c voi hod, d6t song bien d6i sao? Dung phuong thdc chuydn tu the: cai ngda,

nghieng phai, nghieng trai de xem lop co* va d6t song vung L5-S1 day corn hay teo nhtrqc, 16i, lam, *h

3 Khi chgn, BN nam xoai tren gitrang dd chan tri cho (16 clang hon

4 V.I.:jig c.a shung.: teo nhuoc phai china tinigr neins9,,tren vdng,cham - Ca chungteoben nao, chita ben

5 Viing cy chung va L5-S1 teo plwqc,.thanh hinh cai, xeng phai chda co' thang.lung yang D7.8.9.1() tr.& xu6ng t*ngod.i _ , vao trong, theo thu tu lop cu

6 Wing hOng plui lap co day phai nen tinh Vung L fro' xu6ng phai chcra lap ca ngoai

NGUYi'N TH 4M TAN

- 20 -

CAM NANG V.E PHUONG PHAP TAC ONG COT SONG

9 VONG A TREN Ht COT SONG

1 Veiny cci trot) d.1

A C1-C2-C3 Wang Ong chi2c ncing.thein hinh:

- TK giao cam - TK hoamcach

doqn thdn hinh C1-C2-C3 Wang ( Ong yeti cd quan

1 TK pito gitio cdm Wang Ong uoi chz2c ruing n6i tang

- Wing dau; - Dam r6i canh tay - Dong ta co Tigt nuesc bot jvi - Than kinh je- vi; - Dai trang

1 2 TK hparzh ccich Wang zing voi chOc nzing n5i tyng

- DOng mach chil; Tim

- Phdi; - guar'

- Gan; - TUi mat

'My tang; - RuOt non 3 Ccic cd quan:

-Nat - mai - Tai

2 Wing c dud" d2

4 d6t: C4 de'n C7

A C4 -4 C7 Wang Ong vai chz2c ndng TK

va phcin xq

- TK hoanh cach - TK giao cam - Phan xa gan - Cam giac da song - }Yong y

B Tiel doqn TK phcin xg C4 C7 c5ng tzaing Ong vai chile ncing tqng

'1 TK hoanh cach Wang t2ng .chOc nang n5i tyng

- Tim; - Ph6i; - quan - Gan; - mat; - Tny tang - RuOt non; - DOng mach chia

2 TK giao Wang Ong CN n5i tang

- Tuye'n Tut& b9t; - Tuygn nuoc mat - DOng ma to

3 Phcin xct gem Wang Ong vat ua'n d5ng

- Ban tay co lai

- Tay co len

- Cd ac don chum co lai - Co hai dau

- )(twig quay tay - Gan

4 Ccim gicic da ang tu'dng Ong udi CN n5i tang

- Mang bao tim

5 Dong y

Pl.L; ( T-hieu quail

- Chilt tren

3 Wing lung tren d3

Thong ling cac he tuan hoan - HO 1-4.p lien quan de'n CNTK va nOi tang

A D1 13.3 tUdng itn.g voi CN thdn hinh

- TK giao cam - Cam giac da song - TK tuY' seing - TK the' dich

Dong y

B T.doqn TK Dl D3 tu'ang Ong vai CN re -6i tqng

a) Lam co Icti:

- acing mach nhi5 ngoai da

- Cd chan long

- Cd muy-le (d8ng tif ma to)

- DOng mach nha, MO tang - DOng mach OA va nao

b Lam njt

- DOng mach vanh tim

c Lam Oc che'co b6p bang quang

- Co bop mach - Co yang nien dao

d Lam bai tiet tuye'n nu'orc byt - tuye'n nctdc mast - tuye'n md hoi

d Lam mach nhanh

- Nhip dap ciaa tim

Mang Ong val cciin gide da ang

- TK tim trai da'n toi tam nhi Ph6i

Tu'ang Ong gal TK tay ang

- Thanh quan , - Tuyen giap - Hach hanh nhan

CAM NANG VE PHUONG PHAPTAC DONG COT SONG - 21 - Bf.n DOC CUONG BIEN SWAN

- Khi quan

Turing TK the' dich

- Tim trai Ddng y

- Tim - phi - quan - chi tren 4 Wing dual luhg tren A4

4 d6t ta D4 -4 D7 Wring ang voi he tuan

hoan - hap - tieu hod lien quan CNTK va not tang

A D4 D7 tuang zing vai than hinh

- TK giao cam - TK tug/ sang TK the dich - Cam giac - }Jong y

B Tiei down TK D4 —) D7 Wring Ong vai CN not tang

.1 TK giao cdm Wring Ong vai CN nOi tang

- Tim dap nhanh, manh - Tuyen day da day - Bai thai dudng - Mang runt tren

2 TK tay song Wang Ong not CN nOi tang

- Tim - Dang mach chi - Phi - Khi quan - Thitc quan - De day - Gan - Tui mat 3 Turing Ong vOi TK the dich

- Tim trai - Ba cong nha da day - Phe quan - Dam rai during

4 Turing On.g vai cam gicic da 964 - Ph6'i - Da day - Gan - Tai mat - Tvy tang - La lath

5 Dong y

- Tim - Chi trail - Ph6i - Khi quan - Phe quan - Da day - TA trang - Gan

5 Wing lung gic-ra A5 G6m.5 cl6t tit D8 > D12

Chia hai phan: Phan tren va phan dual Ph/in tren tit D8 - D9

Turing Ling vdi he tieu hoa va lien quan Wong ring \Teri chic nang than kinh va not tang

A D8, D9 lien quan Wang Ong CN than kinh

- TK giao cam - TK by sting

- TK the dich - Cam giac da s6ng - Dam r6i than kinh

Thing y: Giap tich, du huyet

B Chile ndng than hinh thuOc D8, tuang Ong CN not tang

1 TK giao cdm Wang Ong vai not tang

- Tuyen day da day - Bai thai throng - Mang runt trail duai

2 TK tay song Wang Ong vai not tang

- Gan - Tai mat - Tidy tang - Ruat non - Ruat gia - Nieu quan

3 TK the' dich wane Ong voi not tang

- Ruat thaa

4 Ccim gidc da song

- Gan - Tui mat - Da day - Tvy tang - Ruat non - Ruat gia

5 Dcim roi than kinh

- Dam r6i throng

6 Bong y

- Da day - TA trang - Tuy tang - Gan phai - Lich trai - Tai mat

6 Wing lung dual: z16

Turing Cing vai he tieu hoa va than sinh duc, phan xa va lien quan Wring ring vdi CN not tang

A D10, 11, 12 tuang Ong vai CN not tang

- TK giao cam - TK s6ng - Tk the dich - Dam rea than kinh - Cam giac da son - Phan xa da - DOng y: Giap tic Du huyet

1 TK giao cdm Wang Ong vai CN not tang

Tuy6n day da day - Bui thai ducing - Dang mach nha: ph6i, nao - mang runt tren (Altai - Thay thai dozing

2 TK tUy song Wang Ong (Jai CN not tang

- Tvy tang - RA* non

- Ruat gia - Bang quang, ngoc hanh, bu6ng trang, tai bung, than

3 TK the' dich Wang Ling CN not tang - ROA thira, tuyen clay da day - Ba cong to,

da day vi toan - than - bang quang

4 Ccim gicic da song

- Ruat thira - nieu dao - bang tritng - Then - ng9c hanh - tien liet tuye-n

- Than ti cung - Ruat non - Ruat gia - 6ng dan trang

CAM NANG VE PHUONG PHAP TAC BONG COT.S6NG - 92 - NGUYN THAN( TAN

- Dam r6i doing

6 Bong y

Tuy tang Tuyen thuong than Than -Ruet non - -Ruet gia - Ta trang - Mat

7 Phan xa da

- Da bung 7 Wing th5t lung 47

5 d6t tit Ll, 2, 3, 4, ttidng ling vdi he -Lieu hoa, than, sinh duc, 66'1 nieu, phan xa lien quan vdi cac CN than kinh va CN nei tang

A Li L5 lien quan tucing Ong vdi CN than hinh

- TK giao cam - TK tay song - Tk thd dich - Dam roi TK - Cam giac da Ong - Phan xa gan

- Phan xa da - Dong y: Giap tich, du huyet

B Tiet doan TK Li L5 Wang Ong veil CN n *c5i tang

1 TK giao cdm tu'cing Ong udi CN ndi tang

- Lrc the co bop: + Rut non; + Da day - the co bop:

+ Bang quang + Mach

+ Cd vOng nieu dao + Bui mang ruet + Bin thai doing

2 TK to}, song Wang Ong udi CN ndi tang

- Dai trang - Xich ma - Than - Bang quang - Nieu quan - Ng9c hanh - Bung tritng - Tii cung

3 TK the 'dich tu'ang Ong udi CN n5i tang

- Tit cung - Bang tritng - Sinh duc

- Ong dan tinh - Sinh duc nam - Bang quang

- Tiet nieu Truc trang

4 Dam roi TK thdrig Ong udi CN n5i tang

- Darn r6i mac treo dudi - Darn roi mac treo

5 Cdm g,idc da song Wang z2ng vdi CN ndi tang - Tuyen Bertholin - Dai trang - Xich ma - Ruet thita - Than - Nieu quan

- Than tit cung - Co tit cung

6 Phdn xa gan CN ndi tang

- Xttong banh che

7 Phdn xa do, tu'ang r?ng udi CN ndi tang

- Ha nang (btu dal) - Ban chan

8 Bong y: Gidp tich - Du huyet - Hue hhanh

- Ruet non - RuOt gia - Truc trang - Th4n - Cd quan sinh chic - Chi dual

- Bang quang - Gan - Mat - Tuy

8 Wing hong d8

5 ct6t tit SI den S5

Turing ling vdi than sinh duc, 661 nieu, tn,tc trang, phan xa lien quan vdi CNTK va nei tang

A Si S5 Wang Ong vdi CN ndi tang

- TK giao cam - TK chau - TK thd dich - Dam roi TK - Phan xan gan - Phan xa da - Cam giac da song - Deng y

B Tiet doan than hinh di Si -> S5 tu'ung Ong udi CN ndi tang

1 TK giao cdm Wang Ong yeti CN ndi tang - Co bop bang quang

2 TK chdu thdng rTeng vat CN ndi tang

- Xich ma - Bang quang - Co tit cung - Nieu dao

3 TK the dch Wang Ong vdi CN ndi tang

- Bang quang - Truc trang - Tiet nieu

4 Dam roi TK Wang Ong ()di CN n5i tang

-Darn roi

5 Pluin xa gan tu'ang zing vdi CN ndi tang

- Gan Asin

6 Phdn xa da song udi CN ndi tang

- Ban chan - Cd rang - Hatt men

7 Coin gicic da song tu'ang Ong udi CN NT

- True trang - Bang quang - Nieu dao - Co tit cung - Tien het tuyen

8 Bong y: Gicip tich - du huyet - Hue hhanh

- Chi dual - Cd quan sinh duc - Bang quang - Truc trang

cyt d9

CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 23 - BO DUC CUONG BIEN SOAN

MOI LIEN WAN GIU'A COT SONG R6I LOAN CHIC NANG ROl LOAN TRONG VUNG TAM GIAC CO

TAM GIAC I Cl C2 C3 TAM GIAC IV D4 D5 D6 D7

1 Trung tam tang nhip tim x x x I Tim phOi, tuytn vu x x x DOng mach chi, phOi, quan x x Tam that, bUi thai duong x x x Gan, mat, tuy, runt non x x Tim trai, DM chi x x

4 Tim x tam, diet' khiEn cac tang trung that x

5 Mat, Bong tit co Jai x Khi quan x x

6 VUng tau, day X x Pht quAn , x x

7 Chi tren darn racanh tay x Tim clap nhanh, chi tren x

_ CO quan t If& bot x Gan, mat, da day, to trang x x x x Tai, la, tuytn vu, runt gia x BO cong nhO da day .r.xx x

10 Mai x 10 Tuytn day da day x x x

11 CO UDC co lai, tay co lai x 11 Trung tam Crc cht ti -tu trang x x x

12 Tieu trang x

TAM GIAC II C4 C5 C6 C7

13 Trung tam not tangaitgico hoanh x x Trung tam tang nhip tim x

14 Mang byng x x

2 Mang bao tim x x x x

15 Lach, tang x x

3 Gan, DM chit, DM phO:i, guar' x x

16 Dam riSi duong • x x

4 Tuy, runt non x x

17 DM nho phOi va nao x

5 Tay co len x

TAM GIAC V• D8 D9 D10 Dll D12

6 Thanh quin, thuc quAn, runt non x

7 Gan mat x x x Gan, mat, da day, to trang x x x x x

8 Tuyen giap, Amidan x Tuy tang, runt non x -x x x x

9 Tuyen 1e, tuye'vbcot 1"-c-"-'i*-' e'-e-f- x Trung tam irc the tieu trang x x x x x 10 Khuj, tay dui ra, ban tay co x x Dai trang, dam rOi throng x x x x x 11 DOng tir itti to, ban tay du8i x Ruc:it tht:ra x x x x 12 Gan co nhi tau -3 kv, x x Mang byng x x x x

13 Xuong quay x Tuyen da day x x x

8 Lach x x

TAM GIAC III DI D2 D3 9 Trung tam nOi tang cluoi co hoanh x x x

1 DOng mach varth x x 10 BUi thai duong x x

2 DOng mach nho ngoai da x x 11 DM nho phOi, nao x

3 Tuytn rna Fled, co than long x x 12 Bo cong Ion da day x x x

4 Chi tren x x 13 Ngoc hanh x x x

5 Tim, tim trai, tarn nhi x x x 14 Tien liet tuytn, than N x

IS Nieu quan x x x x

6 Tim dap nhanh, manh x x x

7 DM chit, DM nhO byng x 16 Bang quang, nieu dao x x

8 DM nho phi knao x 17 BuOng trUng x x

9 Phai, guar: x x 18 Ong clan ithrig x x

10 Tuytn nuac bot, nuoc mat x 19 Than tit cung x x

11 Co vOng nieu dao x 20 Da byng x x

NGUYiN THAN' TAN - 24 -

CAM NANG lit PHUONG PHAP TAC ONG COT SONG

mai LIEN WAN GlirA COT SONG Rol LOAN CHIC NANG

ROI LOAN TRONG VUNG TAM GIAC CO

TAM GIAC VI Li L2 L3 TAM GIAC VII L4 L5

L Tuyen tuy, gan mat x Ban chin, chi dual x x

2 Dam riSi mac treo, nieu quan x x Truc trang, dam rai vi x x

3 Dam r6i al.& lung x x x 5 Dam rtSi that lung x

4 Dam re.)i vi x x x

6 Tiet nieu, bang quang x

5 Dam r6i mac treo duoi x

7 Trung tam at che al-L.;T-1-i-e." x Jj cre,r Bang quang, ngoc hanh x x x

8 Than, dal trang x

7 Dai trang, dal trang Sigma x x Rut thira, truc trang x

TAM GIAC VIII S1 S2 S3 S4 S5

9 Mang runt x x •

I Gan Asin, mOng, ban chin x • - ,,,,

10 Than, buong trung • x x x

2 Truc trang, bang quang x x x x 77: 44,,,, r.tt• e ,, ,

/.I Nan- 0660rigle, eiaLtriazNing x x

12 CO' tit cung x Co quan sinh dyc x x x x

13 VI cung x x x

4 Chi duai, tie( nieu x 14 Trung tam phOng tinh

_ x 5 Dam riSi vi x x x x 15 Tuyeln Bertholin >c (

6 Da.m rtii thAt lung x x X

16 Tic che co bOp mach x

17 Trung tam ifc che co bOp bang quang x 7 Trung tam cu'ang cif, c6 tit cung &D x CZ I8 Trung tam itc the co *co yang nieu dao x x

8 Trung tam thao phan x x 19 Trung tam Crc che: co bop da day x x

9 Hail mon, nieu quan x 20 Trung tam tic che co bOp truc trang x

21 Trung tam irc che co bop dal trang x 10 Trung tam tieu tien x x 22 Xuong banh che, root non x

I I Nieu dao, dal trang Sigma x x x

23 Ha nang x

12 Co co hop bang quang x x x x 24 Trung tam irc che co bop miing bung x

13 Tien lief tuyen 04.,b ,1)

„Ls_

L5 x x

TAM GIAC VII L4

14 Tit cung x x

1.Sinh due nam, Ong din tinh x

TAM GIAC VIII Cut

-27Xtrarrg-birrrh-c-h-e, dam re)) dtfong x

CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 25 - BOI DUC CUONG BIEN SOAN

VI TRI TRONG DIEM

Co quan not tang Nh* clCi D6t song

Lop co' Vi tri 115'1:, co' , Ngoai GiUa Trong Ranh

song BN RS

BT CTL

1 Tim Co - Vai C2-3-4-5 N G T

Nguc trai D1-2-3 N G T Bn

D4-5-6 T Rs

2 Tim trai Ngirc trai D1-2 N

T

nwRs

D3 N G

D4-5-6 T

3 Mang bao tim Co trai C4-5-6-7 N Tam nhi phai Lung tren D1-2-3 N

5 EIOng mach chit ben c6 C2-3-4-5 N G T Bn

D3 • ‘Rs

D2-4-5 T

6 DOng mach va.nh

Co - vai phai

D1-2 Bn

Rs DOng mach

nhO ngoai da

Lung tren D1-2 Bn

Rs DOng mach

trong nottang

Lung tren D2 Bn

Rs Tim dap

nhanh manh

Lung tren D1-2-3-4 Bn

Rs 10 Co' irc don

chiim co lai

Dia phuong C3 G Rs

11 tc che co bop mach

Lung tren Ll - L3 T BnRs

12 miii Dia phucmg C2 N G T 116

cha:m

13 Khi titian Co phai C2-374 - D2 N G T

D3 Bn

D4 T it Rs

D5 G T BnRs

6E•

t

CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 26 - NGUYEN THAM TAN

Co' quan not tang Nhi'4 do, Dot song

Lop co' , Vi tri o'p co' Ngoai Gifta Trong Ranh

song BN RS

BT CTL 14 Thanh quan Co phai C5 G

15 Ph6 guar' Co phai D5 N G T

16 Phi C6 phai C2-3-4-5 N G T Bo' ngoai cd thani Mil D3F D1-3-4-5-6 N

D2 T

17 Luoi C6 gay C4 N G T

Ling tren

18 Thyc quan Mo dc C6 G T Khong 2

co diem lien quan

D4-5-6 T

V It -r R.I

19 Da day Giita lung D4-5-6-9 N G T Bn MO ac D7-8-10 N G T Bn R.3 Rs

Dll Rs

D12 BnRs

20 TA trang MO ac D5-6-7 N G T_ Bn

D8-9-10-11- Rs

12 - Khong co lap lien quan BnRs - Tat ca deu barn vao D7

21 Tuygn day da MO ac D5-6-7-8 Bn

day D9-10 G T Rs

22 Gan Ha suon C2-3-4-5 N G T

phai D5 T

D6-7 N T

D9-10-11- N G T Bn

12 - L1 Rs

23 Mat Vai phai C2-3-4-5 N G T Co thang

D5 T

D6-7-8-9-10 N T Rs — Bn 1311-12-L1 NJ T , _ Rs

r 4( _,

24 Rui)t non Rein C2-3-4-5-L4 N G T - g.a.L.s.iin.g.,.45.c_cham

D7 N

D8-9 N T Rs Bn

D10-11 N G T / Rs

D12 N ' BnRs

CAM NANO VE PHUCING PHAP TAC DONG COT SONG -27- BI JI DUC CUONG BIEN SOAN

Co' quan nOi tang Nhigt coo D6t song

Lop co Vi tri lop co' Ngoai Ghia Trong Ranh

song BN

RS

BT CTL

*':Rui)t titha Chgm H6 chau phai Dia phuong D2-8-9 D11-L1 D12-L1-S1 N N N G G T T Rs Rs

27 Mang runt Ch6.m R6n

D5-6-7-8 D9-10

N G T Bn

!.`/ Rs 28 True trang Chgrn Li

L4-5 - Si S2-3-4 S5 N N G G G G T Rs Rs Rs 29 Uc chg co

bop da day

MO dc GiCra lung

L1-3 T Bn

Rs

30 Uc chg co bop mang runt Cha:m R6n L1-3

T Bn

Rs

31 Dam r6i

mac treo

GiCra lung L1-2 N G Rs

32 Dam r6i

mac treo dueri

Gina lung L3 N G Rs

33 Dam r6i vi Gida lung MO ac L1-2-3-4-5 S2-3-4-5 N

G T

, Bn Rs

34 Dam r6i throng

Giva lung D7-8-9-10

D11-12 N G Rs 35 Bill thai

throng

Gifra lung D5-6-7-8 N Bn

Rs 36 Phan xa da

bung

Dia phuong D11-12 N G Rs

37 Phan xa da, hau mon

Dia phuong S3 N

38 Dai trang sigma Cha'rn Dia phuong L1-2 S2-3-4-5 N T Rs

Bet xuctng canh chau

39 Nuo'c hot bai tigt

Co Gay

Cl G T Chum

40 Tuygn with.: hot

Dia phuong C7 N G Bn

Rs 41 Tuy6n

thucrn.g than

GiUa lung ThAt lung

D10 G T

NGUYLN THAM TAN

- 28 -

OW NANG VC PHUCJNG PHAP TAC DONG COT SONG

Co quan nOi tang Nhigt dO D6t song

Lop co' Vi tri 16rp co Ngoai Gifia Trong Ranh

song BN RS

BT CTL 43 Tit nigu That lung

phai

L5-S1 N G T Rs

44 Nigu quail That lung phai

D9-L1-2 S3

N N

G T R- - 45 Nigu dao That lung

phai

Dil S2-3-4-5

N

N G Rs

46 Bang quang Bung cluoi 3 Dll L1

L2-3-5 S1-2-3-4-5

1 NN N • N G G G T T T Rs Rs -: Bn Rs 47 Co bOp bang

quang

Bung &trod D1 S1-2-3-4

Bn Rs 48 Ca \Tong nigu

dao

That lung D1 Bn

Rs 49 Uc chg co bop

bang quang

Bung chroi L1-3 Bn

Rs 50 Uc chg co bop

von.g nigu a40

That lung phai sau va tru&c

L1-3 T Bn

Rs

51 VUng dau Dia phuong Cl G T Cham

52 Mat Dia phuong Cl N G T - Cham

53 Tai Dia phuong C3 N G T

co' thang lai)

T,

Lai - mast

Cham 54 D6ng tir ma to Dia phuong C7 N Bel ngoai (Mat • diu

55 D6ng tir co lai Dia phuong Cl

co' Muy-le

G

co

MOm

trqn ngtrcrc chum 56 Dam r6i canh

tay

Cham Hong Dia phuong

Cl GiUa

R-S 57 Dam rgi that

lung

Gi it a lung That lung

D12-L1-2-3-4-5

S2-3-4 N Et&

canh chau G T xtrang T Gh-ra R-S 58 Day than kinh

10

Co tren Cl cha'm

2 ben ho charn

59 Tuygn tin ligt Khe mang

c;,

'/

D10-12 S2-3

N 60 Tuye'n Bertholinf Khe mOng L2-3 N 61 Phan xa \rung

irking

Dia phuong S1 N

62 Co' dau Dia phuong C5-6 giCra

Rs

63 Co• than long Dia phuong D12

CAM NANG Vh PHUONG PHAP TAC DONG COT SONG - 29 - BUI DUC COOING Br :EN SOAN IJIEU NM :ET

1 ri°± vang cha'm : - S2.3 - L5

2 T" vimg c6 den D3 : - D3.4

3 V+ vimg vai phai: - Dll

4 T" vang ngi.sc trai: - D2.3.5.6 -

5 T" vang giiia lung: - D8.9 -

6 T" \rung me ac: - D12 - L1 _

7 T" \rung soon phai: - D10

8 T" that lung phai: - L2 trai -

9 T°' that lung tru'oc va sau: - S4 10 T" that lung phai va sau: - L3 -

i1 T°' rOrn: - S2 -

12 T" bung duoi: - S2.3.4 - D11 (ni-eu ciao)

13 T" khe mong: - D10.12 - S2.3 (Ti6n liet tuyen)

- Nam: - L3

- Nit - L4 -

14 T" \rang c6 trai: - D1.2.3.4 phai + D9

15 T°+ \rang c6 phai (5 - D2.3.4.5 sat nach

16 V+ -vting Tau: - Wing c6 den D2

- C3

17 T" town than: - Vimg S

- D3.7

18 T° toan than: - C1 trai + D3.4.5

19 T" Co - NgLic - Co phai: - D5 - 20 T°+ vtang hmg tren va viing than: - D7 -

21 T°' hai thai throng: - ben D3

22 Dau thai throng: - D10.12 - L1->5

23 T°+ \Tung that lung: - D7 nen rung

24 Dau dau - S1.2 - G2 7 "

25 Di6u hoa than nhi4 sau chita xong: - Wing S

26 'I' dinh d6u: - S4.5

, Ll phai + C3 trai

nn m(1-1- • ; r

• .1; - D3

28 r+ vilng gay: - S2.3

- C5 29 '1'4 -yang gay, mach cham, HA thap: - C2

NGUYEN THAN TAN CAM NANG \it PHUONG PHAP TAC DONG COT SONG - 30 -

31 T°+ viing lung tren: - D4

32 T°1 viing lung tren lanh: - S2.3 trai

33 T°4- yang bung lanh: - D7

34 T°4- vimg chan lanh: - Dueei C7 - ben ca c6

35 T°1 viing Ong chan, bung chan lank - D9 _

36 T°1 mo ac lanh: - S3

37 T° ♦ vUng hOng lanh: - D11.12

- D8.9

38 T° trail lanh, toat m6 hoi: - D7.12 - L1 (Ty' hu)

39 V tay lanh: - C1.4.7 ca viing c6

40 T°1 chan tay lanh: - Dll ta:c

41 V+ c6 phai + ngqc trai: - D10 + Wing S -

42 Lam cho ngutri 'long len: - D5.6.7

43 Viem ph6i lam lung tren 'long cao: - D11.12 + L1 trai

44 V+ viing bung - S2.3.4 (bang quang)

45 V+ Nguc trai - Co - Vai trai: - C7 den D8.9 —

46 T°4' \rung lung tren - cluai lanh: - Wing chain -

47 V+ tran + \rung duoi mat: - L2 - D10 lam

48 V+ nguc: - Khe D3.4 -

49 T' horn c6: - C6

11

CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 31 - BUI DUC CUONG BIEN SOAN

M6I LIEN QUAN TU'gNG trNG DOT SONG Vol BENH CHU^NG

CI

I CHT:TC NANG

1 Nao /thong binh thuiing

- DS: Lech, 16i, co day - Teo: V cham co corn - T': v dinh dau

Cam giac: dau v diem - cham

2 Day 10 - TKphe vi roi loan

- DS: Don lech, 16i, co mOng - TC: V.cham co mong - Te*: V dau sau

Cam giac T.diam + v.cham Day TK hhong binh thueing

- DS: lech, lom, curing, xo - TC: V cham xo

- T°': V thai dUong - Cg: T diem + v cham

4 Dam rdi ccinh tay hhong binh thuemg

- DS: Don lech, 16i, co day - TC: V.cham co day - v.cham

-Cg: T.diem - v.cham

5 Tuyeh nuac bot hhong binh thueing

DS: Don lech, 16i, co day - TC: V cham co day - T° v.cham - Cg: T diem + v.cham phia lech

6 Nhip tim hhong binh thuang

- DS: lien lech 16i co day - TC: v.chSrn co c6m Cam giac: T.diem + V.cham - T°': thgp toan than II BtNH CHIJNG

1 Dau dau berth tam than the' thanh

a Nhip tim rdi loan - DS: L'6i phai hoac trai

- TC: Lop co citng day, co dai det Ci v cham

- T°' v.cham + v lung tren - Cg: Tren diem co day nhgt

b Ching trang

Wing sau dau dau, to bi Trong dau am u, kh6ng tap trung suy nghi Thuang nghe thgy tigng not o tai nhu tigng go, reo reo, hoac thuang thi thao, the bai, the gi8u, trach mac Khi lam vies hay nghi ngai dau xugt hien Khi narn ngu xugt hien nhieu hon

Trong diem = Cl

2 Huyei ap thap (dau u.gciy) a Hien Wang roc loan

- DS: Lech 16i, co day phai hoac trai - TC: V.cham co c6m

- thgp ri v.chS.m

- Cg: Dau tren diem co co day nhgt va a h6 cham ben lech T': thgp a v.chaTm

b Trang tra'ng

Dau tirc rat khb chiu a v sau gay v.cham, met m6i

Trong diem: Cl, 2, - D6 - D10 43 Co long ter (dau dclu)

- DS: Lech, co day phai hoac trai - TC: V.cham phia lech co Om - v.gay, v.dau ben lech - Cg: T.diem + v.chS.m

Dan dau hen lech

Luc rrat, and nhieu dau tang tang Trong di4m: Cl

4 Benh Pcic Kin-son (dau deiu)

- DS: Lien 15m det doc

- TC: nhieu soi det tit co len cham - ca yang dau

- Cam giac: v cham va trung diem

- V.sau nao nang va bi dau Dau nhieu dau tang lao vd phia truoc va tay tang run

Trong diem = Cl

5 Mat lanh (do huyei ap theip)

Mat lanh nhu bun huygt ap va ret, mach gip va

Trong diem = Cl

6 Ca' cUng (do berth viern cot song dinh hhdp)

- DS: lien lech, curing, cimg mang - TC: v.cham., ben lech xo

CAM NANG VE PHUONG PHAPTAC DONG COT SONG - 32 - NGUYEN THAM TAN

- Cg: Dau phia gai song lech + v.chd.m Chitc nang yang c6 (Mu bi han chd, quay, ng6a, nghieng datt kho

7 Budn non (do say song, say xe)

- DS: den lech, 16i, co day

-TC: v.chdm co day phia dOt song lech - T': V.chdm

- Cg: T di6m, v.chem phia lech - Ua nhidu nu& dai va chong mat

8 Budn non (do TK thyc vat RL)

- DS: Den lech 16i, co ming - TC: V chdm co mang ben lech - v.chdm

- Cg: T.diem + v.chdm

- Wing trait lanh va nhidu m6 hoi, se gio Ua nu& dai Ch6ng mat

Trong diem: Cl

9 Tai diec, tai

- DS: Lech 16i, clang, day - TC: v.cham dai det - T°÷: v.cham + lung tren - Cg: Dau v.cham + t.di6rn

Trong tai loon co tidng u, am, i, co ltic nhu didc ban

Trong diem: Cl

III Cl VOl NHIEU DOT SONG ROI LOAN TU'ONG 'ONG Vol BE: NH ClIfiNG

10 NOi thdt

- DS: • Cl, C2 (L3) rl = lien lech, lam teo - TC: Xd ben lech

- T": v.chdm + c6 phai - Cg: T.digm + v.chd.m Nal khan

Trong diem = Cl

11 Liet cUng tit chi (do chen ep tu; song)

- DS; Cl, C2 r6i loan - Don lam, det, doc - TC: Xe v.cham - v.dau

- Thueng chi ddtt bi co ding Cam giac giam, chfic nang van clang han chd Tao bon

Trong di6m: Cl, C4

12 Mcit nhd m hhOng kin

(do liet day than kinh s6 7)

- TC: v.chdm T" v.chdm T°- ben mat liet - Cg: T.diem + v.chdm

- Mat ben lech nharn khong kin kd ca ng6 Hay chay nu& mat

13 Chem tay run 14 t bdt

(do benh Pac Kin Seri)

- DS: Cl - C3 - C5: 16m, det, doc - TC: Xe v.chem, T' v.chdrn

Cg: T.di6m - v.chdm - Mdt chinh xac - not chain

Di lao phia truck - Tay run lat bat Trong diem: Cl, C3, C5

14 Ccim mao

- DS: Cl, 2, + Li rl - Lien lech, co day - TC: v.chdin co day T": v.dau, c6, gay, lung Cg: T.diem + v.chdm

- Nhidu trang chiing khong binh thuang

15 Ngzi qua nhie.0

(Do huydt ap thap)

- DS: Cl, 2- D6 - L3 r6i loan: Lien lech, mang

- TC: Co v.chem, T° tha/p v.chdrn - Cg: T.diem + v.chd.m

- Cd the binh thuang Thinh thoang co ltic

bi dart tiic \rang chdm co cdn huydt ap Trong diem: Cl, C2, C6 - L3

16 Nga bdt tinh va truy tim mach

- DS: Cl, 2, 3, - D6 - L3 r6i loan Lien lech, 16i, co day TC: v.chdm corn - T thip toan than Cg: Td+ v.cham - Va m6 hoi Ngat xiu

Trong diem: CI, C2, C3, C4 - D6 - L3

17 Tim Op yeic

- DS: Cl, 2, 3, roi loan Lien lech co mang - TC: Xd v.chdm v.tran, c6 trai, ng-uc trai - Cg: T.di6m

- H6i hop Nang Pang nguc Met mai Trong di6m: Cl, C2, C3, C4

18 Mat nga heo dai (TK SN)

- C1,6 - D1, 7, 8, 9, 10 reit loan - Lien lech, det doc

- Xd v.chSrn - Dau: T.diem - v.chdm - T°' v.dau, long tren

- Dau dart kinh nien Tri nho giarn Tao bon Trong di6m: Cl, C6 - D7, 8, 9, 10

CAM NANG Vh PHUONG PHAP TAC HONG COT SONG - 33 - BUI DUC CUONG BIEN SOAN

- Cl, 6, rl - Lien 16i mgm dAy - c6 gay - Dau: T.diern + c6 - H6i hop, tlic ngig trai Nhigu m6 h6i - dau lung Trong diem: Cl, C6, C7

20 Dau dau, nhtic mat

(do tuyen yen r6i loan) (C2)

- Cl, 2, - D1, roi loan: lien 16i, co day - V.chem co day Dau t.diern va v.chem - dAtt, c6, gay, lung tram

- Vang dd.0 dau va na.ng, bi bi kho chiu Khong danh gia dude khu vuc dau titc

MAt nhuc luon Chay nuac mat Thi 114c giam Mat ma - da xam xit Met 16i )(yang tren

- Dung len ng6i xu6ng bi co giat, dau di'eng c/A.u Tao bon

Trong diem: Cl, C2, C7 - DI - D2

21 Nhau me; h6i Sy gio cam

- C1 - D7 r6i loan

- Lech co dAy - V.chem co

Dau: T.diern v.chem - v.c6, gay Truac 1)1 dau &du d>r dOi den not khong the buck ngoai duoc Sau dau dAu thi dAu va mat va m6 hoi Lan lain so gio

Trong diem: Cl - D7

1.C1, 2:

Dau day thAn kinh 10, than kinh Dau yang daiu, mat D6rig tit co lai Tiet nuoc bot Chi tren Dam r6i canh tay: Truy tim.Trang nhip tim Mui - Ding mayih chii Tim - ph6i - gan - mat

2 Cl- Truy tim mach (do TK giao cam chiem uu the)- Phai chua TK giao cam C1)

3 Cl - T°' v.dAu

- Dau dAu bu6n non Dau dAu phia sau

4 Cl + goc ham sat hhoe tai

- Kho nuac bot - it nitric bot

5 Cl, 2: Tit TK Rho giao cam

6 Cl, lom

- Chaa vao ch8 lom giita ba )(Laing so voi C2 bang cach clua ngon tay lan ngang vao khe cho den cd khe day len

7 Ca co loi song trei u giaa hai cc/ thang

- Chula vao ch8 lom giaa xudng s9 vdi C2, dua ngon tay lan ngang, song chinh C2 //C7

8 Gidi toci ca co a be( xacing che.ru

- Ha van la

9 Gicii toa cd co (3: hai ben ho'cha: u ua D6

Ngoai tam thu (2 nhip mat nhip) cluaa cham, gilt ddu t6c

10 Gicti toci co etc don chum trcii

- Ligt naa nguai, tay phai co, lam copoidng don trai

11 Cl-C6

- DOng kinh - co hach not d ba trail cd lac don chum

12 Wing chS'm cang ben ua yang S doi dqn

- Bong gan ban chan

13 Cl, 1&hphdi co corn - C7, D1 tech trai

- Song chinh Cl, // C7-D1

14 Gicii toa veing chcl'm ua D3

- Cd thang c6 trai lap

15 CT - Si, 2, cling ccing

- R6i loan thAn kinh thuc vat

16 Chita ccic dot song

- Sau chaa xong cac d6t song c6 phai chila tiep D9

17 Cl, 2, 3,4

- Lam tang nhip tim (khong duck chf.ta vao C7, lam mat tac dung)

18 Cl - C6 - C7 Than hinh 10 sat sau tai

B16c nhl thgt

Cz

I CHI:1C NANG

1 Mai /thong birth thzteing

DS: Don lech 16i, co clay Co co Cl v.dau - Dau: T.diem v.chem

C2 ciing vdi nhigu d6t taring itng vdi chiic nang:

1 Trung tam tang nhip tim

- Cl, 2,3, 4: C2 ben lech co day

1

CAM NANG Vt PHUONG PHAP TAC DONG COT SONG - 34 - • NGUYiN THAM TAN - thap bran than

Tx-91-1g Cl, 2, 3,

2 Dang mach chu hhong binh thziang - C2, 3, 4, 5: C2 lien loch, 16i

- TC: Ngang CI a yang ch6.m Dau: Tdie'm v.ch6m

- To*: v.c6, vai - nguc trai

3 Tim hhong binh thdang

- C2, 3, 4, - D1, 2, 3, 4, 5,6

- C2 lien 16i co day Cd ngang CI + v.chSrn khong binh thuang - T°+ v.nguc trai Dau T.digm v.ch6m

4 PIA hhong binh thu'ang

- C2, 3, 4,5 - DI, 5, C2 lien loch, lom, nhac

- Xd ngang Cl + v.chSrn - Dau Tdie'rn v.ch6m

- T°' v.ngiic trai

5 Mat hhong binh thu'eing

- C2, 3, 4, - D4 - D11 - 12 - C2 lien lOch, nhac, m9ng

- Cd ngang Cl - v.ch6m khong binh thuiing - T°1* v.vai phai - dau: Tdie'm +v.ch6m 6 Gan khong binh thu'O'ng

- C2, 3, 4, - D4, 10, 12 - Ll

C2 lien loch co mang Cd ngang CI -v.ch6m Dau: Tdie'm T' vai phai + Klan phai

II C2 ROI LOAN TU'CiNG LANG VOI BENH CHONG

1 Litai co giat dcly

- DS: Donl6i, co, mang

- Cd ngang Cl +v.chgm khong binh thuang Dau T.diem +v.ch6m T°4 c6, vai trai Cam die"c 136m sinh

Trong di&n: Cl, C2

2 Litai ddi qua

- DS: LOch lom, xd

- Cd ngang Cl + v.cham khong binh thuang Dau T.diem +v.ch6m

T" yang vai, sttan trai - Noi ng9ng

Trong diem: C2

3 Lanh yang gdy huytt ap tha:p

9c (6-rig-t:u day p-hia ti a'

- Cd ngang C2 + v.cham khOng binh thuang - Dau: Td + v.ch6m

- Dau tac v.gay - met mai Trong diem: C2

4 Mai chety nitric cam lanh - DS: Lien loch lom, xd

- Cd ngang Cl + v.ch6m khong binh thuang - Dau: Tdie'm +v.cha'm

- Te+: c6phai, lung, dau Cam mao, hat hdi, so mai Trong Cl, C2

5 Mdt, mai may gist

(Do liOt day than kinh)

- DS: LOch, lomidn xo, cuing - V.chgm xv15au Tdigm +v.chS.m - T' ngang C1 + V.chSm

- Cita), nu6c mat

- Mat bi may luon - aNH CHI:rNG CO LIEN QUANDfN C2

1 Ho cam cam

- C2, - L3 - Lien loch, co

- Ngang yang chSm co khong binh thuang - Dau T.diem +v.cham + T** yang dau - S6 mai

Trong digm: C2, C3 - L3

2 Die-c beim sinh

C2 - L2 - C2 loch 16i, co day Cd v.cha'm dai dOt T°.* v.ch6rn +v.lung teen Dau: Tdie'm

Trong tai nhii c6 u Trong diem: C2 - L2

3 Cdm ba'm sinh - Cl - C2 - C6 - D1 + V.S

- C2 lOch curing mang

- V.ch6m xd - Dau: Tdie'm +v.ch6m - T' v.ch6m, lung tren, \fling cung - Cam giac bi phu giam

Trong C1 - C2 - C6 - DI

COChcin tri yang CI, bien doi

- ChSn: C1 c6 gai sau Gai sau C2 cao hdn CI va C3

CAM NANG VE PHUONG PHAP TAC DONG COT SONG phildng thfic chuyen tat the: c6

nghieng phai, nghieng trai de' xac dinh lop co va d6t song benh

- Tri ithang hien Wang mat binh thuang Cl, 2:

1 Trong diem viing C1, khac cac vOng khac hay co cQm Trong diem a nhiing ch6 xo teo mang, day, an vao dgy BN they dau

Trong diem nam tren nen so, tren v.cham,

tren cd thang

BOI DOC COOING BIEN SOAN

8 C2 - V.cham rdi loan

- Day ba dudi C2 lien quan chic nang van

9 C2 có bigh clo'i chila

Neu C2 binh thuOng, khong duoc ch2a chi chfia C2 co bian dai

10 C2 15m - D5 15i = cam

£1* ), C2 len ti/ goc ham len

11 C2, C3 - L3 - v.dau - - that icing

- 35 -

2 C1,2 bian d6i thi cd thang mot ben tang, - Ho - cam cum mot ben chlang, teo nhuoc Chita D4 ben nhuoc

3 Hai cd thang d6u chUng la cam diet ba:m sinh, khong so tidy C1, Chila ba truck co -iic dOn chum du'oi goc mang tai

4 Gifla gay n6i len mot bO co cling to lAng chi& dila, &tang song trau, tit tren v.cham xu6ng C7 Chita hai tay hai bo teo'cUa soi if ch6 bat nguen cue soi cd tren nen Sc

5 C1, lech sang mot ben, bao giO co thang cd tic don chum, h6 cham cung co cQm ve ben lech, chUa C6 phai va IDO ngoai cd Uc dOn chum

6 Chan: Dung hai ngon tay.cila hai tay day tit sat gOc ham sat mang tay, xoay tran trai chien vao giva tren v.cham, tren nen so Giai toe bang hc.lc ngon cUa hai tay tren ch6 teo nhttoc ma BN they dau

7 Cl, 16i lech, song chinh bang hai ngOn tay de len de' rung, sau se vi chinh

2 C2 - u.dau - ngvc trai

- Dau clan kinh nien

3 C2 4-eh phdi

- Chita D5 den D8 phai

4 C2 loin - C3 15i

1 Chita ben ngoai cd thang, dua sau vao dot song, sau bi len

2 Chita bo tren C3 an \lit dau C3 xu6ng sat bo du6i C2, day C2 len

5 C2, 3, 4,

- Tuyan not tie't - Tuyen

6 C2 15i - C6 lom

- Chita tit dau 1)6 trail C7 xu6ng sat ba cluoi C6, day bi (bSy) C6 len

7 C2, co corn

- D4

C3

I NHIt T DO

a Nhiet do, da tiro'ng ling vai not tang - Vang ngVc trai; - Truck r6n - Vang co phai; - Vang ch"a'm - Vang giita lung

- Vang vu phai

b T'''+ da tu'dng ling vi i die phu'cing Than the + tit chi

II CHUC NANG

a Chao nang rei loan Wong ling viii mot d6t song C3

1 Chiic nang tai hhong binh thztang * HiOL tu'ang 4nh13;

D6t song va fiat cd benh ly

Tug, thuQc vao nguyen nhan gay benh va benh cu the cUa tai ma hien tuong benh ly cUa d6t song va tiet co bieu hien len bang cac hinh thai khac tudng ling v6i benh co the Chi tiat ghi ci phan benh

- T' yang co +

- Dau T.diem + co co day

b C3 cang vO'i nhieu dot song khac r6i loan

1 Than hinh hocinh ccich rdi loan

C3, 4, roi loan

T" soon hai ben Dau: Tdiem + soon

2 Trung tarn tang nhip tim hhong binh th ud/1g

CAI NANG VE PHUONG PHAP TAC BONG COT SONG - 36 - NGUYEN TRAM TAN

4 Pheii - - Gan - - Mat hhong binh thdang

7 La lcich /thong birth thaang

C3 - Dll rol loan

DS + TC nhu phan phan gitia lung - Dau:

III BENH CHUNG

a Benh chiing Wong Ting vdi dot song C3

1 Nong ca yang deiu

DS: Don, lei, co day Wing ch-Sm + C1 co Om

v.dau + v.che:m Dau:

- Trong nguai boi r6i khong dinh than Trong diem: C3

2 Sec i:

- DS: Don loi, lech, co day - V.cha:rn + C1 co cd - T°+ v.cha'm - Dau: Td + lan cd

Hay s6 mui thai tigt thay Trong diem: C3

3 Chan toy co citng

- DS: Ddn, 15m, teo, - Ngang C3 cd co day - dia phuong va v.dau - Dau: Tdiem va dia phuong - Cam giac giam

- Lien quan tOi nao (16m teo) - D6t C3 sinh lY la d6t 16m Trong diem: C3

4 Gai ret

- DS: Lech mOng - ngang Cl + v.cham nhuoc T" v lung tren - Dau: Tdiem

Co the suy nhuoc Trong diem: C3

5 Chong meet

- DS: Don 16i co mong - v h6cliSm co - T° v.trai Dow T.digm

Bi choang quay c6 nhanh, ke ca nom

C3 16i cao sinh chong mat Trong digm: C3

b C3 ciing nhieu d6t song r6i loan

1 U tai

- C3 lei lech co day V.cldm co day - T" vai phai: mat R6n + mO dc • - ThAt lung - Cam giac: Tdiem + v.che'm

2 Mai tho 16

- C3, rol loan C3 16i, lech, co day Ngang C3 co Om - T" v.che:m

- Dau:

Trong diem: C3 - C5

3 Dau 1/2 ben cleiu

- C3, 4, 5, 6, - D11 roi loan

- C3 loi lech, COng, day Ngang C3 co cOm - Dau: Tdiem, lop co co T" v.dau + mO ac Thi 19c giam

Trong diem: C3, 5, 6, - D11

4 Dau ciciu hinh nien

- C3, 4, 5, 6, - Dll rea loan

- C3 lech mOng - T" dia phuong V cha'm co

- Dau: T.diern - Cd the suy nhuoc

Trong diem: C3, C4, C5, C6, C7, D4-D9 -L3

5 KILO the

- C3, - D2, 3, 4, - L3

- C3 lech lom xd TC: Teo nhudc v.chSm - T" nguc trai + vu phal

- Cg: Tdiem co diem c/62i dOng: - Phu - met mOi

Trong diem: C3, C4, D2, D3, D4, D9, L3 6 TM ngein hot

- C3, 4, - DV

- C3 16i Lech co day

- TC: Ngang C1 va v.chSrn co day T'÷ ma ac - Cam giac: Td +

- Kiem d hdi

Trong diem: C3, 4, C5 - D7

7 Hen suyin

- C3, - D1 r6i loan

- C3 lom lech xd TC ngang C1 + v.cha'm xd - v.dau, lung tren, cd

- Cam giac: T.dijm + - N4ng 16ng nvc

Trong digm: C3 - C4 - DI

8 Than hinh suy n.hugc

- C3, 4, 5, 6, - D1, 7, 8, 9, 10, 11 - Ll - C3: Lech mOng xd

OW NANG VE PHLIONG PHAP TAC DONG COT SONG - 37 - BOI DUC CUONG BIEN SOAN

- v.dau lung tren that lung, giaa lung - Dau: T.diem, cac diem d6i deng

- Dau dau - mat ngia Tri nho giam Trong diem: C3, 4, 5, 6, - -D7, D8, D9, D10

1.1 Chruc ruing

- Tai - trung tarn t - nhip tim Cd lac don chum co lai - Tim - ph6i - Gan - mat - Ong mach chit

2 C2 - dia phicong - Than hinh

Chan tay co cap

3 C3 - u dau -v.cham

- NOng yang dau

4 C3 - Tu* town than - That Zang trdi

- Gai ret

5 C3 - did phu'ong - V.cham - S6

6 C3, 4, 5, 6,7, D11 P dia phzcong - ma dc - vai F:

- Dau 1/2 dau

7 C3, 4, 5, 6, - D1 - Ll - P+ did phdo'ng - T.lung - Vai F - MO ac- ro'n

- Tai u I

8 C3, 4, - DO' Icing tren - Mang srton • - Th8 ngan hdi

9 C3 idi

- NguOi benh ngoi thang, ngOa co Thay thu6c dSy tit sau trade bat cladi C3 18i

10 C3 lom

- Ngadi benh cai gap c6, day tii hai bO cd thang vac)

11 C3, cd.rig tang

- Liet ti chi - Cam giac giam

12 C3 4.ch phai, co co

Tim sdi xd ben trai Chaa d6i dOng diem Ben trai - C3 - Ben phai chila cling mot lac di6m tti th6 thang lung Ben trai ly tam -Ben phii htiong tam C3 gifia day tit sau trade

C4

I NHIT DO DA

a Viing da nhiet toting ifng vol not tang - V nguc trai T°4; - V (Judi vu phi T' - V co phai T"; - V vai phai

- V giOa lung T"; - V trade r6n b Vang da nhiet dia phudng

Cac khu vac nong than minh tit chi Chu 9: mang saan

II CHI-IC NANG

A Chic nang r6i loan tu'dng utng vdi dot s6ng va C4 r6i loan

1 Lttai hhong binh thitang a Hqn tztdng qnh ly

DS va ti6t cd benh 19 nhu da ghi u phan chilc nang C2 Tu9 thudc vao nguyen nhan gay benh va benh cu the cila ivai ma hien Wong benh 19 va lop co biL hien len bang cac hinh thai khac tutting ling voi benh cu the, chi ti6t ghi phan benh

+ T' v.c6 gay

+ Dau: T.diem va co quan cua benh

B Chic nang r6i loan tddng iing vo'i C4 va nhiesu DS khfic

- Than hinh horinh cdch r61 loan

Hien Wong benh 19 xem d C3 phan chic nang

- T.tam tang nhip tim r6i loan - D8ng mach chi khong binh thuOng

- Tim khong binh thu0ng - Phi khong binh thadng - Gan khong binh thuaing - Mat khong binh thadng

- La lath khong binh thudng (xem C3 phan chic nang)

- Mang bao tim hhong binh thiteing a Hqn taceng kenh13; C4, 5, 6,

DS lop co tu9 thu8c vao cac nguyen nhan va benh cu the ciia mang bao tim ma chung bi'du hien len Wong ling tren he cot song va tie't cd cu the

Chi fiat ghi d phan benh v nglic trai

Dau: T digm + v.cham III BENH CHLING

A Dot s6ng C4 ro'i loan -Wong itng yeti cac benh:

1 Mci't cam gicic tocin than

a HiOn tucmg 4nh

Xem phan Cl phan chits

6,,M NANG Vt PHUONG PHAPTAC DONG COT SONG - 38 - NGUYEN THAM TAN - C4 1oi, co, day

- TC: Ngang C3 khong binh thuang - v dau + dia phudng

- Dau: T.die'rn, v.chSm, dia phudng

b Trgng thong

- Di lai kilo khan

2 Chan tay to bi

a Hien tilting benh ly;: C4 lam xd

- TC C1, + v.chSm.khong binh thuang - Dau: T.die'm

b Trcing chang:

- Nguai cham chap

3 Dau ttic vang-rno dc a DS lien Lech co day

- TC: C1-2 chgm khong binh thUang - T": v giva lung

- Dau: T.didm - mang suan

b Kern rdi loan tieu hod

B C4 ciang nhieu dot khac rol loan bldng if ng vori cac benh chi:1'11g

1 Viern hang

a C4, - D4 r6i loan - C4 16i, lech, co day

- TC: C2, - v.cha'm rol loan - c6' phai, nguc trai - Dan: T.diem +

b Thuang n6ng is yang lung teen

2 Dau mang so'o'n

a C4, D8, D10 ral loan - C4 lech co day - TC: Cl + v.cha'm

- T" v clan, wan Dau T.diem + co b CO cam giac thuang xuyen dau d viing ben suan

3 Cc/ the' suy nhuvc

a C4, D5, 7, 8, r6i loan

- C4 lech co mang TC: Nhan Cl + - T" v.dalt, giaa lung va thk lung - Dau: T.diem + h6chSm

b Cd the bac nhudc

Lam RL chac nang than, not -661, than kinh 4 Bai lief

a C4, - L4, 5- Si, 2,

- C4 co day: TC cham mem day - T" thk lung, chdm, rOn - a att • tem

b Liet mem + RL tieu hoa

5 Rd'i loan tieu hod

a C4 - D10 - 12 - L4, - S4 - C4 lech co day

- TC: Cl -2 + cham

T" giita lung, scion, r6n, chSm - Dau: Tdie'm - chSrn - tcd blY b Nguai luon hap nong

OC4 - ch0c ming

Luai - trung tam tang nhip tim Dong mach chia - Mang bao tim - Tim - Ph6i - Gan - Mat

2 C4:

Cai nut ciia cam giac va van clOng

Neu cam giac hoac van &Ong han che, den phai chlIa vao C4 N6 gay co ding, lam nhip tim cham

3 C4 bid tren corn len, rech phcii

- Benh tim

4 C4 lech trdi

- Benh phdi

5 C4 Lien quan den benh nhuoc co, benh mgt cam giac toan than tay co bi chen, ep, so vao dau cang thay dau _

6 Mudritim C4 ,

Ng6i caill co xuong hoac nam cot song-len lam cho co tbat vaem mdi thay dau gai song C4

7 C4 lam nhcit uthig co

D'Sy len thay gon dual C3, keo xu6ng

thgy d ba teen C5

8 C4 - C5 lech phdi

Nhin su vat quay cuemg Chong mat

9 C4 ldi gyn len bet tren corn len

Ngoai tam thu - lam tang hoac lam giim nhip tim

10 C4, C5, C6

Than kinh ngoai lai ga.'n voi TK phe vi

11 C4

Co ac don chum bi co Dung ngon chaa

co ac clan chum, nem cai dat chua Dl

Cs

I NHIET DO DA 4,-c r) /- -( -va-'7 a 7' da tu'dng (mg udi marritang

CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 39 - BUT DOC CUCYNG BIEN SOAN - T' duoi vti phai; - T' v truck r6n

b T da c4a phu'ang Wong zing

Lien quan nhiau den chi tren II CHUC NANG

A Chitc nang RL ttidng Ling viii C5

1 Tay co le'n

- DS: Tiel co tu9 thu5c cac nguyen nhan gay benh cu the ma chting bieu hien len tudng ling vai CS va TC chi tiel ghi a phan benh 19

- T°+ v nguc trai + DF

- Cgiac: Dau tai Tdiem + DF 11) - C 5.-

2 Thanh quern

- DS +TC nhu da ghi a tren - T": v.c6 phai - Cgiac: T.diem

B Chitc nang r6i loan tticing ling C5 va nhieu dot song khan

- Mang bao tim; D5rig mach chil.; Tim; Ph6i; Gan; Mat; Kh1 quan; C5; Co hai dau

- C5, la On; C5176 la xlicing quay tay

1

- DS va TC a miasj 6„8, 9, 10 tren tug thu5c $ benh co the va biL hien

- T': Da DF: v c6 phai - Cam giac: Tdiem + cd vai III B '*NH CHI:rNG

1 Ho that

C5: 16i, co day; TC: •ngang C4 khiing binh thtiang; T': v.c6 phai; Cgiac: Tdiem + TC benh 19 Trang chiing: ca hong dau II) , ,- )

2 Hay buo'n non

- C5 16i, lech co day

- TC: ngang C4 khong binh thuang - T": DF + v.dau

- Cam giac: Tdiem + h6 cham - T.chitng: nOng lung tren 3 Ti(ng not rigrcit doan - C5 lech, co mOng

- TCo: ngang C4 khong binh thuang - 'I': v.c6 phai

- Cgiac: Tdiem

- T clang: Tie'p xiic cham

4 TiEng not hhong r5

C5: Lech, co day

TC: Ngang C4 khong binh thuang T°.: V.c6 phai

Cgiac: Tdiem

TchUng: CO cam giac ming v.dau

5 Nong Laing gay

Hien Wong benh 19: - C5 16i, lech, co m*Ong

- TC: ngang C4 khong binh thuOng - T°+ DF

- Cgiac: Tdiem

TC: Co cam giac ruing toan than 6 Te bi ccinh tay

Hien Wong benh 19: - C5 lech xd 't 41,1

- TC: ngang C4 khong binh thuang - c6 phai +

- Cgiac: Tdiem + cd vai TC: Canh tay cam giac gia.m

B C5 clang vari nhi6u DS khac RL tudng ifng vOi cac benh chitng

1 Cao huye't cip

Hien tudng benh 19:

'1 ;1 - C5, 6, - D1, 2, 3, 10 - Li, 2, - C5 16i, lech, co mOng

- TC ngang C4 khong binh thuang

- Cgiac: Tdiem + tie't co benh 19 va cac diem d6i d5ng, chu ye'u co vai

- T": Lung tren, c6 gay, suan, that lung, dam, mat, c6

-TO: Nang ng tri tae

2 Dau nhz2c ccinh tay

Hien tudng benh 19: 1-47/ - C5 - D2, 3, r61 loan

- C5 lech xo

- TC: ngang C4 khong binh thtthng - T': DF

- Cam giac: Tdigrn + diem d6i dong TC: Khong van dOng ding dau

63) C5

D5ng mach chu - Mang bao tim - Tim - Ph6i - Gan - Mat - Co hai dau - Phan xa gan )(wing quay tay - Thanh quail - Khi quan

4 C5 4.ch phcii

- Tang huye't ap

5 C5 hhong binh thu'ang

- Nhin sit vat quay cu6ng N1-Am mat 10, van thay nha ci:/a quay len

6 C5 - C7

CAM NANG Vi PHUONG PHAPTAC DONG COT SONG - 40 - NGUYEN TT-LAM TAN

C5, 6, - DI, 2, rat quan song letu

Lien quan chilc nang van dOng chi tren, co tay, ngon tay, khuS'iti tay co dui - Ben nao han the chtaa ben 5:y - Tuyen giap trang Nguai mirth man - Gid can bang cn the

Cfs

I NHIET DO DA

Wing nhit d6 da Wong ling vdi n§i tang - V nguc trai T"

- V giiia lung T" - V nh* d6 Of

- V.ctAtt, c6, gay - lttng tren II CHUG NANG

A - C6 Wong Ting vdi chitc nang - kh5ng có B - C6 vdi cac d6t song khac ro'i loan tuking Ting vdi cac chlic nang

- Mang bao tim (nhtt a C4) - Co hai d6.0 (nhtt a C5) - Gan (nhu C5)

- Xttong quay tay (C5) • - C6, ban tay co lai

- C6, khuY'u tay III BENH CHtING

A C6 r6i loan tong iing vdi benh chiing

I Dau nht2c /Mop vai

Hien Wong benh 19: - C6 Wch co day

- TC ngang C5 khong binh thuang - df

- Cg: Tdie'm + di4m dot d6ng TC: Dau van &Ong

2 Bitdu ce

Hien tttong b'Oh 1S/: - C6 lei l'ech, co day

- TC ngang C5 khong binh thttang T": co phai + df

- Cg: Tdiem + cd vai TC: Hay h6i h6p

3 Ban chan lanh budt

HiO Wong b'Oh 1St: - 161, lech co mong

- TC ngang C5 khc3ng binh thttang

- v.d; d6.u - Cam giac: T.di4m

TC: Cd the suy nhunc hoac bai het

4 Ho get

Hien Wong benh 19: - C6 lech mem 'Ming

- TC ngang C5 khong binh tIniang - T' co phai + lung tren

- Cam giac:Tdi4m TC: rnA.t sung

B C6 vdi nhieu d6t khac RL tudng itng vai b'@lh chitng

1 Ccim di cht2ng

Hien Wong benh 1}r: - C6 - D3 - D6 - C6 lach co mang

- Tcd: V he; chaTm khong binh thttang - T°': v thk lung

- Cam giac: Tdi4m + chd.m TC: LIVE co *h

2 Tam than binh

HiOn Wong bOh 1St: TO - C6, - D8 - L4

- C6 16i, *h, co along

- TC: C4, - D5, D12 khong binh thttang: - Cgiac: Tdi6m + Trigt co

- v.nguc trai, v.lung, th6t lung TC: tinh th6.n khong binh thuang

3 Tri Whet giam

Hien tuung benh 19: - C6, - L4 r6i loan - C6 lech co mOng

- TC ngang C5, 6, D12 khong binh thlthng - T' ng-uc trai + that lung

- Cam giac: Tdi4m + Tco lo•O.h 1Sr TC: Ti6p xtic cham

4 Ndi hctch cd

Hien -Wong benh 1St: Ti - C6,

- C6 Lech co day

- TC: C5, khong binh thuCing - T': v CO' gay

- Cgiac: Tdiem + TC: b6c mat

5 Cd Ray citng dau

CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 41 - BUI DUC CUCING BIEN SOAN - C6 - Ll - D11 r6i loan

- C6 lech co day

- TC ngang C6, D9 r6i loan - T" vai phai + mO ac

- Cgiac: Tdie'm + Teo Wong Ung TC: Van Ong khdp c6 han ch6 Mcit loan thi

Hien Wong benh 19: - C6, roi loan - C6: lot tech, co mang

- TC: ngang C5, khong binh thuang - T": v.dau

- Cam giac: Tdidm + Tcd benh 19 TC: dau dau - nang dau

7 t 16

Hien Wong benh 1Y: - C6,7 r6i loan - C6 lech co day

- TC: ngang C5, khong binh thoEing - T": Df + dam,

- Cgiac: Tdie'm + Ted benh 19 TC: ThuCing xuyen dau dau 8 Suy Binh due nam Hien tuOng benh 19: - C6, - IA roi loan

It - C6 tech 16i co day

es - TC: C5 - Dll khong binh thithrig

- T": vai phai, mo ac - Cgiac: Tdie'm + Ted b19

TC: Lien quan chlac nang da day, gan, mat Vzing iron nong

Hien Wong benh 19:

- C6, - D11 khong binh thuang - C6: lech co mong

- TC: Vai phai + df - Cgiac: Tdie'm, Tc b19 TC: Lien quan chic nang mat 10 Nhie'u Ind h6i bcin tay Hien Wong benh 19:

- C6, khong binh thuOng - C6 16i, lech co rm1ng

- TC: ngang C5, khOng binh thtaing - T": ngoc trai, lung tren RL

- Cg: Tdidm + Ted benh 19 TO: Tudng itng voi tam bao

11 Litt c 'zing

Hien Wong benh 19: - C6, r6i loan - C6 lech, along

- TC: Ngang C5, roi loan -T°`: df dau - mat - c6 - Cgiac: Tdidm + Ted Wong Ong TC: an tieing kho

12 Tie'ng not tho Hien Wong benh 19:

- C6,7 - D1 khong binh thuang - C6: lech co day

- TC: ngang C5, r6i loan - T": v lung tren

- Cgiac: Tdidm + TC benh 1Y

TC: Lien quan d6n chOc nang ho h6.p + Wan hoan

13 Lip chi tren Hien Wong benh 19:

- C6, D10 kh8ng binh thuang - C6: 16i co day

- TC: C5 - khong binh thuong - T': yang lung tren

- Cgiac: Tdie'm + TC benh 19

TC: Lien quan chic nang 118 hap + Tuan hoan

14 Thocii hod dot song etc - C6, - D1 + vai

(1,7 C6 - chi2c nang

Xuong quay tay - Phan xa gan - Ban tay co lai - Khu9u tay co dau mang bao

2 C6

Dot song nen lien quan den hai dOng mach, dua mau len nao, gay thidu nang tuan hao nao

Gia.m tidu cau 3 C6 co c6ng

- D11 4 C6

- Chan tay 5 C6, ctreng ccing -IL* chi tren 6 C6, 4.ch phcii

- Thi6u mau nao - Chong mat c16 nga 7 C6

Cd the binh thttang c6 nhiau hach, cd ifc don chum co, chfia cac hach cd thang co

1i

Tac dOng that nhc nhang lop c ngoai C6 Song chinh bng ngon tay 136 ilcd itc don chum, chi va ngon tay vao, kh8ng c/Sy

8 C6 - L2

- Thodi hoa d6t song di'

9 C6, - Dl, 16i, c6 lap ca mein phii len

- Lam mdm cd vai

- Chita C6 trudc, sau chila C7, D1,

10 C6 - D3 - D10

- Nhang d6t song quan dam bao sUc khoe

11 C6, - D1 - D7 - L5

Mac not 16n

12 Khe C6, - D1, 2,

Thoai hoa d6t song co - Gay to nhitc tay

C7

C7 goc dutli phai chi huy cac nee tay I NHIET DO DA

a T"' tu'ong t'ing vai tang

1 V nguc trai T" V giila lung T°-

b I" d a phuang

1 Chi tren MAt II CHIYC NANG

A C7 RL Wang ling vOri cac chiic nang

1 Tuydn ntidc bot roi loan

HiO Wong benh 1Sr: - C7 lom loch co mang - TC: ngang C5-6 roi loan - h6 chgm

- Cgiac: Tdie'm + Tc benh 15r TC: mat thang bang

2 Tuydn nu'ac mat

Hien Wong benh 1Y: - C7 16i mdm day

- TC: ngang Cl, khong binh thuang - T":

- Cgiac: Tdie'm + Tcd benh 15/ TC: chay mi6c mat, co Om

3 Tuyin gicip trang roi loan

Hien Wong benh 1.Sr - C7 16i loch, co day - TC ngang C5, + cd vai - T°4: v.a.0 + lung tren - Cg: Tdiem + co vai TC: Hay h6i hOp

4 Hach hanh nhan

Hien Wong benh 1Sr: - C7 16i, co day

- TC ngang C5, 6; cd lac don chum - v c6 gay

- Cgiac: Tdie'rn + tcd hdnh 1Y TC: Cd itc don chum Co lai

5 D6ng tot ma to

Hien Wong benh 1Y: P - Cl 16i loch mdm day

- TC ngang C5, + cd itc don chum - T°': v.dau

- Cgiac: Tdidm + Tcd RL

TC: Thuang phai nhfu hai mat lai de' nhin 6 Tay duji dau

Hien Wong benh - C7: Lech day

- TC ngang C7 + co vai RL - T°+: df

- Cgiac: Tdie'm + Tcd 4nh IY

B C7 vEli cac d6t khac RL tddng iing vdi cac chlic nang RL

* Tuyen me; h6i

Hien Wong benh - C7, DI, RL - Cl 16i loch, co day

- TC ngang C7 + h6 cham RL - v lung tren

- Cgiac: Tdidm + Tcd r6i loan TC: cac RL vd TK thuc vat * Mang bao tim

* Khqu tay Nhu a C4 * Ban tay co lai

III BtNH CHITNG

A C7 RL ttidng itng vdi benh chitng

1 Mit sup mi

Hien Wong benh 1St: Cl 16i, co day

TC g,ang C7 }- co vai co cam - T" dinh da'u

CAM NANG Vt PHUONG PHAP TAC DONG COT SONG - 43 - BUT DOC CUONG BIEN SOAN - Cgiac: Td + tcd rel loan

TC thin kinh (nao) 2 Melt mat phdn x9 Hien Wong benh 19: - C7 lech 16i, co day

- TC ngang C7 + co vai co cem - T" v dau

- Cg: Tdie'm + Tcd rol loan 3 Mat nhu có bui Hien Wong benh 19: - C7 lech mem mang - TC ngang C7, Cl co xd - DF +.1/2 ben dam - Cg: TD + nang d dau TC: May mat

4 Te

Hien Wong benh 19: - C7 lam lech co mang - Tcd ngang C7 xd

- T": Mat, co, v.dau phia truac - Cg: TD + tcd r6i loan

TC: Nao khong binh thuang 5 Dein ciOn

Hien Wong benh 19: - C7 16i lech co day - TC ngang C7 + cd vai co - T" v dau - di gay - Cg: Tdigni + tcd r6i loan TC: nge

6 Nu thz1y dich Itho rcio Hien tudng benh 19: - C7 lech co mang

- TC ngang C7 + cd vai xd - T": That lung + giva lung - Cg: Tdigrn + Tcd xd TC: lanh cam

7 Nam giao h9p khong xuat tinh Hien Wong benh 19:

- C7 16i lech co day

TC ngang C7 + cd vai co cOm - T': v.that lung

- Td + co vai

TC: Meng tinh co chu k9 8 Hai chid n lanh Hien tudng benh- 19:

- C7 lech lam xd

- TC ngang C7 + co vai xd - T°+ Df + v.dau

- Cg: Td + Tc roi loan TC: Cam giac giam chi (1 phe'qucin

Hien Wong benh 19: - C7 lech co day

- TC ngang C7 + hai cd vai rl - T' v that lung

- Cg: Td + h6

TC: co lien quan den chirc nang than 10 Khi phe'thiing

Hien tucing benh 19: - C7 lech mdm mang - TC ngang C5-6 xd - v.that lung phai - Cg: Td+tc

TC: Lien quan chirc nang than

B C7 vai nhiu dOt khac tu'dng iing vai nhiu benh chiing

1 Dau deiu buOn non Hien tudng benh 19:

- C7 + 01 rei loan (xem a 01) 2 KhOp hang moi

Hien Wong benh 19: - C7 - Dli r6i loan -C7 lech co mang

- TC ngang C7 + co vai r6i loan - T" v vai phai + df

- Cg: Tdigm + tcd benh 19

TC: co nhang r6i loan ves mat va than kinh 3 Mi melt nhiu dip tai

Hien Wog benh 19: - C7 - D1 r6i loan - C7 16i lech co mang

- TC ngang C5 -6- 7, cd vai corn xd - dau, c6, gay nong

- Cg: Tdigm + Tcd benh 19 TC: Mat thuang phai diu lai 4 MCit lOi

Hien tudng benh 19: - C7 - D1 r6i loan - C7 co day

- TC ngang co vai co corn

CAM NANG Vi PHLTONG PHAP TAC DONG COT SONG - 44 - NGUYiN TRAM TAN

TC: Hay h6i Nip, tim dap nhanh 5 SO-t ret can

Hien Wong benhlY: () - C7 - D1

- C7 16i lech co day - v.lung trai, nguc trai - TC: ngang C5-6-7 r6i loan - Cg: Td + Tcd benhlY TC: Khi sot mat clO 6 Lang gdy co czing Hien Wong benh 1Y: - C7 - D2 roi loan - C7 lech co mOng

- TC ngang C5 - 6-7 r6i loan - v nguc trai

- Cg: Td + Tcd benh 1Sr TC: Met mOi, kho tha 7 Cam beim sinh Hien Wong benh - C7 - D3,4,5,11 - L4,5 - C7 lech co mOng

- TC ngang C5, 6,7 chain teo xci - Cg: Td + tcd benh 1Sr

TC: Cam giac ngoai da giam 8 Tri tieu hod hem Hien Wong benh 1Y: : - C7 - D4

- C7 lech co mOng

- gifia lung + mO Ac nong - Cg: Td + tcd benh 1Y

TC: Lien quan da day - LA lach 9 Ngogi tam thu

Hien Wong benhlY: - C7 - DI, 2,3 - C7 lech co mong

- TC: ngang C6, - D1 roi loan - nguc trai, that lung - Cg: Td + Ted benh 1Y TC: Hay then thilc kho chic 10 Tim loan nhip nhanh Hien Wong benh IY:

- C7 - D4 - D9 - C7 Lech co mang

- TC ngang D2, r6i loan

TC: Met miai, hai h6p, kho tha 11 Lift ditang

Hien Wong benh 1Y:

- C7, D12 - L2, 3,4,5 - Si, 2,3 + cut - C7 16i lech co day

- v that lung + cam giac dau a Tdigm va h8ng hang

TC: Khong lanh loi, dd dan 12 Di mOng tinh - Hoat tinh Hien Wong benhlY:

- C7 - Ll, 2, roi loan - C7 lech co mOng

- TC ngang C6 - D9; 10, 11 roi loan - v that lung + mO Ac

- Cg: Td + tcd benhlY

TC: Lung lien quan cren da day 13 Nit hinh nguyet /thong deu Hien Wong benh 1Y:

- C7 - D11, 12- L1, - Sl, - C7 lech co mOng

- TC ngang C5, 7, 8, 9, 10 - Li, roi loan - v gifia lung + mO Ac

- Cg: Td + tcd benh 1Y TC: Kern an, kern nga 14 Thein hinh suy nhz.fvc Hien tlidng benh 1Y: - C7, D1, 5, 6, 8, - L2 - C7 lech co mOng

- TC ngang C5, 6, - D3, 4, 10 - T' nguc trai + c6 phai, that lung -Cg: Td + dot d6rig + Tcd blY TC: Dau dau, mat nga 15 it sa'a

Hien Wong benh 1ST:

- C7 - D6

- C7 16i, lech co mOng - TC ngang D4 r6i loan - T" v.lung tren + mO ac - Cg: Tdidm + Tc benh 15r 16 Iferu da

Hien Wong benh - C7 - Dl

- C7 lei lech, co mOng - TC ngang C5, 6, roi loan

- giy+giEta-long

CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 45 - BUI DUC CUONG BIEN SOAN

TC: Lien quan TK va not tigt

17 Run tay

Hien tuong benh ly: - C7 - Dl

- C7 16i, lech clang, day

- TC ngang 06 + co vai rol loan - T' v dau

- Cg: Td tco benh 1Y TC: Can bAng giam

18 Liet rizia ngrldi

Hien Wong benh 1Y: - C7 - D1 rgi loan - C7 16i lech co day

- TC ngang C6 + cd vai roi loan - T" v dau + v.lung tren - Cg: Td + d6i do, ng + Tc benh 1Y

TC: Lien quan nao + Tuan hoan + HO hAp

19D(fing kinh

Hien Wong benh 1Y:

- C7 - D1, 6, 7, 9, 11, 12 - Ll, S5 -cut - C7 16i ding day

- TC ngang C6, - D4, 5, 6,7, 8, 9, 10 - v ngtic trai + gifla lung + mo ac, vai phai

- Cg: Tdie'm + d6i Ong voi Ted benh 1Y TC: Lien quan chfic nang than, tim, not tigt, hap, mat, da day

20 Chocing yang nhu' say song

Hien Wong benh - 07 - D2 r6i loan - C7 lech mem mOng - TC ngang C7 lech co c5m

- T" v thang lung + co phai + nglic trai - Cg: TD + Tc benh 11

TC: Lien quan then - phg

CZ.:)C7 - Tiei co' ngang C6 - D9

Ban tay co lai, canh tay dui KhuS'ar tay Mang bao tim Tuygn giap tang Tigt nu& bot Tuygn m6 h6i Hanh nhan D6ng tit m8 to -Gan - Mat - Tuygn nudc mat - Than - Ha nang - Ngoc hanh - Tit cung - Bang trtang - Than tit cung - Nieu quan - RuOt gia - Ru5t thita - Tvy Dam r6i mac treo Cd yang nieu dao -Sigma

- Chcin trio C7-D1 bie.n

1 Can di de/ chan benh vang C1-D1 la he cd xd clang tit vai vao dot song, phai chfia tit cd vai vao C7 D1 - D3 va D6 - 11 lam m6m cd vai

2 Ngu ,C7 - D1 lorn phai chua vao D8 da nang C7 - D1 len

3 C7-D1 16i lech, sau lam m6m co vai den sat c'Ot, song, se nen rung ng6n tay trail tong g6c tong d6t met

Cu6i cung la vi chinh C7 - trieu chiing

1 Trieu chz2ng

HAC - Benh liet - Liet 1/2 nguai, ban chan lanh - Wing tran ruing - Tarn than Mgt ngu keo dai - ngoai tam thu - dau dau kinh nien Tim loan nhip nhanh Dau nita dau Dau dau, bun non - Than kinh suy nhudc - Tri nho giam - Teo cd - Cam di'gc Cam digc barn sinh - tigng n6i the - not ngong - to lucti - to ding hibi Mat nhu c6 bui Loan thi - mat mu - mat 16i - sup mi Mat mgt phan xa Dan don, ngo M6 hoi tay - &Ong kinh Cam mao - choang yang nhu say song, say xe Suy sinh duc nam - Liet ducmg Di meng, hoat tinh Giao hop khong xugt tinh - Lanh cam - NO thay dich khe Kinh nguyet khong dau - It seta - Buau c6 N6i hach co - Lung gay cling dau Tre tieu hoa kern Khop hay mOi S6t ret can - Phg thiing - U phg quan - Run tay - u tai

2 Chic nang

- Tuygn giap - Tuygn can giap Tuygn riti6c

bat Tuygn nude mat Chi tren - piing tit ma to Ban tay co lai Ban tay, khuYti tay dui -Co muy le - mang bao tim

3 Nhiet dO

Wing ngvc trai - Wing gifia lung - Than

kinh not tigt

2 C7 - D1 - L2

Tdthan kinh giao cam

3 C7 lech trai co' thang ben phcii lep

Chita vao D3.2.1

4 C7 co day .))1,

Chffa D8 clgn D10 hoec sly chin.h C7, D1, D8, D10

CAM NANG VE PI-IUONG PHAP Tic DONG COT SONG - 46 - Tuygn yen tigt Axiticolin bi kith thIch

lam co mach toan than Tac Ong vao C7 lam huygt ap Nhung nett tac do, ng nhidu, qua

ng-Ang, se lam tang huygt ap L CHUt NANG

6 C7 - D1 lom: A D1 rSi loan tu'dng ling

Chita D8 - D 10 DOng mach chn nhO

7 C7 - D1 ldi cao nhcit B D1 vdi cac dot khac

Binh thuOng DI 16i cao nhgt C7 16i thap - D1, C7, D2 : tuygn ma hoi

hon - DI, C2, 3, 4, 4,5, D2, 3, 4, 5, 6: ph&

8 C7 - D1 lam, col teo nhu'cic - D2 cao len: - D1, 2: dOng mach vanh tim

- Benh ph6i

- D1, 2, 3, 4: Tim dap nhanh, manh

9 C7 1?ch phcii, phia tren

- D1, 2, 3: Tam nhl - Chita song chinh C2 trai // C7

- D1, C2, 3, 4, - D2, 3, 4, 5, 6: Tim

10 C7 le'ch trai phia che6i

nlut kin bO

- D1, 2, 3: So anh sang

16 C7 - D1 den D10 lom nhu'ng Dll den

- DI, 10 - Ll: Dau hong

L3 ldi

1 D1 trieu chitng

So dong ngttai - set tieng d(ing Cam giac giam cuc b6 hoac toan than Te

- Di, 3: Khong co mO hoi

NGUYEN TRAM TAN

D

- Chita song chinh D4, phai // C7 II BE:NH cmirNo

11 C7 loin - Dll ldi: A D1 rSi loan tticing ling

- Chita C4 - D1 Bai liet toan than Tob.n than co cling thg.p

12 C7 - D1 tang ceing khop - mat hoa nhigu matt sac Nguai thoang

me, xay xam mat may Lao dao muSn nga Hei Chita D3 va ben cd c6 va sat xttong don

13 C7 - D1 chiing tin dinh - cd CO' va gay co gist - than

sac bac nhttoc - su vat chung quanh dao 16n Tim co vao

14 C7 loin - D1 bsi hhong c6 be BSc n6ng len mat

B D1 yeti cac dot khac r6i loan - Day C4 va D1 de bat C7 len

15 C7 - D1, 2: Cd may giat - so gio lua - cam sot

1 Tim clSt lech doan loin de chaa

CDTri@zchti'ng

2 Sau chaa tigp doan loi D11 den L3

HAC- NguOi thoang me - Tam than kinh -

18 C6, - D1, 2, Toan than co cling - Dau dau kinh nien - Mgt

- Tac Ong mach chi' ngu keo dai - Sc giO lira - So anh sang - Sd ndi

19 C7 vet co etc don chum co co' dong ngt.thi - So tigng deng - Lao dao muSn nga - Ctii co han chg - Chong mat - Su vat quay cuOng - Hoi chUng

20 Ca gdi dau co tit Cl den D3, yang - BSc nong len mat - D6ng kinh - Than tier dinh - Cd may giat - Mat hoa trang den,

- HAC khOng chi a viing cham kinh suy nhttoc - Ng-6 and ac rnOng - Than sac - Chita C7, D1, 2, 3, bac nhuoc - Xay sam mat may - Bai liet toan

21 C7 - D6, 7, 8, 9, 10 lien quan L3, r+ than - Liet rifia ngoai - Liet chi tren - Teo co - ngvc trai - co phai - vai trait Chan tay co giat - Tay run - Bitou co - Mat loi

- Thap khOp - Liet during - Di mOng hoat tinh - Tim nhiet ben phai

Tigng not the' - Cam sot - ITT tai - Co, gay co Ngu T°4 nguc trai - ngu so vao ch6 dau a giat - S6t ret cdn - Cam barn sinh Dau hong - ben ngoai la dau than kinh lien soon Xau da - Hen suyAn - Ngoai tam thu Khong

3 Ngu dart is 16ng nguc la dau than c6 ma hoi

kinh lien soon 2 Chz2c ming

CAM NANG \t PHUONG PHA P TAC DONG COT SONG - 47 - BOI DUC CUONG BIEN SOAN

dOng mach vanh - Lam tuyan nuac bat bai tiet

Cd chan long co lai - iiTc the co bop bang quang Co bop mach cd nieu dao Dong tit ma to -Lam co muyle co lai - -Lam chay nuoc mat - Tuyan mang tai - Lam tim dap nhanh - Than kinh dais tai tam nhi trai va phai - Lop cd ngoai lam tim dap nhanh

3 Nhi?t

- Vang ngtic trai - Vang co phai - Vang giUa lung

2 D1 Lech phai - D2 loch phcii co lap cc ngoai ranh song ben phcli

- Nhip tim nhanh - Chita C7 hoac D3,4

3 D1 tang ci2ng

- Than kinh suy nhudc

4 Dl, D3 ca ng ca'ng:

Hoc kern, trf tile kern

5 D1, D2 co cam trai

- Benh ho hap

6 Dl Lech phcii - cc bgn phcii co cung

Chita vao lop cd co ben trai ngoai lop cd nhudc Sau chiia vao cd co ben trai va chaa doi Ong veil D1 va cd vai phai

7 D1 15m D2, 1.51

Chaa vao D1 lam marn cd vai, kh6ng dudc chaa vao

8 Dl, D2 •

Dong mach vanh tim na - lap cd co len o hai ben

Trong diem ngoai ranh song

9 D1, D2 151 1- ch phcii

Trong diem o lap cd ngoai tren dau gai song D1, - mo nhe vao da thay dau

10 DI, 2, 3,4

Tuan hoan - HO hap - Than kinh lien suan - Trung tarn huyet

11 DI den D6 lam

Chita tii dtioi Len, tii D6 len clan clgn Dl

12 D1, 2, 3,4

Huygt ap ket chfia ben phai DI, 2, 3, lam huyet ap t6i thiL xu6ng

1)2

I CHIYC NANG

A D2 tu'o'ng 'Ong vo'i:

- DOng mach nhO ph6i va nao - DOng mach nhO bung B D2 vai cac dot khac - D2, Dl: Ong mach vanh tar' -D2, D1, 3, 4: Tim dap nhanh manh - D2, D1, 3: Tam nhi

- D2, C2, 3, 4, - D1, - 4, 5, 6: Tim - D2, C2, 3, 4, - D1, 3, 4, 5, 6: Ph6i - D2,C7, Dl: Tuyen m6 h8i

- D2, C5, D3, 4, 5: Khi quan II B "NH CHUNG

A D2 rol loan tiidng iing

Viem mai di Ong - can dau bo 16ng ng-uc Co giat tam than Dai tien tao bon Dau bung gang sOc Viem phe quan Dau dau cam Tie'u nen khong thong Idi Sd set vo co Nguai met la

B D2 vai cac d6t khac rOi loan - D2, 3, 4: Ho, hen, suy'en

- D2, 3, 5: Tim loan nhip

- D2, 3, 4, 5: Viem than kinh lien suuin - D2, 7: nhiet toan than cao

- D2, 9, 11 - L3: Dau bac nguc

- D2 lam: thiL nang d'Ong mach vanh

C-1)D2 - Chitc ncing

Tim - Tim trai - Tam nhi - Tim dap nhanh - Tuyen m6 hoi D'Ong mach vanh - DOng mach nha ngoai da - DOng mach nhO bung Dong mach nha ph6i va nao - Ph6i - Khl quan cd chan long - Dong mach chil B6 tong nhO da day - Tuy - Gan - RuOt non - Rut thira - Chi tren

2 D2 Lech trai:

ThiL n'ang dOng mach vanh- Than kinh - &Ong mach ph6i - Nhut nhat - sd set

3 D2 15m 1?ch phcii:

Xd ding dOng mach vanh

4 D2 lach phtii

Tinh tinh thay d6i - Benh tam than

5 D2 rdi loan có chaec nang

1 Lam gian Ong mach vanh

2 NhUng lai gay co mach U dong mach ph6i va nao, lam tang huyet ap

Neu D2 thuc su lech lom mai chaa nhUng khong dudc chi a lau, de gay co Ong mach ph6i va nao, lam tang huyet ap

6 D2 leii1fth trai

Ngu and ac mOng - Dai trang

- 48 - NGUYI TRAM TAN CAM NANG VE PH1JCJNG PHAP TAC DONG COT SONG

7 D2 16i tech phcii

- Nhtit nhat - so set - Ruet this, Dai trang xu6ng - Dau vimg chi'm - Choang yang Chudng - Sa da - Sa trvc trang

8 D1, lam de:mg mach varth m6 Chua cdn bo lOng ngvc va vai

9 D2, 7,8

Got chan dau

10 D2, ccing ceing

Hen phe quan

11 D2 phcii - Dll trai - S1.2 phcii

- Dai dam

12 D2, 3: Chaa di dinh thin (khong chila D4, tang hoang loan ngay)

13 Chu ye.0 D2:

Khong cludc chila D9 se xoa sach

D3

I CHU'C NANG

A D3 tu'cing ling vai CN

- Chi ph6i toan be he gan cd gan cd co ling gay xd hoa - Thanh u

B D3 vai cac del khac r6i loan - D3, C5, D2, D5: quan

- D3, C2, 3, 4, + D1, 2, 4, 5, 6: ph6i - D3, D1, 2, 4: tim dap nhanh, manh - D3, DI, 2: tam nhi

II BENH CHU'NG A D3 r6i loan Wong itng

Ho cum - lung dau - ding - sam met gang slat - meo mom, tron mat - Tre em sot cao - Kinh gist

B D3 vori cac dot klific r6i loan - D3, 4: tiac lOng ngvc - Toan than

- D3, 5: sung clang ph6i - cac benh tam thin

- D3, D6: tim h6i hop Dien cueng

- D3: cac khei u, cd lung rill chic, co clang

()D3

- Chi phei toan be he cd gay co clang, xd hoa - Cac loai u deu phai chila D3 no gay co clang

- Trung tam dieu khiL cac not tang a trung th'it, chi phel C6 va toan than

- D3 san limphe T4-T8 tria is Dll Dua limphe vao boat dong L3 - san tyrosin tuyen giap

2 D3 chitc ndng

Tim - Tim trai Tarn nhi - Tim dap nhanh - Tuyen me hal - Deng mach vanh - Deng mach nhO ngoai da -Deng mach nhe bung Deng mach nh6 ph6i va nao - Phi - Khi quan, cd chan lOng - chi tren - do, ng mach chi Da day - Tuyen day da day - BO cong nhO da day - TA trang - Mang runt - RI* non - Ruet gia - Vi toan - Gan - Mat - Tvy - Tuyen

3 D3 15m

- Chtira D6 - D10

4 D3 1?ch trai - NO and ac meng

5 D3,

- Cd thang trai co cling Cd thang phai mdm

6 D3 ho teo

- Phai chua lau

7 D3

- Neu hi ho, chiia nang tay, NB se bi ho them

8 Chi-to cc cri'nglii.D3 tree di

- Chtla bang nen tay ii hai ben, phai cong ngon tay, keo tit tren xu6ng Bat manh vao lop cd say

9 D3, 4, high clei

- Hay met mOi - slit khoe giant - Lao - U

10 D3 - D10 - L5

- San kiem - toan

11 D3 )D8 16i

- Chaa D12 - S1 -

12 D3 l'ch phcii

- Deng mach dua may len nao - Cd thang c6 phai lep

- C7 trai - D1,

D4

I CHI-IC NANG

CAM NANG Vi PHUONG PHAP TAC DONG COT SONG - 49 - B(JI DUC CUONG BIEN SOAN

B D4 vdi cac d6t khac

- D4, C2, 3, - D1, 2,3, 5, 6: Tim - D4, C2, 3, a, D1, 2, 3, 5, 6: ph6i - D4, C5, D2, 3, : quan - D4, C2, 3, 4, 5, D5, -412-L1: Gan - D4, C2, 4, 5, D5 D12: Mat - D4, D5, : Thuc quan

- D4, 5, 6, : Ba cong nha, da day - D4, 12 : Da day, to trang - D4, 5, : Tam thaa - D4, 5, : Tuy6n vu

- D4, 1, 2, : Tim dap-nhanh, manh II BENH CHUNG

A D4 r6i loan tudng ifng vdi cac benh chiing

Nem tay dau - cui tay va 6ng tay dau Tay khong co dui dudc, if dam lao ph6i, it ngii, cai ;Wring, yang da, gay corn, mai kho, tre em khoc deem, flat, not cuai nhi6u, viern ph6 quan, tri sung dau, quai

B D4 vdi cac d6t khac r6i loan

- D4, :64,y co rat hong, lao ph6i - D3, 1, : Tre kinh gist ,

- D4 - Ll : Th6 huyet - D4, 10, 11, 12: An khong tieu (?) D4 - chac ncing

- Tim - tim trai - tim dap nhanh manh - chi trail phi quan dOng mach tuy6n vu -da -day - ru6t non - rut gia - rut thita - mang runt - gan - - met

2 D4 bien

- Gay co gist gan cd

- Diem xuat phat cd goi dau, chfia vao lam

rn6rn gan cd

- R6i loan nhip tim mach

- Tim trai gian no (n6u co Om nhigua that trai)

3- D4 lech phai

H6i h6p, tim dap cham, HAC - C6 ngoai tarn thu

Chila hai ben C5 - D4, 5,

4 - D4 co coin ben phcii

- Than kinh tim

5 D4 co corn:

- Tam th6t trai gian na

6 D4 lech trcii:

- Dau TK lien suan, n6u ch6 dau ming

7_ D4 cang cling ca hai ben

- Nguai met Chfla tit ngoai vao

8 D4

- Suy tim Nguc trai lanh

L71 - Dau tirriag chua suy tim n6u ch6 dau nong

9 D4 D7 co co', có hhi hai ben not cao thanh mot lap co' lot sat be;

- Chfia hai ben D6 - phai giai toe h6t lop cd

benh 1Y, r6i mai chila vac c6t song

10 D4 lam

- R6i loan than kinh tim - Chu-a C7 - Dl

II D4 lam - yang lung tren 15m:

- Ngurai met mai

- Tim cac loaf xd c1 ba ngoai cd thing lung, chtia tit vac cho tai lop xd ba cd thang lung d6n ranh song cho h6t lop xd benh 1Y Cu6i cling ba day len thi D4 moi n6i ten &loc

12 Chita hai ben D4

- Phuc h6i hai tha

13 Tre em sot cao

- Dat up ban tay vao D3, co corn chira that

nhe Khong chiaa manh vi thu6c cd ch6 than kinh Til ch6 nhu9c &Sy sang ch6 co

14 D4, 5, bi dau

- Dai clang Killing china ch6 dau

- Chua C1, - Si, 2, Than kinh giao cam Than kinh ph6

15 D4 -)D11 logn

- Tuyen rol loan - Chua Cl, if Si, 2,

16 Co dem D4, 5, - Trn D7 - cd thcing lung

- Hanh to trang

17 CI, II SI, 2, - D4 Dll cd thcing lang

- Tuyen

Ds I CHI:J'C NANG

CAM NANG VE PH1JONG PHAP TAC DONG COT SONG - 50 - NGUYE \I TEAM TAN

B D5 -yeti cac dot khac r6i loan - D5, 4, Tam thgt - tity‘n vu - D5, 6, 7, : Bui thai ducmg - D5-05-D2, 3, : quan - D5, 6, 7, 8, 9, 10 : Mang ru6t - D5, 4, : Thitc quan

- D5, 4, 6, : BO cong nhO da day - D5, 6, 7, 8, 9, 10:

+ Trung tam n6i tang &Jai cd hohnh + Tuygn day da day

- D5, 6, 7, 8, 9, 10, 12 +L1: trung tam uc the-tiau trang

- D5, C2, 3, 4, - D1, 2, 3, 4, - Tim - Ph6i - D5, C2-> - D4 -> D12: Mat

- D5 - C2 > - D4 -> D12 - Ll: Gan II BENH CHUNG

A D5 r6i loan tiidng fing

Dau bung hic doi Viem hanh to trang -Viem da day man - Tre ho - Dau tic king nguc - Ngu hay gist minh Ng phien muon So hai dien cu6ng Hong va ke sin dau Cac banh kinh nien

B D5 veil cac dot khac r6i loan - D5, 6: chay matt da day - da xanh nhot - D5, 6, : Tim dau nhoi

- D5, L5 : Hon me (X t, •‘-/fr''''

- D5, 10 : Co gist - D5, 6, 12 - L3 : Di tinh - D5, 12 : Non OD5 - chic nang

- Tim - tim trai - Ong mach ch6 - da day - tuye-n da day - bd cong nh6 da day - to trang - thuc quart - gan - mat - mang runt - ph6i - phe" quan - khi." quart - tuy6n vu - runt non - rut gia - lath - - rut thita

2 D5 lech trai.: - Loa hanh te trang - Dau bung

3 D5 lech phai: - Chay matt da day

4 D5 161 lech trai - D6 lOm

1) Chita tach lop cd trail dam gai song D5 truck

2) Chita tigp D516i 3) Chita ttep D5 lach

4) Chita D6 rom - day sau Vao cd sau, bi (bay) len

5 D5, le, ch trai

Con bo 16ng nguc aftng mach phed va nao - Bat lop cd co is ranh song

6 T" L4, - S1 >

- Cluaa nhung khong chcia vao ch6 nong cao - Phai chits D5, 6, 7, phai

7 D5 -> Dll

- Ng6i xu6ng dung len kilo D5, -> D3,

- Kh6 nu6t

9 D5, lech phai - trai bing -the hep al lap cci banh ly

- Banh tim trai - Thgt nhi trai day

10 D5, 10, 11 - TCN: D3, '7, - T°' stain phai vai phai

- Viem tin mat

11 D5, 10, 11- TCN: D3 - - T" 114 stian phai - vai phai

- Dau gan

D6 I CHt1C NANG

A D6 tudng

- Khong

B D6 veil cac d6t khan - D6, C2 - D1 -> : Tim - - D6, 4, 5: Tuyen vu - Thuc quan - D6, C2 > - D4 > 12 : Mat: - D6, C2 > - D4 > 12-L1: Gan - D6, 5, 7, : Bui thai during - D6, 7, 8, : La lath - D6 - D4 > 10 : Tuyen - D6, 4, 5, 7: BO cong nh6 da day:

- D6, 5, 7, 8, 9, 10, 11, 12 - L1: TTam uc ch6 tigu trang

- D6 5, 7, 8, 9, 10: TTam not tang dudi cd

hohnh

- D6, 4, > 12- : Da day II BENH CHUNG

A D6 r6i loan

CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 51 - B1:11 DUC CUONG BIEN SOAN

Then thec Ho'i hap Tinh tinh ruing Thuang hay len kho tha .Nam hay tra minh Te hong

B D6 veil cac d6t khac rol loan - D6 - L2 : Trang nhac - D6, 7, : ng.met mai - D6 - L2, : mita

- D6, : Hen phe quan - D6, : Hen phe quan - chile nang

- Da day - ba cong nho da day - TA trang - mang runt - thuc quan - gan - mat - tyy - la lath - tuydn vu - tim - phei

2 D6 lech phai, the rOng - Dang mach nha, phei va nao D6 llech - T" c6' phai - Benh pho"i

4 D6, 7, 8, - T°0 thu'qng vi - cci thing lung

- Da day 1,

5 D6, 7, 8, - T" stie‘n phai cd thing lung

- Gan

6 Cd dem D6, 7, 8, - T" vai phai + c d thing lung:

- Mat

7 D6, - To+ gii-fa lung - cci thing lung - Lach

8 D6, - L2, - S2, - Dau chin va mat ca ngoai

D7 I CHUC NANG

A D7 tticing itng Khong

B D7 veil cac d6t khac - D7 C2 -4 - D6 ->12: Mat - D7 - C2 ->5 - D6 -412 - L1: Gan - D7, 5, 6,8 : Btii thai during - D7, 6, 8, : LA lath - D7, -> 12 : TA trang - D7, -> 12 - L1 : Tuydn - D7 > - L2, : Ruat non - D7, 5, ->10 : Mang runt

- D7, 4, 5, : Ba cong nha da day - D7, 5,6 -> 10 : Tuye'n day da day - D7, 4, 5, -> 12 : Da day

- D7 > 12 : Dam ral thai dUcing - D7, D5 -+ 12 - Ll : TT the tie'u trang

/ / II BENH CHUNG

A D7 r6i loan tudng ia'ng

- Dai tien than nuoc - Kern an - Ho suy6n Bung tren lanh - Ho mau lan dam

B D7 r6i loan veil cac dot khac - D7, 8: Dau bung quan nhidu me; hai - D7, 10 - L3 - S5: Dau mai, to than - D7, 10 - L3: Hoang dan

C1)D7

- Trung tam didu nhiet co the - Trung tam didu hoa am &tong - Lien quan cidn tam - than

- Lam mat va giam nhiet a tam, than Noi kinh:

- D7, ngoai la tid'u tam - Trong la phu mau - Trung tam caa hai huyet D7, 8, 9, 10, 11, 12 - L1 ->5:

- Chaa giam beo phi chua tit S1 len tren D7, 8, r6i loan

- Trung tam sinh tinh - Trung tam van dang chi - Trung tam didu nhiet chi D7 > D12

- Lq van &Ong chi duai DOng y D7, 8, 9, 10, 11, 12 1) chinh lac: D7 - 11: d6t 2) Phu lac: D8, 9, 10: d6t

3) Trung tam am duong - mach d6c: D7 4) Gia lac: DU, 12

6 D7, 8, phai

- Vai trai thap hon vai phai - chiaa de hai vai can bang

7 S6t cao 40° - Hon me - 6m lau - Chita D7 phai T" that lung - R6n Toan than sot cao

CAM NANG \it PH1JONG PHAP TAC DONG COT SONG - 52- NGLIYiN TRAM TAN

- Bd cong nhO da day

9 Vimg gii.l'a lung 16i cong, viing that lung lom

Chita yang A3, sau chu.a L4, Mi 10,,p7, 8,

- Thoai hod tit LI ->5, co lung co clang nhu hai chi& banh my

- Thoai vi dia dem, nen dau ti[ L5 den hong, dau xang dui, dau ngoai Ong chin trai den gin got

5 Cd dem D8, 9, 10, 11, 12 - ron - RuOt non

6 D8, 9, 10, 11, 12 - v.chfim - RuOt gia

D9 D8

I CHUC NANG A D8 tu'dng ling KhOng

B D8 yeti cac d6t khac - D8, C2 >

- D8, C2 -> - D8, 5, 6, - D8, 6, 7, - D8, 4, 5,

5 - D4 -> 12: mat - D4 > 12 - Ll: Gan

: Bui thai &icing : La lach -> 12 : Ta trang -D8, 5, > 10 : Mang ruOt - D8, 6, 12 - L1 : Tuyen - D8,

-D8, 5, ->

-> 12

10 : Tuyen day da day

•

: Da day

- D8, -4 12 - Ll : TTam tic tieu trang - D8 -> 12 - Ll : Rut thita

- D8 -> 12 - L1, : Dai trang II BENH CHUNG

A D8 tu'dng Ting r6i loan

- R6i loan chuyen hoa - co may giat - Di mau - Tre em

B D8 vii cac d6t khac - D8 - Ll : N6c cut - D8 - L2 : Dau da day - D8, S4 : Kie't ly kinh nien - D8, 10 - L2 - - cut: ia lOng

OD8, lech phai - T" v giita king - Gay mOi met

2 Hai ben D8, co: - Tieu hoa R.L D8, 9, 10 phai co:

- Chaa tach tang da song met tit tren xu6ng

p - 12 - r5=S5

I CHT:IC NANG A D9 tlidng

Khong

B D9 yeti cac d6t khac - D9, C2 > - D4 -* 12 :Mat - D9, C2 -> - D4 ->12 - LI: Gan - D9, 6, 7, : Lfi lach - D9, D4 ->12 : Ta trang - D9, D5 -> 10 : Mang runt - D9, -> 12 - L2 - : T-tryeim - D9, -> 12 - L2 -3 : Runt non

-D9, -> 10 : Tuyen day da day - D9, -> 12 :Da day

- D9, 12 - LI : TT lac che'Ttrang - D9, -> 12 : Dam r81 &tong -D9,8-4i2-Li-2 : Dai trang - D9, D4, - S3 : Nieu quan II BENH CHUNG

A D9 rot loan tlicing tang

- Tim dap khong deu - Ngu khong yen gi6c - Mat trdn ngu9c - Lung clang - Cd the phi ne -dau nhitcl6ng nguc Nang 16ng nguc

(9 D9 - D12:

- Chita xuong mac chau dau D9 > D12 lam

1) Canh cac d6t lom deu co lop cd nhuoc, khong du9c chfla vac

2) Phi tim lop co ngoai yang cd nhudc d bd

ngoai co thing lung, chaa cho rri'dm cac co 3) Khong duoc chfia truot teen cd lung 4) Chita lop cd doc truck, sau mdi china lop cdngang

3 Hai ben tren cd tic don chum tit ben co day sang ben ninidc cho nai ben can b-iarg-:-S-an-ch-ftd D9-b-e-n-rrh-uv-cT

-53- BUI DIJC CUONG BIEN SOAN CAM NANG VE PHUONG PHAP TAC DONG COT SONG

4 D9 Ll - L2 > S2 - VO sinh nam -

Chi chi a vao ba khe d6t d cac ba tren va ba dudi cac d6t s6ng benh 1Y Chita cao cao xu6ng thgp, kilt-511g chi a rOng ra, khong co tic dung

5 D9, 10

D9, 10 lien quan de'n gan - Tuye'n thudng than, nen dieu hoa dttoc nhip tim Lam nhip tim chant lai, tie.ng tim ro hon

6 D9, 10, 11, 12 - Ll lom

Benh tam thAn Chfia D5 6, 7, 816i D9 - D6 - L2, - $23

Dau cha'm va dau mat ca ngoai

o

1 CHtiC NANG A D10 tu'dng ling

- TTam vdg thuong chi - not tigt

Vi toan - Tuygn thltang than - Digu nhiet toan than

B D10 vdi cac &Tit khac

- D10 lech phai : Cd the lanh - D10 lech trai : Gan, gay non-1g sot - D10 - C2—>5-D4-41.2 : Mat

- D10-C2-÷5-D4—>12-L1: Gan - D10 - D4 —>12 : TO trang - D10-D5 >9 : Mang ruet - D10-D6—>12-L1

- D10-D7-12-L2-3 :

: Tuygn thy Rut non : Ngoc hanh - D10-11-12-L1, 2,

: Than tit cung :

- D10-L1,2

Bung trang - D10, 12 - Ll, 2,

: Than - D10, 12- L1, 2,

: TT tang dudi cd hoanh - D10-5

: Tuygn day da day - D10, 5—*9

: Da day - D10 —>12

- D10, -*12 - Ll : Dam reh thai throng - D10, -412 - L1,2 : TTruc trang - D10, ->12-L1, : Dai trang - D10, 12 -S2-3 : Tign liet tuygn n NH CHTJNG

A D10 ro-i loan tu'drig Ting

- Rut phinh trang Loet hanh to trang La lach sung to Dau thoat vi Ndi hack ben Co giat cd Thien dau th6ng ThAn kinh • cang thing lo lAng

B D10 vdi cac clOt khac

- D10, 12 -L2 : LA lach sting to - D10, 11: Co the suy nhttac, cdn sOi mat

- D10 - L3 : Hoa mat, mat ma 1.D10:

- Hang vi Dam rel &tong Than kinh phe'vi - Trung tam not tigt

- Trung tam he cot song D10 lech phai

- Ia chay -Can hoa vtiong D10 lech trai:

- Thie'u na."ng gan Kiet ly D10 16i

- Chita vao D9, an hai nem tay hai ben ranh s6ng Sau mai chfia D10 16i

5 D10 lom

Nen tinh cac d6t tren D8 va cac d6t dudi D12-Ll

6 D10 lech trai - Mat ming D10 lech phai

- Khong sin Adrenaline

- Neu chfia D10 lech phai nhigu qua se lam co mach toan than, gay HAC Khi chiaa, neu thgy dOng mach chia a bung marn thi ngang

8 D10 -11

- San Adrenaline D10 khuye't ma.1.1 - Lam r6i loan chuye'n hoa Na: Rai loan kinh nguyet Nam: Suy sinh duc 10 D9, 10

- Tim to

11 Nit: D10 lech phai - L3 lech trai: - Hanh kinh dau bung

12 D10, 11 - L5 lOm - T" v.D7,8 va L5 - Lao cot song

Chita lap ccingoai: C6-D3, 20, 11-S1,2,3 13 D10-C2

- Mat ma can int 14 D10,11, 12

NGUYiN THAM TAN

- 54-

CAM NANG Vi PE-IUONG PHAP TAC DONG COT SONIC

- Luc nao dau cung nong ran Chi.la D10 trai, nhung phai vuo't co lung ben phai, nett khong c6 16p co cuing thi khong chira dtroc

16 D10 c6 cd dent - T" that long teen va phia tru'ac

Than sinh duc NU: TS,

Nam: Than sinh duc 17 D10 - khe mong

- Bung trUng - Tii cung - Tien liet tuygn - D10, L2, S3 : Dai bu6t

- D10, 11, 12 : Bi dai, bung day - D10, 12 : HK qua nhieu, tii cung man - D10 -L1,3 : Sung dai, thi lue giam - D10, 11, 12 -L1, 2,3: Soi bung, day bung - D10, 11, 12-L1, : Hay da'y bung - D10- L1, 2, 4, - Si, 2, 3, 4: Tao bon - D10: Khop gea co khong duoi dttoc

Dii

I CHIC NANG A Dll ttidng ling - Trung tam tieu tien B Dli vai cac d6t khac - D11-C2, 3, 4, -D4 ->12 : Mat - D11-C2 >5-D4 >12-L1 : Gan - D11, 6->10,12-L1 : Tuygn - D11, 4->12 : Ta trang - D11, 7->12-L2, : Ru6t non -D11, 12 : Ong Can tning -D11-10-12-L1,2,3 : Ng9c hanh - D11, >12 : Da day - D11, ->12: Dam rol thai throng -D11, 5, >12-L1 : TT itc TTrang -D11>8->12-L1 : Ru9t thira -D11, 12 : Day bung -D11, 12 : BO cong to da day - D11-S2, 3,4,5 : N*.t dao

- D11-L1->5-S1-45 : Bang quang II BE:NH CHUNG

A Dli r6i loan tu'cing tang

- Dau bung mot ran Liet mgm chi dudi Dau vai So tigng dang manh Mat nhirc dau Con sOi than Sung dai Cac benh tia nieu Dai thao

B D11 r6i loan yeti cac d6t khac - D11-L2-S4 : Viem than kinh toa -D11-S1, 2,3 : Chuat rut bap chin -D11, 12 : Cdn co giat gin cd

- D11-L3 : Sung mang phi - D11, 12-L4 : Dai during 11 - tie't cd ngang D8 - Cac benh tigt nieu

2 D11- T" vai phai (mat) - TCN: D7,8

- Cdn sOi than va sOi mat

3 D11- TCN: D8 - T" stian phai - vai phai

- Cdn dau sOi than

4 D11-TCN: D8 - vai phai (mat) - Sung dau tinh hoan

5 D11-L3-TCN: D8-T" vai phai - Thing - Viem am dao

6 D11 16m

Phuc hai tinh trang

7 D11-TCN:D8 - mat T" vai phai Ra me) hoi nhu tam

8 D11-TCN: D8-T" stian phai -Thing - Te pha

9 D11-L1 -TCN: D8 - T" vai phai -Thing Sung mang phdi

10 Dll - L2, 3, - TCN: D8, 10, 11, 12-L1 T" vai phai

- Dau v-ang than

11.D11,10,12-TCN:D7,8,9-T°`giia \lung - vai phai - stain phai - ma

- Bi dai

12 Dli r6i loan: - Dau giaa bung dudi 13 D11 - Sl, 2,

- Dai during khong khat nuoc

14 D11, 12-L4-TCN: D8, 9, 10 - T°÷ that king phai (than)

- Dai during 15 Dli

- ben dau trade nong cao

16 D11-T°` bung dttai dau boy xu'cing mu - Nieu quan

17 D11 -L5 - S1

- Loi tie'u - Chaa HAC phai cho loi tidu 18 D11-T" khe mong

CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 55 - BUI DOC CUONG BIEN SOAN

D12 CHtfC NANG

A D12 tdcing ling - Khong co

B D12 yeti cac dOt khac -D12,C2—>5-D4 >12: Mat -D12-C2—>5-D4—>12-L1: Gan

TA trang - tuygn - ru6t non - ngoc hanh - 6ng Can triing - dp day - darn r6i throng - TT itc -cha tie'n trang - ru6t thila - bi cong to da day

- D12, 10-L1, 2, : Bang triang - D12-10-L1,2,3 : Than -D12-L1,2,3-S3,4,5 : Tit cung

-D12-L1,2—>5-S2,3,4: Dam r6i that lung -D12,8,9,10,114,1,2: Dai trang

-D12,10 : Tian liet tuyan II BENH CHUNG

A.D12 roi loan

- Dai tien thgt thuang Dau bung giun Chan bi la Dau dau &tong vat Thug thong Co the tri tre Mat phi

B D12 r6i loan v6i cac d6t khac -D12 - L5 : N6i me' day - D12-L2, : Viem da day - D124,1, : Phu thong

-D12-L3 : Bach ddi - da day co rut -D12-L1 : Dau dau \lung tran, dau bung kinh nien - kiet ly -D12, Ll, 4, 5-S3 : Sung khdp g6i -D12-L3-S1 : Dau khoeo -D12-L1-S1,2-cut : Chan co giat to bi -D12-L1,2,3,4-cut : Liet chi CDD12 rol loan

- Dan tren xttong mu D12 —>L3 16i Om len

Chita tit ch6 lom dudi L3 chila len Sau mdi chaa tie-p D12 16i

3 Bi an so" Cd tit xu'ong ma4 chau D12 barn xu6ng

- Giai toi it hai ch6 dau barn vao xttong mao chau

4 D12-L1

- Ming da day nong D12-T° khe mong

- Ong cran trOng, ngoc hanh, tin liet tuye-n

Li

1 CHT.-it NANG A Ll tu'cing Ting - Ha nang

B LI vai cac &it khac - L1-D10-L2 : Than tit cung -L1-2-D10 : Dam r6i mac treo -L1,2 : TTarn ph6ng tinh -L1,2,3 : Tit cung

-L1,2-S2,3,4,5 : Sigma

-L1,3: itc cha co bop: mach - bang quang da day - yang nieu dao - mang runt -L1-D9-L2-S3 : Nieu quan

-L1-D11-L2,3,4,5-S2,3,4,5: Bang quang -L1 : Dam rea vi

II BENH CHUNG

A Ll rol loan tiidng iing

- Viem runt thita, gOt chan dau, xuy8n, ho lau khong bdt, taac the dam, nhiau, dau ben nhay mat, chay nudc mat, h6t hang, ngoeo

B L1 vari cac d6t khac r6i loan -L1, : Dau nhiic chi -L1,3-54,5 : Chan lanh

-Li-S3 : Dau cd lung-sting bang quang -L1,2 : Di mong tinh

-L1—>4-S4 : Khi hit ddi (L)L1 chitc nang

- Hp nang - ngoc hanh - tit cung - bung trang - than tit' cung - nieu quan - rut gia - ru6t thita - dam r6i mac treo - co yang nieu dao

2 Ll r6i loan

- Dau ben - phia sau ma dui Ll —> lorn

- Chita lop co co clang d hai vai

4 L1 —> thoai hoa, hai cd lung to nhu hai banh mi

- Chita: D7, - L2, - S2,3 - BN dau chan va mat ca ngoai LI tr6 xu6ng

Lquan sinh duc, tigtnieu L1 + khe mong: Than tit cung

7 L1-2, cd dem - T°* that lung ph Ai:

- 56 - NGUYiN THAM TAN CAM NANG Vk PHUONG PHAP TAC DONG COT SONG

- Then tiet nieu

L2

I CI-TUC NANG A L2 tufting ling

- Khong

B L2 vai cac dot khac

- L2, 3, : Ttam iuc the dai trang bang quang

- L2, : Tuye'n Bertolin - L2, 3, : Banh the - L2-S2 : Co tit cung IL BENH CHONG

A L2 rol loan tutting ling

Dau nhai hai ben, vai va canh tay dau nhitc, dau lung, canh tay co giet, sung khop co tay, dau mat dO, dau tui bung dual

B L2 vai cac cl6t khac ral loan - L2, 3, :Viem than

- L2-S2 : Lang tai nghgnh ngang Ban tay va khap vai dau - L2 - S3 : Thily thung

- L2, 3, - Si, 2, 3: Dal dam - L2 - S5 : Eo lung dau clang L2, - S2 : Ban tay dau - L2 - cut : Tri sung to (7L2- chac nang

- Ngcc hanh - nieu quan - co tit cung - than tii cung - iii cung - bung trang - rut non - ruat gia - bang quang - dam rai mac treo - xtidng banh the - Bertholine - Sigma

2 L2: phia tren dui truck

3 L2, den S1 khuyet ma-u lan (voi hoa cat song)

- Liet &tang -•Bai lieu - Dai tien kho - Chan bi co dau gal - Tri nha giam Cd eo lung, mong, chan teo - Dau dau - Chfic nang bi giam

khu vuc teo

4 Khe L2, 3: Menh mon tudng hoa

5 D7 -> D11:

L2 L4 voi hoa, hai ben canh cat sang co ding

6 Chita tit phia &ten d6t 16i ve vang S sau mai chaa vang loch tren cat sang

- Wing that lung den L2 16i giaa lung Lech

7 L2, - L5 - Sl, 2, - Benh goutte

Chi-La tit S5 tra len den S4, 3, 2, va D7, 8, 9, 10

9 L2 - T" khe mong - Than tii cung - co tit cung - Titygn Bertholine

L3 I ClItiC NANG

A L3 Wong ling: - Dam r6i mac treo

- Sinh duc nil

B L3 va cac d6t khac

- L3, SI ->5 : Co quan sinh diic

- L3, 2, : Tr itc dai trang - bang quang

II BENH CHUNG

A L3 r6i loan tlidng ling

- Tao bon kinh dien - Bi bi chi tren - Dau dinh da'u - Ink khOng nhin xa - Dai son - Di hoat tinh - Sinh duc nam - Kinh qua it - Dai rat - Nong khong co n -3 hoi

B L3 vai cac &it khac rol loan - L3, S1 : Teo cd bg.p chan - L3, 4, : Dau quanh kh6p vai - L3, S3 : Viem tit cung - L3, : Co tit cung phi dai - L3, : Sa sinh.duc - L3, 4, : Lam thon minh lai - L3 -S2 : Sung hong

(1) L3 - chic nang

Co quan sinh duc nam nu Tit cung -Bang truing - Ngoc hanh - Then - Bertholine - Ruot non - Xudng banh the - itc the co bop bang quang - iic the co bop nieu dao

2 L3 roi loan - Phia du6i dui try6c

- Suy than

3 Ni: L3, nam: L4 - Dau g6t chan

4 L3 loch sang mot ben

- Viem tac 6ng dan triing

CAM NANG VE PHUCJNG PHAP TAC DONG COT SONG - 57 - B1111 DUC CUONG BIEN SOAN L3, 4, 16i, nha't la L5 16i cao hdn, Si,

2, lam han v'e phia tru'ac

Tri nho giam Tao bon Viem dai trang -Tien bi - Gu lung

L3, 4, 16i loch - BN nen lung, nem nguai phia truck, tha''y lop co co corn Chi chaa vao digm co co L3, 4, nhung khang chaa vao ba cao L5 va Si, 2, lam

L4

I CHtfC NANG A IA tu'dng ang - Sinh dvc nam - Ong clan tinh

B IA yeti cac dot khac - IA, 2, : Banh the - L4, - S1 : Ban than - L4, 1, 5-S1 >5 : Trvc trang - L4, - S1 : Chi duOi - L4, >5-S1—>5: Dam r6i vi II BENH CHUNG

A IA ral loan tu'dng U'ng Viem thin kinh vai

B IA va d6t khac r6i loan - L4, : Dau eo lung - L4-S2 : Lung dau cap CDL4 - chik nang

- Xudng banh the - Chi cludi - Sinh dvc nam - Ong den tinh

2 IA roi loan

- Dau g6i - phia &raj nem cai IA loin

1) Chfia hai lop co co a hai co thang lung tin D7, 8, a ngoai vao •

2) Day tin ba cao L5 len L4 cho h6t lop xo tren L5

4 Thoai hoa IA > S2

- D8, 9, 10 -> Sau chaa hai ben dau gai song L4 —> SI

5 IA, 16i cao, nhal la L5 nhu'ng Si, 2, lain Ilan ve &Lig tru'ac L3, 4, loch

Trieu Tri nho giam - Tao bon - Viem dai trang - Tien bi - Ga lung - Khong dirOc china vac S1, 2, lam Khong ditoc chaa vao ba cao L5, chi chaa diem co a yang L3, 4,

6 L4, lain + Viing S 16i

- Chaa song chinh, mat tay chaa ch6 loch tren dau 'long cut, mat tay chaa yang S

7 IA, ming cao: D2, L5 d6n D8 161 cong len: - Chaa sach yang S ten cl6n L5 16i Cat song thoai hoa

LOp co tang, xd soi Chvp phim bi trang -Day gai song sari sui - An vao tha:y dau Phai dap cua d6ng - Trong digni D10, 12 ro'i chaa tii S1 len L5 D6t song trd chaa nhe tren dau gai song

10 D6t song vai hoa

- CO lop cd dem day - Phei nen tinh 11 DOI song cung hoa: IA, ding hoa Cac d6t song dinh vao nhau, bast dau tit L5 tr6 len dinh vao S1 mat mat tang

Phi ma cac d6t khe d6t va tach dan cac d6t Chaa D7 —> 10- L1, 4, - S4,

Ls I CHI-SC NANG

A L5 tudng ifng - Khong

B L5 vai cac dot khac - 1,5-S : Ti6t nieu II BENH CHONG

A L5 ral loan tticing itng

- Cac benh duang runt - Tre em di luot - Cuac - Canh tay khang gid len duoc - Chi tren to liet - Chay mau cam - Sung hach hanh nhan - Nglaa

B L5 vo'i cac dot khac r6i loan - L5-S2 : Sung loi rang - L5-S1, 2, : Sa sinh duc (J L5 - S1 ral loan

1 Benh chi ng: Cac benh &tang runt, tre di tuat, tau bon, r6i loan tieu hoa, sa tric trang, sa da con, dau that lung, dau mat ca than, dau quanh khap vai, dau dau goi, nuoc dai c/a, viem bang quang, viem than, liet &tong, bai liet

2 Nhiet

Vang that lung phia sau, vang that lung phai, yang duoi bung, yang cham

CAM NANG VE PHIJONG PHAP TAC DONG COT SONG - 58 - NGUYEN THAM TAN

1) BN dung thing bang chung tay va gin co de xem:

a Cd thing lung dgn cd chung mgt can bang kitting

b Wing hong, that lung teo nhttoc hay xo cUng hoac hinh cai sting lom han xu6ng, dap len mot lop.co day voi hoa hay thoai hoa

2) Ctii ngaa, nghieng phai trai xem lap co L5-S1 day c6m hay teo nha, loi lom, lech

3) Viang cd chung teo nhttoc phai china tren ngn s9 trait v cld.m Teo ben nao chila ben ay

Vung co chung teo nhigu cal xeng phai chtia tit co thing lung D7, 8, 9, 10 tra xu6ng tii ngoai vao trong,-theo lop co

4) Wing hong phi lap cd day phai nen tinh

5) Wing L tra xuong phai china lap co ngoai tren &du gai song

2 L5 r6i loan

- Lien quan phia ngoai 6ng chan xu6ng nem cai va nem

3 L5 chitc nang

Chi tan - Ban chan - Bang quang - Tigt nieu - Truc trang

4 L5 lom

NB ng6i cui, guc ddu a lung tong 16i - Thao tic hai ben co co c6m sau vang bi (bSy) L5

5 L5 lech phAi:

Chia D9, 10, 11 trai va LI, - Si,

SI

I CHIJ'C NANG A S1 tucIng ling - Gan Asin - mong B S1 vii cac del khac - Si, 2: TTam thao phan II B 't1\111 CHONG

A S1 r6i loan tu'dng ling - Tigu tien

- Kigt ly, kinh nien, lop co co that - Mat, mieng meo lech

- Trting phong nga hon me B S2 cac dot khac rot loan - S2, 3: nong phia sau nao

B S1 r6i loan d6i vcii can d6t khac r6i loan

- Si, 5: la son C)S1 - Benh chitng

Bai bet, liet chi duai, to chan, teo cd bap chan, dau khoeo chan, chan to bi, chu6t rut bap chan, liet &tong, tao bon, dai ddm, lung dau cap, nhitc, mgt_ nga, kinh nguyet khong dgu, sa truc trang

Chtac nang: L5, S1 thoal hoa lien quan: bang quang, tigt nieu, truc trang, phan xa gan

2 S1 khuye-t mgu: - Liet chi

3 Wing S chit ye-u la S1 khuySt ma-u: - Dau xuong h6ng, co th4 co nhU torn, kh6ng nAm thing ductc, inu6n dat mong xu6ng phai ke dAu

- Khi di phai thong ge:Ci mai di chtOc

R6i loan tieu hoo - phan clang nat thgt thudng, dal tien mau

- Doi dau bac long nguc nhtt be> lai, ho, dau hong

Chia hai ben ba cao ciao khuygt va lop co mong mgm a trong tan cling gai song (khong phai ch'd 16m)

4 Si, 2,

Trung tam thdn kinh pito giao cam lien quan tuygn

5 Dau to chan

Giai ton xo sOi &du mgu chung Ion (yang hong)

S2 I CHOC NANG

A S2 Wring ling - TTam Wong ca B S2 vii cac (16t khac IL BE:NH CHUNG

A S2 r6i loan tu'cing Ting

CAM NANG VE PHIJONG PHAP LAC DONG COT SONG - 59 - BOI DUC CUONG BIEN SOAN

- DOng mach thai &tong B S3 yeti cac dot khac - S3, cut: Han mon II BENH CHUNG

A S3 r6i loan tu'cing ling - Lung dau nhoi - co co chi

Dau dit va mOng - Hoa mat cluing mat Dau co lung - Khi ph6 thing - D'Ong kinh ca ban dem - Dau tai, die-c tai

B S3 viii cac (Hit khac r6i loan - S3, 4: Tim suy

S4

I CHI:CC NANG A S4 tlicing iing B S4 vai cac dot khac - S4, 3: TTa.'m tigu tien II BENH CHUNG

A S4 r6i loan tdcing iing

- Ha dau mai - ROI loan man kinh

B S4 vori cac d6t khac r6i loan - S4, 5: Nong dinh dau

S5

I CHUC NANG A S5 tticing itng B S5 viii cac d6t khac II BENH CHUNG

A S5 r6i loan -Wong iing - Noi nang kho

CUT

I.CHUC NANG A Cut ttiOng ling B Cut voi cac dot khac - Cut S3: Ham mon II BENH CHUNG

- 60 - NGUYEN THAM TAN CAM NANG Vi PHIJONC PHAP TAC E4NG COT SONG

TRANG THAI CAC HItN TliciNG CAM GIAC

I Cac trang thai cUa hien titOng cam giac, dau mai

Cac phan xa cUa su r6i loan hoat do, ng cUa cd th4, bieu hien trang thai dau mai tren he cot song va nhom cd lung nhu dau dau nhoi, dau rdn, dau diu, dau nick M9i trang that dgu c6 bien phap tri lieu rieng

1 Loai dau rile

Khi thdy thu6c an tay vao vUng c6 phan xa cam giac dau, thi nguai benh thgy dau tai ndi bi an, cang an manh lai cang thgy kho chiu, cang dau, rife

Loai dau rite thuang the hien a cac loai cd benh 19 tren d6t song va cac nhom cd lung nhu: loai co, ding, cem,

2 Loai dau nit&

Khi thgy thu6c an tay vao.vung c6 cam giac dau thi NB bi dau giat minh, bu6t nhoi nhu kim cam, an lau cang kho chiu So an manh

Loai dau nhoi thicang thg.y tren cac nhom cd

va tren d6t song giong benh 19 c6 hien Wong

gan cd co cang, phU., cem

3 Loai dau rp'n

Khi thay thu6c an tay tren vang co cam giac dau thi nguai benh thgy met sit xung deng dai truydn len nao ghe ghe va ran rdn kho chiu Co bi va m6 hoi nhu tam So ve nhe

Loai dau ran thicang xuyen tren cac DS benh 19 va cac nhom gan cd cling, phi, corn

4 Loai dau diu

Khi thay thu6c an, ve hoac migt trail vUng c6 cam giac dau thi NB c6 cam giac dau diu, nguai cam thgy chiu Luc an cang pang cang de chiu

Loai dau diu xugt hien tren cac DS benh va cac nhom gan cd co, clang, phO., cem

5 Loai dau moi

Khi thgy thu6c an, ye, migt tren yang co cam giac dau thi NB c6 cam giac dau de chin nhung kern then hien Wong mai raj

Loai dau mai xugt hien trail cac DS benh 19 va cac nhom gan cd co clang, phU,

5 loai dau tren thuang bieu hien tit nha dgn 16n, tit rang den hep, tit nong den sau, luen di viii cac hien Wong tat va gan cd co, ding, phu, cent

II Cac trang thai cUa hien tutting cam giac to bi

1 Loai to ban ran

Th'g.y thu6c an, ve, migt trail vUng c6 cam giac dau, NB co cam giac bun rim ca ngitai, than tay rd rbi

Loai to ban run xugt hien trail cac d6t song khuygt va cac nhom gan cd too nhuoc

2 Te dai

Thy thu6c an, ye, migt o tren yang c6 cam giac to thi NB co cam giac to dai nhu met be kim cam lam ramkho chiu

Hien Wong dau to dai xugt hien trail cac d6t song khuygt va cac nhom gan cd mem rit6i, teo nhudc

3 Te bi

Thdy thu6c an, ve, migt cl trail yang CO phan xa to bi thi NB c6 cam giac la: phan xa cam giac bi giam hoac mgt hgt cam gift

Hien Wong to bi xugt hien tren cac d6t se-rig khuygt ve cac nh6m gan cd mgm, nhOn, teo nhuoc

3 loai trail dgu the hien tit nha den 16n, tit rang den hep, tit tieing den sau di dai vei cac hien tuong-GlIa-dol-ang-k-hu-ygt-n_cd_ten

CAM NANG Ait PHUONC PHAP TAC DONG COT SONG - 61- Bul DUC CUONG BIEN SON

III Cac trang thai cu.' a hien tu'o'ng cam giac dau to r6i loan

1 Loai rdi loan dau rtic

Trang thai r6i loan rift xuat hien o tren dot song vas nhom cd lung d6i xiing MOt ben dau rift, ben to bi Ben phai to thi ben trai dau va ngitoc lai Dac diem nhit dau mOi

2 Loai rdi loan dau nhoi

Trang thai r6i loan dau nhoi xuat hien tren cl6t song va nh6m co lung d6i ximg M.Ot ben dau nhoi, ben Co bi Dac diem nlat dau nhOi

3 Loai roi loan dau rdn

Trang thai r6i loan dau ron xuat hien tren 1/2 hay goc clia dot song va nhorn cc, lung 1\46t ben dau ron, ben to bi

4 Loai ro-i loan dau diu

Trang thai loai r6i loan dau diu xuat hien tren met hg goc clia d6t song, mot ben dau diu, ben to bi

5 Loai rdi loan dau m6i

Trang thai loai rol loan dau mOi xuat hien tren 1/2 hg goc ciia dal song, ben dau diu, ben to bi (1/2 hg g6c)

Can cif vao -tiing hien Wong cam giac dau dia NB de tim phuong phap tri lieu

CAM NANG \A PH1JONG PHAP TAC BONG COT SONG - 62 - NGUYEN THAM TAN

PH [YONG THfre CHAN BENH

hhoci van nang cria PPTDCS

4 Nhiet d'§ la cd sa de theo d5i st! tien trin cua benh

Dula benh him ngheo, nen diJu doge nhiet thi van cc') the chaa &loc

Hang phai theo dal nhiet thUang xuyen ve ca qua trinh chaa benh

Thay thu6c phai rat coi nhiet Khong hic nao raj nhiet •

Chu j: Khi chria benh da thgy nhiet giam

thi ngUng lai Neu chfia co the nhiet lai tang cao Chia den nguang phai neing lai, chfia lau có hai cho NB

Nhd có nhiet ma they thu6c chfia benh du'qc an toan tuyet doi, khong sd tai Wen

Lay nhiet lam chuAn dich, nen kh8ng thi se rdi vao chinh cot hoc cho nen di sau vao nhiet d8, nAm vilng nhiet se chfia dude nhang benh kho va an toan

II PHIMNG THI:!C CO CO TUONG LrNG Muc dich: Xac dinh hien Wong cot song bidn ded lien quan den chic nang van Ong bi han ch.& bien hien bang hien Wong co cd a tren

cd the NB de' lam co sic xac dinh di4m He cot sang bidn dO'i lien quan den he thong gan cd bi r6i loan Dien hinh la hien Wong co cd trail co thJ NB, dude xac dinh bAng tit the

do, ng toi da bi han chg

Tat ca moi chiic nang van dOng ddu lien quan den cot song ClOt song bien dO'i gay co co Da co co, thi moi to chile bi r6i loan

Neu to giai toe ducic hien ttrong co co thu nhuan la not tang khOng can r6i loan nila va hdt benh

Qua trinh co, se di toi xd, xd se (tong voi M6i hien Wong co co c/Ju cot sang bidn DO la phan xa cua tiay song

Thao tac:

- NB de' his lung, huong lung phla có anh

Ccic phu'ung thti'c la chic

I PITUCiNG THU'C DIEU NHIET

Nhiet da la bo duo-c soi &fang viec chan va tri benh bang PPTDCS

1 Nhiet da la cc r s& de xac dinh ve sinh ly va benh lY caa cd the ngtiOi có benh va ngttai khong có benh

Thay thuific thang 1).6 quen nhiet d8 da, nen kham va chaa benh kern hieu qua

• Cd thd ngttoi benh bao gia cang co nhiet bien doi Nha ce nhiet de da ma they thu6c biat chiOc benh de Chaa hoac kho chfia

Benh thuec chile nang not tang nao, thi nhiet de \Yung de cao Khong nen chi tin vao ldi not c9a NB Dau dau d dau, ch6 ay ming cao Chan to thi nhiet earn Chan to nh9 kian can, nhiet cao

They thutic can nam vfing hai Wing nhiet di): - Nhiet dia pluidng; 2- Nhiet d8 Wong ling vied yang not tang

Neu NB khong co Wing nhiet c/8 bidn cleii la co the binh thuang

Neu NB co viang nhiet bien ddi la co thd benh

2 Nhiet la cd s3 de' xac dinh didm

Mu6n xac dinh didm phai cb hai co s3: 1- Nhiet de bien

2- D6t song bien

3 Nhiet la cd set de' them do, tien lttdng benh

Ne9 chila rei ma nhiet khong thay d6i thi khong the chua dude benh

• Khi thao tac tai d6t song bien doi dOng thai thAy nhiet thay d6i thi viec dien tri se thuan Suy tim - Ha van hai la, la benh kho nhung nen didu nhiet duck benh se khOi Cho nen nha có nhiet cl8 mai tien luring dude benh

CAM NANG vE PHUONG PHAP TAC DONG COT SONG - 63 - Bin DUC CUONG BIEN SO,AN

- NB Ring hoac ng6i

- NB gid canh tay cao len den mix han chg

Gid len, bile/1g xuang lien tuc

- Thay thu6c quan sat bang mat phia lung sau se nhan thgy song cd not cem len va barn vao d6t song tudng ling

- Thao tac xong, Ring thia thuat migt tren d6t song bign dgi, se thgy nhiet de dia phudng bign dgi, clan hieu han chg duck cai thien, song cd giam

- D6t song tren dude coi la vi tri digm VI du: - Dau quanh khiip vai tim vao lop co cd corn da giai toa NB van deng t6i da

- Neu bi ho, NB de lung, to se thgy nhung lap cd benh 1S7 xual hien, thao tac vao nhilng d6t song CO cd n6i cam, se nhanh ch6ng lam hgt ho

- Dau khuS7u tay, lien quan dgn cac d6t song vung L

- Dau cd gap, lien quan cac d6t vung giaa lung

- Quay c6, lien quan cac d6t song yang L - Han chg cui tay d6t, lien quandgn C1-vai, ch8 cd co cling nhgt •

III PHOCING THTYC D6I DONG Muc dich:

Xac dinh meii lien quan cUa digm vdi ngoai vi va cac d6t song, lam cd cho viec quy nap, chan doan va phudng htiong diet' tri

Phudng thtac d6i clang chling minh: he gan cd bi xd co a cac dgt song bign dgi, se lan toa sang a cac khu vt,rc ngoai pham vi cot deing thai lan toa den toan bo co thg

Cd sa dg xac dinh m6i quan he la: Hien ttiOng may deng a hai vi tri lien quan song song bigu hien len, xac dinh bang till' thuat migt thao tac song chinh

Vi tri khu

-Trong digm d6t song lech va lei lech thi vi tri lien quan a khac ben cling tigt doan vai digm khu tall a co lung va he cot song

- Trong digm d6t song 18i, chi co lien quan clan dot song, khong lan toa ngoai, khong lien quan den ngoai vi

Thao tac:

- NB de his lung, nam sa-p, chling gan cd Dung tha thuat migt va song chinh

Kgt qua la: Thay thu6c thao tac ii digm A thi diem B may deng Ngitoc lai, thao tac a digm B truck thi digm A cling may Ong Nhu the goi la digm co may (1E:mg Digm d6i deng tren day dude ph6i hdp vai digm de quy nap, chan down benh D6ng thai Ai) dung phudng thitc song chinh bang cac nguyen tac, cac phudn thlic va cac thu thuat tri benh dg giai toa abenh

Cho nen mu6n giai toa dt.tdc'cac d6t song 16i lech hoac lech co day Diem 16i leech ben phai thi ben trai cling c6 diem d6i deng Ta phai chfta song chinh cling mot hie hai diem thi lap cd co day mai mem va tan dan di

Can chzi

1 Phai giai quygt mei lien quan caa digm veci d6t

Ta phai dung m6i lien quan giaa cac d6t song cg voi cac d6t song that lung va cac d6t song yang clang D6ng thai phai dung m6i lien quan gicia cac d6t song vung tren lurig tren va vung cludi lung tren cling cac dot song vung giiia lung

2 Phai giai quygt m6i lien quan cua digm voi ngoai vi

Trong digm d6t sang lech bao gid cling lien quan a khac ben Vi du: digm a A ben phai thi digm lien quan a B ben trai

N6u diem i1 ngang thi ti6t doan them a gan hoac xa Ngu digm chgch len tren, cheo len tren, chgch xuong ducii, cheo xueng duOi thi tigt doan digm cling c1 gan hoac xa

Tren day la cd sa dg quy nap, chan doan va xac dinh phudng huong digu tri

IV PHUUNG THT:iC DONG HINH

CAM NANG \t PHUCJNG PHAPTAC DONG COT SONG - 64 NGUYiN TRAM TAN Dimg thu thuat bat tai didm dau d tren

benh tren co the NB, ta thgy cac song co gon lend cd lung va d mi:5t d6t song co lien quan Ch1nh d6t song la d6t diem VI du: Thay thu6c bat gan A-sin, NB gist minh gan co va gist Tren cot sang va co lung hic thgy co gon lend cd lung va barn tan cling d6t song bi hien d6i Wong Ung Dung thii thuat miat tren d6t song bign d6i se thgy:

- Nhiet dO cao xu6ng thgp

- Cam gist 6 benh giarn dau den het dau - Song gOn len cd lung se hat

DOI song tan clang song co lan tai, la d6t song didm

V PHU'CiNG THIYC CHUYEN TU THE Muc Bich: Xac dinh ve sti van d'Ong caa he cot song bi han chg va sit bian doi dia lop cd dem lam cc s6 cho viec phan loai va the dia diem de' quy nap, chan 'doan va dd phuong huang didu tri

NB phai a cac tit thg: ng6i thang, cili gap, neia nguai tru6c, nghieng phai, nghieng trai tim d6t song va he' cd bign d6i

Phai tim dttOc ch8 so le giita cac d6t, phai phat hien nhUng dot song bi dinh cling lam han the van dOng

Dung phuong thitc chuyen the, co the tim nhieu digm khong bi b6 sot

Qua this nghi'em, he cot sang chia yang: 1- yang co; - yang than minh

1 Wing c6 Wan d6i

- Cac &it song c6 bi han chg van dOng - Lap co dem tren d6t song bi xd co - Lop co c6 Ian toa bi xd co

Ung dung:

- NB ng6i tay bang thong a NB cui gelp clau

Xac dinh bang thii thuat vu6t - D6t song bian d6i hitang truelc - Ldp co dem bi xd co

- Lop Co lan toa bi xd co

- Tren: Tit khe b6 cha'm den vimg dam - DU6i: Tit C7 lan sang cd vai trcidc

- Ngang: Tit b6 ngoai cd itc don chum tr6 vac lo6 co thang

Ap dung thu thuat: Vu6t ve

b NB ngita co trade

Xac dinh bang th6 thuat vuict ve - D6t song bign c/O'i huong sau - Lap co dem bi xd co day - L6p co Ian toa bi co corn day

- Tit khe b6 xttdng chim vUng dau den goc chSm

- Dudi: C7 ngang sang hai co vai truac - Ngang: Tit loa ngoai cd itc don chum clan b6 co thang

c NB ngdi nghieng phcli ho4c trai

Xac dinh bang thii thuat vu6t ye - D6t song bign d6i twang phai hoac trai - Lap co dem bi xd co corn day

- Lap co lan toa bi co Om day

Vi tri de' xac dinh va hien Wong bi mat d6i xitrig Oh ben phai va ben trai cua 16p co c6: phan tren, phan phan du& ranh giai titng phan nhu tren da xac dinh

2 Xac dinh ve viing, than minh bign d6i Viing than mirth tit hai vai xuong den yang hong hang bi bign d6i thuang bleu hien len cox dgu hieu bang cac hien tuong khong binh thuang Bang phttong thitc chuye'n tct the-, ta co the quan sat bang mat hoac bang cac thu thuat ch6.n

Cac v-ang g6m co:

+ He cot song, xac dinh dgu hieu van dOng + Ldp cd dem, xac dinh tinh trang lop cd co + Lap co lan toa xac dinh hien tiiOng xd co mat thang bang

- Ung dung:

+ NB de' lung

+

• + Ctii, nem, nghieng a NB ngiSi cal tong lung

CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 65 - BOI DUC CUONG BIEN SOAN

- LOP co dem tren da.0 cot song bien d6i - Lop cd lan toa bi co cOm hoac teo nhudc Wong ling voi d6t sang bien d6i i hai ben cd Ming cho den yang hong

b NB ngSi ngica ngdoi

Xac dinh bang tha thuat vu6t, an, ye - Tii D1 den viing cut cc!, hinh thai huong sau (16i don hoac 16i lien) va su chuyen deng caa d6t song bi han chg

LOp cd dem a tren d6u gai song bi bign d6i - LOp cd lan toa bi co Om, xd sgi ho4c teo nhudc Wong ling voi d6t song bien d6i tit hai cd vai, hai ben cd lung xuong tan viing mong

c NB rtgori nghieng ngrthi

Xac dinh bang thu thuat vu6t, an, ye - Tit D1 den vUng cut co hinh thai huOng sang phi hoac trai (lech ddn hay lech lien) va sit chuye'n dOng cua d6t song bi han che

- Lop co dem tren &au gai song bi lech phai hoac trai de xac dinh lop cd dem benh

- Lop cd lan toa bi co cOm xd soi hoac teo nhudc tii cd vai tra xuang den mOng

CAM NANG Vi PHUONG PHAP TAC DONG COT SONG - 66 - NGUYEN 11-1AM TAN PHU'ONG Trite TRI BENH

I PHIYONG THU'C NEN

Muc dich: Tao cho cac dot song bi dinh clang chuye'n deng doge

Phodng thitc khong dtia vao kha nang to digu chinh caa cd the ma dtta vao so kheo leo caa thdy thu6c

,

TuST thuec vao cac diem a cac vimg ma ap dung nho: -nen keo, nen nang, net vit., nen tinh

A Nen keo:

1 Tut the nen keo ngita

Muc toa cac d6t song bi dinh ding tit D6 dgn D12 bign d6i va gift tinh cac d6t sting tit D12 tra xuong

- NB ng8i ghg, hai clAu goi yang goc, hai ban than dat bkng, &au c6 nga, hai tay dtia yang sau gay, cac ng6n tay can khoa chat, hai canh tay ap sat mang tai

- Thy thidc ng6i ghg phia sau, met tay clung ngon cai dat tinh tad di6m, tay cam chic hai ban tay NB clan khoa a sau gay

- Thao tdc:

+ Th6.y thu6c dat tay phia trot', keo tay NB cho nga nguai phia sau, r6i clSy vao to the cu Tay dat nen tinh tai didm dSy manh phia tro6c Khong cho phAn than Etch chuydn deng phia sau

+ Khi d6y NB tra lai to the ca thi tay dat trail khong nen naa Hai tay thay thu6c phai c1Sy nhip nhang Met tay dSy, met tay nen phai ph6i hop clang clSyva nen d6ng thai

+ Tigp tae lam lai nhidu lin to thtia de'n mau theo tot yeu cau Dgn ngang thi ngUng

2 TO the ditng keo nga

Muc dich: Giai toa cac dot song bi dinh

clang tit L1 cign L5 lien 16i, tao cho he cot song NB tit L5 tra len chuydn Ong theo hoeing tit sau truck va giii tinh plign than dttoi tit L5 trd xuong

- NB diing thing, doa hai dui tilt& vao met diSm toa viing chac nhu gioang, hai tay Chia len gay, cac nem tay khoa chat hai tay ap sat mang tai

- Thay thu6c chiia berth ditng phia sau, met tay na'm chic hai ban tay khoi caa NB a sau gay, met tay thing ngon cai dat tinh tai didm pham vi tit Ll Mil L5

Thao tdc:

- Th6Y'cthu6c tay phai keo cho NB nga ngttai phia sau, r6i c/Sy tra vg tti thg cu Tay kia dat tinh tai didm dSy phia troeic Gift- khong cho phan than dttoi chuySn do, ng phia sau

- Khi met tay c/Sy NB tra lai to th6 Ring thing, thi tay buong triing khong nen

- Tigp toc thao tic tren nhidu 16n tit thtta dgn mau theo t6c de yeu cdu Dgn ngtiOng thi ngiing

B Ng6i keo van

Muc dich: Giii toa cac d6t song bi din.h -citng tit D8 dgn L5 lien 16i Lech hoac lien lath Tao cho didm D8 dgn L5 chuydn deng dooc va gilt tinh L5 tra xuong

- NB ng6i, ddo gal voting goc, Ming thing, c6 Met tay bang thong, met tay &la len cite() qua ngoc va bung, chia ban tay mang sttan ben cho thy thu6c nim c6 tay

- Thy thu6c ng6i phia sau, mot tay tro6c tai didm, tay na'.m co tay NB de" keo van

Thao tic:

- Thy thu6c met tay dat truck tai diSm phia bi lath, tay keo van NB xoay phia sau, ngooc chidu bi 16i lath

- Thao tic nhip nhang keo van NB phia sau r8i tra lai ttt the cu nhi6u ran tit thua den mau Dgn ngoang thi ngitrig

C DCrng keo van

cac rtrit_sbng hi rifnb

CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 67- BUI DUC CUONG BIEN SOAN

lien lech hoac lien 16i lech Tao cho didm L5 den S3 chuydn deng &tee •

- NB diing thing, hai ban chin cach 30cm, dau, co ngay, tay bang thing Met tay dita cheo phia tren ngang qua bung dd ban tay mang such cho thay thueic narn

- Thay thu6c ngai ghe phia sau, de' dau gei chin vao clu6i irking NB, mot tay ghl chat

xtiOng rnab chau NB ben lech, tay narn ca tay NB keo van

Thao tric:

- Thay thu6c met tay dung hic keo van.NB phia sau, roi buong tra ve tii the di, nhip nhang tit nhe den nang Cuei cuing giat manh dot nget

- Tay thay thu6c gill xtfong mao chau cila NB keo giat phia sau

Chu D6t song lech phia nao thi thay thu6c de mOng ben tS7 vao dau g6i, hai tay thay thu6c cuing keo manh sau, de dau g6i gilt lai Van th6y khop xtidng keo rang rac la dat yeti cau

D Nen Wang NgiSit nang tay

Muc dich: GiAi toa cac d6t s6ng tui D6 den

D10 lien 16i 'Tao didm tit D6 den D10 chuydn deng theo hinh thing tit ngoai vao

- NB ng6i x6m, lung thing, dau, co, ngay, hai tay Op mang tai gid len tren, cac ng6n tay

dan khoa chat lai

- Thay thu6c dung, cui chech 45° phia sau, hai ban chin cach 40cm Met tay gift canh tay NB dd gat day sau Met tay tS7 cin tay vao dui lam didm dat nem tay hoac ban tay tinh tai didm

Thao tete:

- Thay thu6c ding met hic gat hai canh tay NB phia sau Tay nen tinh tai didm clSy phia tritoc Sau tra lai to the Thao tic nhe nhang Den ngiteing thi nguing

Chu Y: NB phai gill to the cho viing de

thao tic met tay gat tay NB ye phia sau, tay

kia t.St vao dui minh lam ch8 data de' nen, phai \rung chat

2 Nam nang tay

Muc dich: Giai toa cac d6t bi dinh ding tit

D8 den D12 15i Tao didm D8 den D12 chuye'n deng theo lulling tit ngoai vao

- NB narn sap, hai chin dui thing, dau • ngang, hai canh tay dua thing len dau, hai tay

khoa cac nem lai

- Thay thu6c thing cui ngang viing co treng didm Met tay luen xu6ng clued hai -canh tay NB Tay chuan bi nen

Thao tdc

Thay thu6c diing met tay nang bang nita ngitai NB tit yang L tra len r.6i de.t ye tai the cu Thao tic nhe nhang nhigu 1Li de quan sat d6t s6ng 161 nhat ciaa didm Khi thay lung NB bet cuing thi tao met sU dot nget, met tay nang cao NB, ding lie diing tay nen nhanh va manh tren didm

Thao tic chi lam met lan, it phai lam lai

3 Warn nang hai than

Mltc dich: Gia.i toa cac d6t song bi dinh

clang tit L3 den S5 lien 16i, chuygn Ong theo huong tit ngoai vao

- NB nam sap hai chin duoi thing, hai tay khoanh truoc tran

- Thay thu6c dung cui ngang tam that lung NB - met tay luen duoi dui tren goi de nhgc, mot tay chuan bi nen

Thao tcic: Thay thu6c nang hai than NB

len cho vimg king tit L2 den S5 bang mat gittang r6i tra va to the cu Thao tic vii lan den nang th6.y viinghing NB bet clang, thi cuing met luc met tay nang being NB len, tay nen manh tai didm an xu6ng

- Thao tic thing Mc, chi can thuc hien met lan la tai ngitang

4 Nam nang mitt than

Muc dich: Giai toa cac d6t song 1:4 dinh

CAM NANG VE PHIJONG PHAP TAC ONG COT SONG - 68 - NGUYit

huang chach to ngoai vao trong, tit phai qua trai va tit trai qua phai

- NB nam duoi hai chan, hai tay khoanh truac

- Thay thu6c dung cui a ngang \rung that lung NB, mot tay luOn xu6ng ditch dui ben lath, mot tay dfit tinh tai diem de chua.'n bi nen

Thao tic: Thay thu6c nang b6ng chan NB ben phia co co ding len khai gittang, roi tra vd to the cu

Thao tic vai lan, thay viing lung bat cling thi mot tay nang b6ng chan NB len, tay dOt net an manh tai diem, nen xuang mot lan den ngliang thi thoi

D Nen vit

1 Nen vit mot clAu g6i

Mac dich: Giai toe cac &it s6ng bi dinh cling tit S1 den S5 16i Tech ddn hoac lien tech Tao cho diem Si den S5 chuyen deng dust theo hitang chach 45° tit ngoai vao doi voi hinh thai I6i lath va huong ngang tit phai qua •trai hay nguOc lai bed hinh thai lien Lech

- NB nam nem, mot chan duoi thing, mot chan ch6ng goi, got cham mong, phia có diem, hai tay goi dau

- Thay thu6c dung cui theo chiau dau goi NB, co hai tay dfit len dau g6i NB de thao tic

Thao tcic: Thgy thu6c dung hai tay vit dau g6i NB clan mix t6i da xu6ng mat giang, rOi lai tra ve' to the ca

Thao tic nhigu 16.n cho den nguang thi ngitng

2 Nen vit hai dau 01

Muc dich: Giai toe cac d6t song bi dinh ding tit S1 den S5 don 16i hoc lien lai Tao cho diem Si den S5 chuygn &Ong &roc theo huongthang tit ngoai vao

- NB nam neta, hai chan ch6ng, g6i got ch m mong, hai tay - khoanh g6i dau

- Thay thu6c diing cui phia ditch chan NB Hai Lay gift-hai-clau iau

Thao tic: Thay thu6c dung hai tay vit manh hai dau g6i NB den mite t6i da khian hai mong va lung NB phai bat bang khai mat givang roi tra vd to the cu

Thao tic nhip nhang den ng,uang thi ngung Ding vit mot mong

Mac dich: Giai toa cac d6t s6ng bi dinh clang viing lung va hong tit Ll den S5 16i lath va lath tao cho diem L1 den S5 chuyen dOng dude to phia sau phia

- NB Ring thing hai chan giang Ong 40cm, dung ban tay cung phia co co co lath dat ty tren xudng hOng ding ben, tay bang - Thay thu6c dung canh tay ding ben tay NB thong trail xuong hong, nam chic khuSru tay NB de than tic, tay nam chic vai ben caa NB

Thao tic: Keo vit canh tay ch6ng teen lung cua NB theo huOng tit teen xu6ng duoi theo do, che-ch htiong true de cho along NB chuyL dOng iii sau truesc Thao tic nhip nhang (tan nguang thi ngiing

4 Ding vit hai thong

Muc dich: Giai toa cac d6t song dinh ding t, 7 tit Ll den L5 lien 46i Tao cho diem tit Ll den L5 chuye'n do, ng ditac theo huang sau trttoc

- NB thing thing, hai chan giang rOng 40cm, hai ban tay oat true tiap trail hai ben hong lam diem t9 cho thao tic

- Thay thu6c nam hai khuSru tay NB de thao tic

Thao tic: Keo vit hai canh tay caa NB dang ch6ng tren hong theo twang tit trail xu6ng duoi de chinh hai ban tay NB &Sy hai along caa minh tit phia sau trtroc S au vit manh lai tre lai to the cu Thao tic nhip nhang clan nguting thi ngitng

E Phttong thitc nen tinh a Td the nam sap

.1 NANG \t PHUC1NG PHAP TAC DONG COT SONG - 69 - BOI DOC CUONG BIEN SOAN

Muc dich: Giai toa cac dgt s6ng bi dinh clang tit L3 den S5 va cut lien 16i lOch, lOch va lien lom loch Tao cho didm tit L3 den cut chuydn dOng dude

- NB nAm sap, mot chin du6i thing, mot chin co gap duoi bung, got chin, mong ben c6 didm, hai tay dd chin

- Thay thugc d6ng ciai ngang yang thAt lung caa NB, hai ban tay xoe rOng ap lung NB, ty hai ng6n cal tai didrn, canh tay thing

Thao tic: Thay thu6c dung luc to t6i thidu den t6i da caa nguyen tic dinh hiring, thao tic bAng thi thuat crSy nhip nhang chgch to ngoai vao den hinh thai lien lam lOch va theo hudrig ngang qua phai hoax trai theo hinh thai loch D6i vdi hinh thai lien 16i loch thi ap dung tha thtiat,bi nhip nhang theo hudng to chgch ngoai

Thao tic d6t song bi dinh clang da chuydn dOng thi ng-Ung thao tic

2 Ndm sap vOn.g tay trade trcin

Muc dich: Giai toa cac d6t s6ng bi dinh ding tit L4 den S5 lien 16i lOch hoac lien lOch, tao cho didm L4 den S5 chuydn dOng du0c

- NB narn sap, hai chin du6i thing

- Thay thu6c ditng cui, hai canh tay thing, ty hai ng6n cai tai didm

Thao tic: Thay thu6c nen tinh hai neon cai tai didm tic dOng tai didm theo huong chgch to ngoai vao d6i vdi hinh thai 16i lOch va hueing ngang d6i vdi hinh thai lien Lech Thao tax nhip nhang den ngttang thi ngitng

3 Nam slip trithn nglieli

Muc dich: toa cac dot s6ng 131 dinh cling tilt D8 den S5 lien 16i Lech hoac Lech Tao cho didm D8 den S5 chuydn dOng du9c

- NB nArn sap ngang gittang hay ban thip, than minh truan tren mat giu6ng hay ban, than tay buong

- Thay thu6c climg cui ngang didm, hai canh tay xoe rOng, dat hai ng6n cai vac) didm

Thao tdc: Nen tinh tai digm, bAng Luc hai ngon cal tit t6i thidu den t6i da, lam cho d6t song chuydn dOng du9c tit phia sau tr66c

vol

doi hinh thai lien 16i hoac ngang vao true d6i vdi hinh thai lien lOch Thao tic den nguang thi &trig

b Tut the nim nghieng

1 NCim nghieng chcin die°

Muc dich: Giai toa cac dot song bi &I-1h clang tit IA den S5 lien 16i Lech va lien loch hoac liOn lam, tao so chuydn do, ng cho didm U viing thit lung tra xu6ng chuydn dOng to sau tract vai hinh thai lien 16i lOch, to phai sang trai hay ng-tioc lai vai hinh thai lien Lech va to ngoai vdi hinh thai lien lOm ap dung thi thuat bi

- NB nAm nghieng, mot canh tay goi dau tay kia, hai chin du6i thing, than tren cheo phia truck

- Thay thu6c Ring cui ngang didm, hai canh tay thing, hai ban tay xoe rOng dat hai ngon cai tai didm

Thao tdc: Nen tinh ca hai ngon tay tai didm, dung lttc t6i thidu den -t6i da theo huang chgch to sau truck dgi voi hinh thai lien 16i lOch, to phai sang trai hoac nguoc lai d6i vdi hinh thai lien lOch va to ngoai d6i voi hinh thai lien lom

Sau nen lai buong chimg tay, ng-img thao tic de' NB tra lai to the cu Thao tic nhip nhang den nguong thi ngitng

2 Nam nghieng mot than co td'i da

Muc dich: Giai toa cac dgt song bi dinh clang a vitt-1g thAt lung L1 den L5 va vimg S1 den S5 lien 16i lOch, lien Lech, lien lom, tao ski chuydn Ong viing Li den S5

- NB n'am nghieng ngticic chiau voi dot song nghieng, tay sat gittang co gap ngang vai, tay du6i thing nArn chAc ngon than cai caa chin co Thay thu6c dung et:1i ngang didm, dat tay tai didm

CAM NANG VE PHITONG PHAP TAC DONG COT SONG - 70 - NGUYEN THAM TAN

Sau nen lai bang chimg Thao tax nhip nhang den ngtiang thi ngimg

3 .Wim nghieng than co

Muc dich: Giai toe cac dot sting bi dinh cling tit D8 den S5 lien 16i lath, lien lorn

- NB nom nghieng, chin dui thing, chin tren co yang g6c, canh tay de ditoi deu, tay tren tu

- They thus& &Mg ngang didm NB Thao tic: Nen tinh tai didm tit luc tot thik cign tot da theo nguyen tic dinh luc hueing che-ch tit ngoai vao d6i voi hinh thai lien 16i lath, ngang tit phai quay trai hay ngucc lai dot vai hinh thai lien Lech, va huang tit ngoai vdi hinh thai lien lOrn

Thao tic nhip nhang den ngtiong thi c Tii the nen cliing luort

1 Dung /dot oan long

Muc dich: Giai toe cac d6t song bi dinh ding tit D8 den D12 lien 16i

- NB thing giang hai than cach 40cm, hai tay cheng thing vao Wang ngang tam vai, deu neing cao, oan cong lung

- They thu6c dUng thing phia sau NB, hai ngon cai tY tren didm de thao tic

Thao Mc: Nen theo chdch 15° den 45° tit tren xuang theo huong thing tit ngoai vao trong, tit nhe den ning cho dot song chuyJn Ong nhip nhang Den ngUang thi ngimg 2 DOng heat cong lung

Muc Giai toe cac d6t song dinh ding tit D8 den L3 &in lOm

- NB dung giang hai chin cach 40cm, hai tay chong thing vao Wang, ngang tam vai cong gti lung, deu Ludt theo &tang cong cot

song

- They thu6c dimg sau, hai canh tay co thuoc thc, dit tay tren diJm

Thao Mc: Nen theo chdch 15° den 45° tit ditoi len tren de" bi tit ngoai Den nguang thi ngiing

Muc dich: Giai to cac dot dinh clang Ll den L3 lien 16i hay lien 16i lath

- NB thing giang than each 40cm, hai tay clang tren didm ty 30 -40cm, deu ngd.rig cao, lung oan xuong

- They thu6c thing sau ngang digm Thao tic: thing hai nem cai nen thing tit ngoai vao loai lien 16i va theo hudng che-ch tit ngoai vao loai lien 16i lath Thao that nhip nhang, den nguang thi ngitng

4 Nen cui gap

Muc dich: Giai toe cac d6t dinh khong c6 yang quy dinh, chi you ap dung cho NB cui bi han chd, lam cho toan be cot song chuye'n Ong ditCc

- NB: Hai chin chum, thing g6i, hai tay dui thing, cui gap lung c6 gang cho nem tay cham dgt

- They thu6c thing sau tat tay len didm

Thao tic: Nen tai didm thee hit6ng thing tit ngoai vao loai 16i, theo hitting che-ch tit ngoai vao loai 16i lath, theo hitting qua phai hay qua trai loci lath, hoc tit loai Jam Luc t6i thidu den t6i da cho cac d6t chuydn Ong Thao tic nhip nhang Dgn nguang thi ngitng

5 Nen cra'ng heat nghieng

Muc dich: Giai to ca.61d6t dinh ding tit D8 den D12 loai lien 16i lath

- NB Emig canh g hd try tren mot than phai CO cd co, nghieng nguai de cheing tay ding ben len mat ghd, chin gac ngang len didm tY cao 30 -40cm, tay gid thing len

- They thu6c mot tay nang canh tay NB gid len de gilt d tu the thich hap theo yeu ceu, met tay nen tai didm

Mao tic: Ap dung lt.ic tit t6i thidu den tot

da chdch 45° tit ngoai vao hoc theo intOng tit phai qua trai hay ngucc lai, theo ct6t song lech Thao tic nhip nhang Den

3 Ditng czii oan lung ngifong chi ngang

CAM NANG Vi PHUONG PHAP TAC DONG COT SONG - 71- BU[ DUC CUCJNG BIEN SC:IAN

Muc dich: Giai toa cac d6t dinh cal-1g tii D8

ddn S5.1oai lien 161, lien lach, lien lom

- NB ng6i tren ghd, hai than giang r9ng, dat trail tren hai canh tay, lung thing nhtt nam sap

- Th6y thu6c thing cui, tay dat trail diJrn

Thao trice Nen tinh tai didm nghieng luc tit t6i thiL ddn t6i da to D8 (Mil S5 theo htiOng quy dinh Thao tic nhip nhang ddn rigUang thi ngang

Chu )5:

Cac phuong thfic nen lam cho cac d6t 131 dinh • cling chuyJn d5ng dung voi yeu cau ciaa thy thu6c

PhUong thac nen chi mai giai toa cac dot bi dinh ming, ma' khong giai toa duoc cac lap co dam Phai chaa tiep phuong thac song)mai giai toa duOc r6i loan

Khi clang loft t6i da, nen tao mot d9ng tic dot ngat mai ca hiau qua cao

Khi kao phai tuS, thu5c vao al di chuygn cua diJrn ma keo theo d'9 chdch to 450 ddn 90° hoac cao hon

II PHIICING THU'C SONG

Phuong that song tri banh bang thuat tic dong tai digm tren he cot song co mot cam giac dau yen khoang each dau din • song cam giac mau, thua hay lien tuc

Khi tri banh tao &foe mot cam giac thich hop nhdt cho co the NB tu diau chinh giai toa cac hinh thai cua diJm pha hop vol tang vi tri de co ttt thd thuan cho thao tic

A Giai to cac trot-1g diem tit Cl den C3 Ng6i co cui g4p

Muc dich: Giai toa diem lach don hay lien lach to C1 ddn C3

- NB ng8i, ngithi ngay, hai g6i vuOng goc, hai tay tu tS, trail tren ban

- Thay thu6c de' tay tren diJm

Thao tcic: Dung thi thuat xoay tic t6i thiL ddri t6i da cua mot ngon tay theo huang ngang vao true Dat ngudng thi ngang

2 Nam rigii'a co

Muc dich: Giai toa diJrn don hoac lien 16i, 16i lach, tech co cang xcl o Cl den C3

- NB nam ngaa khong g6i, cl6u co ngang, hai chan hai tay du6i thang

Thao teic: Ap dung to t61 thiL cldn t6i da dia ban tay theo huong thing tii ngoai vao voi hinh thai 16i, huang chdch ben Lech vac) true vial thu thuat xoay, &Sy thich hop

Ddn nguang thi ngang

B Giii toa diem tit C4 den C7 Ng6i guc cldu

Mac dich: - Giai toa diem lom, lom lach, teo nhtfOc

- NB ng6i cui, guc dau tren hai tay

- Thdy thu6c dung sau, de? tay tren digm

Thao tic: Dung lilt mot ban tay to t6i thiJu ddn t6i da bi song chinh d6i viii hinh thai lom, bi don chinh voi hinh thai lam lach nhip nhang Ddn ngudng thi ngUng

2 Ng6i ngifa co

Muc dich: Giai toa diJm co hinh thai don hoac lien 16i, 161 lach co cling tit C4 ddn C7

- NB ng8i ngay, co hoi neta va phia sau, hai tay tu do, g6i vuOng goo

- Th'dy thu6c dung hoac ng8i phia sau, mot

s tay da trai NB, tay thao tic tai

Thao tcic: Dung laic to t61 thik ddn t61 da cua mot ban tay, d'Sy to ngoai vao vai hinh thai 16i, xoay tit ngoai vao d6i voi 16i lach

Ddn ngudng thi ngang Nam up sap mat

Muc dich: Giai toa diJrn to C4 ddriC7 15m, lom Lech, teo, nhuoc, xo

- 72 - NGUY:E N TRAM TAN OW NANO VE PHLIONG PHAP TAC DONG COT SONG

Thao tcic: Dung hic mot ban tay tit t6i

thidu den t6i da, bi song chinh vdi hinh thai lam lech Den nguang thi ngitrig

C Gi5i toa diem tit D1 den D3 Ng6i

Mac dich: Giai toa diem tit D1 den

D3 16i hoac 16i lech

- NB ng6i thing lung, hai tay xuoi, dau, co

- Thay thu6c: dung hoac ng6i phia sau, mot tay theo nhiet da, tay co, ban tay tY sat tren king NB, dung nen giaa thao tic tai

Thao tdc: Dung laic mot ban tay tit t6i

thiL den toi da, xoay theo lattong thing tit ngoai vao d6i vdi hinh thai 16i theo huong chech vao doi vOi 16i lech

• Den nguang thi ngitng Ng6i ngay, lung d6.0 guc

Muc dich: Giai toa diem D1 den D3

trong lop co sau có hinh thai lom, lom lech don vb

- NB ng6i ngang king, dau guc

- Thay thu6c clang phia sau, mat tay theo doi nhiet da, mot tay thao tic tai didm

Thao tic: Dung lilt tit t6i thidu den t6i da c5i mot nen tay de bi song chinh doi vai hinh thai lom hoac don chinh vOi hinh thai lam lech

Den nguang thi ngitng

D Gi5i toa diem viing lung dual lung tren tit D4 de'n D7

1 Ng6i gac tay ngang vai

Mac dich: Giai toa didm 16i, 16i lech

co day D4 den D7

- NB ng6i, dau, c6, lung - Thay thu6c ng6i phia sau thao tic

Thao tdc: Dimg lilt tit VA thidu den t6i da

cui ngon tay, dung thia thuat day va xoay dung huOng thing tit ngoai vao doi vdi hinh thai 16i, chech tit ngoai vao vdi hinh tb.di

2 Ng6i cui lu'at

Mac dich: Giai toa diem co day

- NB ng6i thing lung lust minh, tY ngt„tc vao ban, dau c6 ngay, hai canh tay giang rong tren ban

- Thay thu6c ng6i phia sau, mot tay theo doi nhiet da, tay thao tic

Thao tdc: Dung thia thuat day theo nguyen

tic Binh lilt thing tit ngoai vao theo nguyen tic diau nhiet song chinh tai didm va didm d6i d6ng tai lap cd tren cot song

Den nguang thi n.gitng Ng6i gu lung •

Mac dich: Giai toa di4m co hinh thai

lom, lom lech, co cung a lop co sau

- NB ng6i tong lung, yang hai tay °tat tren ban de ty tran

- Thay thu6c ng6i sau thao tic

Thao tdc: Dung th5 thuat bi song chinh dal

voi hinh thai lam lech Den nguang thi

E Gi5i toa diem tren lung tit 08 den D9 Mini sap tay yang trout tran

Mac dich: Giai toa diem có hinh thai

co day, 16i lech, lech tom, lech don hay lien - NB na.m sap, hai than dui thing, hai tay ty tram

- Thay thu6c ng6i sau- didm

Thao tdc: Ap dung— thia thuat xoay, day

theo huong chech tit ngoai vao doi vOi hinh thai 16i lech, theo huong ngang vdi hinh thai lech, bi don chinh doi vOi hinh thai lom lech theo huong tit ngoai

Den nguang thi ngitng Ng6i gac ban tay

Mac dich: Giai toa didm lech, lom

lech don hoac lien, co, xd, day, mOng

- NB ng6i lung, hai canh tay Ai) sat, sttan, hai ban tay dat len ban

- Thay thu6c ng6i phia sau

Thao tdc: Dung th5 thuat va day theo

huOng ngang to phai sang trai hay nguoc lai loi lech

CAM NANG Vh PHUONCPHAP TAC DONG COT SONG - 73 - BUI DUG CUONG BIEN SOAK d6i vai hinh thai lach, bi ddn chinh theo huOng

chech tit ngoai voi hinh thai lam lach Den nguang thi ngUng

3 DUng thing, tay thing

Muc dich: Giai toa diem c6 hinh thai lach, lam tech ddn hoac lien, co, xd, day, mang

- NB Ring tharig, hai tay buong thong - Thay thu6c mat tay da vai NB, mat tay thao tic

Thao tdc: Dung thu thuat xoay va day theo lniong ngang tit phai sang trai hay ngtidc lai voi - hinh thai lath bi ddn chinh voi hinh thai lom lach •

Den nguang thi ngimg

4 Ng6i 13,6 goi

Muc dich: Giai toa diem tit D4 (16n D9 c6 hinh thai lam, lam lach don hoac

- NB ng6i gh6, hai ban tay dat bang, hai

dau goi khep chat, cui cho ngitc sat dui, hai canh tay bó g6i, cam hai co chin, dau, ca' cui guc

- Thay thu6c ng6i sau

Thao tic: Dung thU thuat bi ddn chinh voi hinh thai lam Lech, bi song chinh voi hinh thai lam

Den ngttang thi ngimg Ng6i van long

Mac dich: Giai toa diem tic D8 den D12 c6 hinh thai lach, 18i lach don hoac lien, co, day, xd, sdi

- NB ng6i tren givang, hai chin dui giang

Tang, mat tay vat cheo nem nein chin ben - Thay thu6c ng6i ho4c ddng

Thao tic: Dung thu thuat xoay va day tit ngoai vao d6i vOi hinh thai 18i, theo Iniong chech to ngoai vao hinh thai Lech

Dan nguang thi DUng hiot th

Mac dich: Giai toa diem D8, D9 co hinh thai 16i lath ddn hoac lien co day

- NB dUng thing, tay thong vao -Wang, lung n'am xu6ng

- Thay thu6c thing sau

Thao tcic: Dung thu thuat xoay va day theo hang tic ngoai vao doi voi hinh thai 18i chech, to ngoai vao 061 vOi hinh thai 18i Lech

Den ngdang thi ngUng

G Giai toa diem D10 den D12 Ditng cui tong Ding

Mac dich: Giai toa diem co lam hoac lam, lath D10 - 12

- NB thing giang hai than, hai tay thong tren diem t9 cao 80cm den 1m dau cui, long

- Thay thu6c dicng ngang diem Thao tic: Bi ddn chinh vai hinh thai lam lach Bi song chinh voi hinh thai lam

D6n nguang thi ngicng Dung nghieng

Mac dich: Giai toa diem lai, 18i lath, co day D10 - D12

- NB thing tru mat chin co, nghieng suan de' thong tay tong ben len mat gh6, chin gac len diem t9 cao tic 30 den 40cm, tay gid thing

- Thay thu6c ding sau, mat tay nam tay gid cao cila NB, mat tay thao tic

Thao tat:: thing thU thuat xoay d'Sy tit ngoai vao

Den nguang thi ngimg Ng6i cui g4p

Mac dich: Giai toa 16i, lam, lach don va lien tit D8 den S5

- NB ng8i, hai than giang n)ng, guc dau trail gh6 khfic tren hai tay, lung bang

- Thay thu6c &Mg cui thao tic

Thao lace Dung xoay dSy voi hinh thai l'ach, bi voi hinh thai lam

Den ngtfang thi ngitng DUng mai thing king

Mac dich: Giai toa trong diem tit D10 d6n c6 hinh thai Lech ddn hay lien co, day,

xrkOng„ xd, sdi

- NB giang chin rang, tay ch6ng gh6, thing lung

CAM NANG VE PHU:3NC PHAP TAC DONG COT SONG - 74 - NGUYEN TRAM TAN Den ngitong thi ngiing

H Giai toa die'rn vOng thAt lung Nam sap truan ngtidi

Muc dich: Giai toa tit Li dgn S5 có hinh

thai 16i, 16i lech ddn hoax lien

- NB nam sap, than minh truan tren givang, chan buong chimg, hai tay dui thing, mat up sap

- Thay thu6c dUng cui ngang didm

Thao tic: Dung cdy xoay

Den nguang thi ngiing Diing o'an ling

Muc dich: Giai toa didm tit LI den

L5 16i va lech co day

- NB dung giang hai chan each 40cm, hai tay thong len didm tST cao 30 - 60cm, lung can, dau ngoc cao

- Thay thu6c dUng ngang didm

Thao tdc: Dung day va xoay

Dgn ngang thi ngiing Ng6i ngita ngtiai

Mac dich: Giai toa Ll den L5 16i, 16i lech

va co day cem

- NB ng6i ghg, dau ggi vuOng goc, hai chan song hinh, hai tay ti,i

- Thay thugc ng6i xem thao tic Den ngtiOng thi

4 Nam sap tay yang trtteic tram

Mac dich: Giai toa Ll dgn L5 lech, co day,

mong, xd

- NB nam sap, hai tay khoanh tntoc tram tSr - Thay thu6c ng6i ngang di4m

Thao tdc: Dung day va xoay

Dgn ngang thi ngitng Nam nghieng chin co

Mac dich: Giai toa didm Li den L5

16i lech, lech, lom lech

- NB nam nghieng, chan &Leh dui chan tren co vuong goc, tay dual ke dau, tay tren tit

- Thay thu6c dimg ngang didm

Thao tdc: Dung day va xoay

Den ngudng thi ngitng I Giai toa vung cOng

1 N'am nghieng, chan co t6i da

Mac dich: Giai toa viing didm tit Si

de-n S5 16i lech, lam, lam lech, co day hoac mong

- NB nam nghieng, phia có co co sat mat ghlang, chan duai thing, chan teen co gap sat bung, tay de d5u g6i, tay tren dui thing, nam nen chan co

- Thay thu6c dUng ngang digm

Thao tdc: Pang ctSy va xoay voi 16i lech, 161

hoac lam

Dgn ngudng thi ngitng

2 Nam nghieng chart Oleo

Mac dich: Giai toa didm tit S1 den

S5 16i lech, lech, lam lech co day hoac mong - NB nam nghieng, canh tay gal Tau, tay to do, chan du& du6i thing, chan tren dat cheo truoc cuing 20cm

- Thay thu6c dung cui hoac ng6i ngang

Thao tic: Day va xoay \raj hinh thai 16i, 16i

lech , bi vdi hinh thai lom, tic Ong manh Den ngang thi ngitng

3 Nam sap g5p ch5.n

Mac dich: Giai toa didm tit Si den

cut 16i, lom, lom lech, co, day, mong, xd - NB nam phu phut, hai chan co dual bung, hai tay da tran

- Thay thu6c dUng cui tic do, ng

Thao.tcic: Day xoay 16i, bi voi lam

Den ngUang thi ngitng

4 Nam sap chan co, chan du6i

Mac dich: Giai toa didm Si den cut

có hinh thai lech, lom lech co day, mong - NB nam sap, vong tay dau guc teen tay, ben có didm thi co chan chloi bung, chan du6i •

- Thay thu6c dung cui thao tic

TJrazrtac Day, xuay,

CAM NANG Vh PHUONG PHAP TAC DONG COT SONG -75 - BOI DUC CUEING BIEN SOAN

K Giai toa die'm \rung cut Ditng thing giang than

Mac dich: Giai toa viing cut bi lech

- NB dimg thing, hai chin giang Org - Thay thu6c thing sau thao tic

Thao tdc: Day, xoay huong truc

Deb nguong thi ngUng NAm sap giang than

Mac dich: Giai toa \rung cut bi 16i, I6i lech, -

tech

- NB nAm sap, hai chin giang rOng, dau dat tren tay

- Thay thu6c ng6i ghdngay diem

Thao icic:DSy - xoay nhe nhang

Dan ngifong thi ngitng

L Giai toa d6t s6ng bi 161, 1611§ch, torn

1 Ditng cui khong quy Binh yang diem

Mac dich: Giai toa 16i, I6i lech, tom, citing,

day, mang, xcs, soi

- NB clang thing lung, lung cui t6i da - Thay thu6c Ring diem

Thao Vic: Day, xoay, bi don hoac song

chinh

Dgn ngUang thi nOng

III PHU'ONG THI:fC DON CHINH

Mac dich: Muc dich va phuong thiac

lam giai toa hinh thai cua diem d mot b6 phan nhO d tren dau gai song

TuSt thu6c vao hinh thai va vi tri cila diem ma rip dung cac thu thuat thich hdp bAng phan mem dau ng6n tay de giai toa hinh thai diem, phuc h6i su can bAng de tri benh

Don chinh r6i loan goi la diem chi is cot song, giiia pham vi cot song khong c6 lien quan

O r6i loan IA the hep thi clang phiiong thitc thin chinh, dung mot tay thao tac• tai diem, r6i loan se duoc giai toa, d6ng thai clang giai toa duoc cac benh khac •

PHU'ONG THUG SONG CHINH

Dung hai tay thao tic tai hai vi tri khac ding mot Vic CS diem tren dau gai song va mot vi tri lien quan de' giai toa diem va diem lien quan

Tug, vi tri va trang thai dia diem ma ap dung cac thu thuat thich hop

The hep: Trong diem dau gai s6ng chi tic crOng don chinh

The r6ng: Khi o r6i loan lan r6ng ngoai ranh song den bo cao co thang.lung phai tic d§ng song chinh

The lan: Khi o r6i loan Ian Ong qua bd cao cd thing lung va xa hon nua phai tic &Ong

song chinh

1 Song chinh tit Cl den C7

Khi khu d yang C, diem tii Cl den C7 co during lan toa gin hoac xa vuot ngoai cd thing lung, xa hdn viing dau va Ian xuong hai chi tren phai tic &Ong song chinh mai giai toa duoc diem

2 Song chinh tit D1 den D8

Khi diem tit DI deb D8 during Ian gam co the vuot ngoai co thing lung During lan xa co the chay \long nua than nguoi va tan clang bd xUdng itc, phai song chinh mai giai toa dude diem

3 Song chinh tii D9 den D10

Khi didm D9 deb D10, &tang Ian gan c6 the vlidt ngoai cd thing lung, clang Ian xa c6 the chay vOng qua niia than minh va tan clang ii bd xuong mu hofic xtrong chau, phai song chinh m6i giai toa duoc (ham: Song chinh tit L1 den L5

Khi digin d 1,1 den L5, during lab e6 the deb xtiang chau, phai tic dOng song chinh mai giai toa duoc diem

5 Song chinh tit S1 den S5 va viing cut Khi dijrn d Si den S5 va yang cut, during Ian toa c6 the den co mong va co dui

- 76 - NGUYiN IAm TAN CAM NANG Vfi PHUONG PFIAP TAC DONG COT SONG

1 Neu rol loan a the hep thi don chinh, rel loan duoc giai toe depng thai giai toil benh lien quan cle'n diem

2 Neu o rot loan c6 the reng, during Ian toil de Ian Ong thi nh at thigt d ngoai pham vi cot song c6 diem lien quan Wong Ting vdi diem hoac Ti gen 'mac d xa diem, cluoc goi la diem dell &Ong Cho nen phai song chinh, met tay tac deng tai trot-1g diem, met tay tac deng diem (161 deng mai giai to ducfc triet de

V PHTIONG THUG VJ CHINH

Vi chinh la phtidng thitc song dung met phen nha d deu nem tay thao tac tai vi tri nha tren deu gai se-rig va khe dOt sting nlim tranh b6 sot diem, nhanh cluing chea that diem, Ice() dai de ben va khOi benh

1 Muc dick:

PhWing thik vi chinh dam bao lam cho cot song kin khit Mu6n dat dti9c dieu can phai xac dinh dude va giai to dude diem, khu till d cac ba cao tren deu gai s6ng va diem a cac ba khe cac d6t song bi so le, de tao song thich hlp, gnu') cd the tU dieu chinh

Plnicing thilc vi chinh chi dtt9c Ai) dung sau da dude ddn chinh hoac chinh ,0 •2 Vi tri thao tac

Phtidng thfic vi chinh chi ap dung tren dau gai song va khe d6t, khong du0c fip dung ngoai pham vi cot song

3 Thil thu'a't phu'dng thitc vi chinh

Dung phen mem tren sat deu ngon, cai hoac canh den nem cai thao tac tren met (hen tick hep, Om co:

a DOng liai ng6n chi det tren rant lisp cd henh ly tren dau gai song, tech doi Ian cd hai Olen, sau dO tac deng xong met ben r6i se the Ong hen lai, cho lip co bin mat, lai lap cd thu nhuan, tay they thuee sd vao dUctc deu gai song NB

b Thing hai nem chi clot a hni canh khe d6t ben phai hoac ben trai, thao tic theo huOng doe ten xueing hoac huong ngang cOng chieu d loci hinh thin so le lech it khe ben d6t tren dudi

c Dung hai nem cai hoac hai ngon giiia det song song tren deu gai song thao tac theo huang len xu6ng d loci hinh thiii co clay tren deu gai song

d Dung met ng6n cai hoac met ngon tra, hoac mot neon giaa ben phai thao tac a khe s6ng so le ben phai de giai toe diem co hinh thai so le lech khe ben &it ben phai

N ANC vk 1111.10NG tAP TAC EX)NC COT SONG - 77 - ROI Di C CUONG t31EN SOAN

COT SONG B1\11-I ClIONG

I TAM KINI1

1 Cam giac giam S2.3 Cam die-c C7

3.•Cam ham sink C1.2.6 -'D1 - VS Cam di chirng C6

5 Chang mat C1.2 - D1.2 Dau dau KN C2.3.4.5.6.7 - D1 Dau ben dau C2.3.4.5.6 - Dll - L1 Dau dinh dSu L3

9 Dau vting tran D12 - Ll - Vai F 10 Dau tdc v.gay C1.2 - D10 11 Dau dau hi cam D2 12 Dau dEiu bun non C6.7 13 Dien cuing D3.6

14 DOng kinh C1.2.7 - D1.6.7.8.9.10.11.12 L1.3.5 - cut

15 Binh giat D4.12 GL 16 Hay quen D6

17 Huang licit C6 - D3.5.6 Ma 18 Hoi hOp C6 - D3.5.6 19 lloa mat chong mat D1 - D10 - L3 20 Mift ngd keo dai C1.6.7 - D1.'7.8.9.10

L2.3 - S1.2 21 Mat khOng nh am kin C1.6

22 Nga ba't tinh 01.2.3.4 - D6 - L3 - VS 23 Ngii qua nhieu Cl

24 Ngd khang yen gigc D9 25 Ngn it D10 26 .Ngli hay tra minh D6

27 Ngd ma ac meng D1.2.3.6 - MA: 28 Noi S5

29 Noi ngong C2.6.7 30 N6i ngat doan C5 31 Nang D6 32 Ngdori phi -en muen D5 - NT 33 Ngtt&i lao ciao

34 Nang vOng dell C3.5 35 Say nang, say xe C1 36 Sq nai dOng ng-tr&i D1.2

37 Sq anli sang D1.2.3

38 Sq gio lua D1.2 39 Sq sat v6 ca D2

40 Say nlitnic TIC C3-> D1 - D7 ->12 4] Say nhircic ca 016 C4.D5.7.8.9.10.11

42 Tai u, tai diet 02.3.7 - D1.11 - L1 - 52.3 43 Ti6a dinh roi loan Di

44 'filming me D1 45 Xay sam mat may D1 IL C XI.RING KIJOP

1 Bai hat 04.5 - 1.4.5 - Cut

2 13ai canh tay C5

3 Ban chan, Kng chan to mOi D10 Canli tay dau nhirc C5

5 Chan tay run ray C1.3 - S5 - Cut Chan tay co giat D12

7 Chan dau to D7 Chan hi re) D12 Chan dau L1.3 10 Chan lanh Ll - L4.5 11 Chi &lei van ding kho D11 - L2 12 Co giat D10.11

13 Cad )(acing Dll 14 Co co chi S8 15 CO gay co giat D1 16 CO, gay vai dau Ll 17 Ca the tri tre D12

18 Chuet nit bap chan Dli - S1.2.3 19 Ctrerc Mai L5 - Vai F

20 Dau to canh tay D2.4 21 Dau vai Dll - TLT

22 Dau nhdc khop vai C6 - L3.4.5 23 Dau quanh kh&p vai L3.4.5 - TL 24 Dau tirc cal-1h tay D3

25 Dau khap g6i L4.5 26 Dau nhoi ben L2 27.Dau mai chan S5

28 Dau then kinh lung Dll - L3 - S4 - Vai F 29 Dau g6t chan L3 - TLF

30 Dau ming lung D3.6.9 31 Di dirng kh6 khan S4 32 Kherp hang mai 07 33 Han che" van Ong D3.4 34 Ha nang dau moi S4 35.Liat tong td chi Cl - C4

36.•Liat mem chi dtrai D11.12 - S1.2.3.4 - Cut 37 Liet chi tren • C6 - D1

38 That lung dau aing D7 39 To tay C3.5 - Ch 40 TO bi v cha'm Cl

41 Tha-p khap D1 42 Tay run D1 43 Teo co' bap chan S1.2.3 44 TO chan S1.2

45 Te phd D11 - Vai F 46 Te bi D12

47 Tian than co ctIng DI III TIEU HOA

1 An kliong Lieu D10.11.12 - L2 Benh mat L5 :fiLtt

- 78 - NCUliN TI [AM TAN CAM NANG Nift P1.11.1CYNC; miAr TAC ONG COI" SONG

4 Bung duoi day ti cD10.12 - Ll Bu6ng trdng lanh D7

6 Bu6n non C5 - D7 Can dau sai mat D10.11 Da bung day D10.11.12 -9_ Dai tien man D12 10 Dai tien th6t thuiyng D12 11 Dau yang gan D5 12 Dau rang L1.2.3

13 Dau bung C3.D6.7 - L12 14 Dan bung kinh nien D12 - L1 1.5 Dau quan bung D7.8

16 Dau bung mot ran Dli 17 Pau bung hic dOi D5.6 18 Dau da day D5 19 Con dau tic mo ac C4 - D7 20 Con dau da ddy D8 - L2 21 Dau bung L2 - D10.41 22 'Kern an D7

23 Kiel ly D12 - Ll 24 Kik ly man D8 - L2 25 Lach to D10 26 LuOi to cdng -C6.7 27 Luol day, dai, co rut C2 28 Ly true D12 - GL 29 Met mOi D6 - NT 30 1\16c cut D8 - Ll

31 NOn mica L3 - D6 - 1,12 - D12 32 R6i loan tieu hoa S4 - 04.8.10.11 - L4.5 33 RuOt chu6mg D10

34 Sai bung D10.12 - Ch TLF 35 Tien boa D4

36 Than kinh tieu hoa raj loan D4 37 Tre tieu boa kern C7 - L5 - Ch 38 Tri sung dau L2.5 - Cut 39 U sda L1

40 Vang da gay corn D4

41 Vang da, yang mat D7->12 - L2 - Co F 42 Viem hanh to trang D5

43 Viem gan D10 - HSF 44 Viem tai mat D10 - D5

45 Viem root thda D9.10.11.12 - L1.3 46 Viem tuye'n Ll

47 Dai tien long L2.4 - Ch Cut

48 Tao bon D2 - D10 - L1.4.5 - S1.2.3.4 IV HO HAP

1 Cam ho D3

2 Ho C2.3 - D5 - S3 - TLF Ho man D4.7.8 - Ma

4 Hen suyan - Ch C3.4 - D1.2.3.4.6.7 - L1

5 Ho mat tigng C5 - Nt Ho tau • L1 - Ma

7 Ho ga C6

8 Mui chay nuo'c C2.3 - Ch Mai the 16

10 Mat tie-ng Ll - C1.2.5 - NT 11 Ngat mai C2

12 The( ngan hoi C3.4.5 - D8 13 Tie-ng not the 05

14 Tdc the( nhieu dorm Ll

15 Viem hong C4 - L5 - 1)4 - L3 16 Vern mai di ting l=)

17 Viem 'Ming phi D1 - L3 V TURN HOAN

1 Bach c6u cao D10 Dau yang tim D9

3 HAC L1.2.3 - 05.6.7 - D1.2.3 - D1.12 HAT C1.2.3.4 - D1.2.3.6 - S2.3 Ngqc neng D9

6 Ngoai tam thu C7.D1.2.3 - D9 So' deng mach Dll - Vai F Suy tim S3.4

9 Tim clap cham C1.2 10 Tim dau nhoi D6 - NT 11 Tim loan nhip D2.3.5

12 Tim dap nhanh C2.7 - 134.9 - NT 13 Than thirc 16ng nguc D6

14 Wing tim dau D5 15 Dau tdc nguc D4

16 Dau mang stroll D2.3.4.5.10 - C4 VI TIgT NIEU - NOI TIT

1 Benh dueng tiet nieu L4 Benh than L3

3 Bi dai D10.11.12 Ccm dau sOi than Dll - Vai F Doi bu6t C7

6 Dai dam L2.3.4 - S1.2.3

7 Dai &long D11.12 - 134 - L4 - TLT Dai khO Ll

9 Dai dye D10 - L3 10 Did son S4.5 11 Dai dat L3 12 Ra m6 hoi nhiau D3.7 13 Ban tay m6 hoi L3 14 M6 hOi trOm L3 15 Ti6u tien dO L2

16 Viem bang quang L1 3.5 - Ch TLT 11 Viem meu quan D10

-79- aft DUC CLUNG BIEN SOAN CAM NANG VE PHIJONG PIIAP TAC BONG COT SONG

19 BtrCru c8 C6.7 - D1.3 Stit ret C6.7 - D1.9.12 - L2

20 Hach c6 C6.7 - NT SOI cao D2

7 Sol nhe lien mien D7

VII SINT{ DUC SOt thuang lian D10

1 Dau nhoi ben L2 Tre sal cao D3

2 Dau throng vat D10.12 - HSF 10 Viem mang nao tre L2 - TLT Giao hop khong xua't tinh C7 11 Nong khOng co m6 hOi L3 Khi hut D12- L1.2.3.4 - S4 12 Phat nOng D12 - NT Kinh man S4 - TLF

6 Kinh nguyet khOng dgu C7 - D10.12 - L1.3 IX 'tAP BENH

S.1.2.5 Co dOng tii Cl

7 Kinh ng-uyet qua nhigu D10 Chay mrac mat Li

8 Hach ben D10 Di img D5

9 Ha nang dau mai S4 Die-c tai, U tai L3

10 float, di mang tinh C7 - D1->6 - D12 Die'c tai Dll - Vai F Ll 2.3 - Cut TLF Liet day TK7 Cl - C6

11 Liet datrng C7 -.D12 - L2->5 Mit mop C6.7 - D10 - 11 - TLT 12 Suy sinh duc nam C6.7 - IA Mit loan thi C6.7

13 Suy sinh duc n Cr L3 Mit loi C7

14 Sa d a L3.5 - TLF 10 mAt trnn ngtroc D9 - GL

15 Tt'r cung mall D10.11 11 Ma sung Ll

16 U- sail Ll 12 Met mai D6

17 Viem tic cung L3-S3 - TLF 13 Met la D2.3

18 Viem tinh hoan D10.11 - L1.2.3 14 Mg day D12 19 Ctrcmg dau throng vat L3 15 Ngiia nhi6u Dll - Ch

16 Nhirc mat Dll , ,

Wit.'

AM SOT 17 Nhay mat Ll - Ma

1 Cam mao C1.2.6 - Ll 18 Ngoeo c6 L1

2 Cam sot D1.2 19 Sup mi C7 - D12 - Ll

3 CUrn ho D3 20 UOn van L2 - R

-80- NGUYiN THAIM TAN CAM NANG Vh PHUONG PHAP TAC SONG COT SONG

CAT CO'N DAU CO NANG

I DAU VUNG DAU

1 Dau gida dinh dAu: L3

2 Dau ca vUng dAu: D10.11 - L3 Dau dAu kinh nien: C2.7 - D1 Dau nda dAu: C3.7 - Dll Dau ben dAu tru&c: L1 (trail trail) Dau ben dAu sau: Cl

7 Dau nhu thAt &vac tram D12 - L1 Dau dAu buOn non: C7

9 Dau Tau bi.cam: D2 10 dau ddu nhirc mat: D10 II DAU VUNG CO GAY

1 Dau yang gay: C1.2 - D10 Dau c6 va tay: C6.7 - D1 III DAU MAT

1 Dau nh*c mat: D11 Dau mat do: L2 IV DAU TAI

1 Dau tai: L3

2 Dau tai Dll

V DAU HONG

1 Dau hong: C4.5 - Dll Dau hong nhu nghen: L5

VI DAU BANG

1 Dau rang: L1.2.3 VII DAU LUNG

1 Dau cg lung: L1.3 - S3 Dau cirng lung: D3 Lung dau c6 cling: D6 Dau thAt hrng: D6

5 Dau cling that hxng: L2 - D7 - S5 - Cut Dau Fang- ling:

VIII DAU BUNG

1 Dau bung: C3-D6.7 - L1.2 Dau bung kinh nien: D12 - Ll Dau quAn bung: D7 - Dau bung mot ran: Dll Dau bung hic &A: D9.6 Dau tirc bung d*Cei: D10 - Ll Dau bung giun moc: D12 Dau bung gAng six: D2

9 Dau thoat C7 - D2.11 - L3 - S3 TCN 05-> 8.11 - L3 IX DAU NGTIC

1 Dau tirc ng*c D2.9.11 - L3 Dau ID() long nguc D2

3 Dau tirc lOng nguc T D3.4 Dau t*c ma -ac C4 - D7

5 Dau nhoi king nguc D1 X DAU SUON

1 Dau mg.ng suern C4 - D8.10 Dau ke sugn F D10 Dau ke worn T D7 Dau TK lien sugn D2.3.4.5 XI TUAN HOA.N

1 Dau nhoi vung tim D5.6.9 Dau tirc vling nguc D4 XII DAU GAN

1 Dau gan D5.10

XIII DAU DA DAY

1 Dau da dAy D8 - L2 XIV SINH DUC

1 Dau mai nang S4 Dau t*c ng.hanh - mong S3 Dau &song vat D10 - L3 Dau quy dAu D12 Thong kinh D10 XV DAU TAY

1 Dau kherp c6 tay L2 Dau khov ba vai C6

3 Dau khap vai-chi tren C3 - D8.12 - L3 Dau ngon tay D4

5 Dau ngon - ban tay C2.5 - D7.12 - L2.3 - S3

6 Dau ban tay L2.5 - S2 Dau c'ang tay C3 - D8 - L1.2.5 Dau Ong - canh tay C3.7 - D1.8 - L1.2.5 Dau Ong - cui tay D4-10

10 Dau canh tay + d.vO:ng- c6 C1.7 XVI DAU VAI

1.Dau vai D11

2 Dau quanh khOp vai L3.4.5 Dau nhitc khOrp vai C6 Vai + ban tay dau L2 - S2 Dau vai + canh tay L2 XVII DAU CHAN

1 Dau mai va to chan D7.10 - L3 - S5 Dau g6t chan L3

3 Dau mat ca chan L5

4 Dau khoeo chan D12 - L3 - S1.5 Dau nhtic chan L1.4

-

t_s VLI I I/ I,'.•.,•• •, • ,• ••••

CAC BENH CHUNG TREN Dll

1 ChCrc nang: - Mat - Tuy - Ta trang - RuOt non - Da day - Darn r6i duong - Ong dan trdng - Ngoc hanh - Gan - TT dc the tieu trang - Ru6t thira - Rut gia - Da bung - BO cong to da day - Nieu ciao - Bang quang - CN van d6ng chi tren, chi dual

2 Nhiet 016: H.S.F - Hai vai - Vai F - MA -

Glung - That lung T - Khe mong - Bung &raj - Ron - Cham

3 Benh chirng: a Bgnh tiet nigu:

• Cac benh 661 nieu: T°+ HS.F - Dll - TCN D8 - Gan

• Dai thao: T°+ vai phai - Dll - TCN D8 - Mat • Dai duCeng: r+ That lung trai

- D11.12 - L4 - TCN D8.9.10 - Than • Bi dai : T°+ G lung - Vai F - HSF - MA

D10.11.12 - TCN D7.8.9 - Gan - Mat Da day - Lach

b Bgnh tieu hog:

• An khOng tieu - Chan an: T°+ HSF -D4.10.11.12 - TCN: D2.7.8.9.10 • Dau nhoi da day: G lung

D7.8.11.12 - Ll - TCN: D4-> D10 N6i tiet - Lach

• Sung da day: T°+ G lung

- D7.8.11.12 - L1 - TCN: D4 -> D10 - Tuy - Lach

• Viem tui mat: T0+ HSF - Vai F

- D5.10.11 - TCN - D3.7.8 - Gan - Mat • Can soi mat: Tc"- HSF - Vai F

- D10.11 - TCN: D7.8 - Gan - Mat • Can dau soi than va soi mat: T°÷ Vai F

- Dll - TCN - D7.8 - Mat • Dau gan: HSF - Vai F

- D5.10.11 - TCN: D3.7 c Bkh pheli:

• Dau yang than: Vai F - Bung duai - D11- L2.3.5 - TCN: D8.10.11.12-L1 - Mat - Bang quang

• Can dau soi than: T°4 HSF - Vai F - Dll - TCN D28 - Mat - Gan d Bgnh sinh duc:

• Dau sung &rang vat: T" G lung - D10.11 - L3 - TCN D7.8.10 - Lach • Sung dau tinh hoan: Vai F

- Dll - TCN D8 - Mat

• Can dau thoat vi: T°1- HSF - T lung F

- C7 - D2 - Dll - L3 - S3 TCN: C5.6.7.8.11 - L3

• Viem am ciao: T°+ Vai F T lung F - Dll - L3 - TCN: D8 - Mat - Than • Kinh nguyet khong re+ GL MA-TL

- C7-D11.12 - L1.2 - S12 -

TCN: C5D8.9.1L1.2.5 Da day Lach -Than

• Thong kinh: T°4- G lung - T lung

- D9.10.11.12 - TCN: D7.8.9.10 - Than - Mat • VO sinh: Dll lam - Chia phuc h6i tinh trUng e Bgnh not tiet:

• Te phn: T°÷ HSF - T lung - Dll - TCN D8 • Ra m6 hoi nhu tam: T°+ Vai F

- Dll - TCN D8

* BENH CHUNG LIEN QUAINT C3 Dau dau kinh nien: T°' V dau - N.T

- C2.3.4.5.6.7

2 Dau nira ben dam: Tc" DF- MA - Vai F - C3.4.5.6.7 - Dll

3 Nong \Tung dau: T°÷ V dau - V cham - C3 (dai trang)

4 Than kinh suy nhuac: T°÷ Binh dau - N.T Co phai - That lung - Tim - Ph6i.- Than - C3 - 4.6 - D1.7.8 - L2

5 Chan tay co cling: T°+ D.F (than kinh) - C3 6.Chan tay run: T" D.F - chain

- C3 + Cl - S5 - Cut

7 Te tay: T°+ D.F - cham - Co phai - C3.4.5

8 Cam aim: Toan than - Co phii - C1.2.3 + Vang S

9 Gai ret: T°+ Toan than - Lung tren - C3 10 Dau bung: T°+ Viing bung - G lung - MA

- C3 - D6.7 - L1.2 (TY vi)

11 Mtn tha la: T°+ D.F - V cham - C3 - C5 (dai trang)

12 S6 mill: T" D.F - V chain - C3 13.•Ho: T" That lung phai - C2.3 - L3 14 Hen sui6n: T" Lung tren - C6 phai

- C3.4 - D1

15 Kho tha: N.T - F - C3.4 - D2.3.4.9 - L3

16 ThO ngAn hoi: r+ Lung tren - Man stran - C3.4.5 - D8

CAM NANG VE PHUONG PF1AP TAC DONG COT SONG -82- NGUYiN 11-1AM TAN

NHIET DO DA LQ VOTE CNNT VA IW\TH CHUNG

• 1- T° +V.CHAM - L5 - DAI TRANG Chu6t rut bap chan: Dll

5 Dau bung mot ran : D11 + S1.2.3.4 Co gay arng: • Dll + D10 - L3.4 Cam mao trung phong: Dll + D8.9.10 Dau ca yang dau: L5 + C3.4.5.7

2 Tay to liet: L5 + C5.6.7

3 Canh tay khong gin len duct: L5 + C3.4.5.6.7

4 Canh tay, 6ng tay dau nhiIc: L5 + C6.7 - D1 Te phU: Dll + D1 - D10 Dau mat ca chan: L5 + L4 - S1.2 Xo' d6ng mach: Dll + D12 + D10 Cac benh v6 L5 + C2.3.4 - D2 -> 10 Viem than : Dll + D10 - L3.4.5

7 Nghat L5 + D5 11 SOi than: D11 + D10 - L3.4.5

8 Chay mau cam: L5 + D5 12 Di6c tai gida: D11 + D10 - C3 Xuien: L5 + C3.4.2 - D2->5 13 Hu lao : Dll + D4 -> 12 10 Soi bung, is long: L5 + C3 - D8.9.10.12 • 4- T°+ V.NGU'C TRAI - D2.3.5.6 T.HOAN 11 Tre di tuot: L5 + C3 - D8->12 - L1.2

12 Tao bOn: L5 + C3 - D8 ->12 - L1.2 - S2.3

13 Cam mao: L5

14 Sung hach hanh nhan: L5 + C6

15.Viem bang quang: L5 + L1.2.3 - Dll - Si -> S 16 Hong dau nhu nghan: L5 + L3.4 (D3 - D6)

17 Ngda: L5 + L3.4

• 2- T°+ V Co PHAI - SAU GAY IAN D3 - D4 -HO HAP

1 Nhdc cui tay, Ling tay: D4 + C5.6.7 - Di Tay khong co dui duqc: D4 + C6.7 - DI

1 Sung cuOng ph6i: D5 + D3 + C2.3.4.5 - S2 Kilo tho': D5.D2 + C2->5 - D9 - S2 Cac benh tam than: D6 - D3 - C1.2.6.7

D1.2.3.6.11.12 - L1->5 S9 hai dien cu6ng:

D5 - C6 - D11.12 - Ll - S2 Lo rang s9 hai : D5 - C6 - D11.12 - L1 - S2 Nguoi phien muon:

D5 + C1.2.6.11.12 + L3.4.5 + S2 Tim dap nhanh : D6 + D3.4 + D9 + S2 Dau nhoi tim: D6 + D1 -> + S2 Ng6n tay dau: D4 + C6.7 - D1 Tim h6i h6p: D5 + D2.3.4.9 + S2 D4 + C2.3.4 - D2.3 - 11.12 10 Dau tim: D5 - D9 - C7 - D->6 + L5 + S1.2 Dau nh6i ng-qc : D4 + Di ->6

6 S6t khOng m6 }lei: D4 + C1.2 - C7 - DI Cam cam: D4 + C1.2

8 Viem phe quan: D4 + D5 Noi kho: D4 + Cl ->5 10 Tri sung dau: D4 + S2

11 Quai bi : D4 + C2.3.4.5 - D2->6 12 Ng6t: D4.D5->12 - Ll 13 Coi xuong: D4

14 Gly corn : D4 + D5->12 - L1 15 Vang da D4 + D5->12 - Ll • 3- V+ VAT PHAI - Dll - MAT

1 Cac benh ti6t nieu :

D11 - D1->9 - L1.25 - S1->5

11 Nguai 'nOng: D5 - D8 + S2

12 Say nAng: D5 + C7 + D1-D8 - S2 13 Ngd giat minh: D5 - D2.8 + S2

14 Hang va ke stem dau: D5 - D3.6 - S2 15 Lao hach c6: D6 - D10 - L2

16 Te hong: D6 + C6.7 + D10 + L3 + S2 17 Mat tieng: D6 + C5.6+ D12 18 Gay ye.u: D5 - D4 -L5 - S1->5 19 Da xanh: D5 + C7 + D1 + L3.4.5 + S2 20 Met rnOi: D5-D3.4 - L3.4.5 - S1->5 21 An kern: D'7.8.9 - S2

CAM NANG Vi PHUONG PHAP TAC DONG COT SONG - 83- Bill DUC CUONG BIEN SOAN b Ly truc trang : D12 + L1.2.3 + S1.2.3

6 Dau bung giun moc:

D12- D5.7.10 - L1.2.3 MAt trop ngtroc: D9 + C1.2.7 + D4.9 Mat pha: D12 + LI + D3.4 Tre kinh giat: D12 + Ll + D3.4 • 6- T" V Ma AC - D12 - L1 - DA DAY Hi6rn con: D12+ Ll + D10 + L3.4.5 + S1.2.3

18 Bach cau cao: 19 Ngixa nhi6u: 20 N6i hach & ben: • 8- r+V THAT THAN TN

1 Dai throng: Strng khOp c6 tay: Canh tay co giat

D10.12 - Dll + L2.3 D1O-D11 + L2.3 D10.11 + L3 ++ S1.2.3 LUNG PHAI - L2 -

L2 + D2-> 12 + Ll L2 + C5.7 + D1 L2 + C5.6.7 + D1 Chan te: D12 + Ll - L2.3.4.5

3 Ho lau khong bat: D12 + Ll + C6.7 + D4 Th6 huy6t: D12 + Ll + D4.5 Tirc th& nhieu dim: D12 + Ll + C6-7 + D1.2 Day bung: D12 + Ll + D4.5.6.7.11 Hoang h6t: D12 + Ll + D1.2 - D9 Nhay mat: D12 + Ll + C1.2 - Chay mr&c mat: D12 + Ll + C1.2 10 Chong mat: D12 + Ll + C1.2.7 11 Ng-3 mo' dc m6ng: D12 + Ll + C2

12 Viem runt D12 + Ll + D2.8 + Ll 13 Trting phong cam kligu: D12+L1+C6+D6 • 7- r+ HA SUON PHAI - D10 - GAN

1 Bang huy6t: D10 + D11.12 + L1.2.3 Dau tirc bung chr&i: D10 - D11.12 + L1.2.3 Co khit am ciao: D10.11.12 + L1.2.3+S1->5 Sung 6ng dai: D10.11.12 + L1->4 + S1->5 Dau dau throng vat: D10

6 Thien dau th6ng: D10 + C1.2.5.7 + Dll Ban chan, 6ng than te, rihirc mOi:

D10.11 + L4.5 + S1.2 Tinh than tang thing, lo lAng:

D1O+C6+D8->12 + L1.2.3 Dau ben hong: D10.11.12 + L1->5 + S1 • 10 An khOng tieu: D10 + D5 ->12 + L1.2

11.Kinhso': D10 + C3.4.5 + Dll 12 S6t thu:ong han: D10 - D5 -> 11 + L1 13 Loet hanh to trang: D10 - D5 -> 11 + S2 14 Dau ke stron F phia trtro'c duai:

D10 - D2.3 - D11 15 Viem gan vi rut: D5.10 + L2.3 + Dll 16 Do gan sung to: D10 - - Dll L3 17 Lich sung to: D10.12 - Dll + L2.3

4 Vai, canh tay dau nhdc: L2+ D5.6.7 + Dll Dau khop vai: L2 + D5.6.7 + D1 Lo lAng tru phi6n: L2+ D11.12 + Ll Dau mAt dO: L2 + C1 + D10 + Ll Tre viern yang nao: L2-C1.2 + D4 + S1->5 Trung phong cam khau: Ll + C6 + D6 10 Cam di6c ba'm sinh: L2+S2+C2.6 + D4.5.6 • 9- r+ THAT LUNG PHAI PHIA TRU(C

VA SAU - S4 - TH.AN

1 R6i loan man kinh: S4 + D10 + Ll -> Th6ng kinh: S4 + D10 + Ll -> • 10- r+ THAT LUNG PHAI - PHIA SAU - L3

- CQ SINE DIX

1 Be kinh: L3.2 + D10 + S1->5 (D3-D10 + L2.3) Kinh qua it: L3 + D10.12 + S1->5 Sa da con: L3 + D10.12 + L1->3 + S2-5 Liet throng: L2.3.4 + Cut+C7+D1O+S1 ->5 Di hoat tinh: L3+C7 + D1.10 S1 ->5 Viem than : L2.3.5 + D10.12 + Ll Dai dAt: L3+D9.11 + L1.2.5 + S1->5 Got chan dau: L3 - L5 +

9 Chan ye-u va teo: C7+L3 + Dl + L4.5 - S1 10 Dau dau g6i: L3.4 - L5 + S1

11 Khi ph6 L3-C7-C2.3.4 + D2->5

12 Ho: L3.5 + C6.7 - D12

13 SEM bung, day bung: L2.3 + D4 ->12 + Li 14 Da day co rut: L3 - D2

15 Mat khong nhin xa thrqc: L3-D2.3.8 16 Dau tim: L3+ S1.2

CAM NANG \it PHUONG PHAP TAC HONG COT SONG - 84- NGUYEN THAM TAN 20 Viem ttr cung: L3+D12+L12+S3.4.5

• 11- Tc'+ V RON - S2 - RUOT NON

1 Dau ben dAu: S2 + D6 ->12 + S1 -> Nach sung dau: S2 + D6 + L3

3 Mat mieng meo lech: S2 + C1.2.7 + D1.2.3.6

4 U6n van: S2 + D4.6

5 Trung phong nieo mieng:

S2 + D4.6.11.12 + L1.2 Trung phong hon me: S2 + D6 + C1.2.7 + D1 • 12 - r+ BUNG DUO1 - S3 - B.QUANG Dai bu6t: S3 + Dll + L1.2.3.5 + S1->5 Dau nlairc bi rang: S3 + Dll + Ll

• 13- T" KHE MONG - NU L3 - NAM L4 II LIEN \TUNG DA NHIET LQ CNNT + BENH CHUNG

• 1- T" HA SUON PHAI + THAT LUNG PHAI - D10.12 (GAN - THAN)

- Dau thoat vi - Dai duc trang - Dai bu6t - Vang da - Mgt ngli

• 2- T°+ HA STION PHAI + NGUC TRAI D5.6.10 - GAN - MANG BAO TIM:

- Con co giat - Sung mang bung -Kho the'

• - T°.'" HA SUN PHAI + NGUC TRAI - D10.11.12 - GAN - LACH

- Kinh nguyet qua nhieu - cung mau

• 4- r+ HA SUON PHAJ - MO AC - D10.11.12 - L1 - GAN - MAT - DA DA.Y

- Sung dau tinh hoan

• 5- T" HSF - VAI - MA - G LUNG - D7.8.9.10.11.12 - - GAN - MAT - DA DAY - LACH

- Bi dai

• 6- T" HS.F - NGUC TRAI - BEN THAT

LUNG D3.5.7.10 - GAN - TIM - THAN - ThAn kinh suy nhuqc

• 7- T°+ HS F- THAT LUNG TRAI - D10 - L3 - GAN - THAN TIET NIEU

- Soi bung

• 8- T" MA -NGUC TRAI - VAI PHAI + G LUNG - 1)2.3.5.11.12 - Ll - DA DAY - TIM - LACH - MAT

- Cac berth vg tim

• 9- T" MA - THAT LUNG PHAI - RON - D5.11.12 - L12 - DA DAY - LACH - THAN - Kinh nguyet khong deu

• 10- T" MA - THAT LUNG PHAI - VAI PHAI RON D11.S2 DA DAY ,, THAN -MAT- RUOT NON

-U tai

• 11- T°1- MA Co PHAI - NGUC TRAI - D3.4.5 - DA DAY - T.HOAN - HO HAP - Nang dgu

• 12 T' MA RON D12L1S2 DA DAY -RUOT NON

- Dien cu6ng

• 13-r+ MA - VAI PHAI - THAT LUNG PHAI Dll - DA DAY - MAT - THAN

- Mat to liet

• 14- T" MA - GL - D11.12 Ll - D2 - LACH - Tieu hoa kem

- Di is Icing •

- Sung khop, g6i, c6 chan

• 15- T" MA - BEN THAT LUNG - D12-L3 - DA DAY - THAN

- Bach doi - Chan ygu lanh - Chan dau - Phu thung

• 16- Tc1+ MA - VAI PHAI - D11.12 - Ll - DA DAY - MAT

-Sungvi

CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 85 - Blill DOC CUONG BIEN SOAN

- Chan co giat to dai - Mat dau nhdc - Phu

- Meo mieng

• 17- T" MA - NGUC TRAI - D2.3.12 - DA DAY - MANG BAO TIM

- Non mica - It sda

• 18- r+ THAT LUNG - RON - L3-S2 - THAN - RUOT NON

- Sung hong

• 19- T" THAT LUNG - VAI PHAI - Dll - THAN

- Viem am ciao - Nguc dau tdc - Sung mang ph6i

• 20- THAT LUNG PHAI SAU - GIUA LUNG - D11-L1.5 - CQ SINN DUC - LACH

- Di tinh - Dau khoeo - Mda

- ThuS, thung - Dau (la day

- Dau khCep ban tay

• 21- r+THAT LUNG - CHAM - BUNG DUOI

- L5-S1 - THAN - RUOT GIA - BANG QUANG

- Viem td cung

• 22- r+ THAT LUNG - CHAM - L2.3 - THAN - RUOT GIA

- Dau quanh khop vai - Benh phat nong - Lang tai

• 23- r+THAT LUNG - CHAM - RON - THAN - RUOT GIA - RUOT NON

- Ban tay dau

• 26 r+ THAT LUNG NGUC TRAI L2 -D2.3 - THAN- TIM

- Trang nhac (Lao hach)

• 27 r+ THAT LUNG NGUC TRAI RON -S2.3 THAN - TIM - RUOT NON

- S6t ret

• 28- V+ THAT LUNG - VAI PHAI - Dll - L2 - THAN - MAT

- Di&

• 29- r+ CHAM - Co PHAI - D4 - L5 - RUOT GIA - PHOI

- Viem h9ng rat c6

• 30 r+ CHAM BUNG DUOI L5 S3 -RUOT GIA - BANG QUANG

CAM NANG Vi PHUONG PHAP TAC ONG COT SONG - 86 - NGUY:E' N THAM TAN

CAM SoT

Hien cO 15 loai sOt

- T°+NT-VF-HSF -MA :-GL-TL-R - C3.6.7 - D1.2.3.4.5-7-9.10.11.12

L1-3 - S3 - A1-2-3-4-5-6-8

1 Cosn cao: 6m lau Hon me Nhip tim nhanh SOI cao lien mien 41°- 42° - T'toan than - TL +R

F

- D7F phoi hop L3T sau- D7 // S3 - Co loai sOI a C3.6.7 - R.loan

Cha : die'm doi de2)ng: chita nitc lop ngoai D7E, tint ditm co' barn vex xlicing bci ngoai ba' ding tay tcic do:ng D7 - tay lac dO:ng veto &ern co' co, meii thdy co tren xadrig bd may difing, ccin chrta tie'P vac)

2 Tre cao co giat di chiing nao - T°4- toan than - chan co giat

- C7 - Di - D3.4

- flat Up ban tay len D3-4, nen có giat, chila that nhe lop ngoai tren

- D3.4 - chita tay d'Sy tit D3.4 len oh8 cd da'y tit ba nintOc len, tay den dau, chaa tidp den ngang C7.D1 Da'y thang truck Sau chita tie-p vao D3.4 Sift ret cdn

- T' Lung tren - Nguc T (DM chia) - C7 - len C4

- Chita tail da'y len, kdo xuang tit sat can CO' len 2- cd thang C4 so'iret (nga intik)

- T°' NT-TL-R A2,5.6 - S3 C6- D9 - L3 •

Truck hdt phai chita S3 den thay T°4, a rein indin ra, chila tie"p C6

Tuyen- can giap de' can bang.calci earn co gia.t Chita tidp D9 didu hOa nhip thn, giam co mach d6 tha den tha binh thuang Sau ding chila L3 (mat n81 lan) Than tang cuang sitc de' khang, tieu diet vi trimg s6t ret

5 Gai ret

- T' L.T - C3 - M-2 - ben h6cha'm Sot retlien mien ve chie'u s6t-do-than

- T' L.T + ben TL - D7 - A4

7 cao hoang h6t

BN hay so set, hay tha kh8ng thich cuai Phai chfla tuc cho BN do? m6 hi5i kern theo bu6n nan mai ngimg - tuAn hoan - TL - NT

- D4 - A 3-4

8 Sol - htng dau, minh nang Ret tit hing.len

- R + than than - S3 - A6

9 sa nong, ngrt.thi lying, chi mu6n uOng wide rrOng

- T' HSF - MA - L1 - D5.10 - A4 -

Chti : Tat cci ccic ccim giac wing ho'cic

acing lttng, nOng dem, ho4c NI tocin than deu chita D12.1.3

- có ccim gicic dau, nhang nong rat .Ho4c thdy lanh ngoai da chita 1,1 tritcic, rifii den D5 rdi D10 Ceit co'n nOng trtiOc

10 Sol - xnAt xanh, tha dai

Ngu6i nhu bung duai kha

chiu Tigu tien kh8ng thong SO set bOn ch6n bung

- T0+ TL Than - nOng toan than - L3 - A5 :7

11 S6t - dau hing - rigLiari rOn rdn u6n • eo luon la kho - nOn nhi4u Chi muOn dOng ci.'ta de' n'em MAt trd trao Chan tay lanh

- T" MA+ toan than - L3 - A5 T L 12 Sol - Khong an dqdc, dAy bung

Bung to - Gai ret

- MA + Toan than - Ll - A5"

13 Sol - Soi hung, dAy bung, m6 hOi nhieu

- T' GL-VF - D11.12 - mat - lach 14 SOI - MO' i met, thay thi hoang

sc.;

- VF + toan than - D11 - A5

15.—Sek_tluidn h n - VF HSF - GL

- 87 - 131:1I DUC CLUNG BIEN SOAN CAM NANG Vh PHIJONG PHAP TAC DONG COT SONG

Benh rat kho chiia Sau tie"ng lai s6t Phi china lien tiep nhie'u chi a lop co ngoai trail DS truck Sau mOi chila vao cO gala, cO

Chu y : Chita sot bao gib- cling phcii clzCea CN tieu Itha trizac: Ru'O't non:rue:it gia lq Tim-Phai-Da day-Lcich-Gan- Agit

16 SOI.xuat huyel

- C1.2-3 - D7.8.9.10.11 - L1 - D5 17 Sol nong cao

- T" NT - D5 - D8 - S2 - Ch: D1.2 •

- D12 - Ll

18 Sol cao boi nhi61n - C3 - Ddr - 6.7

19 S6t khong me; hell

T" c6 F - D4 - C2-3 - D1 - D6 20 Ha si5-t toan than

- D10.12 - Cl - 52.3 21 Toan than T°4-

-T" CF - NT - D3.4 - 6.3.4

22 Toan than T°* (sau ddu lanh) - T" NT - Tim - T.Kinh - D2 - D7 - A3.4

23 Nita than tren T°* - T" TL - D2

24 Nita than dtieti `r* - T" TL - TK - D7 25 Cac chitng phat nong

- T" HSF - D10 26 Mat lanh nhtt bun

- T° v gay

- C1 - Day 10 -Oa phe- vi Cam giac dau nhung 'long kh8ng lanh) - Ll - D5 - D10 27 Cam

- T" + Co F

- Da'u- C6 - Gay - C1.2.6 - Ll - Cl - D2 ->10

- 6,1-2-3-4-5-s ) 28 Cam sot

- T" chain - D1 - D2 29 Cam cum :

- Co: L5 + D8 - L2

- Bd - S3 - L1 ->5 - Si ->5 - C3 - D1 ->5 - D7.8F - D'Au - C6 F - TL : C2.3 - L3 - Vai F Dll - - 12

30 Cam gio

- T" VF - Nguesi dau nhix - Dll - A5

31 Cam toat dicing (truy tim mach) - C1.2.3 - D6.10.12 - L3

32 Cam lanh

- C1.2.3.4T - D2.3.6.10 - L3 - S2.3 33 Cam mao

- BD : S3 - L1 >5 - S1 ->5 - C6 : L5 + D8 - L2

- VF : Dll - D7 - D12

- Ch +CF- C1-3-6-7 - D2.3.10.11 - Ch - D2 - L2 - L

34 Cam to (di ngoai, dau bung) • - C1.3 - D2.3 -6.7

35 Phong thong cam - T" MA - - D2 - T" MA - Ll - D5 - Ll 36 Cam mao triing phong

- V.F - Dll - D8.9.10 37 TrUng phong cam kha'u

- MA -L1-C7 - D6 - D12 38 TrUng phong ngaI

- D6-4 - C1.2-6 - D2 - S2 39 TrUng phong meo mieng

(chfia ben liet, ben khong bi keo) Ben da co la ben inanh Chfia ben T0-1., cho den T"

- Chita ben lop cc co v.cha'm - C1.2.3 den mang tai

- D3.4.7.- 10.12 - Ll - S2 40 TrUng phong - nga - hon me

- T" ROn - S2 - D6 - C1.2-7 - D1 41 Mili chat' rut&c

- ClaSm - C2.3 42 Ngat mui

- Chin - C2.3.7 - D1 - D5 - L5 - D5

43 Chay mall cam - Cha:in : D5 - L5 44 Say nAng

- NT-D5 - D1-8 - C7 - S2 45 Chang mat

- Ma - Ll - S1.2 - D1.2 46 Hoa mat - thong mat

- D12.10 - S3

2

CAM NANG VE PHUONG PHA P TAC ONG COT SONG - 88 - NGUAN THAM TAN 47 Giai cam

- C1 >6 - D2.3 —>12 - L1.2.3 - S3 48 Trung phong - cam gio

(Troy tiro mach HA giam Chet flat, mileng non chlin thao Tieu tien tt,t Nguai lanh toat)

- C1.2 II S2.3 cho 46n BN tinh 10 Chita ti.6p D6F - - L3

Nhigu

49 NgttCii nong ran - toat mo hoi - D12 - L1

• •

50 Ban tay, ban chan nong - Ce; F-NT - D5.6 - M 51 Cam khA'u •

- C5.6.7 - D1 >5

- D1OT n6u lanh - D1OF n6u nong 52 SO.t ret •

- Co F: D4 + C2-5 - D1 - D6 - MA : L1+D5 - Ll

- TL : D10.11.12 -L1 —>5 - R : S2 + D7 - L2.3

54 Cam phong han + nhieu m.S•hOi len - V.s - ne-u khong có ma' hOi

CAM NANG VE PHLIONG PHAP TAC DONG COT SONG -89- 131:11 DUC CUONG BIEN SOAN

- WONG -1.1

I VI TRI TRONG DIEM

1 Ban tay co lai C6.7 - 3L + Rs Tay duZii C7 - 3L + Rs Tay colai C5 - 3L + Rs KhuS'ru tay C6.7 - 3L + Ts Khop khuYu tay mO, C7 - D1 Kherp khuku tay co lai C5-6 Xuo-ng quay tay C5.-6 3L + Rs Klieg) vai co lai C5.6

9 Khdrp vai duoi C7 - D1 10 Khdrp vai thu vao C6 - D1 11 Kherp vai ma C5 ' 12 Kherp vai quay ngoai C5 13 'Chop vai quay C6 - D1 14 Canh tay co vao C5.6 15 Canh tay dua truck C6 - Di 16 Kherp c6 tay du6i C5.6 17 Kherp c6 tay gap lai C7 - D1 18 Kherp nem tay duoi C7 - D1 19 Khdp ng6n tay gap lai C5 - C6 20 Khdrp g6i du6i thang L3.4 21 Kherp g6i gap lai L4.5

22 Kherp c6 chan quay vac, L4.5 23 Kherp c6 chan quay ngoai L5 - S1 24 Gap mu ban chan L4.5

25 Gap got chan L5 - Si 26 liherp hang co lai L2.3 27 Kherp hang dub.) L4.5 - S1 28 Kherp hang thu vao L2.3.4 29 Kherp hang dua ngoai L4.5 - Si 30 Kherp hang quay vao L4.5 31 Kli-p hang quay ngoai L5 - S1 II CO GAY

1 Co quay F-T han the va dau:

• ELT - F L1.2.3 -ca c6 - C1.2.5.6.7 - than Co cui han the va dau:

• Vai F - D3.4 - Ph6i

3 Ngita c6 han ch6 va dau • HSF - D10 - Gan Erm Ming viing gay

• Ch - Co F - C5 - A2 xcr co len C4 + ben CUDC - CVT

5 Lanh yang gay va dau sau gay:

• VICh + gay - C1.2 // S2.3 - A 1.8 - Thd.n kinh - Dai trang

6 Dau tiirc sau gay:

• Vi e6 + gay - C1.2 - Dll - A 1.5 - ThAn kinh - Mat

7 Ca c6 gay co giat - KC ngueri hoapg h6t: • NT-LT-DF - D1 xce len C5.6.7 sangCVT • D3

8 Dau dau vUng ch6m • • Ch C6 - L5 - D8 - L2.3

9 Dau turc vimg ch6m:

• 06 - gay - C1.2 - D6 - D10 - L3 10 Te bi yang ch6m:

• Ch - C6 F - C1 - T: h6 cham - D: C3 N : goc ch6m -> CUDC - A - Dai trang

h6 hap

11 Wing chdrn ruing cao: • L5

12 H6 chdrn teo nhuo'c: • D4 •

13 Hai co thang co cling • D7-8

• ca vai + D3

14 Co' thang co ben nhuo:c, ben co cling: • Chita tren u ch6m tit ben co sang ben nhuac • C6 - D2.3 ben nhuac

15 Co gay cling • Ca vai F - Ll • D10.11 - L3.4 16 Co gay cling dau:

• VF - Dll - D7 - D12 • Ma - Ll - D4 - Ll • Bd - S3 - L1->5 - S1->5 • R - S2 - D2 - L3 17 Co F nong cao:

• D3.4 -P-g.1 • 18 Co T ming cao „

• D9F ,t 19 Co dau:

• D2

20 Ngoeo c6:: • Ma - LI - D5

21 Hai ca thang to be ra: • Cl

22 Co - vai mOi: • C6.7 - D9.10 - L3

23 Co - gay - vai dau terc: • D3 - D7 - D10

Cr M NANG VE PHLIONG PHAPTAC DONG COT SONG - 90- NGUYk N TRAM TAN

25 Gay - lung co cling: • NT - C7 - D2 - A2-3

26 Glita gay not len scri co cling tir tren cham xuang C7 - Dl:

• Song chinh : + a ca tren u cham tren day: soi

CO'

+ C7 - DI

27 Thoal hoa d6t song c6: • Khe C6-7 - D1-2-3

• C6 - L2

III CHI TREN

1 Than kinh chi huy cac ngon tay: • G6c &Jai C7

2 Neal tay dau: KC: khO th& - Ho - Viern hong • C6 F - D4 - C2 - C5 khac ben - D1 - D6 • C6 F - D4 - DI ->D7

• D4 - C6.7 - DI 41 Dau ng6n tay nong:

• L2 -

4 Ngon tay te, co vat) khong chat, co' vai F co:

• T cham - C1.2.3 - D6 -

5 Dan moi ngon cal va ng6n tr6 khong vi6t dime:

• C3F - co' vai - C6-7 - D7F

6 NgOn cal gap vao, khong du6i duq.c: • C7

7 Bo bat (ngon cal bat): • C7 - DI

8 Ngon cal - khtic tri dau: • L3 - C3 khac ben

9 NgOn tay + ban tay dau - Kc Lung dau cap - Cam giac giam - ChuĐt rut ban chan: ã R - Df - S3 - C2 ->5 - D7 -> 12 - L2-3

10 Tay to - phan to n chfra khac ben, cling co truerng hap phal chila cling ben:

• Ch + c6 - C3 - C5 - 01-2 • C6.7 - Dll

• Cl - C6

11 Tay to dal - Kc - Sa truc trang - Dau eo: • Ch - L5 - C3 - D8 - L1.2

12 Tay moi, you - Kc: R6i loan tieu boa - Sa true trang - Tao - Sa da con:

• Ch - L5 - C3 - D8

13 Tay run Kc : HC Tien dinh Sr anh sang

-Sa tieng d6ng - So gio - Ngoai tam thu

•-NT C7- -D1->6 • Dal.) Df - C7 - DI - A 2-3

• C6 - D6 - Cl

14 Tay run + dau dam • Cl

15 Ban tay dau - Kc : Tao - Chu6t riitcr Te chan:

• R - S2 - C2 ->5 - D1 -> 12 - L2.3 • L2.5 - S2

16 Ban tay sung dO - Re: Tao - Sa truc trang • Ch - Df - L5 - C3 - D8 - L1

• Kc: Ho - suien - chay mau.cam -C6 F: D4 - C2 ->5- D1 - > • Kc: Than sinh due - Tie't nieu - TL : L3 - D10 - D12 - L1,4

• Kc: Dau bung - day bung - Kie-t ly - Ma - Ll - D4 - > D12

17 Ban tay, kher.p c6 tay sung dau - Kc; Tao - • Kiet ly - Sa trttc trang - Chay mau cam - Dau lung cap

• R - S2 - C2 -> - D7 -> D12 - L2.3

• Kc : thO - Ho - Hen - Suy'en - Lao Th6 huye't - Viem hong

- C6 F - D4 - C2-> - D1-> D6

• Kc : Tao - Viem runt thita - Dau bung - HAC - Dau &aft tram - Ma - Ll - D4 ->D12

• : Kc : Cac benh sinh duc nam - nit - Cac benh tiet nieu - R6i loan than kinh tim - Ngttc dau tirc

18 Khop c6 tay dau: • L2 - L4

19 Ban tay c6 cho bi chaff ho4c sdn • L3

20 NInic ang tay: Kc: Roi loan tieu hod - Sa trqc trang - B6nh duerng runt:

• Ch - L5 - C3 - D8 - L1

21 Khcip cui tay sung dau: Kc: R6i loan tieu hoe - Sa true trang - Benh duemg runt

• Ch - L5 - C3 - D8 - L1 22 Khop khuSru tay dau

• C1T - D11T - ben D4

23 Khujru tay + 6ng tay dau nhirc: Kc Ho -Hen suy6n - Viem hong - Th6 huyat - Ho mau

• C6 F - D4 - C2 ->5- DI - D6 24 Canh tay to bi:

• C6 F - Ch - C5 - A 25 Canh tay dau nhuc:

• Df - C5 - D2.3.4 - A 2.3.4 • C6 F - L5 - C5 - C7 - D6 26 Canh tay, cal tay dau:

• C6 - D4 - D2 -A-

CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 91 - BUJ DUC CUC1NG BIEN SOAN

31'9

nong to - Ban than lamb - SNTK - Co gay cJrng dau - Mgt ngti keo dai - Tam can SN - Liet 1/2 nguoi - Dau dau kinh nien

• NT - C5-6-7 - D1->6

• Kc: Dau lung - Dai - Bung clued dau tdc • Ch - L5 - C3 - D8 - L1.2

28 Tay khong co du6i dugc: Kc: Dau tixc 16ng nggc - R6i loan than kinh tim - it ngii - Viem - Lao ph6i - Th6 huy6t

• C6 F - D4 - C6-7 - D1 • C6 F - D4.5 - A • D4 - C2 ->5 - D1->6

29 Canh tay + c6 tay: Kc: R6i loan than kinh tim - it ngti - Dau 16ng nguc - Noi cuqi nhiesu • NT - D3 - D4 - C6.7 - D2.5.6

30 Canh tay + c6 tay + bAn tay dau: • D3.4 D12

31 Canh tay dau, khong gia len dtrqc - Kc: Dau co lung - Dai -Bung dual dau ttk - di

img - Dau quanh kith') vai

• Ch - L5 - C3 - C4.5.6.7

• Ch + C6 F - L1 - C3 - D8 - L1.2 • C6 - L1.3 - C3 - D8 - L1.2 • Tay trai dau - C7 - L1.2F • C7 - D1 - D3.6.8.9.10 • L4.5

• D4 - D10 • D3.4 - D8.9

• D10 - L5 - D12 - L1

32 Canh tay co giat nhuc nh6i: Kc : Viem hong - Cac benh ph6i - Ho - Hen suyen - Th6 huyat - U dorm - Lao ph6i

• 06 F - Df - D4 - D6 - C2.5

• Kc : Dau bung, dau terc bung, dau bung kinh nien - Ma - Df - Ll - D4->12

• Ch - Ma - L5 - C3 - D8 - L1.2 • TL - L3 - D10.11.12 - L1->5 • L2 - C5.6.7 - D1

33 Co + canh tay dau: • C6 - gay - C1.6.7 34 Canh tay dau to bai:

• NT - C4.5.6 - D1->6 • Ch - L5 - C3 - D8 - L1.2 35 Canh tay to het:

• Ch - L5 - Dll - L1 36 Canh tay to bi:

• Ch + C6 F - C5 - A 37 Ca chi tren to bi:

• C6 F - TL - L3 - Dll

38 Canh tay tr'en phia ngoai dau to tti• vai xuSng:

• D3

39 Canh tay dau:

• Dau phia tru&c: Wing c6// yang S • Dau phia sau: 'Wing L

40 Canh tay dau, nang tay len kho: • Cl + \Tung c6

• D4 LF - L41

41 Canh tay + data + c6 + gay dau rnOi - Kc: sot cao - hoang h6t nhieu m6 hoi - so giO - Te dau 16ng nguc - Sung hong - Rat c6:

• Co F - D4 - C2->5 - D1->6

• Kc : Dau ben dau - Nhay mat - chay nu'Crc mat - ngoeo c6 - Khi hu L,NA_Op -, 44-off -, -a, • Kc: Tao bon KN - Dau dinh dau - Nhin khong duqc xa - Dai son - Nang khOng m6 hOi - TL - L3 - D10.11.12 - L1->4 - Than sinh duc - Ti6t nieu

42 Canh tay + Cang tay + Nach sling dau: Kc: Kiet ly kinh nien Wing gay nong - Cam giac dau

• R - Df - S2-C2 -4D7-> L3

43 Canh tay + 6ng tay dau nhtic: • C3.7 - D1.8 - L1.2.5

• L5 - C6.7 - D1

44 Ong tay + Cui tay dau nhirc: • D4 - D10 - C6.7 - D1

45 CAng tay dau: • C3 - D8 - L1.2.5 46 Viem co tang tay:

• C6 - L2

47 Wing c6 + 6ng tay dau: • Df - C1.5.6

48 Co tay dau : • L4 - L2

49 Kherp c6 tay sung:' • L2 - C5.7 - D1

50 Cu teo + Te bai - KC: Dau truerc tim - Dau bung tao - Dau ben dau - Dau terc bung &Yeti: • Ma - Ll - D4->12

51 Ban tay + ban chan nong: • 06 F + NT - D5.6 - A4 52 Tay chan run ray:

• Ch - Cl - C3 - S5 - A1.8 53 Tay chan co cirng:

• Df dau - C3 - Al 54 Tay than to bi:

• Dad - C4 - 02

55 Tay y6u, mOi, nhirc:

CAM NANG Nit PHUONG PHAP TAC DONG COT SONG - NGUYEN THAM TAN

56 Tay trai &Ira len bu6t: • C7 - D1.2

57 Tay trai teo nhucirc khong gio' len clucyc, ca vai trai teo nhuqc:

• Chtia -Ur khe D3.4 leen den co c6 ben - 6,3 lop ngoai

58 TAc tinh mach tay T - Dau nlytic xe thit: • D10 - C6 - D1

59 Viem day thdn kinh canh tay, lOng ban tay co dam s6n

• L2.3.4

60 Cang tay + earth tay lank: • R - S3 - C2.5 - D7 - D12 - L2.3 IV DAU VAI

1 Vai dau moi - Kc : Dau bung mot ran - Mat nhuc dau - Benh tiet nieu - Chu6t rut - Can co giat ca - Hoa mat ch6ng mat - Dau tai - Diec tai - Dau nhoi mong - Dau di mong - Tam suy: • Bd - Dll - S3 - Ll ->5 - S1->5

2 Dau vai F: • C7 -

3 Dau vai trai: (lien quan tim) • NT - C5.6 - D3.4

4 Dau vai : Dll cung ben

5 13a vai dau: Kc: dau bung mot ran - Mat dau nhiic - Benh tiet nieu - Chu6t rut - Con co giat ca

• VF - Df - Dll - C2->5 - D6 - L2

• Kc: benh throng runt - Sung lcri - Sa true trang - Tri : Ch - L - C3 - D8 - L1.2

• Kc: an kem SNTK Dau bung NT Dll -C2->5 - D5 - LI

6 Dau khOp ba vai: • C6

7 Khop vai sung dau - Kc: Sung h9ng - Teo ca bap chan

• TL - Ch - L3 - C3 - D8 - D12 Ca vai co cling:

• Xoay deyr a4::31-1 tit dau ca vai sat xuOng mom vai - Dll - D3

9 Kherp vai nong cao: • Dll

10 Vai Tait ben cao lech: • D3 - D1.2.4

• D7.8.9 ben cao 11 Trut khorp vai:

• -134u -C-6. L-T -C-6.7 D1 >6 L

• Vai trut khOp thi ca vai F co cung - Bat scri ca co cling - Chita d6i d6ng tren scri ca len

• Dau vai T bi trut khO•p - C4.5 - D1.2 - D8->D11F

- L1->4 - C5.6.7 - D1.4.5.6

12 Dau vai: vai va co' khOT vai teo nhircre - Dau am i - Dau nhiAu nghi ngai - Van d6ng han chg - Kc: Dau bung mot ran - Hay dau bung - An kern Lieu - Dau bung hic doi: Tien sir Viem boat hanh to trang - CO' lung co cling day D11.12

• R - Dll - C2->5 - D7->12 - L2.3

13 Dau quanh kherp vai: Do benh ph6i, hen„ viem phe quan, van tire, thodi hoe d6t song c6: Ch - Bd - L3.4.5

_ • ^

• Gia tay len cat to tiO" dew dau,: , -`7

- D3 of =21-g- •=4, •

- D4.6.7

• Nang tay len dau:

- Wing c6 + Cl - Ca delta - L3 ding ben • 'Wing tay sau, thra len \ing lung tren bi han che va dau:

• Dll - L3 ding ben

• Thien tong: D3.4 - C1.7 bat sal

- Chgn: Dung phuang thi c co ca Wong ling va phixong thirc d6i ding de chgn Benh nhan van Ong dau t6i da de tim diem ch8 ca co - Tri: + BN gia tay F, dau keo vg ben F - Chita dot song ben F

+ BN gia tay T, dau co ve ben F, ca vai ben T co lei - Treng diem a Cl c6 16p co' xa co - Dau ben F, lop ca co ben F

+ BN gia tay bi han che, hrng.trErn Trong diem C't bet lung veo, & DS bi venh len + Tay gia len, xem hai ca vai, vai nao han -Che

nhieu, dau nhieu, china vao ch6

+ Gia tay len dau, hoac hic binh throng cung dau 6' ba vai drbri xuang ba, khong dixac chi3a vao ch6 dau, diem O'•khac ben d6i xling voi diem dau

+ Dau khop vai dau phia xucrng ba, diem khac ben 6' ben d6i do, ng

• Do benh dai trang ma dau quanh khop vai + D2.3.4.5

+ Dau vai T - NT - C5-6 - D3.4

• Do thoel hoe d6t song c6 gay dau quanh khop vai

+ C6.7 - D1 + vai 14 Dau quanh kherp vai:

• Ch - Bd - L3.4.5 -D11.12 - Li

CAM NANG Vi PHUONG PHAP TAC DONG COT SONG - 92- NGUYE N THAM TAN

• Kc : Dau dau - mOi c6 - Tao bon - Viem dai trang man - Ch - Co - LT - Co' co c6m vai,

eo lung - L5 - C5.6.7 - D2.3

16 Quanh khOp vai dau lien mien:

• Kc: Dau dau - Mai co - Thoai hoa d6t song co - Benh dai trang, gay dau vai

+ D2.3.4.5

+ Co Vai co cting day Cac d6t song c6 -05.6.7 - D2.3

17 Quanh kherp vai dau moi: Kc : Di tinh - IVIOi g6i - Ni-r: dau chan, mei g6i - Tien sir: Than

• Eo lung - Co - Vai - C5.6.7 18 Dau nirtic khop vai:

• DF - C6.C5

• ELT - L5 - D5.6.7.8 - Dll • TLT - C6 - Dll - L3.4.5

19 Dau khop vai Ira ca chi tren : • TL - Ma - C6 F - D3 - D12 - L3 - Dll •

20 Vai, canh tay dau nhtirc

• Kc: Tao ban KN - Dau dinh dau - Dai son - Di hoat tinh - Kinh qua it

+ TL - Df - L3 - D10.12 - L1->4

• Kc : Ngon tay dau - Khop c6 tay, cang tay dau - Mei kho - Te dau l6ng nguc - Suyen - Hay va m6 hoi - Si gio

+ C6 F - Df - D4 - C2->5 - D1->6

• Kc: Dau ben dau - Ngoeo c6 - May mat - Ho lau khong bo't - Dau g6t chan

+ Ma Df - L4 - D2->D12 + L2 - C5.6.7 - Dll

21 Khop vai dau cing, cir d6ng han che-: • Df - C6.7 - S2.3.4.5 - Cut

22 Dau khop vai va canh tay: • TL-R - L2 - S2 - D3.4 - 43.4 23 Dau khcip vai:

• Ch - Bd - L3.4.5 - D3.4 - D12 - L2 - A5.6.7

• 06

24 Vai va ban tay dau: • TL - R - L2 - S2 - A6 -

25 Dau quanh khop vai: Do benh ph6i, viem phe quern, hen, tim, dai trang

• Dua tay len cao cac to the bi han che va dau + D3 dtrai lung

• Nang tay len, co co Cl, ca delta co dau + L3 ding ben

• Veng tay sau, dau cac ca tren gai

+ Day tren Thien tong - D3.4 hoac C1->7 Bat nhe khop vai

+ Dll - L3 cling ben

• Do benh dai trang gay dau khop vai + D2.3.4.5

• Dau vai T + C5.6 - D3.4

• Nhiet do; da lq den NT (Tim) + Cac d6t lq Tim

• Thoa.i boa d6t sang c6 cung gay DQKV + Dot thoai hod

V CHI DUOT

1 Ban chan lanh bu6t: • TK - DF - C6 - A2

2 Chan lanh:

• GL Ma - Lich - D4 da'y - L1.3 - S4.5 - 6.7.8

• C1 - S5

3 Hai Alan lanh: • TKI- DF - C7 - A2 Chan lanh va teo:

• Tram - c6 - C7 - D12 - L1 S2 • Ma - C7 - D9 ->12 - L1 Chan to lanh:

• C6 F - NT - GL - D4 - D12 - A 4.5

6 Chan te: • D12 - L1->5

• D4.51 chfra D9.10.11 • D4t - L5 - S1 • D7 - L1.5 - S1.3.5 `7 Chan to bi:

• Dam - C4 - A2 • Ma - Ll - S1.2 - Cut • TL - D10.12 - L1->5 • Ma - Ll - D5 - >12 • D41 - L5LT - S1.2.3 • C71 // L3

8 Chan to dau: • Lop co' ngoli L4.5 + GL - D9 - D7 ->12 + BD - S3 - L1->5 - S1->5 - D7.8 - D12 - L1

- Chan to bi khong di ducrc: • L4.5 - D9 - L6rp co ngoai

10 Chan trai to - ca co corn tren mao chau: • C7F - D2T - D5.8.9.12F - L2.4 - S1.2 - Cut 11 Ban chan to bi:

• D12

12 Ban chan to phil: • Dll

13 Ban chan ming lanh:

-93 - DI:JC CLUNG BIN SOAN CAM NANG Vi PI-MONG PHAPTAC ONG COT SONG

14 Ban chan dau, chi di bang got: • L5

15 Ban chan dau, chi di bang ngOn chan: • S1.2

16 Ban chan sung dau: • MA - Ll - D5

17 Chan dau nhirc: • Ll - L4

• TLF - S1.3 - L1.4 • TL - D10.11.12 - L1->5 18 Chan dau mai te:

• VF - MA - D7 - D10 • BD - S3 - L1->5 - S1->5 • D7 10 L3 - S1.5 • S5

19 Chan dau: • D4

TL - D10.12 - L1.5 20 Chan mai:

• C6

21 Chan dau phia trithc: • Chita viing L

22 Chan dau phia sau: • Chita \rang S

23 Ban char' dau khong di dep dime, chan bi teo, ca c6, ccr vai co ming:

• C7 - D1

24 Chan dau bu6t dat chan xu6ng &St: • L5 - S1

25 Co chan sung dau:

• TLF - Ch - NT - SF - D12 - L1 - L4.5 - S3 6,5.67.8

• MA - Ll - D5 ->12 26 Got chan dau:

• TLF phia sau - Than ti6t nieu: L3.5 - S1 • TL - D10.12 - L1->5 - D1->6

• C6 F - D4 - C2->5 - D1 ->6 • C6 - Vai F - D6 - C2->5 - D1->6 - 27 Got chan dau a Oita got:

• Nam: L4 - NCI : L5 28 Chan bu6n:

• C1.2 - L4.5 - S1->5 29 Chan lb:

• BD-MA - D12 - L1.2.3 - A5.6 30 Chan di ki&u va (quet dat):

• L3.4.5 - S1 31 (han_nglia:

• S1->5

32 Chan di lai kh6:

• D7 ->12

33 Nang chi dudei: • D7.8.9.11.12

• 34 Ban char' nghieng d6: • D3.4 khac ben

-35 Ban chan r8 t6 ong: • GL - D9 - D7 ->12 36 Chuit rut 134 chan:

• VF - R - Dll - S1.2.3 - A5.8 • C6 F - D4 - C2.3.4.5 - Dll -S1.2.3 37 Bap chan dau:

• C6 F - D4 7.9 - C2.5 • NT - D6 - C2.5 - D1->5 • D9

38 Dau dui, ming ddi: • D7.9

39 Dau sau

• GL - D9 - D7 ->12 • TL P10.12 - L1->5 • GL - S2 D7 ->12 40 Hai dui mai:

- L5

41 Day co co cling phia sau • S2.3.41

42 Chan co giat: • MA - Ll - D5->12 - Ll 43 Chan y6u va teo:

• C7 - L3 - D1 - L4.5 - S1 44 Co co chi:

• TLF - S3 • R - S2.3 - L3 45 Teo co chi:

• D3 - D4 - LF (Dgy khe D3 len) • TL - D10.12 - L1->5

• MA - Ll - D5

• VF - D11.12 - D7 ->D10 46 Dau khoeo chan:

• GL - D9 - D7 ->12 • TL - D10.12 - Ll ->5 • D12 - L3 - S1.5 47 Sung ong chan:

• MA - Ll - D5 - Ll

48 Dau to hong xu6ng dtli, bung chan, to bi, vting bap chan phia ngoai:

• D8 ->12 lam Lech

49 Co chan, ban chan bi bong gan: • SLAM F - D10 - D4 - D12

• BD-S3 - L1->5 - S1->3 50 DAu g6i /long:

CAM NANG Vt PHUONG PI-IAP TAC DONG COT SONG - 94 - NGUYiN THAM TAN

5123)Yu khfrp g6i:

• GL - MA : D12 - L1.4 - A5 • D7.8 - L31- L41 - L5 • C7 - D12 - L2

• D10 - 11 - L3.4 - S1->5 • L3.4 - L5 - S1

• L2.3.4

• D10 + Wing S

52 Khdrp g6i sung dau:

• GL - MA - D12 - L1.4.5 - S2.3 - A5.6.7 53 Khap g6i sung dO:

• VF - Dll - D7 - D12 • TL - D10 - D12 - L1 ->5 • BG - S3 - Ll ->5 - S1->5 • GL - D9 - D7 - D12 • HSF - D10 - D9 - D12 • MA - Ll - D5 - L1

54 Dan kherp g6i, khong co lai ducrc, khong ng6i dirge:

• D10.11 - D7.8.9 - L3 55 Dan kho khdrp g6i:

• D9 - D10 + VUng S 56 Viem bao khdrp:

• C6.7 - D9.10 - L3 - S1.2 57 Dau khap g6i, khong sung:

• D9.10 - L2->S1

58 Sung dau data g6i, to nhtic xuang: • L3.4.5 - S1

• D3.4.5 - D9.10 - S1->5 59 Dan kherp g6i, co du6i

• L2.3

60 De'u gOi mong:

• D1.2.7 - L3 - D10 - 12

61 Xucrrig banh the dinh lai, kitting co du6i duo:c:

• D6.p cua d6ng 62 Dau khoeo:

• GL - TL - D12 - L3 - S1.5 - A5.7.8 63 Dau ca dui truac:

• Ch - CF - C6: D3 - L1.2.3 64 Dau hong:

• NT - BD - HSF - VF - C6 F - MA - TL: D4 - D1 - D10.11.12 - L1-4

• D10 - L4.5 - S1.2.3 • D10.11.12 - L1->5 - S1 65 Dau yang hong hang:

• VF - BD: D1 - D10.11.12 - L3.4.5 - A3.5.6.7 66 Kherp hang mOi:

• VF - DF: C7 - Dll A2 - 67 I-Chap hang ctimg mOi:

• C7

68 Viem dau kherp hang: • V.F - Dll - D7 ->D12

69 Dau di mong (u ng6i nang): • BD : L2/1 \rung S - A 6.7

70 Dau mOi nang: • S4

71 Dau nhoi ben: • TL - BD : L2 - A6 72 N6i hack O ben:

• VU F - HSF - D10

73 Dau hong va ke suon: • 43F : D5 - A4

74 Dau hong va thAt lung:

• Ch - TL: D7 - D10 - L3.5 - A 4.5.6.7 75 Dan viing mong:

• Co VF - D7 - C2->5 - Dll ->5 • BD - S3 - L1->5 - S1->5 • HSF - D10 - D4 ->12 • Co F - Di - C2->5 - D2->6 • VF - Dll - D7 ->12 • TL - D10.11 - Ll - >5 ' • MA - Ll - D5 -> 12 - Ll 76 Ca racing teo:

• Chita diem:

+ N6i xuat phat ca chung & tren u chern chi co' teo, day vao NB dau

+ Diem cu6i cua co chung sat gai chau + D3 khac ben

77 Lao khap hang:

• C6.7 - - L2.3.5 - D10 - Wing S

78 Viem cot mac (dau bu6t xuong Ong chan, chan lanh)

• Wing S - C7 - D1 • D10.11 - L5 - S5

79 Dan khdrp hang - dau cling chau

• DF - VF - TL - Hang - Hang - C7 - Dll - D12 - L4.5 - S1 - 42.5.6.7

80 Dau khap hang (Lung that ben) • GL - MA : D12 - L1.4.5 - S3 -05.6.7

81 Viem khdrp cung chau (ng6i x6m khong sat dat, xo Ur D12 xuong mao chaL0

• Chita het D12 xutsTrig Mao chau, china tie'p D2.3 - L3.4.5, chin ch6 lom hong, gai chau sat nhau, phai chira cho gai chau tach xa

• Wing S va vung cut V DAU LUNG

CAM NANG VE PHUONG PHAP TAC DONG COT SONG -95- BUT DUC CUONG BIEN SOAN

the, nghe cuc mot tieng r6i thgy dau Phai giai toa co co, ma d6t sang, nen hoac nang chan d6 tao six chuyan dung cot song

• C6 F - VF - GL - HSL - TL

• D7.8 - L2.3 4.5 them D3->12 - S1->5

• TL-R - L4 - 81.2 - D12 - L2 (chlaa vao cho dau o mao chan cUng ben

• Dau L5 - S1 nam sap nang chan • Dau L2.3.4 - nam sap nang chan Dau lung cap ngoai cam phong

dau khong m6 hoi:

• D3 cho den m6 hoi mad ngting Dan lung cap có m6 hoi:

• Cht/a ben co c6 phol hop voi \rang S se d6 m6 hoi - Ke't hop danh cam

4 Dau lung benh tim ph6i: Hay gap & nhung ngutri lao dOng tri oc, ca co Wing lung tren anh hi/Ong den tim ph6i

• Bat ca thang vting c6 - ca vai va yang lung tren

• D3 - lien quan D4 - D5 - D9

5 Dau lung benh tit nieu: Dai dat, dai bu6t, u tai, mai g6i, mthc tidu yang, viem voi • D11F-L1.2.3.4.5-chuyen L3

6 Dau lung than sinh duc: • ELT - L2 - L5 - S2.3

7 Dau lung nhe ca ben viem cau than: • TL L2 - A6

8 Dan mOi, nang, kho chiu a gifra song lung:

• TL - VF - D11 - L2 - A5.6

9 Dau ben than lung lan xu6ng mong: • TL - Ch - L2 lq 1)8.9.1.111.12 - A5.6.7 10 Dau ca lung:

• MA - TL - R : Ll - - S3 • TL: L1.2.3 - S3 - D9 - D12

11 Co gist ca lung - Kc dau nguc: • NT - SF : D1.9.10 - A3.5

• HSF : D10

12 Co may ca hrng:

• ben - Than kinh - D8 - A5 13 Dau eo lung (That lung):

• TL - Ch - L2 - L5 - S1 - A5.6.7 - Than - Dal tra.ng

• TL - Ch - L4.5

• Ch-BD - D4.5.10 - L5 - Wing S • D7 - L2 - S5 - Cut

1-4 -Dau-etiTrg-eo-luq4g•

• TL - Ch - NT - C3 - D3 - D7 - lq D8

• L4.5 - S5 - Cut • TL - Ch - L4.5 - A6 • D7 - L1.2 - L4 - S5 - Cut 15 Dau ming lung :

• NT - D3.4 - A - Tam bal 16 Cling lung :

• NT - D9 D6 • DF - D9

• NT Vung lung bien d6i: D3 D9>12 L4.5 -C7 - 42.4.5.6 - Than kinh

17 Dau cling that lung:

• TL - Ch - D7 - L2 - S5 - Cut - A5.6.7.8 18 Dau \rung that lung:

• Con dau dot ngQt, sau dau, co lint dau tang, dau lien tuc, clan dam lung bi cong hoac lech cot song

• GL - TL - D7.8 - L4.5 - - Them D3.4.5.6 - S2.3.4.5 - M.5.6 - Lach - Than

19 Dan nhOi lung:

• GL - TL - Ch - 1)7 L2 - S4.5 - Cut - M.6.8.9 • R : S3 - L3 - A7.8

• L4 - S1.2.3.4 Dau lung: TL - L2

21 Dau lung - c6 gay cling: • NT - D6 - lq D3.5.7

• D6 - S2->5 - Cut • NT - C7 - D2 • R - S3 - D7 - L3

22 Dau quan lung du dOi: • TL - R - L4.5 - S1.2 - A5.6

23 Dau lung e am: dau tang van dOng: • VF - TL - L2 - A 3.4.5.6

24 Dau that lung va hong:

• Ch - TL - D6.7.10 - L3.5 - A4.5.6.7

25 Dau lung L4.5 thoai hoa, ca lung v6rtg len, phia lung lom di lech nguai: • V cha'rnli vOng S

26 Dau lung L2 - > L5 loi: • TL - L2 - D10

• D8 - D12

27 Dau lmig L4 - LF -1D5:

• (1911n lung tim didm 16i gida lung chira tru6:c - sau chixa D9 - cu6i cung china vao L4 va D5 28 Dau lung L4.5 vOi hoa hoac

• Nan lung tim diem Wang *lig O D7 - ->D10 sau chita wing lung chO 16i

29 Thoai hoa L4 S2:

CAM NANG VE PHUONG PHAP TAC HONG COT SONG -96- NGUAN TI-LAM TAN

30 Daii lung, ming rat & lung, lung List cling to chi, then ep tuY song: ben teo nhuac, ben ngoai lung rat lanh: • DF - GL - MA - Than kinh - Da day - Lach • D7 lam mat lung - D4.5 - C7 - D9.10 - • A1.2.5.6 - C1.C4 - D12 - Ll

L4.5 ben 16i - Lam nhe ben 15m - Chda hai ben tren ch6 lam de ch6 lOm bat len

31 Dau than kinh that lung: • Dll - L3 - S1

32 Dau vimg day lung: • L2 - L5

33 Slat lung: • D2

34 Dau ngang lung, chi nam khong ng6i duoc, chan co giat:

• • D8.9

35 Dau lung viing L loin LF: • D4.5T

36 Dau lung - ca thang lung to bang banh mi

- Dung ban tay day tit sat ranh sang sang CTL - day that manh tit co' binh thubng sang co' co cho CTL mem - sau BN ng6i Iron bung tim d6t 16i \ming lung tren - giva lung de china

37 Dau lung T xu6ng sau dui va got chan, ng6i han

• Chita: Cut F + Vting S co day va cham T 38 Nam dirrig len dau vung that lung:

• C3

39, Dau vUtuf L5 - Sl:

• Chita doan 16i D7.8.9 va vUng L5 - S1 vai hoa co co cam, mein tinh

40 Dau moi, kho chin, nang de gifta song lung:

• TL - VF - Mat - Tha.n - Dll - L2 - 44.5.6

4 List 1/2 ngueri:

• NT - L tren - DF - Nao - Tuan hoan • A2.3 - C7 - D1

5 List mem chi du&i: • Vai F - Mat - 65 - Dll List chi tren:

• VL tren - Tuan hoan - Ha hap • A 2.3 - C6 - Di

7 Li4't cling tir chi:

• DF - MAR - Than kinh - Da day - Rut non • A 5.8.9 - D12 - S1.2.3.4 - Cut

8 Limit nira nguth nhfin nao: • DF - Than kinh

• A2.3.5.6.7.8

• C6.7 - D1.2.3.8.9.10.12 - L1.2.3.4.5 - S1.2 Teo co.:

• N.T - R - DF - Than kinh - Tuan hoan - Ruat non

• A 2.3.9

• C7 - D1 - S3.4.5 - Cut 10 Mat cam giac than than:

• DF - Than kinh • 41.2 C4

11 Cam gine giam:

• R - N.T - DF - Than kinh - Ruat non - T.hoa.n • 42.3.8

• C3.4.5.6 - D1 - S2.3 12 Toari than co cling:

• VL tren - T hoan - Ho hap • A3 - D1

41 Dau ben than lung, lan x.u6ng mong: 13 Ca may giat:

• TL - Ch - Than - Dai trang • VL tren - T hoan - Ha hap • L2 lien quan D8 - 12 - A 5.6.7 • A3 - D1.2

14 Co giat toan than:

VI CAC BNII LIT • Vai F - GL - Mat - Lach

1 Bai het (list mem) • A5 - D2L 1- 1).„.-) 'CHM

• TL - Ch - R - D.F 15 Ca co that:

• A2.3.7.8 - Than kinh - Than - Dai trang - • R - 13,6-;n, Rciwia

• C4 - C7 - D2.3.4 - L4.5 - S1.2.5 D6t song chti yen: D4

2 List toan than:

• NT - DF - Than kinh tuan hoan • A2.3 - D1

• A8 - S2

16 Co giat gan co

• Vai F - GL Mat - Lach • A5 - D11.12

CAM NANG VE PI-WONG NAP TAC DONG COT SONG -97- BUI DI:IC CLIC5NG BIEN SOF01 TAM THAN KINII

Vi tri diem:

.1 Than kinh giao cam: C1.2 - S2.3 Than kinh giao corn: C7 - D1 - L2 Than kinh ngoai bien: C2 - D3.4 Than kinh s6 5: Cl - C5-6 Than kinh phe vi day 10: C3 - Ll I DAU DAU

1 BOnh sinh: chdc nang van d6ng cua nao

khong duqc binh thuong: co mach hoac dan mach

2 BOnh nguyen: nguyen nhan: Di truyen - Cci

dia di *rig - He lieu hoa r6i loan: gan, mat - R6i loan not tie't - Tam thin kinh

* Elting y: CanThan Int Can than bat giao

-Can hoa vucmg, can Int D10 LF -Can hoa

d acing: D10 LT - phai song chinh D10 + d6t

song c6

1 Dau dau bi cam

* Dam - NT - C6 F : D2 - T: h6 chdm - D: D3 - N : BT xg C.Chau

* Vai F - C6 F: yang c6 + Dll

* TL : D10.11.12 - L2.3 - Than * TLT: Wing c6 + L3 - Than * Ma: LI - L3

* V c6: L3 + D11.12 - Ll - S1->4 * ELT: L3 + Dll

* TL + DF: L3 -T: L1 -D: L3 - N CTL sang ngang M.Cha.0 * Ch: S4.5 - T: S1 - D: S5 - N - BT xg C.Chau * Dau + Dinh dau: C1->7- S4.5

2 Dau dau bi cam lanh: * Cl - C6 - L1.2

3 Ca vting dau ming ran: B6i r6i khong dinh than

* Ch+Dg.u: C3 - T: h6 chgm - D: D3-N: ca xo' Ch + Cl + CUDC - - T.kinh Dal trang Dau ca vung dau

* D10.11 - S5 • DF-Ch - C6.7 *D10.11 - L3 * L5 + C3.4.5.7

6 Dau gitla dinh dau:

* Ch : S4.5 - T: S1 - D: S5-N : Bn CTL * TL : D10.11-12 - L2.3 - Than * TLT : \Tung co + L3 - Than * Ma : L1 - L3 -

* ELT : L3 - Dll

* Co: L3- D11 - S1->4 - D12 - LI * DF-TL : L3 : T: Ll - D: L3 - N:

xg ngang M chau * Dau + dinh dau : C1->7 - S4-5

* ELF lq TK van dang - Sinh cluc - Sa da - Ban chan dau - Cac d6t c6 + L3

7 Dau dau vang trail ming cao: Nhay mat -Chong mat

* Vai F : C6.7 - T: C4 - D : C7 N : CUDC ->Co vai trade * Val F : Dll - T: D8 - D: D12 - N: Bn CTL * Trail + Bd : Cac d6t c6 + Vang hong + S3 * DI1+ D10 - D1.2

8 Dau dau viing truerc tram : Ti vi - Tieu hod kern - Day bung - Ia long - Chan dau to bpi - Vai F : D10.11.12 - Ll - D7

- Bd ; S3 - L1 -> - S1 ->

- Vai F : D2 - Li - Dll + Cac d6t co + Wing lung duoi

9 Dau dau yang truerc tran + ming runt cao: D7.8 - D12

10 Dau dau yang tran va h6c mat

- Vai F : D10.11 - T: D8 - D: D12 - N: Bn CTL 11 Dau ninr that truerc tram

- Ma + Vai F : Ll - T: L1 - D: L3 - N: CTL xg ngang MC

- Ma + Vai F : Dll - T : D8 - D : D12 N : Bn CTL 12 Dau dau vOng tran + chong mat + nhirc

mat: Bd - S3

13 Dau dau nhtic mat

Kc : V dau dau Nang dau, bi bi kho chiu -khong xac dinh ductc yang dau - Nhirc mat - Chay nuac mat - Mat mo• - Th1 lac g-,iam - Da xam xit - Mat 16i - Ng6i xu6ng dUng ten 1)1 co giat - Dau dau - Tao b6n

* Ddu - C6 - Gay - LT - HSF : C1.2 - C7 - D1.2 - Xo' lan len chdm, 2CUDC + vai

5 Dau Ca vOng dau + tao bOn

CAM NANG Vi PHUONG PHAP TAC DONG COT SONG - 98- NGUYEN THAM TAN

1 - - - Than hoan - Ha hgp - Tk Hoanh each * C6 - HSF - D10.11 - >S5 - T: D8-D: D12 -

N: Bn CTL

14 Dau ben Thai throng : Can - deem * Do bi cam lanh: D7.8.9.10F - Cl - Can dam * TL : D10.11.12 - Ll - >5

Vai F - Ma : Dll - Ll - T: D8 - D: D12 - N : Bn CTL

* C3.4.5.6 - D7.8 - Ll * ben D3

15 Dau ben Thai throng:

* D3 ben Thai &rang dau + \rung tren nen Sc ben dau, day vao thay dau

16 Dau ben dau: KC Tai - gay - mat - hong r6i loan - benh phat 'long - benh tam than *HSF : D10.11 - S2

* Ran + Ch : S2

* HSF : S2.3 - D6 - > 12 - L2.3 17 Dau ben dau phia truerc * MA : Ll - T: Ll - D : L3 - N: CTL

xg ngang Mchau

18 Dau ben dau phia sau:

* DF : Cl - T : Cl - D: C3 - N: goc chtim -> CUDC 19 Dau ben dau:

* Ma: Ll - D5.10.11.12 - Ll * Ma - Dau: Cac d6t c6 + Ll * C6 F : C2.5 - D1.6 - D4

* Vai F : Kc : u tai die.c tai gifra Liet day -dau rang

* D11 - - L4 - D4 * Dll - D7 - D12

* Thi ltrc yam - Ma Ch: C3 -> C7 - D11 20 Dau ben dau - it ngfi - buOn non: * Vai F - Ma : C3 - T: h6 cha:m D: C3 - N

- Gac chum - CUDC

*'Vai F - Ma : C4.5.6.7 - T: C4 - D: C7 - N CUDC -> cc vai truac

• Vai F + Ma D4 - T: D3-D:D7 - N: BT xg ba vai • Vai F + Ma - DF: C3.4.5.6.7 -D11 - A 1.2.3 21 Dau a am ca vfing dau:

* Vai F - Ma: Ll - T: L1-D: L3 - N CTL xg ngang Mchau

* Vai F-Ma - Dll - T: D8 - D: D12 - N: Br xg C.Chau

22 Dau dau e am + yang cham ruling cao : - R : S2.3 - T: S1-D: S5 - N: BT xg C.Chau 23 Dau dau am u

* Ch + Tran : song chinh: C1.2 C7T * Toan than : Cl - >C7

24 Nang dau:

* Bd : S3 - L1->5 - S1-> * Bd : VUng co + S3

D1LF - D3.7.8.9 LF - D4 lam * Cl-D1.3 1/ D3 - D8

25 Dau dau yang cham * Ch + V.c6 : L5 - D8 - L2.3 26 Te bi yang cham:

* Ch + C6 F : Cl - T: cha'm - D: C3 - N: gOc cham -> CUDC Al - Dai trang- ha-p

27 Dau tirc \Tung cham: * C6 + gay : C1.2 - D6 - D10 - L3

28 Dau sau gay - lanh yang gay : KC : clau ttic khO chin - HAT

* ch + c6 F : C5 - xa lan len C4 ben CUDC + co vai truck - A2

30 Dau tire sau gay

*- c6 + gay - C1.2 - Dll - Al - - Than kinh - MAt

31 Ca c6 + viing gay co giat - ngtreri hay hoang h6t

* NT-LT-DF : D1 - xcr Ian len C5.6.7 CUDC A 32 Dau dau - Toan than va co gay co gist * D3

33 Dau niia ben dau

* Ch + Ma : C3.4.5.6.7 - Dll A - - * Vf : Dll - D7 - > 12

* C6 F - dau : C2->5 D1 -> * Ma - dau Ll - D5 -> Ll

34 Dau giAt mot ben dau * D10 - L3 - D6

35 Dau dau buOn - HAT - Mach cham * Dau - Gay - Cl - C7 - len ngtrqc tir C6 len Cl

+ cham sang ben CUDC + ca vai trtrac + A -2 * LT : Dll + 'Wing c6

• T°1 eo ltmg - buan non - biting an dAu nong -C7 - D6.7

CAM NANG VE PHUONG PI-[AP LAC DONG COT SONG - 99 - DUG CUONG BIEN SOAN

* C4.5.6.7 - T: C4-D: C7 - N : CUDC -> CVT * D1.2.3 - T: D1 - D: D3 -N: cd vai * D1O-T : D8 - D : D12 - N : Bn CTL

37 Dau dau co the suy nhuqc - met mOi * NT - HSF

* D6.7 - T - : D4 - D: D7 - N : bo xg ba * D9 - T : D8 - D: D12 - N : Bn CTL

38 Dau dau benh tam thin th4 ao KC : Wing sau dau, to bi Dau am u - khong tap trung suy nghi Trong tai c6 tieng d6ng (go, II, reo, thi therm ) xugt hien lac lam viec hoac /lam

* Ch - sau dau - Cl xo' len yang cham va ngang sang ben CUDC - Al - Than kinh - Dai trang 39 Dau dau benh Parkinson

Kc : Dau dau, nang dau viing nao sau, dau dau nhieu di, dau lao ve phia truac va tay run * V.dau - Cl - Al - xd lan len yang chain - than

kinh

40 Dau dau clang tn.' co lai : dau (tau ben Bang tui, mat mar nhieu, cang dau

* V.dau - Cl - A - Than kinh

41 Dau dau than kinh suy nhirqc - V.dau - C6t L - D7.8 - chiia 16p co ngoli 43 Dau dau can hoer virong - C7 - D1F - DlOT

Dau dau amam than T6i loan * C6.7 - D1.5.7/ - L1.4 - S1.2.3.4

45 Dau dau sot ret • Toan than C7 - D1 - 53.4.5 _ 46 Dau dau along mat

* Bd S3 - L1->5 - Cac d6t song c6 + vf.ing hOng * Ma - Cac d6t c6 + Dll

• 47 Dau dau sot cao

KC : Lung, thAt hmg dau cirng, chan dau Ca, dau ke stron, yang da, ho suyen

• Toan than + V.dgu - D7 48 Dau dau huyet ap cao

KC : Tim h6i h6p, ngirc dau, dau day, non ra* mau, hOng dau •

* Co - NT (mang bao tim) - cam tac d6ng C1.2 C3.4.5.6.7 - D5

* Than tac Ong D6 - D1OF - L3F

50 Dau tit viing cham, huy'et ap ha, met la, tay than red

* C1.2 - D6 - D10 - L3 Dau dau, nang dau

KC: Co gay clang dau, mat met, tac mui, lung va: dau

* Bd - Cac d6t song c6 + S3

52 Dau dau lao dao mu6n nga kiem hOi chirng tien dinh

* LT - Cevai + C6.7 - D1F 53 Dau dau kinh nien * DF - C3.4.5.6.7 - D1 - A 1.2.3

* Vai F + Ma - C3 - T: h6 cham - D: C7 - N: CUDC ->CVT

* Vai F + Ma - C4.5.6.7 - T: C4-D - N: CUDC ->CVT

* Vai F+ Ma - D4 - D3-D: D7- N: CBT xu6ng ba

54 Ch6ng mat - bi choang quay c6 nhanh

* Tram - C3 xo len h6 cham sang ben CUDC A - Da day, Lerch

* Chong mat, ti./ nhien thay sq vat dao 16n C2.3.4 LF co clang

* Quay c6 FT, tai xu6ng kho, chong mat: Khe C6-C7 - D1.2

* Chang mat, met mat, ngiroi lao dao: Ch-TL - Cl - L3 + S1.2.3.4 - Than kinh - dai trang

* Ch6ng mat - say ;dm : Dgu, mat, c6, gay, ma : Ll - D5

* TL- Cl - D1 - A 1-2 - mat - than 55 Cui xu6ng sa sam, thong mat HAT * Cl - D1 - Khe C6.7 va C7 - D1

56 Hoa mat, chong mat * Bar throi C5 va tren C6 * TL - VF - L3 - A - Mat - Than 57 Can b6c 'long

* + R - S3 - D7 - L3 * Dau + Ch - L5 - D8 - L2

* Dau + Bd - S3 - Ll -> - S1 ->5

58 Ming dinh dau - TKSN - Tam can SN * V dau - Cl ->C7 - S4.5

* V dau - S2-.3 49 Dau dau huye't ap thap

- Ch Tot - C1.2.3.4

CAM NANG \A PHUC1NG PHAP TAC BONG COT SONG - 100 - NGUYiN TRAM TAN

C6 xcr len C5 ngang ben CUDC + ca vai truo.c - co ngang D3

HOI CITUNG DATJ NU' A DAU (MiGRANE) 60 Nay dom cloan mat, c6 nhang yang sang

ngoan ngoeo chay qua

* NT-VF - C6 - T: Cl-D: C7-N: CUDC ->CV truck * Nt-VF - D1 - T: Di-D:3 - N: CVS

61 Nang dau, nguoi met in6i, bu6n non, roi loan tieu hoa

*D3 - T: Dl: D: D3 - N: CVS

* D6 - T: D3 - D:D7 - N: CBT xtrcrng ba:

62 Dau dau nhu c6 kign bo er mat, mid, mom, canh tay

• CF - Ma-Ch-C7-T: C1-D:C7-N:CUDC->CV trucit - CF-Ma-Ch - L1.3 - T: Ll - D: L3 - N: CTL xg M.chAu

63 Ngudri met m6i, kho the., hay ngap * NT : D6.7 - T: D4 - D: D7 - N: CBT xg * NT : D8 - T: D8 - D: D12-N: Bn CTV 64 Noi kh6, nghe doc khong hie.0

* Ch - S5 - T: S1-D: S5 - N: Bo xg ch4u 65 NInic ntia dau sau, nhtic ngang tran, ho

mat c6 anh sang

* DF - VF - Ma - C1.3 - T: h6 chgm: C3-N: goc chum ->CODC

* DF-VF-Ma - C4.5.6.7 - T: C.4 - D: C7 - N: CUDC ->CV trtrac

DF - VF - Ma - Dll-T: D8- D: D12 - N: Bn CTL 66 Nluic dAu yang thai ducrng:

* D10.12 - L1-5

• Vf - Ma - Dll - T: D8 - D: D12 - N: Bn CTL * VF - Ma - Ll - T: L1-D: L3 - N: Bn CTL xg M

chau

67 Nhirc dam, liet nhe chi tren, kho n6i: * NT - C6-T: C4 - D: C7 - N: CUDC ->CV sau * NT - D1 - T: Dl-D: D3-N: ca vai

69 Chit y: tru&ng hqp khong cluaa duqc: * Viem nao: non, sot, cimg c6, chin va bung

U nao: tang ap ltrc so nao, cl6ng ttr rna to, non, xugt huygt c6 mach mau nao

II MAT NGT.J

- r+ NT - GL - Ma - R Ch - TLF - HSF - A1.2.3.4.5.6.8 (KhOng.co A7 va A9) - Mgt ngti lq tim mach nhieu - Khang chira yang cut

* Xoa nhe D3.4

1 Kh6 ngu, thirc day khong ngu lai ducyc

* NT - D3.6 - A 3.4

2 Ng* khOng yen gigc

* NT - GL - Tugn hoan - N5i tiet - D8.9.10 - A5 NgU mu gist mirth

* NT - Ma - Tam - TY : D5 - A

* NT - Ma : D5 - D2.8 S2 Ngti mu ac Meng :

* NT - Ma - D3T - D1.2 D6 - A3.4 * D2.3 T

* D12 - Ll - C2 H6i hop kh6 rig* * NT - C6 - D5 - A 2.4

6 Mgt ngii hoan toan khong nham mat * TL-R - L2.3 - S1.2 - A 6.8

7 Mgt ng* keo dai, ngueri met la * HSF - TLF - Ch : C1.7 - D1 - D7.8.9.10

- A 1.2.3.4.5

8 Mgt ngti keo dai, Kc dau dau kinh nien, tri nher giam, tao bon:

* Dgu - Ch : C1.6 - D1.7.8.9.10 - A 1.2.3.4.5 * D3.4 - D7.8

Chi/ fit Mgt ngli keo dai ca thing lung thir&ng

co ctIng, phai giai tog lam thu nhugn ca thing ltrng r6i mai china cot song

9 Mgt ngti TKSN }4S-t, * C6 - D7.8.9.10

10 Mgt ng* thao b6n ch6n, khong vao gigc ducyc

• D3.4F

11 Mgt ngti thao thirc, sot runt, hoang Wong: D6

12 Mgt ngti tam can suy nhacyc * D2F - D5

13 Mgt ngti tam than bat giao * D7 - D3.4 - D8.9 L2.3

14 Mgt ngU, tri nhe' giam * L2.3

15 Mgt ng*, ti tai, dau dAu * Co F lan sang vai F : Dll

16 Mgt ngti, mat troy ctrng, nang clAu * Cl

CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 101- DUC CUONG BIEN SO6N •

17 Mgt ngil mat van tinh tao * ben D7.8

18 Mgt ng-ti hoi dau \Tung nao

* Chita cac dot c6, neU chua het, china Lep L5-S1 19 Mgt ngti, yang lung tren nong cao * C6 F - LT : D4 - C2 ->5 - DI ->6

* LT - HSF : D10 - D4 - D12 LT - TL : D10 - D12 - L1->5 * LT - GL : D9 - D12 - Ll * NT : C6.7 - D1.2.3 - D10 20 Mat ngii don thuan * HSF : D1OF

21 It ngli * NT : D4 - A

22 Ngii qua nhie'u: th4 binh thuerng, c6 hic dau tire sau gay

* Ch: C1.2 - C6 - L3 - lien loi co along A 1.2.6 * c6 gay - Cl - A

23 Mat ngxl:

* Dau gai s6ng D2.3 tro khong khe nhu hi her va lech, xoa nhe tren dau gai s6ng va khe d6t, khong cluoc an, day, day manh vao D2.3 D6.7 16i gay b6c nong len dam, nong runt khong nga duqc.• •

24 Vao gi'gc kh6 * D4.6

25 Thao tithe kilo ngii hay tro• minh: * D6 - D9

26 NO chap chon: D2.3.4F

28 Dong y - Mgt ngii la benh cua tim, x6y O vi, nen cach chaa khac

* Chinh ta: tam gay mat ngti, vi thi6u mau * b6 huy6t + an than

* Hu ta : Do can gay benh cho tans nhu HAC * Tri: Binh can + an than

Thuc ta.: Ty hu khOng nuoi chtqc Tam + than 29 Dau dau - mat ngii

V dam - LT - NT : C6.7 - D1.2.3 - D10 V.dau - LT - GL - D9 - D7->12

- LT - BD: S3 - Ll >5 - S1->5 * V.66u - LT - Vai F : Dll - D7 - D12 III THAN KINH SUY NHUOC * Trieu chirn g chu ygu:

- T°+ V.dau - V That lung - HSF - Dau dau

- Mgt ngti - Tri nho' giam • Tay y:

* Nguyen nhan: - He than kinh reii loan nho'

- Dau dau: cac mach ctla dOng mach va tinh mach xo' cirng gay dau - 5 • Dong y:

* Nguyen nhan: chitc nang Gan - Tim Than - Tam clui y6u: Mang bao tim

- Mgt ng-11 : Tam - Than bat giao

- Dau dau: can hoa wrong - Can khong cup vao - Khi ngu mau tr& v6, khong dua len mat, nen mat khong nham lai duac

- Tri nhO' giam slit: Than tang chi nhung than mat binh thuerng

• Phucrng phap tac d6ng cot song:

- Dau dau cac mach co D6 la hien Wong phan xa

- Nao c6 mang ngoai ba dau c6 th6 cac mang

nao gay co

a Than kinh suy nhuoc phan lon r6i loan & D7.8, D7, tinh oda tim tik Ngoai la tau tam, la phu mau (am ductng), la trung tam dieu boa am duong co' thd

- D7-8 la trung tam chuygn hoa bi r6i loan thi nghe ngueri ta mac benh gi curig cho la minh mac benh

b Khi chan benh TKSN phai hOi nguei benh co

bi tao bon khong NeU co, phai china tao bOn tru&c

- Co true:mg hop benh tam than thubng bi tao bOn Chita xongtdo bon la khOi benh

1 Than kinh suy nhuctc:

- V dau + That lung - C6.7 - D1.2 h6i hOp - Dinh (tau - lung tren - D2.3.4 - hoang hot - D6 - Th6n thUc - D4 kilo vao gigc

- D7.8 - co Om day len lien quan nhieu chi c • nang bi r6i loan

- D1OF : can hoa vuong - L3.4.5 - Than

- Tao b6n: S1.2

- NT - C6 F - TL - C7-D1 - D5.6.8.9 - L2

- A 2.3.4.5.6

-.a.W.3_4_5 - n1 _ q 10 -

D11 - Ll - -A 1.2.3.4.5.6

CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 102- NGUYEN THAM TAN D7.8.9.10 - L3.4.5

Chu y : L2->S1 khuyet mau lon: tri nh& giam C6.7 - D2.3.7.8 - L3

- Dinh dau - NT - Co F-TL (Tim - Ph6i - Than) C3.4.6 - D1.7.8.9 - L2

2 Di lao ye phia tra&c, than tay run, not kho:

- Ch - L trail - C1.2 - D2 - -A - - D3 16i leCh - A3

3 Me° mieng trap mat (pile) - Dau- LT: D3 - A

4 Meo mieng liet Than kinh 7: - Vai F - Ma - C1.2.5.6 - Ll - - A 1.2.6

5 Mat mieng meo lech: S2 - C1.2.7 - D1.2.3.6 U tai:

- Vai F R6n - Ma - TL: C3.7 - D1 - Ll - S2.3 A 1.2.3.6.8

- Dau - Thai duang Co F : D4 - C2 ->5 - D5->12 - Ma - L1-D5

- Vai F : Dll - D7 ->12 - TL : D10.12 - L1->5 - Ch: L5 - D8 - L2 - R : S3 - D7 - L2

- Ma TLT - R - Vai F : Dll - L2 Tai diet, tai Ch - LT : Cl - A Nga bat tinh, truy tim mach:

- rltoan than: C1.2.3.4 - D6 - L3 - Wing S A 1.2.4.6.8 - Laan lech, 16i ,co day

9 Dong kinh: len can ca Ian dem: - C1.2.7 - D1.6.7 - D11.12 - L1.3.5 - S5 + Ctit A 1.2.3.4.5.6.8.9

- NT - GL - Ma - Vai F TL (Than - Tim - N6i tie't - Mat - Da day):

C7-D1 - D6.7.9 ->11 - D12 - Ll Cut

10 Bu6n non r6i loan than kinh that vat:

- Wing tram lanh, nhieu m6 hoi, sa gio, ira nuirc dai trong, thong mat

Ch - Cl - A •

11 N1xi6u m6 hoi, sq gio bi cam: Ltic dau dau dau da d6i, de-n not khong thg buac ngoal dugc Ngay ham sau dau, mat va m6 hoi, luon sa gio

- Diu - C6 - Gay: Cl - D7 - A - A

12 Say song, say xe: Ua nuerc dai trong, thong mat

- Tram - Cl - A

13 Mk khong nhArn dtro:c: MAt ben lech khOn.g nhAm duqct Hay chay nude mat - Ch - T°1 ben mat lech : Cl - C6 A 1.2 lech 16m xuong

14 Than sac bac nhuqc - KC : so hai

- NT - DllOm lech 16p co' xa teo tren dam g:15-i D1 Ian sang co vai A

15 Kinh giat (Tuan hoan nao)

- NT - D3 16i lech car xa lan len D1 + ben ca vai sau

16 Dien cu6ng - dau dau mat ngui - Ma - R - D3 - D5 16i lech - A 3.4 17 Sq anh sang (Tuan hoan - ho hap)

- NT - LT - D1.2.3 - A

18 Sq gio lua - Ngueri met mai - NT - D1.2 - A

19 So' ti6ng dOng - Hay hoang htit - NT - LT - D1.2 - A

20 Mat cam giac town than : mat cam giac, di lai kilo khan:

- DAu - DF - C4 xa ca len C3 - V cha.rn va say,„ ng ben CUDC + ca vai truck A 1.2

21 Tam thin kinh - Tinh than khong binh thuang

- NT - Ltmg - That lung : C6.7 - D8 - L4 A2.4.7 22 Tri nher giam - ti6p xtic kern

- NT - TL - C6.7 L4 - A 2.7

23 Dan don - not nang ngo - D6u - c6 - gay: C7 - A

24 Suy nhuctc ccr the.:

- D'Au - GL - TL : C4 - D5.7.8.9 - A 1.2.4.5 25 Tre bi kinh giat:

- DF : D4 - D12 - A 4.5 - D12 - Ll - D3.4 26 So' hai lien cu6ng:

- NT: D2.5 xa ca sang ben tii bar nrcmg • ba

- D5.6 - D11.12 - L1->5 27 Co giat:

- NT - SF : D5.10 - A 4.5

28 Co giat toan than: LT - D2 xa ca lan len C7 - vai : D2 - A

29 Hoang h6t: D12 - Ll - D1.2.9

30 Lo lAng sq hai: Dinh dau - Ma - ca truck nguc - C1.2 co day F - D5T C3.4 co mOng - NT - D6 - A

CAM NANG \t PHUONG PHAP TAC BONG COT SONG - 103 - BUT DUG CUONG BIEN SOAN

- NT - Ch - TL : D3 - L3.5 lan sang ben tOi bq ngoai CTL toi xuong mao chau - 4.6.7 32 Tre khoc dem: Co F - D4 - A

33 Noi cued nhieu: Co F - D4 - A

34 Ngueri phien muon - Tim dau nhOi Kho ngd

- NT - D5 - A

- D5 - C1.2.V1.12 - L3.4.5 - S2

35 So' ncri dong n.gueri ngtroi bung birng kho chiu

- Ch - L tren - D.2 - A

36 Sq set -ye ca - Dau h6 chau F ging stic - NT - D2 - A

LT - C6.7 - D1 A 2.3

53 NM thgt (mgt tigng, nOi khan) - Ch - C6 F - C1.2 - L3 lach - teo tron - D6 - C5 - - D12

54 Chan tay run lit bat benh Parkinson - Ch - DF : C1.3 - S5 - lam, det d9c

55 Mit, mat may gia :

- Ch + Cl - C2 lach, lo ctrOcrig xo• cling _ 56 Benh tam than:

- DS sinh lY binh tinning - D2.3 lom D4.5.6.7.8.9.10 I6i cao - D11.12 nh6 - L4.5 vong xuang

- Benh tam than: Tir D2 -> D8 vang cao 16i lath khac thuerng, khOng bb Tir D9.10.11.12 c6 clgn Ll bi 16i lom yang ltrOrt phia tr*O'c Trong doan lien lam c6 doan lath, mu6n chila doan lam D9->D11 phai tim d6t lath tren doan lom china tru&c Sau china d6t 16i trail ding doan lam va d6t cu6i cling doan lam

Trong khu: D6 - giam b6n ch6n thao thUc - D7 : dieu nhiat toan than, d8 h6i hap - D8: 6n dinh gigc nga

- Neu D12 - Ll lam phai china & D5.6.7.8 - Ngu dau tuc wing sau gay - c6 - vai khong chila vao do, phai tap trung dieu nhiat club vao D7.10 truec

- D6 - D3 - C1.2.6.7 - D1.2.3.11.12 - L1->5 - 57 Hysteric: D12 - Ll

_ 58 Hei chUng tin dinh (phai c6 dau tai) C7 - Di goc F phia cluoi - D3 - cluina clici clang -59 R6i loan than kinh thqc vat:

- Cl - S1.2.3 - cc') co• co cUng 60 Viern 'lac) Nhat Ban:

Mgt tri : C1.6.7 - D1 - S1.2.3 Liat m4m chi disfri:

+ C1.6.7 - Di - S1.2.3 + D3.4.7 - L5 - S3->5

Cam - ngong: C1.6.7 - D1.3.4 - L2.3 - S1.2.3 Chay dai : C6.7 - D1 - D8.9.10 - S1.2.3 Tidu tien kh6: C6,7 - D7->10 - L4.5 - S1.2 - Dai tin too, long: C6.7 - D7->10

- Co giat: C6.7 - D2.3

61 Hoang Wang: Dau + TL - C1T 16i lath co day - D5 16i loch sqi det L3.4 lach co mOng •

,4 62 Chan tay gia lanh, ngireri phat dien, day bung, chi mu6n chay, not can: L1.2.3.4.5 63 Chan lan}hTtir r d gn (than, mil a

di tat:

- Khang co HAC china Cl - S5 )0 37 Choang yang nlitt say song, say xe (Tam

phg) - C6 F - NT - TL : C7 - D2 - A 2.3 38 Ngueri met la:

- Do tim: D2.3 - Do ph6i: D6.7.8 - Do than: L1.3.4 - D7.8T - D9F

39 Nong c6 - ngqc - met biin ch6n: - C3.4 - D3.4.7.8 - S2.3

40 Chi mu6n chgt - da tty hi (tram cam) - D1OF n6i cuc bung nhung

41 Kern tri luc: C2.3 lach - D7 16i

42 Chan tay gia lanh - ngueri phat dien - chi mu6n chay- not lung tung: L1.2.3.4.5 43 Lo ling u-u phign: L2 - D11.12 - Ll 44 Nhe da ca tin: D1 lam nhe

45 Hoang twang:

- Dau T - TL - C1T 16i lach ccr day - D5, 16i lach soi det - L3.4 loch lam co mong

46 Kinh sq : D10 - C3.4.5 - Dll

47 Tinh than bi kith dong - tang thing - lo ling

-Dinh dau- LT - Ma - R - HSF - TL - C6.7 ben F hoac T 16i lath co mong

- D10 - C6 - D8->12 - D1.3 - ben F hoac T 16i lach co day - L4 - Lech co mong

- D10 - C6 - D8 -> 12 - L1.3.4 48 LU lin me muei:

- Ch-NT-TL-TK-C1-D5-L5 16i lath co day - D11.12 - Ll 16i lath co day

49 Ned tigng killing re: - Co F - dau - C5 - A 50 Hay nghi linh tinh : L4

51 Tigng noi ngat doan: - C6 F - dam A 52 Tigng nOi, tha, h6i hop, th6- ngin had:

•• -

CAM NANG Vi PHUONG PHAP TAC DONG COT SONG - 104 - NGUYEN THAM TAN

TURN HOAN I HUYETAP CAO

▪ TriOu chting: Met moi, nhdc dau, buon non,

cam giac nong & mat, hoa mat, chong mat, la tai, mat may xay sa.m, nhin str vat quay I6n, da xanh Xuat huyet dual da, niern mac, mat Xuat huyet nao Bai liet, hai ma nong, c6 nong den D2.3, co cdng co vai HAC: 160/120 4 - AA (2

Giai tor Giai toa co vai co cdrig

- 07 - D1 Ice() HAC t6i da xuong(Dtra ngang) D2.3F (Ice° HA' t6i thi4u xu6ng)

- D4F tim dap nhanh - D6.7F th& - D7.8F mat ng-ti

- D9F bol6ngngdc, tim dap.eratr"At - D1OT ból6ng ngLyc

- L3.4 than

• Dot saiig: Co the bie'n d6ng & C5.6.7 D1.2.3

-L1.2.3

T°+: Dau - Mat - Co - ben vai NT - Vai F - HSF - TL - Ch - R - Ma - Bd

• Neu t6i thieu cao phai chfra xu6ng: D2.3.10 sau moi chda C7.D1 huyet ap

1 NIthc dasu buon non: Nhdc dau du d6i, bu6n

non, b6c nong len mat Dau - Mat - Co - C7 -P 2 - ThAn kinh - N6i tiet

2 Hoa mat, chong mat u tai, dung khong

rang:

- TL -VF- L3 - P6 - 1\44t -

3 Xay sam mat may, dung khong va-ng: - LT- D1 -P - Tam - Ph6 •

4 Da xanh: Met mOi., kho thef, tieuhoa kern: -NT- Ma - D5.6 -P4

5 Xuat huy6t duOi da, niem mac:

-Vai F - TL: D1 - L1.2.3.5

6 Ti6u ti6n khong thong Ici:

-Vai F - TL: Dll - L1.2.3.5

7 HA tai da cao nhung HA tai thiL binh dialing:

-,Dgu - M4t - 06 - NT - TL:

- 05.6.7 - D1.2.3 - D10 - L1.2.3 p2.3.5.6 - Than kinh - Tim - Than

8 HA tai da cao nhung HA t6i thi6u giarn:

met mOi, kho thd.:

- NT: D2.3.4T - P - Tagil hoan

- 160/60 - Nang HA t6i thieu len - S3.4 - Ha HA tai da xueing: D2.3.4F

9 R4 t6i thi6u cao nhung HA t6i da binh thuongho4c giam:

- R: S3.4 - A1.8 - RuOt non

10 HA tai da va HA tai thieu cleu tang: - Dau - Mat- C6 -NT - TL- TLT: C7 - D1.2.3.10 - L1.2.3 - Than kinh - T.hoan - N 661- Than

11 HA dao d6ng: ma ruing, co gay lanh:

- T° c6 gay lanh - T°+ Ch -NT - C1.2 - D21 LF

- C6LT// D1.2.3

12 HAC + co' thang ben lep: D3//v chgrn

13 HA ket

- Chita D2.3 trueic HA tai thi6u - Sau moi china C7 - Dl

14 HAC + thigu mau: D2.3.4

15 HA cao suy dOng mach vanh: (D2 lam

lech thieu nang d6ng mach vanh nhung lai lam co dOng mach ph6i va nao lai gay tang HA)

- Song chinh: C6 - D2F - C7LF - D6.10

16 HAC + choang yang theo con: -C6.7

17 HA cao not ti6t:

- L5

18 HA cao + u6ng thu6c nhi6u : D2->5 19 HA cao tim lam vic qua sirc:

- C 1F.7 - D4.5F

20 HA cao cuong tuy6n thuong than: - D10.11F

21 HA cao than: viern cAu than - ben D11 - Ll (ha boa tren dau) 22 HA cao + mat

- 07 - D1.2.3.10.12

23 HA cao + dau bung lam ram: D5

24 HA cao r6i loan thAn kinh tim: (tdc ngirc - bi n.gc ngap):

- D2 - D4F (TK tim)

25 HA cao - tim dap nhanh:

-105 - BUT DUC CUONG BIEN SOAN CAM NANG Vi PHUONG PHAP TAC DONG COT SONG

26 HA cao - dau bo tux: nguc T, iihdc h6 mat thoai hod d6t song c6:

- C7 - D1F - D3T - D7F 27 Bach cducao:

- D10.11.12 - L2.3

28 HA cao + r6i loan tien Binh /(moi vat quay cu6ng, non)

- 2beri C6 - D1.2 II MAT AP THAP (Duch 90/60)

1 Huyet ap thap:

- Nang huyet AI) len - viing cham - C1.2T - S1 -> S5

2 Xay sam mat may - thoang me: -T°4 T- D1 - A3

3 Ngat, ngiing tha', tim ng-,Ung dap, h6i phut nhanh:

- T°1 toan than - Ch: Cl - A 4 Tim dap cham, ngucai met la:

- T°'L C6 - Gay - T°÷ NT - Cl.D1 - A 1.3 Ha huyet ap dot nget r6i loan than

kinh tim:

- T4 c6 - gay - T°± NT - C1.2.6 - A1.4 Nguoi met mOi keo dai, thoang ngat:

- T ° toan than - C6 - Gay - Cl- D1.5.6.7.10- A1.3.4.5

7 Chan tay lanh, da tim, dau vting tim: - T°+ NT - TL

- D5.6 - L3 -A 4.6 HAT benh ho hap

- T°+ Co F - R: D2.4.5 - A3.4 HA thap benh gan: HSF - R

- D2.10 - L3.5 - A3.5.6.7 10 HAT b enh tim:

- T"+Ch - T - Gay - Cl - D1 - D6 -A1.3

11 HAT gay non: C1.3 - D12 - L1 12 HAT lanh gdy:

- C1.2 lech hoacl6i T°1Ch (Iiheing chad vao D3.4)

13 HAT + m6 hoi nhieu: - D9F

- C1.2 // V.SF 14 HA dao dong:

- T°1c6 - gay 7T°' Ch - NT

- C1.2 - D2 - 41.3

15 Senn met gang sitc: NT: D3 16 Tim dap cham: Cl chii ye'u - D1 17 Chong mat - buon non:

-T4c6-C1

18 HAT - tim dap nhanh: D9T 19 HAT - Cl lech T: D9.10.11 20 HAT + tran nong: D11.12 21 HAT + V cham nong: Vang S 22 HAT + thoang + s6c, khong bit gi:

C1T - C6 - ben co' c6 - V.S III XUAT HUYET NAO:

TriOu chimg: DF - NT - LT - Dau•- CO -

Mat - HSF - Ch - BD - R - C6.7 - D3.4 • - D2.3.4.5.6.7.8

1 Liet nira nguoi, liet "ilia mat, tay mem nh-Cm, mat cam giac:

- T° jben liet (co trizong hop nong) - NT - LT: C7 - D1 - A2.3

2 Hon me, mat nham, mat mat phan xa: - NT - Ch - D5 - L5 -A4.7

3 Tho- nhieu va tigng to vuong hong:

- NT - SF - C4.5 -A2

4 Hon me, mat ma' khong nham nhu-ng mat mat phan xa:

- DF - Mat - C7 - A2

5 Bi dai hoax dai khong to chu: -BD-R-S4.5-48

6 R6i loan tuan hoan nao:

- c co aing - D1 L F

- C7 - D1.2.3 + Viing S Suy tim: D5 ->D9 - Dl iF

-106 - NGUYhN TN AM TAN CAM NANG VE PHUONG PHAP TAC DONG COT SONG

8 Truy tim mach:

- C1.2 + Vung S - xoay F.T u.cham Tim yell:

- D3.4.5

10 Liet mem: chira yang d6i dien - Liet tay: C1.4 - D1

- Liet char': L1.2

11 Liet chii.a khae ben: - Liet tay: C1.4 - D3

- Liet than: L1.2

Tap trung chda ben co• c6 gitip tan hoan thong

12 Tai bien mach mail nao: mach nao co that, liet nda ng-a6i, meo mom, not ngong C1T - D1.2.3 (chil Y D3) va \rung S giam mach mau nao

- Noi ngpng: C5.6

- Meo mom: het day TK VII

- Trong di4m:.C1 - sang ca mang tai - Lech F: Tac Ong ben trai

- Lech T: tac dOng ben phai

IV THIEU NANG TUAN HORN NAO

TriOu T°+Ch - Co - Gay

- °+NT - C6 - LT - MA - R - HSF - TL (Tim - Ph6i - Da - day - Ru6t non - Than kinh - TKFGC

- C1.6.7 - D1.2.3.4

_g 1.2.3.4

Chu y: Benh ve T hoan:

- 10+ ben T - C6t song r6i loan ben F

1 Milk Dau sau dau - Cam giac to bi - Kern minh man

- Ch - Co - Gay khong binh among - C1.7;j12 - Than kinh - Dai trung Chong mat, in6 mat, nguiii lao dao:

- Ch - TL - C1 - L3 - S1.2.3.4 ' Z11.2 - Than kinh - Dai trung

3 Con thoang khuat nao (thoang me, ngt.r6i lang lang, b6ng benh, khong hieu ng&ti khac not gi)

- CO - Gay - T"' NT

- C6.7 - D1 -A1.3 - Than kinh - Tim mach Thoang flat:

- T°,1 toan than - T °+NT

- Cl - D1.2 -A1.2 - Than kinh - Tim mach Mat van d6ng phan chi vai phtit:

- Nda dau - HSF - TL - MA

- C6.7 - D1.2.3.9.10.11 - L1.2.3 - S1.2 - A2.3.5.6.8 - Gan - Than - Da day Cam giac giam:

- Ch - F - MA

- Cl - D7.10 - L3.5 - S3 - A1.5.6.8 - RuOt gia - Gan - Da day

7 Te bi cant tay:

- Ch - Co F - C5 -A2 - Dai trung - HO hgp Tri giam:

- NT - TL - C6.7 - D1.2.3.4 - L4

-A 2.3.5.7 - Tim - Than

9 NgtrOi met mOi, mu6n

- GL - Vai F: D7.8 - A 4.5 - Mat - Lach 10 Liet nua nguoi:

- T° 4, ben liet - T°' Ch - LT - C6.7 - D1 - L4.5 - S1.2.5

- A 2.3.7.8 - Than kinh - Tuan hoan - Nao 11 Liet town than:

- NT - LT - GL -A 2.3.7.8

- C4.7 - D1 - L4.5 - S1.2.5 - Tam - Ph6i - Lach 12 Choang thieu mau nao:

- D3

V CON DAU TIM:

Trieu Chung:

- NT - C6 F - Vai F - Ch TL - C1.2.4 -D2 -> -D11 - A1.2.3.4

1 Dau bol6ng ngire: NT - D1.2 - A3 - Tim Dau thuong vi nhu dao dam, tic ngqc

kho tho': Ch - Vai F

- D2.9.11 - L3 - t 2.3.4.5 - Mat - dai trung Dau tire nguc, dau ba vai:

- Vai F - D11 - D2 - A - Mat

- 107 - Btfl DUC CUONIG BrENI SOAN CiuM NANG vE PHIJONG PHAP TAC DONG COT SONG

4 Trieu chting nh6i mau co tim:

- Te ngon - - BN nam bat clang to khong phut h6i ductc, phai di benh vien Nhip tim dank, se vao clang mach

earth trong: D9F

6 Dau 16ng nguc, b6n chop, hoang so': - NT - D6 - A4 - tim

7 Dau titc long nglxc, dau c6 gay - Ch - Vai F - D2.9.11 - L3

- A2.3.45 - Mat - Dai trang Dau tut nguc, dau c6 tay: - NT - C6 F - D4 -A3.4 - Tim - Ph6i

9 Dau tire long ngt.rc nhu bi then lam nghet ther: NT - D2 - 03 -Tim

10 Ho : C1.2 - C3.4.5 -D9F

11 Cac benh ve tim:

- LT - D6 -A4 - mom tim to va be 12 Hep khit van la: D9

13 Th6 huyet: D12 - Ll - D4.5 VI BENH MANG BAO TIM

TriOu :

-Vang truck tim co tieng co sat nhu mieng

da xat vao

- Nghe tieng tim xa xam (mang bao tim khong binh thuong

- HOi chUng suy tim F: mai tim, tinh mach c6

not to, di d6ng, co dau hoac trr dau, gan to dau, it audit ph6i, phd chan, mat

- Huye't ap tai da la binh ththrng hoac giam - Huyal dp tai thi6u bao gicr ciing thgp

TriOu chting chunk:' - Gay, sat can, sot hoac

khong, met men, dai it, an khong ngon, tieu hala that thuong

TriOu chting ca nang: Dau tirc nguc, kho

tho', kh6 nu6t, ho, rigc

" Tay y: Do virut, tao keo, dung thu6c dong

mau, suy tim, u ph6i

Dorf y: khOng cn b'enh tim, chi co be.nh

1 Dau tire nguc:

- Dau tir nguc trai sang vai phai, dau lien tuc nhieu hoac it, dau tang ho, tho., dau tang cam ho, tho', luc quay nguOi

- NT - Vai F - TL

- D2.9.11 - L3 -A2.3.4.5.6 - Tim - Mat - Than - C6 F - NT - D1->6

- Bd: D11- S3 - L1->5 - S1->5 - C6 F: D1.2.3 - C2.5 - D4.6 - NT: D3.4 -A1.2.5.6

2 Kho th6.: Khoo th& gang sdc, nb rn cung kho thet, phai ng6i lo au, scr set, ngti ng6i hoac dua vao ghd, ng6i phu phut de' ngii

a) NT - Vai F - C2.3 - D2.3.9.4 - L3 - M.2.3.4.5.6

b) Do tim to: D9.4.5.6

3 Kilo nuot: Nu6t dau hoac khong nhu co cai gi chan lai nguc

- Ch: L5 -A7 - Ruat gia

4 Ho: lien quan long nguc - co' 16ng ngqc, than kinh hoanh cach

- NT C6 F - Ma

- D5.6 - A4 - Tim - Ph6i - Da day

5 Nac: lien quan 16ng nguc, co' Ming than kinh hob.nh each:

-NT - D3.6 - A 3.4 - Tim Rho nga:

- NT - D3.6 - Tim R6i loan tieu hoa:

- HSF - GL - TL - R - C4 - D10.12 - L4.5 - S4

- E 2.5.7.8 - Gan - Lach - Than - RI.* non VII BENH NGOAI TAM THIJ

TriOu chCmg Loan nhip tim

- C6 T - NT - LT - Ma - TL - C1.7 - D1.2.3.4.5.6.9 - L3 -A 1.2.3.4.5

1 Con hai hap: - NT - D3.6 -A 3.4 mang bao tim, cac quan chitc nano cl6u có

CAM NANG yE PHUONG PHAP TAC DONG COT SONG - 108- NGUYEN TRAM TAN

2 Lo Fang, bu6n phien: - NT - D2 -A3 - Tim Danh tr6ng ngirc:

- NT - LT: D4.9 - A 4.5 - Tuan hoan - HO help Cam gine nhubuOrc hang

- NT - LT : C7 - D1 - A2.3 - T.hoan

5 Ngu mo giat minh nhu nga xueng h6: - Ma - LT - D4 - A3.4 - Tim - Da day Dau nhOi vung tim: •

- C6 F - NT - TL - D4.9 L3 A4.5 - T hoan - HO hap - Than

7 Dau tdc nguc, kho then: D2.9.11 - L3 - C6 T - NT: D3.5.6 - A3.4 - Ca tim

8 CO tieng dap manh ng-tyc: (co luc tim ngdng dap)

- NT - D2 -A2.3 - Tim Mat may xay xam:

- LT - D1 - 2.3 - Pha- Tam 10 Huygt AI) th6p:

- gay - T(:)+NT

-C1 - D1.6 -A1.2.4 - TK Tim

11 Tim ngoai tam thu: (th6n thdc, 1(116 chiu) - NT - TL - C5 - D1.2.3.9 - A 2.3.5

12 Ngoai tam thu - Tim clap cham: - C4tLF

- C7 - D1.2.3.5.6.9

VIII B ;ENH R61 LOAN THAN KLNH TIM

'Nguyen nhan:

- He than kinh giao cam C7 - L2 - D2.3.4 bi kich thich, lam dap nhanh nen HAC Nguac lai he TK giao cam Cl - 51.2.3 bi kich thich lam tim dap chain nen HAT

- Day TK giao cam bi kich thich lam tim ma ra: Tam truong

- Day than kinh giao cam bi kich thich lam tim thu lai: Tam thu

- Hien Clang dUng Hei chting than kinh tim chua chinh xac

Phuong phap tac Ong c5t song: Benh cu

the va trieu chting nang CO bieu hien githig ve dac trung Trieu chdng la ngon cda

6 benh Trieu chdrig keo dai se benh Tim la ca quan diet' chinh ca the, neu benh 'sao to van phai kiarn tra C1.2.3.4 CO binh thaang hay rth loan Traac chd y cren lap en co corn Nay phai chti y den lap ca ten nhuac tren D2.3.4 ten Phai gai tren dau gai sang cac d6t, nay, tot hien mot lap co moi tren cac d6t song la khe d6t day len, mai giai guy& dude benh

Trieu chting chti quan:

- Danh tr6ng ngac, h6i hop, kho tho', kho kho tinh, an khong tieu, lanh bung, choang yang, xay sem mat may, thoang flat hoac nat han, dau nhoi nguc

Trieu chting khach quan:

- Nhip tim nhanh, ngoai tam thu, HA hai cao hoac hai thgp, benh nang 616 dLi den suy tim

Nhung bitfu hien chinh:

a Dau - Mat - C6 - NT- LT - TL b C1.2.5.6.7 - D1->7 - D10 - L3

c TK tim, ngoai tim hoac toan the - Lien quan: Tim - Ga - Than - Da day - RuOt non

A NGU:

1 Kilo NT - D3.6 -A 3.4

Bb xuong ba: D6 - Tim - Ca vai sau den D3

2 Ngii khong yen gie: NT - GL - D9 -A4 - Tim - Le.ch

3 Ng-U mo ac mOng : - Ma: D1.2.3.6 -A 3.4

- Tam bao - Ba ngoai xuong ba - D2.3T - D3.9F

4 H6i hOp kho ngii: - NT C6 - D5 - A2.3

- N: CUDC -> ca vai track + ba xuong bi

5 Ng-U hay giat minh: - NT - Ma - D5 -A4 B TIEU HOA An khOng tieu:

- SF - D4.10.11.12 -L1

CAM NANG VE PHUONG PHA!' TAC DONG COT SONG - 109 - BO1 DUC CUONG BIEN SOAK

2 Kem an: TL - D7 -A4 - Than D6 khong binh thubng se kern an Day bung: Ma - L1.2 - A4.5

- Da day N: CTL xoay ngang yang chau Lanh bung tren:

- DF - D7 -A4 - Than kinh: nong ngoai lanh hoac ngagc lai

5 Ru6t gan sot: D6 C TINH THAN Nguroi thoang me:

- Ch - LT - D1 - A2 - N: Co' vai sau Hay cluing mat:

- TL - Vai - C1 - D1 - A1.2 - Mat - Than Mat may xay sAm, nguoi lao ciao:

- LT: D1 -A - Tam - Phe NO ngat xiu:

Tot toan than - Cl - D1- Than kinh N: g6c chum ->CUDC

5 Mat b6c nong:

- NT - D1 -A - Tim - N: co' sau vai Hoa mat 96 matt sac:

NT-D1-A3 D CAC BENH TIM Con h6i h6p:

- NT - D3.6 - A 3.4 - Co' tim - N: cavai Danh tr6ng nguc, loan nhip:

- NT - LT - D4.9 - A4.5 - Tim - Gan Nong ran 16ng nguc:

- TL - D7 - A - Than Dau tiro vung m6 Ac:

- TL - D9 - A - HO hap - C4 - D4

5 Nang nguc tren: - C6 F - D9 - A - HO hap Dau tire nguc:

- NT - Vai F - TL - D2.5.9.11 - L3 A 3.4.5 - Tim - Mat - Than Dau ttic ngtyc T:

- NT - C6 F - D6 - - Tuan hoan - HO hap

vanh - D2 -A3.4 - Tim Dau ram ran l6ng nguc:

- NT - D3.6 -A3.4 - Tim 10 Dau nhoi 16ng nguc:

- C6 F - D9 -A4 - Ph6i 11 Dau nhoi yang tim: - Vai F- TL: D5.6.9.11 - L3

L4.5 - Mat - Than

Co the tim F co hoa.c khong phai tim - Tac Bong tit ngoai vao, song chinh ben, d6t sang 16i kho kac dinh, no chi gyn len mot tY, phai gai nhe trail dau gai song, cu6i cling giai toa Dll - L3

12 Tim dap cham:

- T14 C6 - Gay - Cl - D1 - A1.3 - Than kinh 13 Tim dap nhanh:

- NT - HSF - D2,3.4.9 -A3.4.5 - Tim - Gan 14 Tim dap cham, ydu:

- Ch: C1.2 5.6.7 - D1->6 (Chi; ye-u: D5.6) 15 Tim dap nhanh, kho th6', vai co cling:

- D3.4

16 Loan nhip nhanh (viern nOi tam mac, 6p le nhip):

- C7 - D1F - D4 - D9 - C7 - D4.9

17 Tim dap khong &Au, nang r6i nhe: - LT - 1201/phut - D9 - T : D8 - D: D12 - N: Bn CTL04

18 Ngoai tam thu: - C5 - D1.2.3 - D9

- LT - TL - C7 - D9 - L1.2.3 - D3 D4 915 soi bat nhe - Song chinh ben D5.6 - Tieng th6i tam thu co nang - D9 - DlOT

19 Tim loan nhip (danh tr6ng ngt.rc) - NT - HSF - C7 - D4.9 - Tim - Gan - NT - D2.3.5 - A 2.3.4

20 Chan tay run ray:

CAM NANG Vi PHIJONG PHAP TAC DONG COT SONG - 110 - NGUYiN THAM TAN

21 Tim dAp y6u:

- C6 T - NT - Tran - C1.2.3.4 -A1.2 22 R6i loan than kinh tim:

- NT - TL - D4F - L3 - A 4.6 23 Ngat:

- NT : D4 -A4 24 Hon me:

- NT - Ch - D5 - L5 - A 4.7

25 Hay quen: -NT- D6 -A4

26 Tinh ming nay, kho dia.: - NT: D6 -04

27 Te dau long ngqc: - NT - C6 F - D4 -A4

28 Nong long ngtyc, th6n thirc, h6i hOp: - C6 F - D6 -A4 - D9

29 R6i loan than kinh tim: D4F - L3 30 N6ng rat long nguc: D7

31 Choang yang, ban chan tim: - D5T - D2.3

32 Rho th6• gan to gay suy tim: D9.4.5.6 33 Hay sc D2F

IX B :ENH XO MO DONG MACH Dau thAt v-ung tim:

-Vai F - TLF - D5.6.9 - T: D3 - D: D12 - N: D4F - D7

N: Co' >along bi Bn CTL Nh6i mau co' tim:

- NT den D3 - Vai F d6n D6 Tim to, suy tim:

- R: S3.4 - T: S1 - D: S5

- N: B6 xuong canh chau - D4.5 F ->12 - S3.4

4 Li:et, mat ngon ngu , Ian ion thoang qua: - C6 - Gay - C4 - T: C4 - D: C7

- NT - DlT - D1 - D: D3 Xuat huygt nao, hon me:

- NT - D1 - T: Dl-D: D3 - C5.6.7 - T: C11 - D: C7

6 HAC:

- Gay - C5.6.7

- NT - D1.2.3 - T: D1 - D: D3 N: Co' vai sau

-Vai F - TLF - D9 - T: D8 - D12 N: Bn CTL

GL HSF - L1.2.3 T: Ll - D: L3 - : xg M chau Dai thao throng:

-Vai F - TLF + NT- D11.12 T: D8-D: D12 - N: Bn CTL - TLT - L4 - T: Ll

8 Han ch6 van dOng, chi diroi c6 dau: - NT - D1.2.3 - T: D1 - D: D3 - CVS

- Vai F - D4 - T: D4 - D: D7 - BTX ba - Vai F - TLF - D11.12 - T: D8 - D: D12

Bn CTL

- R - S4 - T: S1 - D: S5 - BTXCC

- R - V.cut: lien quan to vOng cut tr & xu6ng - N: Khe mOng

9 Dau bung sau bfra an: - Ch: C3 - T: C1- D: C3 - Vai F - D5.6 - T: D4 - D: D7 - GL - HSF: L1.2 - T: L1 - D:1,3 CTL xg ngang x Mchau 10 Tam - pile" man:

- T°+ D10: nong, ngoai lanh 11 Xo• ca-ng clOng mach: Dll - D2F

12 Xo• cling dOng mach vanh tim: D1.2F : lOp

X CON NHIP TIM NHANH Tim dap rat nhanh

- NT - HSF: C7 - D4 - D9 - A 2.4.5 H6i hap - choang yang:

- NT - C6 F - C7 - D2 -A2.3 - D4F

3 Bu6n non:

- Dau - Mat - C6- C5 -A2 Huy6t Ap ha, mach nho:

- 11C1- BUI DUC CUONG BIEN SOAN CAM NANG vE PHUONG PHAP TAC DONG COT SONG

C1.2 - D6 - L1.4

5 Tim dap nhanh, manh: - C1F//VOng S

6 Thin kinh bi kich thich, xuc dOng, so hai:

- NT - C6 F -TL - C7 -D1.2 -462.3 7 Danh tr6ng nguc (R6i loan co tim)

- NT - D3 - D6 - 03.4

8 Ngueri mat la (tim loan nhip) - NT - LT - GL - D2 -L3

THAP TIM

1 Tiang tim tidng th6i tam thu: TL - LT - NT

- C7 - D1.2.3 - D9 -462.3.5

2 Loan nhip tim nhanh - suy co tim: - SF - NT : C7 - D4.9 -46.2.3.5

3 Nhip tim cham r6i loan clan truyan: - C6 - Gay: Cl - D1 - A1.3

4 S6t bi6u hian nnla giat: - Toan than - TL - D4.11 -L4.5 5 Dau ng6n tay va cui tay

-Co F- D4-46,4

6 Dau ldiop vai va ca chi tren:

- DF - C6 F - Ma - TL: D3.12 - L3 - A 3.5.6 7 Kherp g6i sung dau:

- DF - GL - Ma - D12 - L4.5 - S3 - 465.7.8 8 Co chan sung dau:

- TLF - Ch - NT - HSF D12 - L1.4.5 - S3 9 Dau yang hong hang:

- Vai F - Bd: D1.10.11 - L2.3.4 - A2.5.6.7 10 Tim dap chan yau:

C1->7 - D1->6 ar6i 60 Ian: D9 - C1 XII DAU NGUC 1 Dau tax; nglxc:

- NT - Vai F - TL - D2.9.11 - L3 - A3.5.6 2 Con ho16ng nAtc:

- Vai - NT:.D2 - 26

3 Dau tticl6ng nglyc: - NT - A4 - D5.6

4 Dau ram ran 16ng ngt.rc: - NT - Co F: D3.4 -03.4 5 Dau ttic yang mo ac:

- TL - C4 - D7 -A2.4 - C4 - D4

6 Dau nhoi 16ng nArc: - C6 F-D9 -A5 7 Nong16ng ngqc:

- C6 F -D9 -A 8 Nang ran 16ng

- TL: D7 -46,4 XIII DAU SUON 1 Dau mang siren:

- DF - D4.8.10 - 2.5 2 Dau ka swirl F:

- HSF - D10 -L5 3 Dau ka sufrn T:

- DF - D7 -A4

4 Dau thin kinh lien suern: - DF - D2.3.4.5 - A3.4

5 Dau h6ng va ke strain - DF - D5 -A4

XIV ROI LOAN TURN N HOAN

1 Keo mau (nai fiat) lam da cling tham lai tun gdam, Luput ban dO:

- C6 - LT - GL: C6.7 - D11.12 - D5.6.7 2 Suy

- C4 - D1.2.3

- C3.4.5 - C7 - D1.2.3 3 Her van tim:

- C1.2T - C3.4.5 ( than kinh hoanh cach) - D2->10

4 Tiang th6i tam thu: - Bcr cham tren C2.3 5 Her van la:

CAM NANG Vi PHUONG PHAP TAC DONG COT SONG - 112 - NGUYEN THAM TAN 6 Thigu matt tim:

- D3F//D1OT - D4T//D9F - C6.7 - D1.2.3

7 Dau tim trai:

- Bd - Truac tram: S3 - L1->5 - S1->5 - Vai F: Dll - D7->12

8 Vong van 21a: so gio, so lanh, mOi met - ChUa nhe D2F goc tren

9 Didu hoa nhip tim - Tim dap nhanh: D9

- Tim dap chain 601/phut, ngat, choang, hoa mat, thong mat: C1T - C7 - D1F

10 Ch6ng chay man: -D10.11.12 -L1

11 Chgng mgt mOi, ue oai: - D5.6

12 B16c nhi that: Cl 13 Cac bgnh vg tim: D9

14 D ;Ong mach chit: C2.3.4.5 - 316p the 15 Mang bao tim: C4.5.6F, lop ngoai

16 Tam nhi: D1.2.3 - Lop ngoai, clan gai, thd hep

18 Tam that: D4.5.6F - 316p co, thd 19 DOng mach nhO o• bung co thAt: D2F - The rang ngoai co' thAng lung 20 Co tim: D1->D6 - thd - lop 21 DOng mach ph6i va nao co lai:

- D6 - lop - thd

22 Ding mach nhO ngoai da co lai: - D1.2 - The rang - ngoai co thAng lung 23 Tim trai - Nhi thai trai:

- D5 - Dau gai song - Thd hep - Lap co' ngoai 24 Tuygn - D3 - thd kin - lop co ngoai 25 Xo• cling dOing mach vanh tim:

BO1 DOC C1J'CING BIEN SOAN - 113 -

CAA NANG Vt l'HUGNG TAC DONG COT SONG

TIED IlOil

I DAU DA DAY:

1 Viem da day (gan boa)

+ TLF phia sau - GL - sinh duc - Lach - D12 - L2.3 - A 5.6

+ Sa da day: Khe T D2.3 - L2.3T Viem da day man:

+ MA - D5 - A Dau da day:

+ NT-V-D8 - L2 - A 5.6 Da day co rat:

+ TLF fs CQSD + D12 - L3 - A 5.6 Dau nh6i da day:

+ GL - Tuy - NOi

+ D7.8.11.12 - Ll - A 5.6

+ Ngc: C7 - D7.8

15 Non mica sau an: + NT - MA - D5.6.7.8 - D9->12

16 Chong mat vb.' m6 hoi sau an: + TL - V.F - D11 - L3

17 Dau bang, day bang di is long: + MA.Ch - D8.10 - L2.3 - A Cut 18 Kcha-ng pha

+ TL.MA - D12 - L1.3

19 Ca the suy nhun:c, xanh xao: + VF - D11.12

20 Chan an: + D7.8.9T

21 Viena loet da day va hanh to trang: + MA.SF - D5.10 - A4.5

6 Chay mau da day: + BD - Bang quang + D5.6 - A

7 Sung da day:

+ GL- Tuy - D7.8.11.12 - Ll

+ Kho mom, it nuac b9t: Cl - goc ham khoe tai

8 Loet hanh to trang: + HSF - Gan - D10 - A + TLT R - D5T

9 Viem hanh to trang: + MA - D5 - A

22 Beo phi:

+ D3.4.5 xo' D7 -> cu day chita D8->12 + Neu L1>5 lem

Day S1 len L5

sat 23 Cat can dau da day: D5T 24 ' Ta trang: D5

25.) Viem be' cong nhO da day: ngang D7 bd • ce lop cu ban dai chac, nhieu sui Fat, sat O

D7

26 Viem ba cong to da day: D11.12 27.) Hang vi: D9.10

• 10 Dau rat yang thucyng vi khong co chu

ky:

+ GLTL - D12 - L2.3

11 Biting an, day bung, q ho'i, + MA - NT - D6.7.9.11 - Ll 12 Neal mica, dau bung, da xanh:

+ NT - MA R + D5.6 - D12 - L2.3

13 Dau bang tang can duni v.gan: + Df - GL - D10.11.12

14 Day bang_san an + NT - MA - L1.2

+ Ch6ng met moi.: D7.ST - D1F

28.") Thigu nang toan (Thie-u chua), ho'i: D11T - D9F

29 ) Da toan (q chua);

D4i trang: C3.4 - V.cham 4- D-1_?-

II VIEM DAI TRANG Dau quan bung:

+ MA - D7.8 - A4.5

2 Day bung, biting an, ludi trang: + MA - L1.2 - A6

CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 114 - NGUYEN THAM TAN 1,

+ Ch.TL - D10.12 - L1->5 - S1->4 A5.6.7.8

4 Dai tien cting, nat that thuthig: + GL - D12 - A5

5 Dau cling xung quanh r6n: D9F + L2.3: dai trang ngang

6 Bu6n non, an vac) kho chiu: + NT.MA - D5.6.7 - D11.12 - M.5 Ngire-i het stic met mOi:.NT

+ D7.8.9 - M.5

8 Kho ngu, ng-11 giat minh, ngu me n.ga xu6ng

+ NT - MA

+ D1.2.3.5.6 - A3.4

+ GL - D9 - D6->L1

+ HSF - DlOT C2->S - D4->12 + Ch: L2-4

7 Ia lOng cam lanh, mot ran: C7 - Dl

+ Dang khop ngon Ia chay : R6n T

+ D7 - DlOT - D11 Sbi bung di long:

+ Ch - L5 - C3 - D8->12 + MA - D12 - L4 - D4->11 + D10.11 - L1.2.3.5 - S1->5 + TLF - D10 - L1.2.5 - D7->D11 10 Dai tien toan rnr&c:

+ Do than

+ TL - D10.11 - L2.3.5 - S1->5 D2LF: Dai trang len H6 cham F

11 Bung lanh, ia lOng:

III IA CRAY + TL - D10.11 - L2.3.5 - S1->5

1 Ia chay khOng ngting, ngruoi met mOi, nhcrt nhat, phir chan:

+ MA.TL : D7 - T: D4 - D: D7 + N: CBT xBa

+ D10.11 - T: D8 - D: D12 L1.2.3 : N: Bn CTL S6t soi bung, dau bung:

+ VF-GL - A - BnCTL D12.T - D8 - D: D12 + N: Bn CTL

3 Di riia town nucic: + TL - D7.T: D4 - D:D7 + CBT xBa - A

12 Tre di tuci-t:

+ BD: Dll - L1.2.3.5 - S1->5 13 N6n mira:

+ MA - D12 - L1->5 - S1->5 + Vai F - D5.6 - C2->5 - D7->12 + C1.2.3.5

+ GL - D9-p7.8 ->12 - Ll + BD - D11 -1.1-> 5- S1->5 + TL - D10.12 - L1->5 + C6 - V - NT - D12 - D2.6 14 Non khan:

+ GL - D9 - D7 ->L1 + BD: D12.4 ->5 - S1->5

4 Ia chay keo dai: 15 N6n mau:

- -

+ Ch.TL - MA - A 5.7 - D8.11.I2 + BD: D12 L1->5 S1->5 + C6 - V.NT - D12 - D3.4.5.6 + L5 - T: L4 - D: L5

N: MC xg BT X cchau 16 Tieu hoa kern:

+ GL: D9 - C2->5 - D6->12 Virg tao b6n, vrza ia lOng that thuerng: + BD: Dll - L1->5 - S1.5

+ TL - Ch - MA - SF - A5.6.7.8.9

D8.10.12 - T: D8 - D: D12 BnCTL 17 An khOng tieu: D10.11.12

- - L2

+ L2.3.4T - T: Ll - D: L3 - CTL xg MC + VF'

+ S4 - T: S1 D: S3 - + MA - D12 - L1 - D4->12

ngang BTx Cchau + HSF - D10 - C2.5 - D4 ->12

+ Wing cut Xg cut trO• xuang ngang khe 18 Day bung:

mong + MA - D12 - Ll - L5 - D1

+ D9-D12 + MA - TLF - L2 - D10.11.12

CAM NANG Vi PHIJONG PHAP TAC SONG COT SONG - 115- 13tTI DUC CUONG BIEN SCAN + D12 - Li g

+ Co tr kem: V S cut 20 Rho nu6t:

+ D3.6 - D5.7

2 Tao bon kinh nien: + TL - D10.11.12 - Li->5

+ Ch - L5 - C3 - D8->12 - L1.2 - S2.3 + D2T.6.10.12 - L4.5 - 51.2

21 D'Ay bung, soil bung: 3 Tao bon dau h6 chau T: (nigt ngti) + BD - S3 - L1->5 - S1->5 + D2 - D10.12 - L4.5 - S1->5

22 Bung tren lanb: + D7 - Ttic Tam 1S7 23 Bung duCri day

+ MA - D12 - Ll - D4->12 24 Bung trilogy:

+ MA - D12 - Ll - D5 ->12 + TL : D10.11.12 - L1->3 + MA - D12 - Ll - D4->L1 25 Biting an: (D6)

+ MA - D12 - Ll - D4 ->12 + VF - D5.6T C2->5 - D7 Ll + MA - D10.11 - L1->4

26 Tre biting an: + p4 - D9 +D6 ca ben

27 Viem dai trang (dau dai trang F., di long, dau qu'an)

+ T°4-BD cham-tran: D2F - C7-D1 - D3 - L4.5 IV TAO BON:

1 Tao bon: Ch

a) D10 - L1->5 - Si - >5 - Cut -A 5.6.7.8.9t2 S5

-)10-N-o-T Ll - N - G - RST 12 - L2 - N

- L3 -.T - L4.5 - 51 - G - S2 - - S4 - N - S5 - NT- Cut - N.G.T b) Ch - C7 - D12 - Ll

- L213.4.51 - 51.2 c) HSF - D10 - D5 ->12 d) MA - D12 - Ll - D4->12 d) TL - D10.12 - L1.5

g) RF - C3 - D2F - D8 - L5 - S1 h) CF - D4 - C2->5 - D1->5 i) GL - D9 - D7 ->12

k)BD-D12 L1 L1>55 1) D2T - D10.11 - L4.5.6 - 51.2

n) Co: D5.6.10.12 - L4.5 - S1->5

4 Tao bon, nhumg khong mot ran: (do khong có hoi de ran)

+ C7 - Di

5 Tao bon thieu chat nhOn phan:

+ D12 - Ll

6 Tao bon co trop true trang co bop kern:

+ VI:mg S + Cut

7 Bi dai tien, bung truerng: NT-GL + D4 - D12 - A 4.5

8 Dai tien tao: dau nOng dau, kern ngil, hay quen, NT - Ch

+ D2 - A3

9 Tao bon, dau Wing dai trang: + Ch - C7

V DAU BUNG:

1 Dau bung nhieu ins hoi: + MA - D7.8 xo' - BNCTL - A 4.5 2 Dau bung: GL

+ MA - C3 - D6.7 - L1.2 - A 1.4.6 3 Dau quan bung:

+ GL - D9.7 ->12 - L4.5 + MA - D7.8 - A4.5 + TL - D10.11 - L1->5 4 Dau bung mot ran:

+ VF - D11 - A4 5 Dau bung 1-iic doi:

+ MA.H trtr.c trang - D5 - 04 6 Dau tue bung (lath:

+ BD - MA - L1.2 - A6 + MA - L1 - A6

8 Dau bung gAng + Ch - D2 - A3 9 Dau thoat vi ben:

lIM NANG Vh PHIJONG PHAP TAC DONG COT SONG - 116 -

NGUYb\I THAM TAN

10 DAy bung: + MA - L1.2 - A6 11 Soi bung:

+ TLF - D10 - L1.2.3 - A5.6 12 L4x-ih bung tren:

+ Df - D7 - A4

13 Bung cao tinh day: + HSF - D10

+ D6

14 Da bung day: + DF - D10.11.12 - A5 15 CA-t dau bung:

+ D5T

16 Dau tren

+ MA - D12 - L1 - D4 ->L1 + GL - D9 - D7 ->L1

+ MA - Ch - D7.8.9 - L1.5 - Ci - D10.12 17 Dau bung clued:

+ BD - D12 - Ll - L2->5 C2-> - S1->5

18 Dau bung cap, h6 chau F dau:

+ D2 - 12F china khOi chin tiaP D7F - D12F L1->5

19 Dau truo•c bung: + GL - D9.7 ->12

+ TL - D10.11 1.2 - L1->5

20 Dau bung ram ran kh6 chiu: + MA -D12 - Ll - D4 ->L1 21 Dau anh ach:

+ HSF - D6->12F - L1.2.3 + HSF - Dll - D4 ->L1

22 Dau bung lan sau lung: + MA - D12 - Ll - D4 ->L1 23 Dau bung hic no:

+ D7.8

24 Dau bung hic doi: + D5T - D9F

25 Mot ran :

+ VF - D5 - C2->5 - D1 - L2 26 Di ta: Tran D10

27 Kiet ly : D1OT 28 Tao bon : D10.F

* Chi] Dau bung can kie'm tra , MA - GL - TL - HSF

29 Dau bung ca no, ca doi: + D5 - D7.8

* Dang mieng: D6 - VI GAN - MAT - LACH Dau gan: VF - HSF

+ D5 - 10 - A 4-5 + VF - Dll - D7->12 Cac benh gan:

+ BD - S3 - L1-> - S1->5 + HSF - D10 - L5 ->12 Gan sung to :

+ SF - D10 - D4 ->12 Viem gan:

+ D11.12 - L1F

+ D7.8.9.10F - D12 - Ll

5 Viem gan, xo' gan vi HSF + D10 - D5->12

6 Sung -till mat:

+ VF - CF - D5.10.11 xulan tOa ben Uri Bn CTL

7 An khang tieu: + SF - D4.10.11 - L2 Benh yang da:

+ SF - TL - D7 - D10 - L3 - A4.5.6 D6C tri banh tY nhiet + VF - Dll - D7 ->12

+ SF - D10 - D4->L1

* hiau banh gan: trang mat co gan yang pha hang, sac khi kh6 xam

9 Con sOi mat: + VF - Dll - D7 ->12 + SF - D10 - D4 ->L1 10 Vang da:

+ R - S3 - C2->5 - D7 - L3 + BD - S3 - Ll ->5 - S1->5 11 Lach sung to:

+ SF - D10.11 - D4->L1 12 Viem tuy:

+ C1.2 - S1.2.3 13 Gan chai

+ D4.6.7.9.10.12 + L5->S5

CAM NANG VE PHUGNic PHAP TAC DONG COT SONG - 117 - BUI DUC CUONG BIEN SOAN

CHAY - LUNG (T°±2 ben rOn)

1 Dinh nghia: Di is nhanh, nhieu lan, phan cc') nhieu nuot, runt tang a/Ong tiet dich va co bop

2 Sinh ly co bop runt: loai:

a 8f/lan, xdo trOn thuc an cho tham dam cac men tieu hod

b Khong có chu ky, keo dai tit - 1,5f dAy thlic an tir tren xuong

c KhOng co chu kY, mo lan tir 1-10f trucmg the ctla runt guy& dinh

+ Thirc an & da day tit lgia ruOi den gio duqc dua xuong runt non, nam den gib' thin -7 day sang dal trang Can banam O• day 24 gier sau btla an duo'c tong ngodi

3 Sinh 1Y benh:.Bnguyen va benh sinh: a) CO ton thucmg thuc the & runt non va ruOt

gia•

b) Rei loan caciaoffertrert./7, c) R6i loan co bop runt

d) ThUc an oi, thiu

• Ia long cap: Tylgt rr.u6i, mat uac qua phan, mau bi co, kh6i luting T giam HA giam clan den truy tim mach

- T:R-VF-GL-SF -D10 -N-G-T - N: Ch - R - TL - G : MA.R

- T : GL - R - Ch - TL - D11: N-T

- N: Ch - R - GL - GL - R

- Ll: N - G - T - N: Ch - R - TL - G: MA - R - TL - T: Ch - TL - L2: N : Ch - TL -L3: G - T

- G: R - MA - T: Ch

2 Ia chay kern theo sot soi bung, dau bung:

+ Ch - R - TL - D12 - A + Di2: N: Ch - R - TL Di ngoai toan ntro'c: -

+ MA.R - HSF - V.F - GL - A5 - D7 - G6c clutti D7 - D7 - G - T

- G: MA - R - T : GL.VF HSF • Ia lOng man: khong gay mat,nix&c, nhung Ia chay keo dai:

keo dai Ten tieu hod giam stit'sth suy dinh + Ch - R - MA - SF - V.F

throng, thiu mau, tre coi xuong + D8(11.12 - L5 -

/ 6" : Ia long va is chay la bai tiet phan quA + A 5.6.7 nhanh, phan long va di nhieu ldn r6i loan + D8: N - G - T co bop runt non, runt gia, da ddy lien quan - N : SF - V.F - GL till mat, tuy, gan, than /9 q,,(0 ,,{1, - G MA - Ch

• Tc!, Ch - R - MA - V.F - GL - TL + Dll - N - T: GL - R - BD D7.8.9.10.11.12 - L1.2.3.5 - A 5.6.7

* *

1 Ia chay khong ngthig, ngueri met mai,

phu than: * Chu y: Can cll vao T°+ thuc tai ma di vao

tang lop co' + MA - R - TL - Ch

+ Neu khong co T° bien d6i thi khOng clnia + A 5.6

• co' lien quan - N: R - Ch - GL

+ D12 : N : Ch - R - TL + L5: G - T: Ch

- G: Ch - BD - TL + Nghen : D3T

CAM NANG Vi PHUONG PHAP TAC DONG COT SONG -118 - NC;UYiN TRAM TAN

nuot girng

6 Beo phi r6i loan chuygn hoa:

+ D5->12 co day 16i, co lung to day Tri: dung day ca ban tay voi luc that nang chita tit ngoai vao va di Ur ranh song dd giai toa ben co lung co day Sau chita tin D5-> 12 va L1->5

7 Luoi:

+ C5.6T - C6 - Than kinh thiet hau Moi;m6M nhiet:

+ C6// DIO Tri mau:

+ D10.11 - S2.3 10 An ngra tot: D9F 11 Tieu hoa kern:

+ D11.12 - L4.5 - SlF

12 Tri: china sat vao ben mom cut (T°4- Vch - S1.2.3 - Cut)

13 Tri nOi: lei dom ngoai mau dO

14 Tri ngoai : loi dam ngoai mau xam + D11.12 - L2.3T - S2.3

,15 Sa true trang: + D10 - L5 - S1 - S5

16 Tri : ViIng S co lap co 16i Om, china manh V.S.F hoac S r(s4

17 Nglicn: D3

18 Ch6ng cha'y mau: D1OF

20 Nu6t : + D2.3.6

+ LLOi - D10 - L5 - D3 - L2 + C1.7 - D1.2.3.7.8.9

CAM NANG Vi PI-RJONG PHAPTiC DONG COT SONG - 119 - Bth DfIC CIJONG BIEN SOAN HO HAP

HEN S1TYEN

- Thor kh6: Hen suyen

- Hit vao kho: Suy tim, tam phe man

- Hen chtira luc dau len T6c thua cham theo nhip th& - BN hit sau, to an manh lam d6 the

• Ch - NT - C6 F - TL • C3.4 -.D2.3.4.6.7 - Ll • A 1.2.3.4.6

• Tim u banh & c6 - Gia.t - d2: D2.6

1 Kho th& tti-ng con, th& cham, kho khe nhung kitting sot:

- CF - NT - C3.4 - D1.4 - 41.2.3.4

2 Gian phe quart, hoac xo• ph6i ga kh6 then, khac nhieu (term lien tuc: CA - D4 - D6 - A4

3 Hen, th& nhigu, th& mau, kem thuang xa'y vao ban dem:

- C6 F - NT - TL - D2.3.4.7 - 43.4

4 Kho th& vao ban dem, tim dap nhanh, c6 tigng ngua phi, nhip th& hic nhanh, hie cham:

- NT - CF - D2.3.4 - A3.4 Hen not Chung:

- NT - CF - TL - D6.7 - L1 - Hen khong sot:

-C3-41

7 Hen suygn lau nam, c6 nhigu dean: -Ch-L1-46

• BA Trait Bach Tuygt:

1 T°4- dinh ddu: Benh lau, xucmg se viing dinh dau nhO cao Chtiza hen: 4vien B6/ngay Ca king nguc: Co that ca long ngtrc nhu

danh dai dueri vai, nen hit vao, ph6i khOng thd ne theo chieu ngang de' chira khOng khi, ma benh nhan phai dung co hoanh d6n ca kh6i runt xu6ng, lay ch6 cho ph6i ne theo chieu d9c Ngu9c lai, the benh nhan phai thOt bung lai, da'y kh6i runt nang co hoanh len ep khong

Vi vay benh nhan bi co thAt cang nang thi cang phaidung 11/c co co bung nhigu, tao nen nhung ndp nhan nhUm xung quanh ro'n cang sau

3 Ktrung 'Ong nguc:

Benh cang lau, 16ng nguc cang bidn clang nhidu, xtrong me ac co thg nho cao len nhu uc chim ng6i Nht.mg cang c6 benh nhan me Ac lom han xu6ng, khidn cho xtrung 16ng nvc phinh ngang va loe e nhtIng xtrcmg suo.n cut, vi the., co hoanh phai lien tuc dgy kh6i runt xu6ng Cu bung lai day nguqc kh6i runt len, lam co bung phinh hon 16ng ngu:c

4 Di ting:

CO clang di Ung: throng ho hgp - thtitc an - thei tidt

- Tre: cham, ch.dy nu&C mill

- BN hat hcri, x6 mui, lau dam nueic mui dac quanh lam ngat mui, kh6 th& gay viern hong, viem phd quan

5 Phan biet tri'eu chting: Viem phe quan -Suy tim - Tam phe man: Hit vao kho th& chen c6 tn.-mg tren me Ac

- Hen: Th& kho, nen the' trung xu6ng & cu6i xuong me Ac

- Da tai xam: vi BN hap thu oxy it Hen nang, oxy it, BN c6 cam giac ram ran & nguc, to chan tay

• BN kh6 th& di irng mui + Mui chay nuot trong: Ch - C2.3

+ Mui the le: Ch - C3.5 + Ngat Ch - C2

+ Kho th& - co' thang ca CUDC cang ctirng: Tac Ong tit dau vai vao co' thang, chuydn clan vao d6t song co

Chu BN hen kho th&, hay keu nong, toat m6 hal., nhung than nhiet binh thueng, da van mat

• Hen suygn kh6 thO'• :

- NT - C5.6.7 - D1.2.3.4 - 16.p gitira - D3 • The thO., nhieu d&rn:

CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 120 - NGUYhN THAM TAN

- TLF sau D8 ->12 - L1->4 - S1->5 • Len can hen suyen: KC : dau dau

- Dinh dau - C2->7 - D1->6 - D2 lop sau- L5 • Hen suyen dau dau, sot cao:

- B tren - C1->C7 - D7 HO (DONG Y)

1 Ho phe:

- Ho kern tieng kho khe nang, don c6 mau; Sang dai trang: dai tien khong to chu dirqc Ho tam:

- Ho dau nguc - cam gide hong co vat tr& ngai Nang: dau hau hong; Sang tiOu trixemg: vita ho vita danh trung tien

3 Ho can:

- Khi ho dau ben suarn, truong day, kho chiu Sang dean, ho khac nuac dAng

5 Ho c6 dem: D1.2 Ho sau: D3.4.5

7 Ho c6 mau l'An corn: + CO F - D4.7.8

8 Ho xuyen: + EL - D7 - Ll

9 Ho suyen man tinh: D6 10 Ho lau khong bat:

+ MA - S1 - C6.7 - D3.4 - 12 11 Ho son dai:

+ A 1.6

+ TLF: C2.3 - L3

+ BD - L1.2 - S1.2 - lq C1.2.5.6.7 12 Ho, hen xuyen:

+ Ngueri nong NT CF, D2.3 lOm lech -D4 - A 2.3.4

13 Ho cum: NT - CF

4 Ho tk: + D3 - A

- Khi ho dau suem phai va dau vat vai den

lung Nang: khong Ong clay duqc, ho tang 14 Hen xuyen: V dau nhidu Sang Vy, vi khai: ho kern non nla, CO + LT - CF - C3.4 - Dl

thd non giun dua + A 1.2.3

5 Ho than: 15 Tre em ho:

- Ho kern dau eo lung - dai rat Nang: nhO' + CO F - D5 - A nhaft dai Sang bang quang: ho son dai

- Cac chdng ho ddu Vy lien quan den phe 16 Ho cueing hong nhu nghen: - -

nen chat' nuac nu&c dai Cu6i cling dau + NT CF MA -

mat sung ph6., tho'gap Ho lau anh huOng + D5.6 A

den Tam tieu Ho phii: Chfra du huyet - 17 Ho xuyen man tinh: sung phir tilt/a kinh huyet + CF - NT - D6 - A

18 Ho mau lAn dean: * *

+ MA - TL - D7 - A Ho: BD - Ch c6 F - MA - EL

+ C5.6.7 - D2.3.4.6

+ C2.3.5.6 - D2.3.6 - D12 - Ll - S3 + L3 - D5.6 -C6.7 - D12

+ TLF - C2.3 - D5 - S3 Ho khan tieng, mat tieng:

+ NT - C5.6

19 Hen pile quern:

+ D3 Kma-u - D2.3 tang cdng + CF - NT - TL - D6.7 - A + D3.5.7 - D12

20 Lao hach CO: + D6 - A

21 Viem mui di ling:

3 Ho khAn co: + Ch - D2 - G 1.2.3

+ V c6 - D5

+ Kho thq: C2.3.4.5.11.12 - - D7 Ho ga: (mat sung, chay ntreec mat) + C4.5 - D7

- 121 - 1301 DUC CUONG BIEN SOAN CAM NANG Vi PHUONC FHAPTAC DONG COT SONG

22 Kh6 the.:ne, mei met: + C1.2.3.4.5.6.7 - D1.2.3.4.6.7 - D12 - L1.3

+ NT - SF 35 Cat can hen cap:

+ C3.4 - D2.3.4.9 - L3 - A 1.2.3.4.5.6 + Vai - CF - C7 - Dl 24 Theo' ng'an hoi: kiem or hoi + Hen tim : D4

+ V dau - LT - CF - MA + Hen than : Ll

+ Hen Ty : D7.8.9.12 - Li (nang xuang don len)

+ C3.4.5 - D8.7 - D3.4 - Nam: D9 - 36 Hen tim:

+ 01.2.5 + C7 - D1 -> 4.6.7.8.9

25 Sung hong rat co: + MA - TL

+ D4 - L1.3.5 - A 4.6.7 dam lao ph6i: + BD - D4 - A 27 Viem phg

+ D3.5.6

+ CF - D4 - D3 - A 3.4 (g6c trai F) 28 Sung ph6i:

+ CF - D6 - A 29 Lad ph6i:

+ BD - D4.5 - A 30 Cac clang lao:

+D4 - Lop, N - he hap + BD - D4.5 - A 31 U phe quan:

+ Tran dich mang ph6i TL - C7 - A

32 Khi phg

+ Tran ph6i - lien quan Than - TLF - C7 - A

33 Sung cu6ng ph6i: + S2->5 - S2

+ NT - BD - D3.5 - A 3.4

+ Ca tren D3 lan len D1.2 ngang sang vait - TCN: D5 RL

37 Hen :

+ C4.5 phia truck nhieu - TD : D1.2T D3.4F - D1OT - 11.12 - L1F

38 The the' nhigu dorm: + Ll - D1.2 - D12 - C6.7 39 Len kho tha.:

+ D6 - D2.3 '40 Viem hong:

+ CF - MA.EL - Ch

+ Goc ham ben F - Cl - D4 + C3 - D1.3.4.5T

+ C4.5 - D2.3.4 - L3.5 - S2 + C6.7 - D3.4T

+ C3.4.5 - D1.2.3.4.5T 41 Viem amidan:

+ C6.7 - D1 (ngu ho them viem hong) + L5 - C6

44 Phg dal trang: + D2.3.4 - L5 45 Th6 huyet: + Ll - D4.5.12 + D4 - Ll

- lien quan Than - 42 Suy ho hap: (ca vai co) + C4.7 - D3.5.6.7.12 + L1.5

43 Viem hong hat: + C3

34 Hen: 46 Viem hach hanh nhan:

+ D2 D3 khuygt ma u Tim kip ca banh a co + L5 - C6 T bat, tim Ddeng D2-D6 Chda ben co

47 Viem arch len, ba vai, ca true(c nguc, co 6tritil.i

quanh bi vai, chda tay clang saki phia + D5

+ Viem hong: Cl - D4 - goc ham sau tai F trong xuo'ng ba, tay TS), vai sau Hen

ghee-quin : ev-i,Lai D-1-2-3-co-cem -D12 48 Te hong:

Ll + C6 F - MA - EL - Ch

CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 122 - NGUYEN TRAM TAN - A 2.3.4.5

62 Ho ben suoen dau, khong tr& minh &ton Neu &Cr minh, viing nui ac dau:

+ HSF - D3.4.10.11 - lq D12 - A 3.4.5 63 Ho suern T dau am i len ca vai va

lung, khOng th6 cu• dong duon, neu dOng thi ho:

+ GL - MA - D5.7.11 - D12 - lq D1.2.3 - A 3.4.5

64 Ho dau nh*c vai va lung gian, t6i ho

53 R6n phi dam: dai :

+ D3.4.5 + TL - D7 - L1->5 lqD9.10.11.12 - A 5.6.7

54 Ther dau hay ther dai, lop co' clued canh 65 Ho bi non giun:

+ MA - D5.6.7 lq D11.12- A 4.5 66 Ho nude dAng va chua:

+ VF - D10.11.12 - lq D3.4.5 - A 4.5 67 Ho kern trung tien:

+ R - L1.2 - S1.2 - lq C1.2.5.6.7

68 Ho day bung khong mu6n an, chay nuon mai, mat phil thung:

+ GL - MA - CF - D3.5.7 - D12 - A1.2.3.5 , -

.49 Te rat hong: + D6 - D4 - L5 50 Dan hong:

+ C4.5 - D4 51 Mgt tieng:

+ D6 - C5.6 - D12 + C1.2.3 - Ll + Ll - C1.2.5

52 Dot nhien met moi ho hap: + D7.8

tay dau: + Bat C5

Nhuon ca quern gay khan tieng: + C6 LF - D5

+ NT - D5 - 11 - C7T (T°4- cc' khop vai T) 56 HAt hcri:

+ D7 - L1->5 + D7 - L2.3

57 Viem mang ph6i: + VF - NT - Dll - L3

+ VF - TL - Dll - Ll lq D8.9

58 MI6 ill& c6: fi

+ D5 - D11.12

+ D2.3.4 - C2->5 - D9 - L3 59 Tam phe man :

+ C7 - Dl + C4.5.6.7

+ D3 - S1.2.3 - D5.6T - D7F

60 Ho xuyen tieng, co th6 huyet:

+ CF - D1.2.3T lq D9.10.11 -A 3.5

* Viem ClcF - Vai F - VUng lung tren - D11.12 - L1F

61 Ho dau nguc, hong nhu hi nghen, vuOng mac, dau hong:

+ C6 - VNT - C5.6.7 - D1.2.3 - lq D9->L1

69 Ho

+ BD - Ch - CF - MA - EL + C5.6.7 - D2.3.4

- + C2.3.5.6 - D2.3.5 - D12 - Ll - S3 + L3 - D5.6 - D6.7 - D12

+ D5.6.7 - D3.6 + TLF: C2.3 - D5 - L3 70 Viem xoang:

+ C1.5 - D5 71 Bui ph6i:

+ co vai - C7 - D12 - CV/VS - D4//D9 - D12 - Li

+ D1.2F - 5->10 + Chu Si: D1.8 12 72 ThO dau, th& dai:

CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 123 -' BUT DUC CUONG BIN SOAN

SINH DUC

NAM

I I I

1 Vo sinh

- D2 (chang xuaa tinh som) + D10 - S2.3

- Vu F-V-F Ma -C6.7 - T:C4 - D:C7-N : CUM cvai trneic

- C7-D1 - D7-8 Lr - C2-3-4 day ben yang teo Chita ben \rang L va S 2 Liet lg Than - B.quang

- TL-D10-12 - L1-45 - Bd - S3 + L145

- C7 - D12 + L2.3.4.5 - S1.2.3.4+Cut - - L2 >S5

(S5 khuyel mau) - TL sau - truoc:

D10 TLF -L54,- S1,1, - S3.41' - D12 - T:D8 - D: d12 - Bn CTL

- d7 - D7.8, D10.12 - L2 - S1 -*5 Cut

- D6.7.8 - L2.3.4 - S2.3

3 Di tinh: lq Gan-Than.-BQ-Tuy-Nai tigt - TL D10.12 lq Ll

- GL TL - L1.2.3 - ben - Bd - S3-L145 S1 45 - HSF- D10.D4 Ll - GL Dl Lq D7.12

4 Di mang tinh (L4.5 thang, Sit ) - TL-Ma-D7-T: D4- D:17

N: BT x 134

- L1.2.3 T-T: Ll-D: L3 - D4.5T - L1.4

5 Di host tinh - ligt dicing - TL: D10.11.12 - Ll - GL: D9 - D7 - D12

- Bd: S3 - Ll - S1 45 BT.x BA - SF: D10 + D4 >L2

6 Giao hqp khong xugt tinh - TL-D10 ->12 -D7 12 - GL - D9 - Ll 45

- N : CC/ DC > ca vai truck

7 Thi‘u nang sinh dvc (gai chau hep) - Vai F.LT - C7 LF - D8.9.10 lam lech - D12 - Ll t LT - S3 t

8 Suy sinh duc (D10 khuy'et mau) - C6.7 - D7.8.9.10.11.12- L1.2.3.4T - C6.7 - L4

9 Tinh suy - C7-S3-L2

- D10.11.12 >L2.3.4

10 Hoat tinh - C1.2 - S1.2.3 - Ll - S1 - C7 LT

11 Tinh trang it (S3 CQ sinh tinh) - GL D9 - D7 412

- BD S3 - Ll ->5 - S1 > - TL -D10.11.12 - L145 12 Khang có tinh trang

(tinh dich it : D3 - D6) - C7LF1D2.7.8.9.10.11.12

Ll 45 lam - S1 ->5 loin khe gai chau hep - C1.7 - D7.10 - \rung S - L4.5T - S1.2.3 lam-S4.5 - L4.5t - S4.5t - S1.2.34 13 Phong tinh khong chii dung

- L4t - L24, chila L5 - C7LF - D2.7.8.9 - L2.3 - L2.3.4.5 - viing S 14 Ha nang dau moi

- R - S3 - T: Si-D:S5-BTXC chau 15 Cliqng dau &Ming vat

- S.F - Di+D4

- TL - D11.12 - L1 45

16 Dau dau &Ming vat lg gan - than Chu ye-u D10 - L3

- GL-D9-T: D7-D : D12 BnCTL - L3-T: L1 D: L3-CTLXM chau - HSF: D10 - D4 412

- TL - D10.11.12 -L1 ->5 - GL - D12- D6.7.8.9 - L1 - VA F D10.12

-Vai F C1-C6

17 Sdng dau tinh hoan (S2: lam tinh hoan nong len khong sinh tinh trung) lq than

-VaiF -D11 - C1.5 -D11 - TL- D1 -D12 - Li-5

Ma - Ll - D5

- HSF - D10 - D4 ->12

18 Dau tinh hoan - mat-than - gan - da day - V.F- D11: D7 -> D12 + Cl

CAM NANG vh PHIJONG PHAP TAC DONG COT SONG - 124 - NGUYEN THAM TAN 19 Teo tinh hoan (L5-S5 mat lanh)

- C71'F- D7.8.9 - S2.3 co Om - HOng - S2.3 - C7.D1- D6.7.8.9 - TL - D10 -÷1.2 - Ll >5 - L3 - S5

- D8.9F

20 Tinh hoan lac cht; - L2.3.4.5 - S1.2 21 Ng9c quAn nh6 nheo

-1134 D12-L1.2.3 - S1.2.3 - HSF D10- D4 ->12

- Vai F-D11 - D7 -312 (gan mat) 22 Dau tifc &deli

- TL-D9-T: D8 - D12 - BnCTC - L3T Ll - D: L3 CTL xMC 23 Vo sinh nam nit

- D7 ->12 va yang S 18m :L3.T : L1.D: L3-CTLxMC 24 Narn suy sinh duc

- D2,3 -ki'en tinh, ch6ng xugt tinh nhanh

- D10.11.12 - lain sinh duc khOe - D7.8 - trung tam sinh tinh - S2.3 : TT ctiong cit

Nam suy sinh duc lain L4 bign d6) Nain hay quell : L4

25 Tinh hoan lep c6 qu5 tinh hoan dau tac, dam duct, kia6 chin) - KM -L 3.4.5 - S1 ->5

- L5 - S2.3 : sinh due nam - lit phong tinh kh8ng chi) &Ong 26 Titc dau thoat vi

- HSF -D10 - D4 ->12 (gan, mat, - Vai F - Dll - D7 -312

27 Dai bu6t quy dau -D 11F // L2

NET VO sinh-L3.4.5 4,3

TL TN, - D7->D12

-01.1 - T : D8 - D: D12 - Bn CTL

- L3 - T: Ll - D : L3 - CTLX MC - Ben F - C6.7 - D3.6.10.11-T : L4 - D1 thoai hoa lop ngoai

L3.4.5 : T.h6a cung co b6p nhigu vo sinh,

- Chita d' gai cha.0 xa nhau, Ong - Ma - Ll - D5 -> Ll

2 Viern tit cung TLF- Ch - R - GLT D9 + D7 ->12 - Bd - S1 + L1-5

- VaiF -D11 -D7 ->12 - L3-T : L1-D: L3 - CTL x MC - S3-T : S1-D: S3 - BTx CChan

3 \Tem voi triing (dau nhoi nhu kim darn vao h6 chau T)

- TL.L4-T: L1-D : L3 MChau xg cd 136 x CC

- ELF - L2.3 soi vat ngang

4 Tac Eing dan tritng (barn hdi thay mOi vai la bi tL)

- GL - D9 - D7 ->12 - D10.11.124- L - D3.4 - L3 - GL - L1 ->5 - L3.4

5 Viern than kinh voi trung -L3.4

Viam Sng dan tritng : D11-12 Viem arn d4o

- VF.TL

- TL - D10.12 - Ll ->5

- Dll - D: D8 - D : D12 - Bn CTC - L3 - T: Ll - D: L3 - CTL x MC - L4 - T : Ll - D : L3 - MC BT x CC - Dll - L3 - L1

7 • Co khit am dao (cd co Om, bang nhang tren ctAu gai sang D10.11) - Vai F - TL

- HSF -D10 + Dll - L1

- D10.11 - T : D8- D: D12 - Bn CTL Co tii cung phi dai

VAIF - LT:

- L3-T : Li -D : L3 - CTL xg MC - L4 - T: Ll - D: L5 - MC xg BTCC Tac voi tritng

- D1 - S1.2.3 10 Tit cung mau

- Vai F - GL SF-D10 - D4 - L1 - D10.12 - T:D8 - D : D12 - Bn CTL 11 Sa da : (S2LF)

- TL - D2 (khe L2.3) - D7.8.10.12 - L1.5 - D10.12 - Ll ->5 - S2 >5

- Bn CTL - L5 T rat dau L2.3.4 - SI.2 - LT - TLF - L3 - L5

- 125 - BUI DUC CUONG BIEN SOAN CAM NANG VE PHUCSNG PHAP TAC DONG COT SONG

12 f)au cita minh : - D7.8 13 Be kinh

- TL : D1 ->12 - L1 >5 - D10.11.12 - L1 ->5 v-Ung S - L3-T : L1- D: L3 - CTL x MC

- LS - DI.T - D7.8.9.10 - C - L2 - S1 >5 14 VO kinh nguyen phat (D2 T chua bao

gia co kinh)

- GL D9 + D7 ->12 - KM - D12 - Ll ->5 - TL - D10.11.12 - Ll ->5 - C7LF - L1.2.3 - D12 15 Vo kinh this phat

- GLD2LF + D5LF - C4.7 - D10 - GL - + D7 ->12

- TL - D10.12 - Ll >5 - KM - D12 - L1 -±5

- D2 - 31 - C7- D1 - L2.3 + D10.11LT - Khe dudi Cl

Khe dudi C1.7-D1+D9.10L - L2 S3 16 Kinh qua it

- TL

- D10.12 - Ll ->5

- TLF - L3 - D10 - L2 - S1 - L3-T : Li-D : L3 - CTL x MC 17 Kinh qua nhiAu (7 tra len)

- HSF - D10 - D4 ->12 - TL - D10.12 - L1 ->5

- Vai F-GL - D10.12 - T:D8 - D: D12 - Bn CTL

18 Rong huygt - SF-D10 - D4 ->12 - D10 + D8 ->12 - L1.2.3 19 Bang huygt - Vu F

- D10T- T : D4-D : D12 Bn CTL - HSF - D10.11T - D4 ->12 - L1.2.3 - GL - D9 - D7 >12

20 Kinh nguyet khong d'An - MA - Ll - D2 ->12 - HSF.-D1OF - D4 ->12 - TL- D10.12 - L1 ->5 - GL - MA - TL

- C7 - T: C4-D : C7 - CUDC -> CVT - D11.12-T : D8-D : D12 - Bn CTL - L1.2-T : Ll-D : L3 CTC x MC

- RTxCe,

21 Thong kinh (benh caa Bertholin - C7) - Vai F D10.12 - Ll

- TL - D10.11.12 - L1 >5 - GL D9 - D7 ->12

33 Co thai mau - HSF - D10 - D4 - L1

- GL-TL - D12 -D8.9.10.11 - D1OF - D4 ->12

- S3 - Ll ->5 - S1 ->5 22 R6i loan man kinh

- TLF

- BD- S1 - Ll ->5

- S4-T : Si - D: S5 - BT x CChau - S3 - Ll ->5 - S1 ->5

- D10 - Ll ->4 - S4 23 Khi Int dOi

- Ma - TL - R - VF-Dll -D7 >12 - TL - D10.12 - Ll ->5 - S4-T : S1-D : S5-BT xCC

xuang yang S - Ma - L1 - >12 - GL - D9 - D7 >12

- BD- Trail - H8ng - Khf Int hoi yang D7.8.9 'I' LF - D11.12 -T 5F

24 Bach GL - TL

- D12 - T : D8 - D : D12 - Bn CTL - L3 - T : Ll - D : L3 - CTL x MC 25 Dich dam thiiy khO

- C7LF - T: C4 - D : C7 - CUDC - CVT 26 Lanh cam

- TL - C7 : D1 - D10.12 - L1 >5 - GL: D9 + D7 ->12

- C7 - L4 co dAy 27 Hysterie

- D12 - Ll co c8m

28 Hay say thai (L44, hoac LF) - TL-D10-11.12 - Ll ->5 - GL-D9 + D7 ->12

- D1LFT - D7.8T LF - L3.4CLF - C7F - D5.10.11 - L2 ->5 - 51.2 - C7 - D1.2.3 - L2.3.4T

29 Say thai (doa say thai) - GL-D9 +1)7 ->12 (:) Thai chgt lulu

- TL - D10.11.12 - Ll ->5 - GL - D9 + D7 ->12 31 Nil' higm

CAM NANG Vi PH1JCJNG PHAP TAC {JONG COT SONG - 126 - NGUYN Ti-IAM TAN

34 CO thai non mica - C7 - D1 - L5 - vAng S - D7 - D9.11.12

- NT : D5.6 - C1 - D1.6 - D10 ->12 - Ll ->5 35 DOng thai

- C1.2 - C6.7 - D1 (am bung) - L5 - S1 lam mgm tit cung

san NA

36 Thai phat trien chant (calci bung lanh)

- C1.2-7 - D10 - C6

37 Du'dng thai - an thai

(Da ca thai cam tac dOng L2.3 gay bap tit cung)

- C7 - D1 // S3

42 Narn + Nut ne.0 D10.D11.12 - suy tinh duc

Nam : tinhtrUng it, khong dU so lung Nv : Thgng kinh - H.kinh khong dgu 44 S2.3 T : Bat laic, khong cucing cii

45 Sinh trai : S21'- Mach F kich hoat Giao hdp sau sack kinh Khi co thai, nguai dimg sau goi, san phu quay phai - bung trait Khi ng6i tay phai cla kern, trong luong ben T,

S1.21' dAy dua sau nhigu hdn

46 Sinh gai 524, - Mach T sich hoat Giao hop this 12 dgn 14 tinli tir nga.y có kinh NgtiOi dimg sau g9i co san phu quay sang T Bung qOn NgOi xtiOng tay T luong ben F L1.2 F 16i hon

- C6.7 - D9 10

- Chita tir L4.5 - S1 xu6ng - C6 - D2.3.4.5 - S2.3 38 Dieu hoa

- Mai thu thai : D9 - L1.2.3 - Thanh thai : L2.3

39 De kilo

- Bd S3 - L1->5 - Si ->5

40 Sq sinh host tinh dye khEing chu dOng xuat tinh

- C7LF - D2 - D7.8.9 - L2.3

41 L5 T : Tir cung sau - Sau L5 : Ti l cung truoc

48 Sting tut cung : - D9 + D7 ->12 39 Tit cung - bung tritng

- MA - Ll - D7 ->12 50 U xd d4

- GL - D9 - D7 >12 - TL - D10.12 - L1.5 - KM D12 - L1.5 51 U xci tuygn vu

- D9 - C2.5.6.7 - D7.12

OW NANG VE PHIJONG PHAP TAC DONC COT SONG - 127 - BOI DtIC CIJONG BIEN SOAN NOI TIfT

cAc Lap u

* Trieu chting :

1 Da mat yang rorn

2 L6p tren DGS mem, day, bung nhimg, hoac teo nhan Lop co tang mong tang kho chda T°+viingU rat cao

4 Cac loai U deu co dien mg d6i xung &vang co% U (K) day yao hach, chan hach có vet nhan,

tint la c6 nhan ban vao xung quanh

6 Khi co U (K) thi lop co' tren DGS co xo ran tan barn dinh vao DGS va kh6ng di &Ong Khi có U (K) cc!) nhieu soi bo, chay then

chien song hanh Nhieu cum soi xct trim det, co chi) có lop co mong nhu tirng to giay xep lai clai cct det

8 Neu tren DGS có lop ca teo thi co the la U hoac tang sinh

9 Chita U phai china vao L2 co corn n6u giai toa diroc la chita duoc Neu lop co xa co mong thi chCralaukhOi

10 ThOng thuong co D3LT - D8.9LF co - D10 - L2.3 LF co corn - Lop co' tren DGS toa ra, khong co day thildio

11 Khi cht1a cac loai U, nen chita that nhe a lop co' ngoai

12 Chita bao gib' Cling phai can cit vao rihiet dO dia phirong - 'long cao voi dot s6ng

13 Cac soi xoxung quanh kh6i u có lien quan den d6t s6ng

14 Cac d6t s6ng phai lam that sach: + C6.7 - (C7 tuyen giap trang) + D3 - D11.12 - dac biet D3

+ L3.4.5 - (L3 lien quan mac n6i lon lam chitc nang can chuyen)

Ph ii song chinh:

C6.7 //D3 - D3 // L3 -D11.12//L4.5 U Arnidan

*T 0+DF - CO goc ham trai

- T°+TU not tang: cham - \rung lung tren

* Tri eu thing: N6i nin6u hach c6, Amidan

sung to, not kW), nu6t kh6, met mai, da yang, mat quAng den ran reo, c6 to, duoi cam to, dau strain T duoi vai, an ng-6 kern

a Amidan sung to: C6.7 - D11ien quan D3 b Ngtrai m *et moi:D3.4 lien quan L2.3 c Nu& 166:D2.3 lien quan D6 d Noi k126: C5.6.7 lien quan D5 e An kem:D6T lien quan D8.9F

f Ngu kem:D3.4lien quan D7.8.9 g Coto co hach: C6.7 lien quan D3 h Dau swan T: C7 lien quan D5.6.7 i Tuydn yen: C2.3

h Tuyen gi ap trang: C6.7 - D1 k Tuyeil irc: D3 - limpho 1 Dv trCtlimpho:D11

n LT - TL : Barn huyet Dong phong, ben c6

hang dyad ham, Thien dot Tac dOng Cl : C6 -05.6 T° DF thay d6i he co morn - C1.2.3 // goc charn - C6.7 - D3 - D7.11.12 - L3

2 U

- K dau vu thut vao, xung quanh bau vu co nhieu cuc, hach to nho 'thong di dOng Lay tay dSy sat chan hach, thay da *ling quanh nhan DO la nhiing chan cua hach CO ngtthi K vu ben, co nguoi Kvil ben

- Neu co soi x6 ngang d6t D3 phai giai toa xong r6i moi chfra vao D3 T

- Khong &roc chaa vao L3 lam u sung to

a Uctan vii: D6.9 b Ubgu tai: D10

c Unongavu han.h kink: L1->5 - S1.2 d Uvti F D6T

d U Ira T:D3F

+ C6.7 -D1 -D3.9 -L2 +TL - D3.6

+GL-D9-D7->12

CAM NANG Vi PHUONG PHAP TAC DONG COT SONG - 128 - NGUYiN THAM TAN

D5.6.7.8 - L2->5 - S1.2 e D4->12

3 K - Uxo• lien li :et tuyen: chu yeu L4 (co lop co teo xo soi L4.5t - S1.2)

a LT- D11 - L4F - L5T b ELT- L2.3t L - L4.5 t c D1 -L4.5 - S1->5

d C1F - D6.7 - L3.4.5 - S1.2.3

d D10.11.12 - L2.3.4t S1.2.316p ngodi e D11 +, \rung c6 - L1.2.3.4 lop ngoai = S1.2.3 f Vu6t tir L5 len gon & L3F den Ll - sau chaa tigp

L2.3 va S2.3 nen rung

4.K U xce tit cung: chu ygu L5 - xoa nhe vimg S a D8 -> 12 - L3.4T

b GL -D9 - D7 -> 12-L4.5-S4.5 c D8.9.10 - L2->5 - S1.2

d.TL-L2.3f L- D8.9tD11.12 - L4.5 -D2->5 d KM - D12- L1->5 - S1->5

e C6.7 - D1 - D3

f D10 lech lom xu6ng L5 chia den D10 lom 5 K - U tru_ng thk ph6i: c6 soi det hinh dem

chen CtD3xu6ng suon le U K ph6i - C6.7T - D3T - D6.7.8.9F - DlOT + S2.3T 6 K vein hang:

-LT- TL- C5.6

- C1.2.3 - song chinh C6.7 - D3 - D7.11.12 - L3 - C3.4.5.6.7 - D1->5 -L2.3

7 K dal trang: - D3 - D10 - L5

8 K quan (mgt tigng, not kho): - C6 - LT- C7 - D1.5.6

9 K tuY co: - D3.4 *- L1.2.3 10 K xuang chau:

- D3 - L1.2.3 11 K da dAy:

-C1 -D10.11

- Tren C7 - co detmong - C5.6 -D5->12 - L1->4

12 K gan: - D6T - D7.8.9T 13 K tuy: D6.7.8-> 12F

14 K thAn lzinh (lop ngoai): 1

- C6 - Truang cuong 15 K thuc guar':

- D3.6 - D10.2 16 K d6i

- C1.2 - c7 - D1 - D3.4

17 K mau: Bach cgu cao, benh mau trang chita: Gan - Than - Ru6t non

- L2 - be bach cAu

+ C6.7 - D1 - D3.4.5 s6t D7.8.9.10.11.12 - L2.3 + Cl -S21q D5

18 Unangbu6ng trirng: -L2t-L34.chuatirdtroilen 19 CAt dau K:

- D3T va cac doan co co xo soi tit to chdrnxu6ng vai

20 Trangnhac - DF D6 - L2 - ELT -NT - D3.8.9 21 Buon c6 don thu6.n:

- C6.7 - D4 - C1 - D1.6 1

22 Buou co ac tinh:

- C6 F - D3.4 - C1.5 - D2.9 1

23 Hach vbm hong: - C1.6.7 - D3.4 - C6.7 -D1.3 -D8 -L3 24 Quai bi: A

- C6 F - D4 -4 25 Ung thuph6i:

- D6.10 -L3 - Dll - L2 26 K throng runt:

- D10.11.12 -L1->5 - S2->5 27 U6n van:

CAM NANG Vi PHIJONG PHAP Tic BONG COT SONG - 129 - BUI DUC CIJONG BIEN SOAN

MAT Sti A

* Chira mdt sun:

A Nhiet cao: V lung tren - C1.7-D9.11.12+

- Song chinh: L5 - S1.4 B Nhiet (16 thgp: V lung tren

- C1.7 - D1.2

- Song chinh: D7 - L2 - D1- D6

*

a Tang Glucid, Lipid: D3.7 - D7.8 b Tang tie-t sita: D12 - Ll

c Tang can: C6.7

d Tim chO ca co c6m, setvao NB dau

- Chita bat vao cac sci co' co quanh vu, gg.n nach bat NB dau

- Lam cho het cac u, hach O'vd, chO co corn I MAT SUA:

1 B Au nang niun vu circrng: a VUng dau: C1-> C4 1q D10.11.12 b Ltmgtren: - L5 song chinh S1->4 BAunang, niun va nh.eo:

a Cha'm - giva lung: C1->7 lq D2.3.6.7 b Lung tren - That lung:

- Song chinh: D7 - L1.2 - Don chinh: Dl - D2.3.6 DAu nang, niunvd

a Nhiet thgp:

- Hong - Mang - Toan than - Song chinh - C1- S5 b Nhiet d0 tam than cao: - Don chinh: D9 - L3.4

* Chit Sr: Vu6t quanh vu ma nang vta not gai la tot II TB:11USDA

1 Nang nheo:

- ben dg.0 - That lung - Gii2a lung - Co vai trai:

- Song c in :

- Don chinh: D1.2 Nam vii nheo co gai:

- ben dau, lung tren: C7 - Dl.D2 - co' vai - Gitta lung: song chinh: D4 - D7

3 Nam nheo (ngan): - Co - Gay - Ch 6m: Cl -MO ac - &ran: D7.8 -Vai phai: D9.10.11 BAu vU nheo

- Lung tren: C7 - lq D1.6 -That lung: L1.4

SUAXAU

1 BAu cuong - nang cuong, có tia, rnAu sirs trong:

a DAu c6: song chinh C6.7 b Lirng tren: D1.2.3.6 c Gitia lung: D9.10.11.12 d That lung: L1->5 -

neu có d6i c16ng thi song chinh ca cr6i dong Dau dau mat ngU tuyen vu viern.: •

-L2.3 - D1

13 :ENH THE EM Di twit: Ch -L5 - C3.7 - D8 Tien hoa kem: C7 - D9 Biting an:- D4.5F

- D4.9 -D6

4 Kinh giAt: D3.4 nhe -103.6c dem : D3.4 Col x-trong: D4

6 Meo mom - tron mat: D3

7 Viem mang nao: TLT: L2 - C1.2 - D4 - S1->5 Bai liet: D3 - L5

9 MAt tri: C7 - D4 -D12

10 Ch lam phat trien tri tue: D2F - L3.5 11 Tre li mla ng,u6i: C7 - D1.2.8.9 - L5 12 Li et tay: C1.6.7 -D1.3.4.5.6.7

• • 1; •

:AM NANG VE PHUONG PHAP TAC ()ONG COT SONG - 130 - NGUYiN THAM TAN •

23 Lqi nieu - D2 - C7 - D11 - S1.2.3

24 Dai dtidng khong khat ndoec TKF giao cam: Dll - S1.2.3 25 Viem c6u than

Dau lung nhq ca hai ben

- TL - L2 - A6

Phil 174M tre-ing tit mi mat xueing cha'n: TL - L2.3 - A6

Nizoc tiiu et3 it - de) ctuc

- NT-TL - Ch - Ma : L4.5 - A

HAC : D6u - M -C - TCF - SF:

C5.6.7 - D1.2.3.10 - L1.2.3

Nguoi nu5i net - chdn an

- GL- TL - D6.7 - A4 26 Viem cAu than F

- D8.9.10F - ThanT lanh - ThanF lanh - D2.10 - C7 - L3

27 Viem than

- TLF - D10.12 - L1.2.3.4.5

- Vai F - L2.3.5 - D10.11.12 - L1-4 28 Viem tuyen thtictng than

- D10 LF - D8.9.10.11 29 Than sung tam

- D34 - 7.10.11 - L2 - S5

30 Than suy (da den am khoi b6 hong - inoi tham)

- D1OLF

31 Trung tam itc ch6 tigu tien : S3.4 - D9.10.12 - Dau ngarig.r6n

- L3.5 - Dau bang quang

32 Coln dau soi th4n :

- D3 - S3 D11 - L3LF -D10-L4.5 - L3 có lop co in'Ong n'am ngang d6t :

Dll - L1.2 - D3 33 Viem bang quang

- Ch-TL-L3 - Dil - L1.2.5 - S i ->5 - ChTL - S1.2.3 - L1.3.5

34 Bang quang co giat - D1.2.3 - L4.5 - S1 -+5

35 Bang quang co soi dau tifc kho chin - ELF - L5 xo r6i - C5F = D2F +

D10F - L3F 37 Thily thiing

- Ma - ELF : L2.3.4 38 Thi.iy thang cap din

- TLF - GL - D12 - L4 39 Phil ne tri tre

- D6.9.12

40 Te phi] : VF : Dll 41 Phi] than : L4.5 42 Phu ne : D1.10 -11 43 Phii mat

- GL - D12 - Ll - D3.4 - D10.11 - L2.3.4 - D7 - D11

44 Bi tieu tien : ben F Dai nhieu : ben T

CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 131 - Bul DUC CUONG BIEN SOAN

TIET NIEIT

1 Cac benh tit nieu - Vai F D11-D7 - 12 - L2.5 - D7 ->11

2 Dai dArn -L1.2.4 - S1.2.3 - HSF-TLF-D3.6 - L2.3.4 - S1.2.3 - Cl-D3.7 - L4.5 - S1.2.3.5 - HSF : D10 - D4 - L1 - TL : D10.11.12 - L1 -*5 - GL - D9 - D7 >12 Tre em dai dIrn

- L2 > - D4 - 11 Dai dem

- C1T - D3F - L4.5 - SL2.3 Dai thao (nhat)

- Vai F - Dll - TCN -D8 - L1.2.3.4F

6 Dai trAng duc - L2

- HSF-TLF - D10 - L3 - TCN: D7,11 - L2.3T - chit yeit L3 than sinh Dai d6

NT.Ch.Ma D2L4.5.7TCN:D6 -D12 - L1

- Ch.Ma.D2 - L4.5 - C7- D1 8a Dai soM: S4.5

8 Dai da't

- TLF - L3 - TCN D12 - TLF - D10.11.12 - Ll ->5 - TL - L3 - D9.11 - L1.2.5 - S1.2 - TLF - D10 - D4 - Ll

- GL - D9 - D7 - D12 Dai son

- Bd-R-S4.5 - T" L4.5 - Bd - S2.3.4.5 L:4.5 - D3 - L4.5 - S2.3 10 Dai bu6t •

- HSF-TLF D10 - D4 - D12 - TL -D10.11.12 - Ll ->5 - Bd - S3 - Ll ->5 - S1 >5 - Ma - D7

Dai duc bunt: SF-D10.11 11 Dai mau (viem cd.0 than)

- GL - D12 +Cut - C3 -D11 -L1.5 - S1 12 Dai nhigu

13 Dad hay bi rat lai - S4.5 - D12 - Ll - S2

14 Dal duc -, nau nhti rid& v6i - Phan trang phan co : u tuydn - Da yang - long trang mat yang

nhti agile : Ung thtt mat 15 VO nieu - suy than

- D7,9

- Dll L5 - S2.3

16 Dai duc mau ho'ng nhat - HSF - D 10-L4 - Ll - gan than - Bd - S7 - L1 -5 - S1 ->5 17 Di b6 nhigu - dai d6

- D10

18 Bi dai - Ma-GL.HSF - Vai F - D10.11.12 - TCN: D7.8.9 - Ma D12 - Ll - D5 ->12 - SF - D10 - D4 - L1 - GL - D9 - D7 ->12 - VF Dll - D7 - 12 19 Tia'u tier: khO

- Ma - L1 - TCN : C7

20 Tigu tien khOng thOng ldi - NT-TL-D2-TCN : C7

21 Dai thao dtiang Ma-D12.L1-D5-L1 - C1-D1O-D11.12 - L4 - S1.2.3.4

- D1-6

- D10.1 12 - 1-5

Nguyen nhan: tuydn roi loan khang san insoline Do cac hoot mon a gan itc chd tuydn hoac day Phe vi ttc chg tuyen IcMng san

Thy y: Can cit htdng &Ong nude tieu : tit dao Lang gait tidt.insoline

Being y : an nhigu - uong nhidu - dai nhigu

Thttong tieu:Tam tieu Rl-khat =phd Tmng tieu: An nhigu - vi RI

Ha tieu: dai nhigu = than R1 Tri : HOa trung Ich

Khcit thcin kinh phe" vi

- C1.2 // SL2.3

- GL - D10.11.12 (hoot mon gan) - D7 -> D19

- HSF: D8.9 - C5.6.7 - L2.3.4 - S4.5 xd

-D11 - L4.5 - S2 - S4.5 - D11 - L4.5

Han ch.( sem insoline

- D10.12 -L1 - C1.2 - S1.2 - CF - C1.5 -D1.6

CAM NAND Nit PHUONG PHAP TAC DONG COT SONG - 132 -

NGUYiN THAM TAN 29 Chita beo :

- D9.10.11.12 30 Va m6 hOi nhtt am

- Vai F - Dll - TCN : D8 31.' Nhieu m6 hOi

- GL - D7,8 - TCN: D4.5

(khong v lung tren)

- D3 - D11 - C1.2 - S2.3

32 M6 hOi chan tay chfia thy tru&d - Vai - C6.7- D3.4 D1)

- D31 - D12 - L2 •

- D7 -412 (khong china C7 - D1.2)

33.* Ban t ay nhieu ma hoi

-NT LT - C6.7 - TCN : C5.6 34 M6 hoi trim

- TLF - L3 - TCN: Dll • - TLF - L3 - D11.12 - Ll 35 Khong c6 ma hoi

- NT - F - D1.2 - TCN: C6.7

36 Nhigu m6 hoi - sq gio : chan long ma) trAnebot

- NT- Ca F - D4,1' L3 - TCN + D1 Tan hoan H6114

37 'Nhi6u m6 hoi - sd gio : rnieng sac

- NT - D5.6 - TCN : D3.4

38 Nhieu m6 hoi - sci gio : &i t% mat sac xanh

- HSF - D10 TCN : D7

39 Nhi6u m6 hoi - sci giO:tren mui yang : - GL - D12 - TCN : D9 (Lach)

40 Nhieu m8 hoi - sd giO: ngoai da sam den - TL - L3 - TCN : D11 - Than

41 Nhigu ma hOi sot giO - Than the gAy, I.- bung to •

- Ma Ll-TCN: D9 •- 42 Nbi6u ma hoi - sd gio

- TL D4 - L3

43 Chan tay lanh, nguai phat dien Bung day - chi main chay - not bay - n6i can

- Ma-TL-L1.2.3.4.5 - Da day - Than 44 Chan tay lanh Bang thing tai

Quai ham sling ming DA.0 goi khong cit dOng dliqc

• - VF - TL - Dll -L2 Mat-Than

45 Chan tay.laxth.Bi dai tien Bung trtiang KhongmuCin an Khong n'arn ditdc - Ca F.NT.GL - D4 -412

46 Chan tay lanh, mieng kho, rixt6c tieu dO, bung dAy.Dau yang tim

- NT.TL - D5.6 - L3 T.hoan - Than 47 Chan tay lanh, bung du'6i sting dau,

day bung, khong thong tieu tien Hay narn co go-i Bap chan nortg

NT-HSF -D5.6.10 Tim - Gan

48 Chan tay lanh Tim da Dau vimg tim

- NT-TL-D5.6-T: D4-D: D7y - BTX ba - L3-T: L1-D: L3 - CTLxg Mchau 49 R6i loan not tiet

- D10.12 - L2

CAM NANG 18 PHUONG PHAP TAC DONG COT SONG - 133 -

131111 DI:IC C1JONG BIEN SOAN

CAC GIAC QUAN

DA

Chfra ram ma not ti6t, tac Ong tir D10 den L5, clula nhe ben de huy Ong nOi tigt Ram ma mAu dO - Tim;

- D2.4.5 lq D9F - D2.5.12 - Ll

2 Ram ma mau xanh - Gan: - D2.4.51qD1OT

- C6.7 - D9.10

3 Ram ma rna' u den: Than - L2.3 ca phai va trai - C7 - D1.2.10 - L3 Mat bi tan huong:

- Tac Ong ngang gifra D2 vb D3 + L3 -S1.5 L3 -D10

5 Va'y ngn: -D3

- Khe L2 va L3 -13.4 bach ce.0 Rung toc: D7.8.9

7 Di iing:

-D12 - L1 - S1 -L5 - Than - D5 - L5 - C2 - L2.3 - C2 -L3.5 - D5

- D5.10.11

- S2.3.6 - C7 - D1111,1.5 bungnhimg Lam dep da:

- C6.7 - D1- Tang Calci huy6t - D6.7.8.9 - Tang h6ng cau - HS t6 - D7 - L3

- C7 - D1

9 Vang da, gay corn: - D4.5 - D12 - Ll 10 Vang da, vang mat:

- D7->12 - Ll 11 Da xanh:

-NT- D5.6 - C7 -D1 - L3.4 - S2 12 Da day ell-rig den:

- C1.6 -L3 13 M*4 day: D12 14 T6 clia: L1.2.3.4

15 Ngira:

- VF: D10.11 -L2.3 - Ch + L3.4.5

16 Mna7 ngira hach: - L5.3.4

MAT * Cac Nnh

-T°+ V dued R - lq Bang quang S3 - S3 lqL1->5 - S1->5

1 NIAt sung d6: - Bd - S3 lq L1->5 Dau mat dO:

- C7 - D3.4->10 - L1.3 - L2 - C6.7 - D3.6.7.10 Nhan dp tang:

- C1.2 - D3.5.6.7 - D11.12 - L1.2 - C7 -D1 -D1O-S2.3

4 Ru6i bay: - C6 - D3 -D3.4 - C2

5 Thien clAu th6ng:

* Don thuan: khOng dau dAu, khong dau mat, nhan ap tang 20 mot ben hoac mat:

Cap tinh: Dau dau, nhirc mat, dom dom gg.n nhu n6 ngacti, nCr kilo tho'

a C6- Mat - Khe C6.7

-D1.2.3 lqD7.8.9.10.11 + Ll -S2.3 b C1.3.6.7-D1.4.5.6.10

c D10 - C1.2.5.6.7 - D1 Can thi•

a F - C3.4.5 - D3.4 T - L4.5 - S1.2

b C1.2.3 -D3.4.7.8.10 - L2.3 c C1->7 -D1.2.3.7.10.11.12 -L1.2 Duc thuy tinh the: C6 - D3

8 Sirrighoa giac mac: C6.7 - D1 - D3 -D12 - D1.3.10712-

16 Viem gia.c mac: - C1.5.6.7 - D8.11.12 17 mdt loan thi.:

-V dAu - C6.7 - D1.2.3.8.10.12:4

18 Mat loan sac: Di

19 MAt c6 ru6i bay - ch6p sang: - Dinh clan -LT - TL - C6.7 -D12 20 Sup mi:

- T.kinh - Nao - Co' co - Dinh d

- C7 co clAy -D11.12 - D2 - L4.5 - VF- D11.7.2 c6 21 Thi luc giam:

- VF - D1 lq D7 - D12 - D10 - L1.2 -Ma - L1->5 - lq D5

- Ch - L5 - lq D8 - L2 - D10 - L1.3

22 MAt nhin xa kern.: - TL - D10.12 - L1->5

24 The tuye'n1: Berxttcmg ch6m co corn - C1.2 - D12 - Ll

25 Quang gA: TL - D5 - D9 26 Ntuic &Au-NIL-6c mat:

- HSF: C6 - D1 - D4.9

HSF - DAu - Ct3- Gay - Twq!'n yen - C6 - LT - C1.2.6.7 - D1.2.3.4.10.11

27 MAt khongnhAm duo•c: li -Ot day - Chi - MAt ben liet

CAM NANG Vi PHUCJNG PHAP TAC DONG COT SONG - 134 - NGUYEN TRAM TAN

- C1LT - C6LT7 - L3.4 - S3 - Dll - S3 10 Viem vong mac:

- C5.6.7 - Co vai - D6.7.8.9.12 - L1.2 11 Di *rig mat mua xuan:

- C2 - D1

12 Phil vong mac:

- ben C6.7 - ben L2.3 - D7.8

13 Thoai hoa vong mac, due thug tinh the:

- C1.6.7 - L5 28 MAt lac:

- C5.6 - co vai - C1.7

- C1.5.6.7 - Dan xnong ben liet 29 MAtt bi ngira:

- Bd - S3 -1q L4.5 30 Hay nhay mat:

- T°+ thai throng - Ll

- Chia vao u chgm - Bd - Ma - S3 lq L1.5 (Ma)

14 Viem gai thi: - D10.12F - C4.6.7 31 MAt

15 Teo gai thi.: C7 - D12 - Bd - S3 lq L1-> - C6.7

- TL -VF - C4 t- L1.2.3

a Co thing tit Trop mat mdi nhin dupt: Cl b DOng tir gian ra: nhin nhu strong mu, phai ngtla mat len mai nhin duo'c: C6.7

32 MAt nhtic dau: -VF-D111qD7 -> 12 -C1

33 MAt sung den:

- VF(gan - mat) - Ding D7 -D12 34 ChAymr6c mat:

- Ma - Dan - Cos - Gay - Ma - Da day - L1 1q D5 - D12 - Ll

35 Mat tron trirng trimg: - Ch - L5 - lq D8 - L2 - C1

36 MAt nhirc lau (gian diing tik): - Ch - L5 - lq D8 - L2 - Cl

37 mAtl6i: NT- CF-LT - D4 - C7 - D9- L3 -C7

-Di 38 Ha nhan

- C6.7 -D1.9.10 39 MAt nhu co bui:

- 135 - BCJI DUC CUONG BIN SOAN CAM NANO IA PHUONG PHAP TAC CONG COT SONG

41 Mat trop ngtrqc: -Cl

- C1.2.7 - D4.9 - D9

42 MAt len leo: - D3.4 43 Cling mAt: C1.2

44 MAt kem phan xa: V (16u - C7 45 Dau mat do: Ch

- D10 - L2.3

- Cl goc - D11

46 Co' mAt ham che van dOng: - C5 - D5F - D1 - C7 - D10.12T 47 MAt khong nhAm khit: C1.6 48 MAt yang (gan): D5.7.9.10.11 49 Tuyen ntraec mAt kho: C7 - DI 50 Co' mat may giat: C2

51 Hoa mAt chong mat: - D1.10

- L3

52 Mi mAt nhunhAmlai: C7 - D1 53 Nhtic dAu, mAt: HSF - Dl lq D4.1.2

MUI

1 Mai chay mr6c trong: Ch - C2 -A the le: Ch - C3.5 -A 1.2

3 SO Ch - C3 -Al TAc mui - Ngat mai: C2

5 Viem Ch - C1.7 - D2 Not miii: D5 - L5

7 Chiymau cam: Ch - D5 - L5

MAT

1 M4t gi4t: Ch - DF - D2 - A

2 M4t to bi: Ma - Ll- A6 Mat lanh: DF - Cl -Al

4 Mat nOng: L C6 - Gay - NT: D 1 - D5 D1

5 Mat nong being: D6 B6c nong len mat:

-D1.2 - L5 - D8 - L1

7 Ma sung: Ma - Ll -A6 Ma ming: D3

9 Ma lanh: D3 - D6 nhe 10 Ma giat: TK5 - D3.7 11 Co' mat bi bur D1 - L1.2.3 12 Liet mat: CF - Ma - EL - C6 - Ll 13 Ma sung 'cam: D1

14 Mat ph-a: GL - D12 - Ll - D3.4 15 N6t ph6ng ran nut mat: L3 16 Cham ma: D7T- D5F - D11.12 17 Tra-ng ca: D3 - L2

- C7 - D1.3.10 - L3.4 -1,2.3.4161)T 18 Ram ma: D8 19 Mat trai giat: L2 20 Mat to bi: Ll

MONG-MOI Med kilo: D4

2 Me° mom: C1.2.6 - Ll

3 Mieng, mAt meo loch: C1.2.7 - D4.6.11.12 - L3 - S3

4 M6m me°, mAt trqn: D4 Meng kho, mei kho:

JAM NANG Vi PHUONG PHAP TAC DONG COT SONG - 136 - NGUYEN THAM TAN

CAM DEC Chita diec truac - Chita cam sau

DlEeC Kie'm tra mang nhi

DUng tay lam loa, ghe sat tai die-c het that to BN sham mat la thang inang nhi Neu BN gat dau, ngaTn nguai la chua duoc Cgu nhi da trail cang tay, BN dau, nhan mat, chua duck Bam cac huyen Dam kinh: Khieu am Hop khe Dia ngii 16i Huy& hal -T uic lam kha-p - Duong quan - -ThUa Son Phong - long cho den tai BN dO len r6i mOi chita Bain cac huyet trail Dan - Co - Mat - Tai

- D3 -D11 - C1.2.3 - D2

- C1.2.3 - D6.7 - D3 - Ll - Ma - C3.6 - D10 - L3

CAM

Chita dityc :

lAiai be, dal, thing, dau luoi trim - ngan - to - co - nhan - lech vat trOn trai, vat mang

Kheing chfia ducc:

- Luai vat thauh gin a xung quanh di chitng Luai khong cong cillOc Ltiai day mieng

- Kie'm tra Kong - Icha'u thief, binh thuang hay c6 hien tuong cha'u cuc

- Benh cam lq : Hanh to trang Thuc quan Thanh clan Dam kink T°+TL C1.24- - D2 16m thgp - D3 co coin TK lutdi : C6.7 - lutdi dai ngAn : D2.5 - Cam : C2v

- Chita bat C1.2 len

1 Cam barn sinii LT C1.2.6 - D1 Cam di chiing D6 - S1.2.3 - L4.5 T Diec ham sinh

- C2-1' co day - Ch : soi det - dal - C6.7 - D11 - L3

- Ch - LT - V.S

- C1.2.6 -D1.3 - L5 - VS

- C7L: cling mang lan sang C5.6.7 - V chSin teo

- C7-D3.4.5 - D11 - L4.5 - S4 - L4-D11 - D5 - C5 - L1 - S2 - C2.6 - D4.5.6

4 Cam tai bign nao

- TL-C1 - L2 - S2 - C2-6 - D4.5.6 - C1.2T - D1.1- - D2,3 cimg day - C1.2 - D2.3 - Cd quanh ham - C6L co mang - D3.6

5 Die-c tai - U tai - VF - Dll - L3 - CF - Ma - ELT - R

a S3 - C6 - D11 - L3.4 b C14, - C6 - D11 - C1.2.3 - L3 Tai die-C - Tay gi4t

Chita ben mang tai, ch8 co nhan - C2.3.6

7 Digc tai giaa

- VF - D11 - D4.5.6.7.8 - D11

-D1

8 Dau tai - Nhitc tai - TLT - L3

9 f.J tai Ch - CF - R - EL - Ma - C3.7 - D1 - Ll - S2.3 - D4 - C2 - Dll

- C2 - L1

10 Tai u - Nghenh ngang - C1.2.3.7 - D1 -L1 11 Lang tai

- TL - R.Ma GF - L1.2 - S2 - D4 - CF - Ma - EL - R - S2 - L2 12 Tai nghe kern

- Dll - L2.3 - S2

13 CO tie-ng ding tai - C12 14 Hach a tai : L3

15 NOi ng9ng - dau lddi teo - C6

- C2.6.7

16 NOi ng9ng - Te tay - khong the>i dliqc Di loang choang

- C6 - C2 C7

- C5.6 - than kinh thiet hau 17 Noi : - L3 - S5 18 NOi nhi, khOng not to d-doic :

- C5 - D5

CAM NANG VE PHUONG PHAP TAC ()ONG COT SONG - 137- BUI DUC CTJONG BIL\I SOAN

19 N6i ch4rn : C6 - D4.51 20 Mgt tie-ng

- C1- -3 - Ll - D6 - C5.6 - D12

21 Tre ch4.rn nOi : D12 - S1 22 Diai to cling : C6.7 - C2 23 Ltiai dAy hoc co rut : C2 24 LtiOi kho cong : Di

25 Lliai co rut, khO noi, cling da'u lddi - C5.6 - D5

26 Noi ngAt quang : C5 - D5 27 Ltiai cong khOng not chicle :

- C4.7 - D3.4 28 U tai

- CF - D4 - C2 >5 - D5 -412

- Ma - Ll - D5

- Vai F - D1 - D7 -412 - TL -1)10.12 -

- Ch - L5 - D8 - L2 - R - S2 - D7 - S2.3

- Ma - TLF - VF.R - D11 - S2

- TLF - F - MAR - C3.7 - D1 - L1.2.3 -S2.3 30 Noi kh6 - giong tram khong rung

NANG Vi PHUONG PHAP TAC DONG COT SONG - 138 - NGUYiN THAM TAN

BENH VIEM DAY THAN KINH HONG TO

1 Trang chiing

Day •than kinh hong to la mot day than kinh lon nhat cd the, cac re thin kinh that lung L4, va S1 hdp thanh, ndi to nhat khoang bang ngon tit

Duang di dia day than kinh hong to tit ch6 khoi Ong xudng song di qua kilo/3 xudng clang chau, qua 18 khuye't hOng cua xudng chau de' vao mong, n'arn gicia hai lop cd mong, xuong den khoeo, r6i chia doi day than kinh khoeo va day than kinh khoeo ngoai de' xuong carig chan va got chan

Chiac na.'ng chu yen cila day than kinh hong to la dieu khidn su van dOng chi dual

Day than kinh hong to bi berth, c6 thA cac re than kinh that lung L4, va S1, bi then ep hoac co cac r6i loan khac

• Chik nang van dOng thuang bi han the tii t6i thidu den t6i da cac tu the: di, ding, ng6i, mai, co, du6i hoac chuyen tai thd

Cam giac dau d cac that lung, \Tang hong, \Tung mong, khoeo va g6t

Thai gian dau CO the ng&ri hoac dai, co to the giam dau hoac khong co tu the giam dau

CuUng dau: am i hoac dau du doi, nhat la hat hdi Co luc dau mot chan hoac ca hai chan Di lai kilo khan

2 Hien Wiring mat can bAng

Thing - phudng thiic d6i xUng, co cd tUdng

ling, chuyAn to the, d6i dOng, clOng hinh de' phat hien cac r6i loan mat can bAng

a Dot song

Thithng co biAu hien dinh cling, it nhat la tit cl6t tra len CO toi d6t dinh cling mot tang khong chuydn dOng

Co loci d6t song r6i loan:

- Lien 16i - Lien lom - Lien 16i Lech - Lien lech

Cac d6t song diAn hinh benh viem day than kinh hong to la L4 - - S1 - S2, ngoai

con lien quan den nhidu d6t song ntita, tuj, thu5c tUng the benh

b Lop cd d:em

Lop cd dem thuang: co, day, xd, sdi va teo Co the lop cd dem chi tren pham vi cot song, hoac lan ranh song, hoac lan rOng ngoai cd thang lung.,

Lop cd benh 1ST tren co the a lop cd ngoai, lop gifia hoac lop cua gai sau cot song

Lop cd benh 1S, tren thuang a yin-1g that lung, \rung hOng xuong dui, khoeo cho den cAng chan, g6t chan

c Cam gicic

Cam giac dau tang

ThUang ii tren nhiang lop cd cuang nhu: co, cling, day, mong, xd, sdi Lop cd thuang a

tren dot song 16i, 16i lech va lech Cam giac dau giam

Thu8ng U tren nhung lop cd: nhi.tdc va teo Lop cd a tren cac d6t song lom va lech lam

Su bidn d6'i v6 cam giac thuang xuat hien a \rung that lung, viing hong lan rOng sang din, khoeo, tang chan, got chan va cac vi tri khac nUa

d Nhiet dO

Khu yuc ca cam giac dau thi nhiet cao, teen cac d6t song 16i, 16i lech va lech Khu vitc co cam giac giam thi nhiet dO thap, d teen cac d6t song lom va lech lom

Nhiet dO cao xuat hien d6i xiang nhu khu, digm c6 nhiet cao thi ngoai he net sang clang c6 nhiet dO d nhiet dO dia phudng va nhiet viing tudng ling voi A benh

Su bie'n d6i nhiet do, da thuang a vung that lung, yi -1g hong va cac yang lien quan khac nua

CAM NANG VE PHIJONG ?HAP TAC IX:NG COT SONG - 139- B(11 DUC CUONG BIEN SON

gal nhe vao day, phai not chuyan de BN khong chil y vao day, bat thinh linh bat that manh

Trong bat, phai tim tren cat song, có diem nao nhay nhay DO la digm clang hinh phai chila vao

2 KT tra c6 dau hiau bi dau:

- Hong - Mong - Khoeo - Got - Dot sang Tat ca deu di vao cot song

Tat ca cac CN dm giac dau dOn va cac CN van dong ddu di vao cot sang, nen gay binh Nati gan Achille dau

- Tim ch6 chtia trail c.d

5 Ngu gan Achille bop khong thay dau - Chtia tit mong xuang

- Sau an clan hong - riming - khoeo got - nau dau la dung

- Ngu chi dau 1, diem cf mg goi la dau TK hong to

5 DAU HIED LAM SANG COA DAU TK HONG TO

I Xac Binh tong diem tticing iing vdi dau

hiau tay - dat bi han chg

Dau hiau tay &it bi han chg la can di c/4 clanh gia su van clang binh thtiang va khong binh thitang cua cac dat s6ng vUng h8ng S1 -S2 lien quan dan•clay than kinh hong to, DO la dau hiau bign doi khong binh thitang cila cot song va cua cac dot song ngoa.iviing that lung co lien quan den L4 - va S1 - 2, anh huang clan day than kinh hong to

6 Tai lai co 16p xo:

- DS lam khong gay xd, nhung (tat sang tren loi nen gay xd

7 Chita chic nang van clang - Phai chila lop cd sau

- TK toa xuat hian lap xd va sdi

8 Neu c6 lotp xd sqi d trail d6t s6ng 16m - Ngu bat truat trail lop xd, chi lam giam dau nhung khong kh6i, phai chua tren dat sang 1.61 tren

9 Diem dau ciaa banh viem than kinh hong to

- Day TK hong to di tit L4 - - S1 chay h6ng, chap lai mat day, chay den sau dui, khoeo chap, chia tach hai lam hai la khoeo va khoeo ngoai, sau cling la mi:t day chay xuting got chin (gan Achille)

10 Cach this xem c6 phai dau TK hong to khong?

- Phai an vao d6t song L4 -5 - S1 có dau khong

a Deiu hqu tay dat binh thaang

NB ditng churn hai chin, dau goi thing, cui gap nguai tit cao den thap, hai nein tay giUa huong thing vao hai ngOn chin cai Ngu hai ngon tay giita cham dat la dati hiau tay dat binh thuang

b Deiu hifu tay dtit bi han chi

NB clUng cui gap nhu to thg tren nhung c6 ging hat muc ma hai ng6n tay giiia khong cham dat Khoang each tit mat dat den nem tay gitia dia NB la chi s6 cua dau hiau tay dat bi han chg

CO tritang hop NB khong the cui &loc Thay thuOc dling chgch u phia sau NB, hitting cho NB c6 gAng het muc de' cui gap xuang Thay thu6c thao tic tren cat sang va ccs lung NB thay ch6 nao diem cci co cling nhat, dO chinh la diem phai giai toa

c Xcic dinh chi so- dtiu hi?u tay - cleft bi

han chg

NB dung cili gap nhu to thg tren

CAM NANG Vi PHIJC1NG PHA? TAC DONG COT SONG - 140 - NGUYEN THAM TAN

voi dau ng6n tay giita NB va bam sat tren mat thttac Khoang each tit mat dat den dau nem tay giUa ciaa NB ghi bang centimet tren mat thuac, la chi s6 dau hieu tay dat bi han che caa NB

d Xdc Minh diern tay - ddt bi han cite- die.0 tri

NB ditng thing khong chi:mg dau goi va cui den mile tai da

Thay thu6c clang ngang NB thao tac.tim cac lap cd va he cot song, c6 ch6 not cam len va co cdng D6 la diem

THUC HANH TRI BENH

I Giai toa tr9ng diem tu'dn g ling veil dau

hieu tay - dat bi han che-

1 Loai lien lCii co day: Ngoai - Lan

D6t s6ng tit hai d6t lien bi dinh cling

;

Lop cd dem bi coma cam day len lan WA sang hai ben cd thing lung

Nhiet da da nOng cao An, ye c6 cam giac dau

Loai tUdng iing voi viem day than kinh

toa hai ben

Trit \rung c6, co the khu tru tit D1 xu6ng viing S

2 Loai lien 1o'i co day: Ngoai - Lan

Tit hai d6t lien bi dinh cdng, 16i phia sau, dui lech han ve' mat ben phai hoac trai / 0)

Lap co/bi co cam v6 phia ben dat sang lech va Ian sang cd thing lung

Logi bi viem TK hang to mat ben phai hoac trai

Co the khu tru bat cit ndi nao doc cat song

tii Cl den =mg cot

3 Loai lien 1?ch co day: Giz2a - Lon

Vu6t thy tit hai d6t tr6 len bi lech Ilan v6 ben phai hoac trai

Lap cd giita bi co cam va co rang sang cd thing lung a phia ben d6t s6ng

Loai bi viem TK hong to ben

Khu trd bat tit ndi nao tren cot song tit C1 den xudng cut

TRI BENH

I Loai lien 161 co (day ho4c rang): Ngoai -Lein

1 Nen tinh

NB dimg cui, oan lung, hai tay thong tren diem ty, cao 40cm

- Thay thu6c: Diing chech tien hanh thao tic theo chieu xuoi, tit tren xuong dtioi

- Thao tic: Nen tinh song chinh bang thao tic day phai hdp thao tic rung lap cd ngoai

Huang doc tit tren xuang, chech 45° hthang vao true

Nen tinh lam cho GI& song bi dinh ding chuyen dang theo Inking vii ngoai

2 Nen n.ang

Nen tinh chua chuyen, phai nen nang

a Nen ncim ?Lang chin:

Trong diem tit L1 den S5, NB n'am sap, hai than du6i thing, hai canh tay khoanh trttoc tran

Thay thing cal, mat tay ben ditch hai chin NB de riang bang len ldc tay nen manh xuong diem

b Nen nged 'Lang tay

Trong diem tit D2 den D7

NB ng6i x6m duoi dgt, hai tay khoa chat dua thing len dau

Thay ditng ciii, mat tay da phia truac hai canh tay NB Gat hai tay NB tit trttoc sau Trong hic mot tay nen tai diem, day

\rang tr9ng diem tit sau truck

Nen khong chuyen, phai dip cua ang

c Nen narn ruing tay

141 - BUI DUC CUONG BIEN SOAN CAM NANG Vi PHUONG PHAP TAC DONG COT SONG

- NB nam sap, hai than dui theng, hai ban tay up song song

- They (Ring cui, tay luon dudi canh tay NB de nang b6ng len, d6ng thai tay nen manh tren diem

3 Nen heo

- TrUng diem tit D7 den D12 da ap dung nen nang, nhung chtta (tat yeu ceu thi dung phuong that nen keo

a Nen hio ngeta

- NB dUng, the.ng, hai tay khoa chat cac ngon tay sau gay

- They: Mdt tay nam lay hai ban tay NB keo neta phia sau Ding thai tay at tinh tai diem Dung thao tac day theo hitang tit sau truck: hai tay phei hdp nhip nhang clang thao tac mot ide vita keo, vita cd.y

b Ngdi nen heo ngeta

•

NB ng8i ghe truck mat They hai tay khoa chat up tren gay

Thay thu6c ngei ghe phia sau NB, dung thao tac vita keo vita ay nhu thao tac nen keo

Phu'cing thitc song (khong co digm doi d§ng)

Khi cac dot bi dinh cling da chuyen Ong thi chuyen sang Owing thitc song

TuY thu6c vao hinh thai diem va vi tri khu tr6 ma ap dung cac to the thich hop nhu: nam sap, &trig cui, ng8i git v.v

Thu thuat: Thuc hien phuong thitc song song chinh vdi thu thuat xoay Vi tri thao tac: a hai ben tan clang cua ldp co lung bi han chg

Thao tac theo huong true, nghia la tit ngoai co lung thao tac dgn vao cot song

Muc dich: Tao cho NB c6 cam giac dau thich hdp de to dieu chinh, giai toa lap co benh 1Sr

2 Gidi too die'rn lien Idi lech co (day hoek m'ong) The n.goeci - 161n

a Nen tinh

NB - thay thuoc nhu bai truck Thu thuet

Ding phudng thitc nen ddn chinh bang thao tac ay phei hop rung a lap co ngoai

Huang: Doc tit phia trail xu6ng, ngang vao true, chech 45°

Neu chaa co hieu qua: NB oen va van cot song

Muc dich nen tinh don chinh la tao cho cac dot song benh ly bi dinh cling chuygn ddng

Neu khong c6 hieu qua se dung phtiOng thlic nen nang, nen keo

b Nen heo van

Neu dot song lien I6i lech (day) a nen tinh ma kitting dat you cau thi phai nen ken van Trong digm D7 den D12

- NB ng8i tren Ole, met tay buong thong, tay dua truce nguc qua phia mang stian ben

- Thay thu6c ng8i ghe phia sau NB, mot tay dat tinh tai diem Tay nem co tay NB da dua phia mang stthn Kdo tit truce sau, a cot song NB phai van theo yeu ceu tti benh, deng thai tay oat d diem ay manh hue:in trim

c Nen thing keo van: Trong diem Li cre-n L5

- NB ditng thang, met tay bu6ng thong, met tay dua truce nguc sang phia mang sUan ben

- Thdy thu6c ng8i ghe phia sau NB, met than (ding ben cd nhitoc dia NB) co len at tren mat ghe dung lam diem tua ch6ng vao phia sau dudi mOng NB

Thao tac: They nam co tay NB da dua phia sau mang sttan, tay thay oat chat vac) xitong mao chau, thao tax nhip nhang keo tay NB tit phia truce sau theo to the chuyen 4ng quay qua keo lai Cu6i clang, tao mot Ong tac ddt ngdt: ding mot ltic vita keo manh canh tay NB, vita lift manh xtiong mau chau phia sau

c Phu'ong thitc song

CAM NANG VE PHUC3NG PHAP TAC DONG COT SONG - 142- NGUYEN THAM TAN

3 Gidi tod diem: Lien l'ch co mong) the' gil2a - lan

a Nen tinh

Nen tinh don chinh bAng thao tac day ph6i hop thao tac rung tac dang vao lop co giiia pham vi co diem

Huang tit tren doc xu6ng, ngang hang tit ngoai vao

Muc dich: Tao d6t s6ng dinh chitng chuygn dapg de giai toa

b Nen vit:.Trong die'm LI den L5

Nen tinh khong dat yeu cdu thi nen vit - NAm vit than:

NB nAm ngiia chan nhudc co lai de' ban chan ap xu6ng mat gibing, got chan dem du6i rang

Thay: Dung hai tay (lat tren dau g6i NB co ch6ng nhu tren Dung luc day bang hai tay vit manh dau g6i NB xu6ng giu6ng buac NB phai nangb6ng mat ben nguai

- Dung vit m5ng:

NB ditng th:ang mat tay buong thOng, tay ch6ng len hong ben co co curing

Thay dimg sau NB, mat tay giai ben vai NB phia co canna hang, tay ndm canh tay NB, vit theo huong tit tren xu6ng, tao cho NB van hong huong trot chinh ban tay cua h9 dat tren h6ng lam diem ty chuyen clang ti/ phia sau trade

Neu d6t song dinh ding da chuyen, se dung plutong thitc song de' NB co cam giac dau thich hdp de tu.dieu chinh, giai toa

II Giai toa diem tu'ong itng viii dau hieu khong cui du'orc

Khong cUi duoc la he cat sang c6 cac d6t sang lien lam dinh cling tit hai &it tra len tit D2 den D12 Lap co dem trail d6t song benh ly bi xd hoac sgi (d9c - ngang - cheo), lara anh huong den day than kinh hOng to

1 Loai lien 16m xd sdi (doc ngang

-Oleo) the' - 16n

- NB c6 gang mai het mitt Thay nhan biet bang thil thuat vu6t,

D6t sang lam trung va data phia trUgc tit hai d6t tra len Lop co teo nhudc, lop co co sgi xd lan tan hoac mat dai xo tit cot song lan rang sang co lung Nhiet do: lOp cd

trong nal-1g cao Cam giac: lop ngoai giam, lop dau

Viem than kinh hong to ca hai ben Vi tri khu D2 den D12

TRI BENH

1 Loai lien 15m xd sai (doc - ngang - cheo) the 'trong - 16n)

a Nen tinh

- NB dung Kt& cong lung, tay ch6ng vao diem tY Thay diing canh, chech phia duoi de thao tac

Thao tac: nen tinh hing thao tac bi ph6i hdp v6i rung va day tit di6'm lam clugi nha:t tra len

Day nguoc tit duoi len trail va tit ngoai

Muc dich: Tao cho cd the NB cong lung de' day nhiing dot song lam, chuye'n clang tit ngoai

b Song

Thu thuat: ap dung phtiong thitc song song chinh, tac dang tai diem d lop cd benh ly bA.ng thao tac bat va xoay ph6i hdp bi va rung

Sau chita phai kie'm tra lai chi s6 bi han chg

2 Loai lien Lech lam xo'm (doc - ngang - cheo) the - lan

D6t s6ng triing lam tit hai d6t tro len, (Ilia phia trade va lech sang phai hoac trai

Lop ed ngoai teo nhudc, lop cd co cac sdi xd lan tan hoac mat dai xd hay sgi trail det, tit cot song lan rang sang cd lung a ben phai hoac trai

CAM NANG \IE PI-WONG PHAP TAC DONG COT SONG - 143 - BUI DUC CUONG BIEN SOAN

a Nen tinh

- NB nani nghieng, chan co tit cheo den chan co t6i da Thay ditng cal that, tac bang nen tinh

Ddn chinh bAng thao tac day, ph6i -hop rung va bi, tac Ong d dau gai song phia cu6i dia diem

b Song

Dung phudng thiic song ddn chinh tac Ong tai diem ii cac lop cd benh lSt bang thao tax bat, xoay, bi phol hop yeti rung

Huang tac do, ng tit duoi day nguoc len va tit ngoai

III Giai toa diem tdcing itng vdi

ng6i xom bi han chg

1 Loai lien 16'i co day (day, rniing -ngoai lan)

NB ng6i xuong co hai d6t song lien bi dinh cling va l.& vd phia sau

Lop co dem d lop cd ngoai bi co c8m day len, Ian sang ca hai ben cd lung Nhiet dO cao, ye bi dau

Loai viem day than kinh toa ca hai ben

a Nen tinh

NB nei xdm tai mite t6i da cua han chg TuY theo sit han chg nhigu hay it ma tao cho NB có mot diem tS( d mong, hoax tay chong thich hop vdi sit han chg

Thay to the cao han NB ngeii hoac clitng mai de thao tac theo chigu xu8i tit tren xuong Thao tac: Dung phudng thitc nen tinh song chinh bang thao tac day, ph6i hop vdi thao tac rung lop cd ngoai cua digm

Huang doc tit tren xuong, chgch 45° huang true

b Song

Dal song bi dinh ding da chuye'n long se chuyen sang phudng thitc song

Song song chinh bang thao tac xoay ph6i hop vdi thao tac day tac 4ng tai lop cd ngoai

tren d6t song va cd lung

Huang doe tit tren xuong, huang true chgch 45°

2 Loai lien losi co (day - Tring) the' Ngoai - Lan

Thay dung thao tac vu6t se thgy tit hai d6t • bi dinh cang, 16i phia au va clua Lech hAn ve

mot ben phai hoac,trai

Lap cd dem ngoai bi co corn vd phia ben d6t song lech va lan sang tan cd thang lung

Loai tUdng ling vth viem thOn kinh toa mot ben, co thd tit yang co xuong den xttong cut

a Nen tinh

Ding phudng thitc nen tinh dun chinh bang thao tac day ph6i hop vai thao tac rung, tac do, ng U lap cd giiia yang có diem

Huang doe tit tren xuong, ngang hUang_truc tit ngoai va.o

b Song

Dung phudng thac song song chinh han dun chinh tuY theo co hoac khong CO didm d6i Ong Tac do, ng vac didm d lap co giva bOng thao tac xoay, ph6i hdp thao tac day va rung

Huang tit tren xuong, ngang true tit ngoai vao IV Giai toa cligm ttidng ling vdi dau

hieu khi)ng ngeii dude •

Dgu hieu khong ngo'i duoc la can cit c14 danh gia chitc nang van clOng:dia khop hang binh thLiCing hoac bi han chg Wong itng voi benh viem than kinh hong to

Can cit khong chi de danh gia vg chitc nang dia hang bi han chg ma xem su han chg la dgu hieu bign d6i khong binh thti0ng dia he cot song -chu ygu la: L4, - Si, va cac d6t song cha ye-u có lien quan ve khop hang bi han chg

TIED CHU A_N DANH GIA a Ddu hieu binh thaiing

:AM NANG Vi PHUONG PHA? TAC DONG COT SONG - 144 - NGUYN THAM TAN

hai mong cham got chan DO la dau hieu binh thuang, van Ong khongbihan che

b Dais hieu ngOi bi han che

NB to the- nhu tren, ng6i thy') xu6ng nhung co gang het mite ma miring van khong the cham clan char' CO truang hop khong the ng6i dude

Cling c6 truang hop NB chi ng6i duck mot ben, chan khong the gap lai dude

TRI BENH

1 Loai lien Ioi co (clay) the' regocli - lOn

Tit hal d6tb1 &I-1h ding va 16i phia sau Lop co ngoai co coin day len, lan toa sang hai ben co thang lung, /long cao, vu6t, ve vao CO

cam giac dau

Loai viem than kinh toa hai ben Trit vimg c6, co the tit D1 xu6ng yang hong

2 Loai lien lOi lath co (day) the' ngoai - lon

Tit hai d6t bi dinh ding 16i phia sau va dita lach han sang mot ben phai hoac trai Lop

co ngoai bi coin ve phia ben d6t song Lech va lan sang co thing lung

Loai tuong ling yeti banh viem than kinh hong to mOt ben phai hoac trai

D6t song roi loan c6 the tit D xu6ng xucing cut

3 Loai lien Lech co (day) the' ngoai - Ian

Tit hai d6ttra len lath han vg ben phai hoac ben trai

Lop c0 giaa bi co cOm va Ian rOng sang co thing lung phia d6t s6ng Lech

Loai tuong itng voi banh viem day than kinh hong to mot ben

Tit D1 xu6ng xttong cut

V6 hinh thai diem nhu da

song va vi tri diem c6 khac voi cac Loai the vi dgu hieu khong ng6i duoc, khong chi ton thitong a L4, va Si, ma bi anh huang bai ton thuong cac d6t song khac tit

den D8, D9 bi dinh cling, khong ke cac d6t thuOc loai 16i, lam hay tech

CACH GIAI TOA LOAI HINH THAI TREN

a Nen tinh

NB thing thing, c6 gang het mile de ng6i xu6ng den mite han the t6i da, hai tay ch6ng tren diem ty cao 80cm

Thay dung canh thao tac theO htiong xuoi xu6ng to Cl den D8, D9

Thao tac: Dung phtiong thiic nen tinh song chinh bl.ng thao tac ciSy, ph6i hop thao tac rung a lop ngoai

Huifing doc tit tren xu6ng, chgch 450 huong truc

b Song

Khi cac d6t bi dinh ding da chuyan dOng thi chuyan sang phuong thitc song

NB ng6i ghe, hai tay buong thong, hai chan vuong goc song hanh

Thay dung phttong thiic song song chinh bAng thao tac xoay phoi hop thao tac day va rung lop cd ngoai

Huang tit tren xu6ng, chtich 45° huOng truc

4 Gidi toa diern hock lien torn xd (doe - ngang - cheo) the - lan

a Nen tinh

- NB cliing cuii gap, cong lung, hai tay ch6ng trail diem tSr 40cm

Thay: nen tinh

- NB ng6i tren ghe-, hai tay vOng tali& trap, cu i guc, tua tren diem tS, cao hon ghe'ciia NB 40cm

- Thay nen tinh song chinh bAng thao tac day ph6i hop thao tac rung, bi, bat tac clOng ii dau gai s6ng, phia cti6i diem

HuOng: d9c tit diem ngitoc len va tii ngoai

V Giai toa diem tucing ling vdi dau

hieu nang chan bi han chg

CAM NANG VE PHUONG PHAPTAC DONG COT SONG - 145 - BUJ DUC CUONG BIEN SOAN

benh viem day than kinh hong to D6ng thai, dinh gia duet ski Wang ntaidc cua gan, cd tudng ling voi L4, - Si, va sdi bign dgi ciaa he cot song de' xac dinh tr9ng digm dieu

Tieu chutin: Nang than Ilan chg Deiu hieu binh thu'dng:

NB nam ngUa, nang than tii phudng nam ngang len phiidng thing clUng 90° hoac 80° la clgu hieu binh thuang

1 Ddu hieubihanche

NB nam ngua nang than to phudng nam

ngang ten pinking thing dimg, nhung co gd.rig het mfic cang chi nang difOc dudi 80° duet xem la clgu hieu nang chin bi ham chg

Dung thUoc do dat sat mat giu2Ing, ap thuoc vdi khop hang cda NB Khi NB c6 sue nang chin len den muc cao nhgt thi goc dO duoc la dau hieu nang than bi han chg

2 Xcic dinh sit cuang nhu9c cda gdn co b?nh ly

NB nam neta dua bap than ggp sat vii dui, co did sat bung, nguc va gift nguyen tu thg qua trinh thy thu6c thao tic

Thay, mot tay dSy sat dau gel NB ap vac) bung ho, giii dau g6i caa NB d nguyen tu the do, tay bat ngang quanh lop cd dui de' tim va phat hien bo cd, hoac soi -cd benh IS, ciang, nhuoc Bo cd va sOi cd benh IS, tren la cd sCi dd Ai) dung phudng thus dOng hinh, xac dinh didm

3 Xcic dinh sit bie'n cai ue nhift da cda chi du'di

Thay co the dung may nhiet dO hoac dung cam•giac bang tay dd so sanh sii chenh lech ve nhiet dO da cua hai chi dUoi (so sanh ban Chan vdi ban than, ngOn vii ngon, g6i vii g6i, khoeo -vii khoeo)

Nhung truang hop bi dau mot ben, thi lay ben binh thlthng lam chuan Ngu co ca hai than benh thi phai can citvao nhiet dO sinh 15, ciai cd the ctg so sanh, nhiet da chi &Mil goi la nhiet dia p uong, day to co so t am

do, Lien Wong va theo dai su ti6n trign cua benh

4 Xdc Binh diem

a Xdc dinh diem Wong ieng dau hieu ruing chcin bi han cite

NB nam nghieng, Chan benh lY d phia tren, hai chin dui thing, nang clan chin benh lY ve phia truOc mat len cao da cua muc han chg

Thdy dung ngang phia sau NB de' quan sat va thao tic: mot tay dat d khoeo chin NB, dgy Chan NB len den muc t6i da cua sii han che, tay thao tic tren he cot song NB bang cat thao tat, dgng thbi quan sat cat lop cd, ne'u the"), tren tigt doan nao co lap cd dem co ding hoac day thi diem chInh la didm

b Xdc chinh ctie'in• Wring Ong vai lap cd bfnhlY

NB: gill nguyen tu the nam righieng; chin co ii muc t6i da bi han chg

Thay dUng phia sau NB, met tay (tat tren lap cd benh 1Y, mat quan sat tren toanbO cot song, tay dung thao tic bat, an, ye o tren lop cd benh 1S, vii laic nianh de' co cam giac dau clOt ng5t Thgy lop cd may dOng tai tigt doan nao thi la tr9ng

TRI BENH

1 Loai lien co (day - mdng) the' ngoai - lan

- NB dui xu6ng t6i da: Thay dung thao tic vu6t tur hai d6t lien bi dinh cimg va Igi phia sau Tren lop cd ngoai bi co Om day len lan toa sang ca hai ben cd thing lung An ve NB bi dau Loai viem day than kink hOng to ca hai chin Loai co to D1 dgn vung hong va cut

2 Loai lien leoi 1?ch co (day - mOng) the' ngodi - lan

CAM NANG Vi PHUCJNG PHAP TAC CONIC COT SONG - 146 - NGUYiN TRAM TAN

a Nen tinh

NB nAm sap, hai tay khoanh yang truck tran, buOng chiing gan cc They clUng cui chech phia truck didm thao tac theo htidng xuoi tit trail xueing dual

Thao tac nen tinh song chinh bang thao tac day ph6i hop vai rung a lop cd ngoki didm htiong doc tii tren xuong, chech 45", huang truc

b Song

NB ditng cui oAn lung, hai tay chang vao di:dm ty cao 40cm

Thay diang chech de thao tac theo chiau xuoi tit trail xu6ng

Thao tac dung pinking thitc song song chinh bAng thao tac xoay ph6i hop vai day tai hai didm: mot a lap cd ngoai, mot a diem dai do, ng

3 Loai lien I5i 1?ch co (day - mOng) the' ngoiti - 16'n

a Nen tinh

NB nAm nghieng to th6 co t6i da

Thay dung cui b phia ngang NB da thao tac theo chidu xuoi tit tren xu6ng duai

Nen song chinh bAng thao tac day ph6i hop yeti rung lap co ngoai didm Huang tii teen xuang, chech 45°, hang truc

b Song

NB dung cui o'an lung, hai tay chang tren diem tY cao 40cm

Thay thing chech, thao tac theo chidu xuoi tit tren xuang

Dung phudng thiic song song chinh bAng thao tac xoay ph6i hop viii day d hai didm: mot 0 lap co ngoai, mot diem dal th:ing

3 Loai lien lech, co (day - mOng) the' giila - Ian

a Nen tinh

Dung phudng thitc song song chinh bang thao tac day ph6i hop vai rung b lop cd ngoai didm

b Song

Dung phudng thiic song song chinh bang thao tac xoay ph6i hop thao tac day tac long hai mot a lap cd ngoai, mot diem doi Ong

4 Loai lien 16m xo (d9c - ngang - cheo) the - Ion

a Nen tinh

NB ding cui gap, cong lung, hai tay ch6ng tren didm ty cao 40cm `May ditng cui, thao tac bang phudng thiic nen tinh,

Hoac NB ngoi tren ghe, hai tay yang truac tran, cui guc tren didm ty cao hdn gha ng6i 40cm

Nen tinh Wang thao tac day phoi hOp rung va bi tac dOng a dau gai song phia cuai didm

b Song

Dung phudng thitc song song chinh bAng thao tac bat va phai hop thao tac bi va rung

5 Loai lien 16m xo (doc - ngang - cheo) the - 16'n

a Nen tinh

NB nAm nghieng, than co tit cheo den than co t6i da

Nen tinh bAng thao tac ctSy ph6i hOp thao tac rung va bat

b Song

Thing phudng thitc song ddn chinh tai trot-1g didm lop cd benh ly bang thao tac bat xoay -bi ph6i hop rung

Giai toe diem tticing itng yeti dal.' hieu di nhanh bi han the

-1 Hinh thdi die'm

Trdng didm dau hieu di nhanh bi hen the la loai don lech soi (doc - ngang cheo) thd giita ion

- 147 - BUT DUC CUONG BIEN SOAN CAM NANG VE PHUONG PHAP TAC DONG COT SONG

Lop cd dem: Lop co ngoai teo nhuoc, lop sOi tron hoac cac dai det tit cot song sang cd lung

Ch8 dau d ltip

D1 den xudng cut - DiSri hinh D7, D8, D9, D10

TRI BENH

a Nen tinh

Nen tinh don chinh bAng thao tac dSy ph6i hop voi rung tren diSm

b S6ng

Dung phudng thlic song ddn chinh bAng thao tac xoay, bat ph6i hop day lach

VII Giai toa die'm vori dau hieu digm dau

TRI 13 NH

1 Loai don loi 1?ch co (day - mang) the' ngoai - lan

D6t song co tit hai d6t tra len 131 dinh cling, 16i phia sau, Tech han mot ben phi hoc trai

Lap co ngoai 1)1 co Om ve phla ben d6t lech va lan sang,,cd thang lung - có the rol loan tit Cl tra xu6ng

a Nen tinh

Dung phudng thlic nen tinh ddn chinh bAng thao tic ay, phol hdp rung ii lop cd ngoai Huang tit tren xuang

b Song

Dung phudng thlic song don chinh bAng thao tac xoay, ay, rung

2 Loai don 1?ch, co (day - m6ng) the' giita - lan

a Nen tinh

Dung phudng thlic nen tinh bang thao tac day ph6i hOp vOi rung lop cd ngoai

b Song

Dung pinking thiic song ddn chinh bang thao tac xoay - day - rung

CAM NANG VE PHUCING PHAF' TAC DONG COT SONG - 148 - NGUYEN THAM TAN

NiliNG LOT THAY DAY

1 Hypocrite

"Ai narn viing cot s6ng, ngtiai nam yang sinh menh nguai"

Cot s6ng chi huy tat ca Tat ca tit ma Tat ca 10 tra ye do'! (cot song)

2 Sambucy

"Cot song la chia khoa caa ski s6ng Chinh tit ma day than kinh giao cam di d4 chi huy moi cd quan neii tang"

3 Andre Mahe

"Tram benh deu cot song ma ra"

4 Mark Kengi

"Tram benh deli tuS, sting bi kith thich"

5 Gicio sit, bdc si Da Xuan Hq'p

"Nao va tug, sting la he.than kinh, dieu tint tat ca m9i hoat deng • cila co the Met mat no lam cho cac b6 phan cd the th6ng nhat vai Met mat no lam cho co the thong nhat v6i ngoai ca.nh, thien nhien va xa hei, ch6 ma co the nguai data vaO dO ma song"

6 Danh ngon Hy Lap

"Cot song la cay dai"

7 Kim Tr/ Thdp Ai Cqp

" Cot song la chia khoa cua s‘i sting"

8 DOng y : Tram benh deu lien quan den Tri quan (2 vai vd xuo'nghong)

- vai lip n quan den phinh c6, chi huy chi tren - xuong hOng lien quan den yang that hing, chi huy chi ditch

-Chia hai yang se chia &foe nhieu benh

9 chi:cc ruing cda tuj, song 1- Y thlic

2- Dinh &tang 3- Van &Mg 4- Sinh san

10.Hai cicic trung cact tuj, song

1- Chiu s kith thich 2- Thay cu d6i mai

11 Ba phiin xa caa tuj, song: 1 - Dung than long

2 D6 m6 hoi 3- Co co

12 Ccic huyft Dong y tren lung - 17 huyet D6c mach

- 32 Du huyet

- 14 huyet Hoa Da giap tich

13 adc day than hinh tren cot song

- 12 doi day than kinh so nao - 33 doi day than kinh tug song

14 M61 quan he giiia than hinh ud the' dich •

1- Khong c6 the'• dich thi than kinh khong hoat 4ng cluqc

2- Kb:Ong c6 than kinh thi khong co chuye'n hoa

CAM NANG lig PHU'ONG PHAP TAC DONG COT SONG - 149 - BUl DfiC CUONGE1N SOAN

15 Ba dac trzin.g gay nen b?nh tat

1- Van deng 2- Cam giac 3- Than nhiet

16 Diem col lai cua phdong phcip tcic dang cot-song

1)- Phuc h8i su can bang he cot song la phuc h8i si thing kin khit cua cot song de chflabenh

2)- Bao ve su can bang cot song la de phang benh

17 Mvc dich cact chaa b?nh theo phito'ng phcip tcic dang cot song

1)- Nhiet thay &di din tdi to chitc bien 2)- D6t song bien ddi din tai TuY' song bien 3)- TuSr song hien ddi din toi to chiic hien ddi 4)- Phuc hoi dudc ditiing thing sinh ljr cua he cot song

5)- Phuc h8i dudc ch.tang cong sinh lSt cita he cot

18 Nhift da da

Nha c6 nhiet dO da ma ph Icing phap tic deng cot song cd the chfla ditdc nhieu benh kho

KHAM Bt‘ IsTH

A PHTICING PHAP KHAM BtisTH CO

1- Hoi benh 2- Tham kham 3- Quy nap chin doan 4- Phudng hitOng dieu

x x

- 19 Hai b?nh

1)- Ong ba den chUa benh gi?

2)- Trieu chUng cd nang hien dang gay dau don hoac dang gay kilo chiu nhat

3)- Toan trang cd the nham danh gia kha nang tu dieu chinh cita NB

4)- Tien sii benh, nham de tham khao

NB dau don hoac kho chiu nhat DO la nhiing

4 tin hieu xuat Aft tU o benh Tii tin hieu to tim ve trung tam gay nal loan, tile la tim yd cai g6c cua o rol loan trail cot song

Tien sit benh chi la tham khao

20 Tham hhdm

1) Phai biat van dung cac kinh nghiem kham benh cua Hong - Tay y de phat hien benh: Vong, Van, Van, Thigt vb Nhin, Nan, Si, Go, Nghe

2) Phai yeu cau NB di xet nghiem, chieu, chup phim

3) Do huyat ap

4) Tham kham dac thing cua phLtdng phap tax deng cot song

a Tim nhiet da da bien doi

- Tim nhiet de da dia phudng - Tim nhiet di) da tr9ng

- Tim nhiet de da khu bang thil thuat ap nang, ap re

b Tim lap cd bien dei

Khemg dudc vu6t tren cot song Phai tim kip cd co Om hay teo nhttOc tii c-g—long

ngoai

Ccic triau chang co' nang:

Khac vdi cac phudng phap kham benh khac, phudng phap tic di:mg OA song can nam viing

CAM NANG VE PHUONG PHAP TAC DONG COT SONG • 150 - NGUYEN THAM TAN

Phai tim tic ba ngoai co thing lung di vao den c0 thing king, den ba cd thing lung, den ranh sang Sau mai di vao cot song d canh d6t, khe d6t va ddu gai s6ng de xac dinh loai

Tim lop co ngoai, lop cd giaa va lop cd de xem lOp co a the nao: hep, Ong, lOn

- Tit do, thy thu6c xac dinh lop cd bien doi the loai nao?

c Tim dot song bie'n cre4

Can cut vao nhiet d9 va lop co bien thy thu6c phai tim vao d6t song bi bien Trong mot berth khong chi có roi loan d6t, ma thong thuang, mot benh deu c6 lien quan den mot s6 46t song benh 1Y Tit phai xac dinh cIttac cac cl6t song benh ly can giai toa

Phai quan tam den ca he cot s6ng, chic khOng phai chi vii d6t, de xem hinh thai he cot song có binh thttang hay r6i loan nhieu ch6 Tii ta xac dinh d6t song diem va cac ci6t song lien quan

d Tim cam giac bien doi

Tren cac lap cd va dot song benh 1Y, phai tim cac diem dau tren cot song Dan thai phai tim ca nhfing diem dau d ngoai pham vi cot song

Phan biet tren cOt song co nhung diem dau la o benh nhtt dau thdn kinh toa, dau gai dOi, dau khung lung v.v }along tic ding vao cac o dau truoc Phai tim cac d6t có lien quan den cac 613'nh de chita

Diem cam giac bien &di d cac d6t dau ta chita vao die; d6, NB cam giac dau nhung d'8" chiu, dau nhung mu6n chfia, coi nhu gai ngita

Ghi n.hd: Ngay nao cung phai tharn kham mot ldn

21 Quy nap chin docin Can cif vao:

- Cac trieu chiing co nang NB cho biet; -Cac xet nghiem lam sang va tit nhUng hien

ddi caa dac truing tren he cOt song, thy

thu6c se quy nap, chin doan xem NB dang bi benh gi ? Benh nang hay nhe ?

Cet song co hinh thai d6t song va lap co berth lY nhu the nao? Loai the sao? D6t song don 16i hay don lom, hoac d6t song lien lai hay lien lom, hoac dot song lien 16i loch hay lien lom lech v.v

Tit xac dinh diem va cac dot song lien quan

B PHISONG HU'ONG DIEU TRI

Tnioc het phai xac dinh benh danh la gi? CO the chia lam may bulk de chita? ChGa benh gi trttoc, benh gi sau?

Phai sit dung cac phuong thlic tri benh nao? Phai sit dung cac thu thuat va cac tui the ciia NB va thy thu6c sao?

Chu

- CO the ta chua cac dot song lien quan trttoc, sau mai chita d6t song diem

- Trong qua trinh chiia benh phai kiem tra nhiet d9 da, huyet a.p va tim mach tot, xe:u de kip thai xii

22 Ba each chin benh

1 Ngzt&i b?nh hhong hhai 4-nh

1) Xac dinh khu

2) Mc dinh \ging ttidng fing vai khu 3) Chuyen tti the

4) Xac dinh diem 5) Thao tic tri benh

2 Loai benh 6'1 die'n hinh Co hO sd b?nh ly

1) Xac dinh viing Wong iing benh 1Y 2) Xac dinh khu

3) Chuyen tit the 4) Mc dinh diem 5) Thao tic tri benh

3 Qua trieu chang lam sang d8 dacc hhetm

CAM NANG VE PHIIONG PHAP TAC DONG c(T S6NG - 151- Bal DUG WONG BIEN SOAN

2) Xac dinh khu

3) Xac dinh viing tudng iing vai not tang 4) Chuyeri to the

5) Xfic dinh diem 6) Thao tic tri benh.'

23 Xcic dinh diem va gicii tod trong diem

1) Van dd c6t loi dm pinking phap tic dOng cot song la phai: Xac dinh diem -va giai toa dude di4m

2) Trong diem la d6t song benh 1Y, co lap cd benh 15, phil len

Khi to chila dung diem thi nhiet dO

tildng iing vai not tang va nhiet dia phudng

se tra lai binh thuCing

Chita dung diem se lam cho d6t song benh ly, lop cd ,benh ly va nhiet benh lY tticing ling v6i not tang tra lai binh thuang, lam cho khoi benh

24 The new la diem da davc gidi tod

1) Nhiet dO \ing tra lai binh thuang 2) Cac lop cd tren (tau gai song, cac lap cci khe d6t, canh d6t phAi mem mai phai sa vao den dA.0 gai song Cac lop cd benh ly phai thu nhuan tra lai binh thliang

3) Cap diem dau benh ly va cac diem dau thuOc benh tren cot song phai het dau

4) Cac dal song benh 15, phai trA lai binh thuang, thing, kin khit, phuc hoi duOC during dong sinh ly va &tang thing sinh 15r cUa he cot song

5) Tren cac lop cd benh ly phai tie't mot chdt dinh nhu mo hOi

25 Dieu quan ddu tien khcim vd chita benh phcii xdc dinh ducc vd gidi tod dit9'c wing nhift dO bfrth 1j

Nhiet dO da la bid du6c soi during kham va chiia benh

Vinhi4J10.a_bieaLsifIli co sa xac dinh vd sinh ly va benh ly cUa cd the Ng-dal co benh

va khOng c6 benh C6 nhiet da mai xac dinh dude Nhiet dO da la cd sd d4 than'

do tien luring benh, de' theo dal sIt tien trie'n cua benh, de' chi-ia- benh dude an toan

Kh8ng tim dude nhiet dO thay thu6c se mat phUdng huong va se rdi vao tinh trang chaa mo, chinh c6t hoc

26 Ngon tay chits qnh

Khi dat ngon tay vao chila benh, ngOn tay khong dude ding nhac, phai bang chimg gan

cd Nem tay gan nhu khong co trudng 19c Da.t ngon tay xuong, nhung buong troi, khong tap trung 19c vao dau ngon tay Phai thao tac nhe nhang tren lop cd ngoai, tao "cam giac em diu cho NB Khong dude an sau, ghl manh de lam say da NB

27 Hai nguyen tic ca bcin khcim vd chik a b?nh

Kham benh lay nguyen tic dol xiing la co ban

Tri benh 163, nguyen tic tao song cam giac la chinh

28 Lam the de Jao dafic song cdm gidc

1) Khi thay thu6c da sa tidy dau gai song r6i mai dude rung

2) Khi rung phai rung hang dau ng6n tay va co tay Khong dude rung ca canh tay hoc Ca than ng9di

3) Man rung dude, phai tach doi del song lot hai phan, bAng each clang: dau nem cai ding len tang day vac) giiia d6t song 16i de? tach lop co 161 hai phAn Sau tap trung giii toa tang phan mot, cho den lap cd thu nhuan, thay thu6c sit dude vao dau gai song, hic mai rung

CAM NANG VE PRIDING PHAP TAC DOING COT SONG - 152 - NGUYN THAM TAN

29 Lap cd t)"'nh 131

Ldp cd benh lY la lop cd ngoai Khi to day vao 16p da, thi he cd don lai, nhung khOng bi on len DO la lop cd benh ly Ta phai cht-ta vao 06

Trtiang phai Palme lay he cot song lam g6c, phddng phap tic deng cot sting 16y he cd la chinh, la g6c, la deng Con he cot sting la tinh He cot song cit deng dudc la moi sd dieu khiin dia he than kinh

30 Lop co' b?z-th 15, vii b?rth chzing 1- The ring 16n = benh moi

The hip = benh lau nam The cuffing = giai doan co corn The nintdc = giai doan co mOng 2- Loai co ding mOng nang hdn co ding day

- Loai mem day nang hdn mem mOng - Loai co, ding, racing de chit - Loai co ding gon cang kho chfia 3- Lien quan din benh chiing:

- Co, ciing day- teo, co day lien quan din benh cot song

- Xd: Lien quan din not tang, van deng - Sdi: Lien quan din benh van deng

- Teo sin D6t song voi hoe, thUa calci, phim mau trang

Co day: DOI song thoai hoe (thien calci) - Cling day: DOI sting dinh khOp

- Cd bung nhUng, mem day: Lao - Sdi det: Ung thu

- Cd teo trail : Dot song lom

- CO teo day: D6t song

- Co co cum nhung kilo/1g cang: D6t song 16i

- Cd thing lung ben co cimg: Dot song lOm 31 Tct theWB, Cach chica lap co': 1) Lap cd Ngai benh o td the lam cang lop cd vimg phai

Khong dudc di chUng gin cd 2) Lop NB ng6i thing 3) Lop trong: NB oAn lung

32 Cdch chi a 16'p ca 1) Lap ca ngocii

Neu lop cd ngoai kho se, kilo rap day la lop

cd benh ly Phai dat nAm ngon tay, dat nhe, chua nhe, khong dudc lam lom mat da Dau ngon tay dal chit-a sat mat da, dinh vao ch6 mat da do, dat tinh tai met diim Khi chiia xoay da dau ngon tay van phai dinh vao lop da KhOng chide xe dich, de lop da ngoai chuyin Ong tren 16p cd &Atli da, khong dude lam chuyen cleng 16p cd cidoi mat da

2) Lap co' giika

Dung thO thuat an, xoay, dSy, dat tinh nem tay tren 10p cd GiG chat lop cd gifia nay, bat lop cd va vao dau gai song Xoay cho lop cd xoay tran tren dau gai song

3) Lap cd sau

Khong phai an sau mai vao ma they thu6c phai day cho cot song NB dung dua, dau gai song tic deng ngudc lei voi lop cd benh

lam cho lop cd sau benh ly va dau gai song cal-1g chuyin deng

33 Dijn bieh ccia1ap co' qnh 1j) 1) Tug, song bi kith thich gay co cd

2) Co Cd gay xd

3) Xd gay voi hoe, clang

4) VOi hoe, cling gay nen dat song bi dinh ding

5) D6t sang bi dinh cling gay nen han chi van deng

34 Lap ca benh ly

Lop cd benh lY thttOng ngang dau gai song Nhung thtiOng theo quy luat sau:

Tit C1 din C7 16p cd d tren d6t Tit D1 din D7 16p cd ii tren d6t Tit D8 din D12 lop cd d trail dot Tit L1 din L5 lop cd d tren d6t

CAM NANG VA PHU'ONG PHAP TAC DONG COT SONG -153- BUT DO'C WONG BLEN SOAN

35 Cdc hinh thdi lop cd bO'nh ly tren cac dit sing benh 1j,"

1) Dit sing

1) Xd: To bang sdi chi theo mot chieu 2) Xd r6i: nhii btii toc- sdi doc, sdi ngang 3) Day: Deu ngOn tay an khong den dau gai song

4) Cling nhu mat 5) Cem len: Co lai

6) Mdm: Tay en OD they nat Ditsing lath

1) Xd: xd d9c, xd ngang, xd cheo, xd trOn, xd det, xd chech

2) Xd xd sdi d9c, xd sdi ngang

3) Det: chi c6 mot lap cd mOng c6 ch.6 met ming

3 Dit sing loin 1?ch

Xd- Det- San sui- Rang ca- Nhen- GO- HO

1) Teo: chi da, san sui nhu san ho 2) Rang ca: o giaa trdntru hai ben dau gai song nhii rang ca

3) GO: d6t lOm sau xu6ng bo tren go, chet d6t lorn sau, chita dude

4) H.& lap cd hai ben bi teo nhtidc - Vuect ranh s6ng nhti va vao san ho

HO chila kh6, lau Nhting benh kh5ng nghiem

ClItrA CAC LOAI CCi Bt' NH LY

36 Lap cd nzemg mem

Lap cd mOng mem tren dau gai s6ng, mem hdn binh thliang N6 khe dLi gai song giap nhau, lan cc sau Vui:k thing khong thay, an sau mai thay Nhiet tang

Dung thu thuat ve de' giai toa, ve they lap cd nhao NB they dau bu6t khong dau nhOi nhu loai go Sau dau bu6t den dau mOi, r6i de chiu, roi het dau

Cac benh man tInh thuOc nOt tang, sau • giai toa cac lop cd khac, cuoi ding lop cd mang mem nay, phai giai toa het, benh se khong tai phat

37 Lap cd czing

Loai khong 16i cao nhii cac loai khac Deu gai song hdi triing xu6ng rat de len voi hien Wong khuyet

Lap cd cling cang xuet phat tit lap cd ngoai gai song lam cang cling, Ian sang hai ben cd lung NO vit dau gai song xu6ng thep hdn binh thuang

Vu6t khong they n6i gon len deu ng6n tay Nhung c6 met vat cang cling gdn len nhLi met sdi day lap cd can lai N6 phat tridn theo chieu dai va chieu reng, tit dau gai sang lan sang ranh song, het cd thing lung NO xuet hien tren mot ve, tren mot Joan song No lan tai dau lap cd bi teo, ma ciingkho nhu da ga An they nhiet it cher-1h lath, luc cao, hic thep NB Wang nhii s6t, nhung khong pliai s6t N6 xuet phat tit lap cd reng, barn chic vao dau gai song, cling va cang Neu to en manh d4 tim cd sau, thi lap cd can lai

Khi ve they tat kho se va cang nhting khong c6 sdi xd nhO lan tan, ma cang mat treing

Lap cd cang cling xuet hien:

1) C3.4 : Liet tit chi, cam giac giam 2) D1 : Suy nhudc than kinh 3) D2-3 : Hen phg quan,

4) Cl- S1.2.3 : R6i loan than kinh thuc vat 5) C6.7 : Liet chi tren

6) L5-S1 : Liet chi duai:

Lop cd cang cling la giai doan cu6i clang cua qua trinh thu benh

Chita khOi, nhirrig lau phai nam

Cdch

- Phai dap bet, de tit cang cling sang thu nhuan, r6i mai chtia, neu chiia ngay, benh se xiti di

CAM NANG VE PHUCJNG PHAP TAC DONG COT SONG - 15 - NGUYEN TRAM TAN 1- Loai nh6: mot cai Binh nho trait

dau gai s6ng hoac trait ca d6t sting

2- Loai Ion: Dud mot didm nhting lon, lan sang ben cd lung, lan clan dau, cd se kilo se hoac teo cd

38 Loai cd xd cOng

Loai ding tang cUng nhu soi cd tang cling tren Nhung no khac d lap co gifia va lop cd sau

D6t song tr6i cao len hcin hin cac • d6t song khac Ve tren tay, they nhidu soi xd, cling tu lai, bem chic vao Or, sting, Ian sang cd lung va can lan rOng hon nita

Vu6t thgy tat gdn len ngon tay they re) milt nhO, hep dau gai song Neu Ian den 2-3 del sting la loai xd cling lan Khi vu6t sang ranh sting va cd thing lung se they loai xd cling rOng Lan den dau, lop cd d cling Om len

An vao ch5 cling, nhiat dO cao hon binh thtiang

Ve they d6t s6ng 16i hin len va lop cd tren 16i cao len ch5 act tech d6t ye they corn cdp nhu bd gdn len va cc nhfing soi cd cling lan tan, barn chic vao dau gai song la thd hep

The rOng c6 nhung soi cd Ian tan Ica° dai sang cd lung r6i ngung tu lei lop cd co corn Khi Ye NB thgy dau bu6t

Loai xd cling hep, co lilt hian co lilt bian di bet thuang D8 chile Loai xd cling lan sang ranh s6ng, NB bi dau mai Chita mau lanh

Loai xd cling de vuot sang cd thing lung la giai doan man tinh, kinh nien hay co tat phut hOi dude, ke ca teo co, cam, diac Nhting phai chila hang nen

CO 1*: NhO - Hep - ROng - Lan

39 Loai xo rol

Trait dau gai song co lop gin cd dap them len nhu mot cai tat, ket lai nhu t6c r6i An xu6ng thi lom bang tay lai.bet len Khong

phat tridn rOng, chi phat tridn lan, barn chic vao dam gai s6ng, vi c6 mot lop cd can lai

Khi vu6t, dau ng6n tay Yip phai mot vat m6m gdn len Loai khong phat trie'n Theo be rOng, no chi co mot dac trung la nhiat cao ben cd lung

An they nhiat dO cao lan sang ben cd lung Ve they mam mai nhu mot bin toc r6i d lop cd glue va 10p cd sau

Loai chi a cot sting Khong gap benh teo cd, bai liat, chi xuet hidn d banh not tang Chii 34u la banh he tieu hoe, than sinh duc, tiat.niau de chaa

1) D5 trai xd r6i + TG* lung tren ranh s6ng: Loet hanh to trang

2) L5- C5 phai- D2 trai- D10 phai + L3 phai g6c trait + V+eo lung phai : Bang quang có sOi

Co loai xd r6i:

1) Xd r6i ngoai d tren cot sting

2) Xd r6i nho trait d6t song, it gap 3) Xd r6i lan trait 2-3 d6t sting, it gap 4) Xd r6i nho, sau Cl tren d6t sting nhung lop cd sau

KhOng c6 thd hep, the rOng Chita khoi dude

40 Loai tat dai Oleic

Mot loai gin cd co ci)m lai mot loai

con hdi cling, barn chic vao dau gai song, lam cd trOi len so voi d6t song khac

NO phat trign tir nhO dart 16n, tit nOng den sau

Thuang xuet, hian trail cac loai banh: 1) Chlic nang van Ong: Teo cd - bai bat 2) Chile nang cam giac

3) R 6i loan then nhiat 4) Barth tai,

CAM NANG'S/A PHU'ONG PHAP TAC DONG COT SONG • 155 - BT:TI D(TC CUUNG BEEN SOAK

Vila bang nen tay doc cat sling tai diem c6 tat dai chat, the.), mat on •bat khac thuang

N6 phat trie'n theo chigu rang, hep— Ion - nha, khac vai cac tat khac

Khi tat phat tri4n rang thi cd lung ding co cam, not cao len- nhiat tang va NB bi dau

NO ghat trien tai dau thi cd lung teo cling laid do

An thgy rat- dai, an manh khong tan Day manh khong xe dich, T(' hoac thgp

Ve tai dau, NB dau bunt tai Khong co sdi cling Chi ddn thuan la mat khei gan cd thu nhuan

Banh nhO, tat hep, d8

Banh nang, tat phat trien sau rang, kilo chfia

Cfic banh phat

1) C7-D1.2 : Liat chi 2) C6 : Mom tim to, be 3) D4 : tre kinh giat

4) C7- D1.2 c6 tat dai chic co corn a cd lung ngang D9 va a 2 vai

Ccich chi a

DAp cua thing tren va ch8 eo lung dai chic co calm

CO loai dai chic 1) The nhO a rot d6t

2) The nh6 rang, sau hai ben

3) The lan nhigu d6t lien tigp lan sang cd lung

41 Loai tg.t mem

Loai cd mgm mai, khong c6 sdi Ian tan, dap tren dau gai sex-1g lam tr6i cao len Loai tat cang Ion thi gdn cao len

Vu6t ng6n tay doc cot sang nhu va phai mat c6n trot cao len Loai tat cang Ion thi gdn not cao hdn

An thgy tren tat va cd lung clang nhu toan than c6 luc cao hic thgp

An xu6ng cac lap cd gin ranh song c6 nhung sdi thua that lan sang cd lung va chim cd

sau

Ve they lap cd c6n mOm mai, an vac) thgy tan di Khi ye NB dau bu6t

Phan ngoai mOm, nhung an sau va.o lap cd

sau, ye a phia gai song nhu c6 mat lap xudng gam On len nhii rang ca la loai kh6 chUa

Loai mgm xugt hian:

1) L2.3: Chi dual co, dau mai dui dgn chan (bung chan), nhitc dau el ming xueing chan bi teo Sinh -duc ygu, chile nang than kinh than sinh.duc, tieu hoe, teo cd Chic nang van dang giam Cam gide giam digu hoe than nhiat, bai liat

KhOng co a cac banh tuan hoar', HAC- HO hip

2) C7 CO tat mgm: Giao hqp khong xugt tinh - Di tinh

Ccich

Chu ygu: dap- de cao Loai tat mgm c6 the

1) Loai c6n ni6n1 a dau gai sting de chfia 2) The nhO rang, lan sang cd lung, sdi thua that cd sau

3) The nhO sau, phat trio'n tit ngoai vao cd

sau, a dau gai sting - phat trien tit hep dgn rang

4) The lan nhieu &it sang theo chigu rang va sau Chita lau khOi

42 Loai tat mOrig chic

Lo4i khong thanh, ma chi

mat lap cd dai chic, xgp ddy len dau gai sang, lam cao trai len; nhgt la gai song can len, cam cdp khac vai cac &it binh thlaing

Vila they gdn nhe gifia d6t song dac bit ro la: ranh song ding hdn cat khu vue binh thtthng

CAM NANG vt PHUC5NG PHAP TAC DONG COT SONG - 156 - NGUY•kN THAM TAN

cd sau if dau gai sting An nhung lop cd khong tan

Ve có 16p co day hon da binh thuang met chilt NB dau nhieu

Khi cd the met mei tren cot song có nhiing digm xuat hien loai tat D6 la giai doan tien phat

Khi benh phat thilang xuyen, xuat hien loai tat Sati giai doan U benh, Inc thai tiet thay doi loai tat Ian reng sang ranh sting va cd lung DO la loai benh nang

Loai tat meng chic, xuat hien cac benh cap man nhu : Chiic nang than kinh, tuen hohn, ho hAp, tiet nieu, sinh due, tieu hoa, van dong, cam gific, than nhiet, bai liet, cam diet

Cdch

Phai dip, do, cao, bet moi khei Co loai:

1) Thg nhe

2) Thg sau, nho, reng tren met d6t sting nhung di vao co sau, lan reng sang ben cd lung

3) Thg reng tit 2- cl6t tre len

4) The reng tit 2- d6t tra len, Ian sang cd lung va co sau

43 Loai tat lech

Cl khe gai s6ng lien nhau, thtiang co lop gan co dip them len Loai gan co thuang chic mem, citng, cc!) loai gan cd mem meng Khien cho gai s6ng lech nhau, gay mat thing bAng sinh ly cot song, thuang c6 2-3 del tale len, lam cao trei len hOn d6t binh thttOng

Vu6t se gdn Ien dau ngon tay nIni hinh dia lei tong queo

Loai hep a doc cot song

Loai 16n sang co lung toi 2-3 d6t lien cao hoac the]) d6t song benh 1ST va cd king

Ve vao cidu gai s6ng lien thtteng so le - Ve nhe den nang, NB thAy dau

Nguyen nhan : lao deng than tay qua mitt, ganh vac nang, nga, dap vv

Tat lien quan den chiic nang van deng Benh dot de chita

Benh a nhieu d6t, dinh citng kho chUa

Cdch

DAp da trtioc Khi co thu nhuan mOi dUng thu thuat Khong co phan loai

44 Loai tat di iron

Loai tat di trOn nhu sqi gan to, trOn, clang, dai tit 2- 20cm a doc cot song, nAm ngang hoac nAm cheo tren cot song

An tay vao, no trat tra trat treo va di da.ng Vu6t gdn len hinh thai ding chAc Co loai to

A •

bang cai but chi, co loai tat nAm ap sat cot song dai tit den d6t Co loai tat nAm ngang trail d6t song vat dau gai sting xuong thap hon binh thu6ng Vi the hai dau loci tat xuat phat tit hai co lung CO loai nam vat die° tit co lung phia trencheo qua cot sang xuong co lung phia duoi ben d6i Loai tat nay, phat trign theo chigu reng sau nhu cac the loai khac

An thAy cao hoac thap d tren cot sang va hai cd lung

Ve loai the tat trOn dai nhu than but chi, hay met soi day gan chic, di deng, trat treo Ve vao tat se tret treo, NB se dau nhoi; dat thot minh

Loai tat phat trign tit nh6 den 16n, tii ngin den dai, tii hep Mil rang; tif lop cd giaa den lop cd sau

Benh thtiOng xuat hien a nhUng ngtiiii ng6i nhieu

Benh gai doi lien quan den chic nang van clang, teo cd

Loai tat di tron xuat

1) C6.7: Canh tay bai han the van deng -gan cd teo - ban tay nhun nheo - canh tay dau lien mien

CAM NANG Vt PHISONG PHAP TAC DONG COT SONG - 157 - BI:JI DI:CC WONG BlfEN SOAN

Ccich chit:

Dap cao Tuyet dot cam day tniac, can lam gia.m dau d cot sting Neu dau lan rOng phL giai toa nhieu d ca lung

Co loai tat 1- The nhO The lan 3- The nam ngang 4- The nam cheo

45 Loai tat di det

Loai tat det mang, dai chic, clUa sat vao cot song Killing vat cheo sang cd lung Nhung tit d6t sting sang cd lung c6 nhang soi day cang ding va thua

An, miet se trat treo, nam d lop cd giila Vidt vao NB dau bu6t, thot ngitai lai N6 xugt hien tit nha den lan

VIA trail cot song c6 ch6 gon len VIKA tren tat NB bu6t that nguai lai T'nhtt cac loai tat khac

Loai nhe chi xugt hien tren mot dot sting, chua co sOi day cling cang sang cd lung

NB di dung rat kho, nam, ng8i, ctia minh cling dau

Benh gai cot s6ng c6 lien quan den chitc nang van dOng Tat xugt hien a L4.5, c6 anh huang den chitc nang sinh duc, tieu hog Teo cd mong va chan

Co loai:

1) Di det nha a mot Mt

2) Di det land nhidu d6t song lidn va lan rOng sang cd lung

Ccich chita

Dung cao de ti tieu Sau benh tien bO mai chila bang thii thuat

46 D6t song lai can

D6t song 16i, cang an cang de vao d6t sting 16i, no van 16i len

Phai tim cac d6t 16i Om chtia truac, sau mai chGa vao d6t 16i cao nhgt Vi du: L3 16i

cao, canh c6 D12- Ll 16i va L5-S1 16i sau Cu6i cling mdi chiia vao L3 16i cao

Chiba dtit 16i can phai chiia a ben b6 co, di tit ba ngoai cd thing lung chiia vao cho den ranh sting Khi cac lap cd co da thu nhuan, hic mdi chiia tap trung vao ben ranh s6ng Dua thing luc tit ngoai vao de giai toa cac lap cd co Om Cal cling mdi tap trung chiia tren

dau gal song hic mdi dimg th6 thuat Rung de tao song cam giac

47 Dict sang do'n 1?ch

C1.2 lech trai va D1 lech phL phai xem &it song rech b6 tren hay b6 cluai de quy dinh each chea Khong chila vao ch6 dau ch6 co cd

Phai chita tit ch6 lap cd ngoai lap cd nhuoc de lap cd nhuoc din din day len Cli6 nhitoc phuc h6i selceo &it sting len tit tit Chua sau vao mai tao dttoc tam giac thich hdp !Chong dUcic chiia vao b6 cao, hoac chiia vao 136 dual dot s6ng lot cao nhgt Chita nhu the khong tao duoc song cam giac Phai chiia tit tren xu6ng Bd duoi d6t song lech phai chua tit dudi len

Chita song chinh, tay trai chiia C1.2 va tay phai chUa D1 lech phai Chita b6c tach nhe nhang lap cd benh l5r, r8i mdi chiia vao d6t s6ng lech Sau chi a vao lop cd co ciing d bd ngoai cd thing lung Chu phai nen manh vao DI rech phai

48 Dict song don ldi 1?ch

C1.2 // C7- D1 18i lech Truoc het phai chGa hien tudng lech truoc Chita song hien tudng lech r8i, sau mdi chaa hien tudng 16i VI chUa trudc hien tudng 113i, se tria 16i can cang kho chiia Phai song chinh C1.2 II C7.D1 Phai nen that manh vao C1.2 le)i lech trai va C7-D1 16i lech phai, lgy clang ban tay lam diem tSr

49 Dot song dun loin

CAM NANG vt PHUCiNG PHAP TAC DONG COT SONG - 158 - NGUYLN THAM TAN

Tiep den Chita vao 13.6 duoi ii tren d6t song Chita ben cd co a ben ngoai lop cd nhudc sat d6t song lom de' ben cd co va ben cd nhudc &lac can bang

Cu6i cling chiia hai ben lap cd nhudc a sat d6t song lom de bi (bay) d6t song lom

Khong dudc dimg thu thuat xoay tren dot sting lom Phai Chita tit duoi &it song lom

50 Trong doan dot song lien 15m phcii tim dot song tech de Chita truoc

1) Phai tim d6t song lech doan lien 15m doe' Chita truoc

2) Song chinh d6t 16i trail doan lom 3) Chila d6t cutii cling cua doan lam

51 Chita sdi xd eh& tren lop ca nhztac

Khi diem chay, dich dac Co- d6t song lech phai, co dot lech trai Dot dtidi nita lech phai D6t sting phia duoi cd nhudc có xd sdi cheo xuong

1) Phai bat tit 1)6 ngoai cd thing lung vao Met tay tic deng vao dau gai song Neu thgy dau gai song may long la citing digm Ket hdp song chinh lop cd se mem

2) Chita tit ngoai cd thing lung va \Tung lung co cem Dung met ngon tay bat ngang, lop ccise mem

52 Ccich Chita sai xd ngang a ben cldt song nliztac

Khi d.6t song lech duoi no hay xua:t hien sdi xd va theo quy lue.t d6i xitng, nhiing yang sdi xd se có sdi xd ngang viii no Phai thao tic d' giai toa nhiing sdi xd

53 Chita mot doan lot cong va'y rdng 1) TuyOt d6i khong rung tren lap cd dem hoac lop cd co cling

2) Giai toa cac lop cd benh 1St d ngoai cot song truck Sau mai Chita vao sat ranh sting

3) Tach lop cd d giita dau gai song lam doi Nen Chita din is phan phai cho xong, rOi mai chita sang phan trai lop cd co corn tren dau gai song

4) Phai Chita cho lop cd benh lSt tren dau gai song mem ra, thu nhuan lai, cho toi thay thu6c sa thgy dau gai song

54 Tren he cot song co ithieu doan 16m

1) Chita tit doan lam cuei cling Chita len 2) Sau mai Chita dttdc doan lam this 2, tit du& len

55 NB beo phi hho phat hi?rz cdc dO't song benh ly, phcii Chita de'tirn cho dztac

1) Tim va Chita tit ngoai cd thing lung cho den ranh song va tren dau gai song cho cac lop cd mem ca ben

2) Sau mai tim thay digm

3) Da tim dudc &it sting diem phai giai toa cho xong

56 Khong ci‘ co nizitng clict song thzta

Phai dung ng6n tay xoay, clay cho tan lap cd

o khe d6t, lam cho khe dot day len

57 Gidi tod cdc ddt song bi dinh citng

Dot song benh 1St la nhiing d6t song bi dinh Da.0 gai song xuong thap vu6t to duoi len.' Phai Chita cho tach cac d6t bi dinh ding va sd thay dau gai song Dal song phai 16i len, dui y dimg phttang thitc va thu thuat nen nang, nen vit, dSy, rung, xoay Dung mot ngon, hai ng6n hay ca clang tay ban tay de' rung Nen rung lam than ngttai dung dua Muc Bich lam cho he cot song chuye'n deng, khong dinh ding nila

58 Khong dudc Chita vao nhiing dot song hhi tcic dOng hhim.g bi dau

CAM NANG NiA PHUCING PHAP TAC DONG COT SONG - - 159 - 13111 DI:IC CUCiNG Bit N SOAN

59 Muein chita hit& bfnh, phcii chita cac dot sting b?rth ly chuye'n thetnh ccic dtit song sinh ly binh thcaing

Trot& het phai tim cac sdi cd co, cheo ngang, chech len, chech xuang, cheo xu6ng, de difa den cac d6t song benh IY chuyen cac &it sang sinh lY binh thuang

60 Trong diim a dau

Trong diem a: 1) Giita deu gai sang 2) Khe bit tren 3) Khe bii duai 4) Canh song 5) Giila canh song

6) Khe so le gala khe tren va khe dttai Gai sau twang lech nghieng, ma chi venh len Phai an &Sy cho nghieng la dat yeu du

61 Phcii chaa tren tract gai song va canh

1) Phai chfia tren dau gai song va canh d6t so le gifts d6t, de lam tan cac sdi cd barn tren dau gai sang va d canh d6t

2) Mu6n the phai chl3a cac lap cd a ngoai pham vi cot sang, chfia tit ngoai vao cho cac cd rne'm ra, nhet la a ranh sang Sau mdi chfia vao dau gai song

62 Nhi?t dO ming ttiong zing voi It*rth hhcic von nhi0 dO bp-ch

NB truck cht3a, da they dau d d6t sang Day la benh nhti gai doi, theai vi dia dem

khong phai la diem

Khang phai chita vao benh, chits vao se dau them

Phai tim diem co lien quan Wong Ting vai benh de chita

Tac do, vao diem larn cho nhiet di) benh thay

63 Nei& chita• clang diem se xutit hi?n vein de

1) Bien 061 dude nhiet lien quan vai not tang, voi 613-oh va nhiet dia phudng

2) Bien dcli lop cd benh ly

3) Bien dei d6t song benh 1ST lien quan den benh

4) Bien de;i diem dau

64 Chita ccic.dol sting cong LT()

Chita trtioc ben nhtroc, ben lep, ben tha'p truck Sau mdi chita tiep ben co, ben cao, ben cong

65 Giai tad doan lien 16m

1) Giai to Bing d6t lem met tit duoi di len, chits xong dot lom dtioi mdi chila den dot lam tren

2) Khi china d6t lOm phai sa they ba duai d6t lam mdi chita &loc

66 Cdch chit' a dot song lien loin co dai cd

Cd phla d ben ga'n cot song loin bi nIntdc

Cd phia ben ngoai dai cd.nlnidc se có dai cd co

Chita tnidc dai cd co ben ngoai xong r6i chfia vao cd nhudc thi dai cd nhudc ben se diidc phuc h6i

Phai chits song chinh tay

67 Gicii tod lap co co

Chita lap cd co phai chfia - dung diem, dung hp, dung twang Phai chila den ngueng mdi thai

Neu cd co chtfa tan, phai dung hic manh hdn nua

68 Gidi toci 10p cd treat

Phai tim vao d6t ding 16i bat that manh lop cd tron nam d9c cot song

69 Gicii toe 16p co xci 591

CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 160 - NGUYEN THAM TAN

thinh linh bat that manh may cai that dau dot nget de? NB khong phin ve duct Bat nem tren dau gai song, tren bb co Bat ng6n tay bit cd ngoai cd thing lung

70 Gicii toa lop co' xd lan tan

Giai toa bang thii thuat bat nhe bang ngon tr.6, ngon gitia lop cd xd lan tan chay ngang, chay doc, chay cheo len, cheo xu6ng

71 Gidi toa lap co' xo' sdi det mOng xe;p lai vai 16'p

Dung thi thuat gai nhe d mei) cac cd xd sdi det mOng xap len ( benh ung thu)

72 Gicii toa lap xd sdi nhct b6 tam

Phai bat theo met chiau

73 Gidi tea lap co' vang S thocii hod Phai nen tinh tren lop cd mgm day 74 Giai toa lap ca voi hod

Phai xoa nhe tren lung NB a tii the rig& cong lung Phai xoa nhe tren lop cd teo nhtidc, trd xtfOng

75 Gidi tea lop co' sou

Khong an sau vao phia trong, phai dgy cho do't song NB dung data dg dau gai song tic deng nguoc lai vdf 18p co sau benh IY, titc IA lam cho d6t song benh ly v6i lop cd benh lY ding dung dua, chuyen do, ng

76 Tai phcii chila song chinh

1) Neu chi a met diem thi he phan ve co the se gay co cd

2) Chita song chinh thi he phan ve khong kip gay co cd, nen chiaa benh co hieu qua hon

77 Phdi chila veto giaa he a giaa xu'cing subn

Khi giai toa lop co cod phia ngoai cd thing king, phai chtia vao giita ke wan mdi c6 hien qua vi ndi ay co nhiau day than kinh

78 Cdc loci u thaang coo r-6.1 loan vang chcirn

Cac loaf u deu c6 r6i loan is yang chSm Khi ung thu di can thuang c6 co co corn, dau d goc ham

Neu dau h9ng la ung thu vein hong

79 Hier.' qud chita tr cot song

Khi thay thu6c chits tren cot song, nen c6 hieu qua thi NB an lung xuang, va c6 cam giac dau de chiu

80 Phdi chaa veto chi; venh cua dot song

Chita vac) khe giiia do't song so le Phai tap trung chfia vao gai sau dia d6t song Gai sau thuiing nghieng lech chi khong phai ca d6t song lech, no chi venh len thoi

81 Chita sdi xd cheo ben lop co' nlacyc

Khi digrn chay dich- dac Wt trail lech phai Dot duoi lech trai Dot duoi nua lech phai ThuOng ben phia co nhiroc c6 sdi xd cheo xuong

1) Met tay chila tren dau gai song sung ben Met tay dat ket hdp tir ba ngoai cd thing lung vao Neu lop cd tren dau gai song may long la dung diem d6i deng, lop cd benh ly se marn

2) Chfia tii bd ngoai cd thing lung vao, se thay co thing lung c6 khu vkic co corn Thing met nein tay bat manh, bat ngang vao, ldp co benh ly se mgrn

82 Gidi toa cac sdi cd xd ngang d ben dot song c6 ca nhdyc

CAM NANG Vt PH-YONG PHAP TACWNG CQT SONG - 161- HUI DI:It WONG BIEN SOAK

83.5 HINH THAI LOP C(i BtNH LY TREN Al, HINH -THAI CAC LOP BENH Lt TREN Al

1) Dgt song: 16i- Lech- 16i Lech- lom lath 2) Lop cd: Co- cling- day- mai-1g- xd- rgi- teo-kh8ng co soi trim- doc- ngang- cling day- khong co lap cd cldn- dau lien 16i dgt tra len

1- Lien 16i d6t, C1+2 hoac C2+C3 2- Lien 16i Mt: Cl+ C2 + C3 •

Thai gian Chita lien 16i khac veil lien 16i Hinh thai lien hei clang day liet tit chi Kh6 chfia

Khong nen chfia lien 16i dot, lien loin can hoac lien 16i can Nen lien 16i it chfia &loc Neu chi 16i la rat khe chiia, phai chila den may nam.Loai lien 16i can phuc h6i cham hdn

D"o"t song lien 16i can,-cd a 2 ben dau ct.tang, nhung lop cd lai nluidc, re truec hOng, lien quan den cot thap cot thap dgu h0ng Khi va tit tren xuong d giiia va ben dau dau

Dot song 16i deli co ben cd 16i cao Nhiet dO nhu Nhiet d8 a chinh gifia cao hdn

84 Hinh thcii loaf lien lei cuang, cz2ng, day C1+

T°+0 C1-C2 lien quan den nao sau ben gai song C2 to hdn binh thUang, gifia dau gai song cao hcn binh thileng

Lop cd dem tren gai sau ding day Ian r6ng sang ben h6 chern va khe chain (khe chain bi lgp)

Cam giac dau nhgt trail lop cd day nhgt tren dgt song 16i cao hdn binh thitaing

Ccich Chita: Khong tac dOng hing tha

thuat &toe Phai dap cua, dap b8t phi kin trail lop cd day Da.p lien tuc khong ke th0i gian Kong ngai cau, la xa, m6i len -30 philt, len Lam viec trail den lop cd co day, ding chuyen sang co day nhung sa thgy dau gai sang Luc de mei chfia bAng thu thuat

85 Hinh thai loci lien IA cang day C2-C3 the'lan

TD* viing co trail lien quan dgri be thap ben ranh song va gifia dinh cao hdn binh thuang

Lop cd co ding day giaa va lan sang ben h6 cham Vu6t tit teen xuong, thgy c6 khe ha

Vu6t manh cho nao cang dau Vu6t nhe ch6 nao dau nhgt la diem

Cach chita:

1) Nen tinh tai diem, 19c khOng qua ban tay

2) Don chinh mot ngen tay 3) NB ng6i guc hokc nAm ng-aa

4) Day, xoay tit lop cd day den lap cd m'Ong Htheng thao tac: Phai thao tac tit trail xuong bat trail C2 Khong c/U9c tac or8n.g tit duel len Nth tii ngoai vao

Co kha nang phuc h6i tit thang

86 Hinh thai lien hei cang day Cl C2 C3

Vu6t ben thgy lop cd co day Ian sang ben chem •

Vufit khong sal thgy dau gai Cl Vu6t ben cd thang thgy Cl to va thgp C2 cao hdn va to hdn C3 thgp va nhO hdn Vugt vao lop deu gai song mei thg.y dot nao cao thgp

Neu co benh thi khe giiia Cl va C2 bi thgp di

Ccich Chita: Phai can cif vao diem dau

ben va caa dgt song de tim diem

87 Dot song sinh l31 C1.2.3

CAM NANG Nig PHLIONG PHAP TAC DONG COT SONG -162 - NGUYEN THAM TAN vanh khong gigng C2 Vugt Cl khong thgy gai

sau, chi thgy mot lop co thgp

88 Dot song b?nh ly tren C1.2.3

Khe dot bi dinh tong, khong chuyen long Chi chuyen dong ca tang, NB

quay phai, quay trai Vu6t canh C1.2.3 khong sa thgy vi lap co co clang day, khong phat hien duoc Vugt tit tren xu6ng ca C1.2.3 deu dinh ding, 16i cao, g6 han len

89 Lop co sinh ly tren C1.2.3

Lop cd G khe canh va giiia dgt song deu da.n va the nhuan

Lop cd tren Cl day hdn va mem hdn ldp cd tren C2

Lop cd tren C2 mang hdn va co hdn Cl Lap cd trail C3 mang hdn lop co tren C2 So sanh lop cd canh d6t vai lap co giGa dot bao gia cung day hon

90 Lap cd 14rth1.3 tren C1.2.3

Lap cd a khe, d canh va ii glita d6t, khong phat hien dude, vi no khgi day cQm Khong khe chS.m, Ian rQng sang ben h6 cham

"1'2 canh bAng gifia dgt cao hdn canh

Cam gific dau te, canh dau bang nhau-Dau nhgt ii gifla khe d6t

Ccich chita: Ca dgt ding 16i, thi khong

chCta dude Lien 16i cUng day rat khd chaa, lien quan chute nang nao, a.nh httang den chitc nang van do, ng, liet clang tit chi, cam, ngong v.v

DiL chit yeti la phai can cut vao T'D* va cam giac la chinh Khong the can cui vao lop co va d6t song &loc Phai lgy cam giac lam chuAn Ben nao dau hdn

Khong ap dung dude cac the thuat phai dAp cua, dAp belt va xOng cho den lOp co mem ra, mai chua bang th0 thuat &Loc

Lgy khe diem lam chudn Khe chAm khong thi khong tac dQng Chi tac dQng vao bit cao cua C2

91 Chita thocit oi die d'On (hhvng lung)

Nguyen nha.n cua thoat vi dia

Mang vac nang- khieng, ciSy vat qua nang, hoac ii tti the khong binh thuang nen bi kitting Icing cua lung

Dau ngang thAt lung L2.3 den L4.5

Cdch chita: am chGa vao D9, chua vao

dgy se xoa sach cac diem da

- KhOng dttoc theta vao ch6 dau - Phai tim lop•co co a D5.6, ranh sting ben có dgt lech Lam mem lop co bAng th0 thuat bat, &Sy, nen, rung tit ngoai vao dAn den d6t song lech

1111Qt tay tim D7 den D10 khac ben vai dgt song lech, phla dual lop co co cQm

Song chinh diem trai chieu

Neu L4.5 lech phai 16i dia dem thi d L5 có r6 Chita vao diem gifla L5-S1 Khe giaa dgt lOm va dot 16i

Nang chart: Thoat vi L5- S1 thi nang chart ben dau len cho tai nguang

Neu thoat vi L2.3.4 thi nang ca chan len

Cha y: tay dat vao L5- S1 hoac L2.3.4 an

xugng tay nang chan len - Chita tit tren xu6ng

92 Chita gai del

Tren dal song có hinh nhti cai ken- Do la dgt song gai deli NB thgy dau c1 diem

Phai chua vao nhang diem lien quan Wong ling vai diem dau

1) Gai deli d L5 phcii

Trong khu la D9.10.11 trai, chi a tit cd thang lung di vao Lop cd mem Chita tiep song chinh D9.10.11.12 voi L5- Wang th0 thuat nen, dAy rung

2) Gai del d S1 trai

Tim khu d D10 11.12 chua tit ngoai cd thAng lung vao

Chita tiep tit Llden L5

Sau chGa song chinh D10.11.12 voi S1 bAng the thuat (ley, nen rung

CAM NANG V 't PHLIONG PHAP TAC BONG COT SONG -163 BTITI DT!C CU'ONG BIEN SOAN

Trong khu L1.2.3 trai

Chaa tiep tit cd thing lung vao ranh sting ta Li L5-

Sau chaa song chinh L1.2.3 vdi S2.3

Ch6 Gai doi co chi ken khong duck chila 'vao phai chaa cac d6t song c6 lien quan Sau phai chaa u ben • cai ken ta cd thing lung vac), phai giai toa cac loci co xd sdi Cuoi cling moi chaa vao cai ken sau cac lop 'co xung quanh mdm

93 Cele trung tam he cot song

Khi Chaa benh di lien quan den tang trung tam, tanen chfia vao dO, c6 hieu qua hdn, chaa dudc nhidu benh

VI du: Trong trung thgt neu co u, ta chaa vao L3.4 se c6 ket qua hdn Vi no lien quan den thin kinh thuc vat

94 Ccic phayng thac rat can viee tim diem de' gicii tod

Trong cac benh vd he van d6ng, ta phai ap dung cac plittang thiic d6ng hinh, d6'i d6ng, co co tildng ang, chuyen to the Vi tat ca m9i benh tat deu tit he cot sting bi kich thick, bi r6i loan gay

95 Khi ta chiia khuj,u tay, tay, ngan tay can lau

D6t s6ng diem: C5.6.7-D1.2.3 nhung c6 cac d6t lien quan: L1.2.3.4.5

96 NB dau xu'o'ng ba ben trai

Trong diem d cot sting ben phai del dien

97 NB dau that Zang; dot sang cong len sung du'eri icing tren

Khong dudc chaa vao ch8 dau phai chita vao ch8 d6t s6ng cong len vang Judi lung tren cho thing

98 Tu.; song la he th‘ng to dieu chinh, chili, nen chaa veto day c•-;

Phai chila vao he to didu chinh cua cot sting, tac la chaa vao ch8 co c6m not len tren

99 Teo cd

Chaa vang L: Neu yang tritoc va phia ngoai dui teo

Chaa vang S: neu yang sau va phia dui bi teo

100 Chita berth mat nga

Khong chaa vao 6,7 va A9

101 He ca c6 tic dung lan tic dOrtg cot song

- He cd giup ta:

+ Tim dudc diem

+ D6ng thdi he cd gulp ta biet - diem da dudc giai toa

102 DOng y co Mit leei

1 Dam ket 2: Han kgt

3 Kai ket Huy& ket Nhiet ket

103 D5 song 16i Lech phcii co 467 d6ng khcic ben

}Chong dudc dung luc chila hai ben nhu Chu Sr hic n4ng chaa ben d6i dong Con ben diem chaa luc nhe hdn

104 Tren cot sting c6 mot doan lien loi 5

den - DCA tha ba loi cao nha't

Cach aaa:

1 Chia vao &it 16i tren cling Song chinh voi dot 16i cuoi cling Dot diem a d6t 161 tren cling Cal tang mai chaa d6t 16i cao nhgt (d6t ba)

105 Co co' la phdn xa cact tu; song bi kich thich

Phan xa nay:

1 Di vao not tang Di vao gai song Di vao khe xudng

106 Die'n bigh czia he co'

CAM NANG VA PHIIONG PHAP TAC E0ONG COT SONG - 164 - NGUYEr N TRAM TAN T6 &rig vai gay nen cac to ch6c bi r6i loan

Sau ding gay nen nhiet d6 tang cao

107 Khi ta dci chila lam cho he co' rai loan trd 19i thu nhuan, nhung berth chua hhai

Phai chfia cho cac dau gai song, cac khe d6t va cac viing ngoai vi ngoai cot song, nhat la ranh song phai sach se, khong cac lop co benh lg, barn vac), dOng thai phai rung de' tao song cam giac, lam cho cot song thing kin khit mOi dat yeu cau chfia benh

108 Chita cot song phai cha 5,:

Chula vao cac mang gan cue cac h8 not tang nhu: mang bao, tim, mang phi3i v.v

109 Chita ngu'ai berth:

Khi ta chute khong phai ta chfia " cai benh" ma ta chua " Nguai benh" cu the

110 COt song la trung tarn

1) Tgt ca cac chfic nang van d6ng dau di den cot song

2) Cot song la trung tarn cac cam giac dau Diem dau nAm chat eh t xam c6a tuj?

s6ng /i

111 Sd b f.) tim hielt ye Li; song

Tug, s6ng c6 phan Tug, song chia lam phan, phan cach 6ng song vai tug, song Trong 6ng song di co mang nhen bao quanh tug song Mang Ong giap xtiong s6ng Giiia IA mang nhen dan kin

Tug song diing cluoc la mang nhen va dich nao tug,

Dich nao tug ch6a d be mang gan

Trong thay cl6'i lan - lan ga, tug? sting di t6 mao tinh mach

Dich nao tug, nuoi clang va bao ye tug, s6ng, c6 cac chat-kich thich he than kinh, co kali va calci de giiip tug s6ng hoat dOng

112 Tai tuj, sang 19i bi kich thich?

Tug song bi kich thich IA 6ng s6ng bi di lech, ch6 r6rig, ch6 hep

Tug, s6ng d6ng can la sinh ly Nhung 6ng song bi di lech thi dich nao tug kali, calci va nhiet d6 mot ben nhigu, mot ben it Dot song lech phai, 6ng song ben trai bi hep Dich nao tugrd ben phai ( ben rang ) bi kich thich nhiau hon Kich thich tao phan xa, gay co co

113 Berth mat nga co • T' yang lung tren, neis yang lung tren hhong !long se la cac berth

a) Than kinh suy nhttoc b) Tam than

c) Tam can suy nhttcic

114 NB bi to tay, nhung to id ngon va

Nghi la trieu chimg nhOi mau co tim, phai cho di benh vien ca.') dm

115 Dau day than hinh lien sitar&

Neu tren ngtic NB co ch6 co cam, an vac) th6r dau d ben ngoai la dau than kinh lien scan: D3.4.5 T

116 D10 lech F

Dau bung hanh kinh

117 Viem tic Ong dan trang

Bung dual bi dau nhoi, 116 chau co cam, nhoi ca hai ben

Born hoi: Nell ben phai tic thi vai phai thgy m6i Chita vao khong they co corn khong mai vai la thong

118 Huy deng he mien dich

Chita vac) mac n6i lon: D3- D11 trai- L3 trai Vi D3- D4 tuye-ri tic san lim T4- T8- Dila xu6ng dii tail tai D11

119 Doi sang lech phcii phan tren

- CO lap co xo co huong phai phan tren - Trong digm: Khe g6c phia tren d6t song lech phai phan tren

- Nguoc kim d6ng

120 Dot sang tech phcii phein dit

CAM NANG VA PHIIONG PHAP TAC DONG COT SONG - 165 - MITI DUC CUONG BIEN SOAN

- Trong diem: Khe g6c phia duai d6t song lech phai phari

- Theo chieu kim d6ng h8

121 DOI song tech trai phan tren

- Lop cd xo co huang chech ten phia trai tren

- TD: Khe g6c phia teen d6t song lech trai phia tren

- Theo.chieu kim ding h8

122.Ddt sing tech trcii phein du' di

-Lap cd xd co Inking che-ch xu6ng phia duai -TD:.Khe goc phia duai dot song lech phai phan duai

- NV dc kim ct6ng h8

123 Doi song 4.ch phai cci dot

- LOp co xd cod d6t.phia tren va phia dual va d canh d6t lech ben phai

- TD: 1- Goc cluai &it song lech 2- G6c trail d6t song lech 3- Canh phai ca &it lech - TD1- Theo chidu kim ang 118 - TD2-.Nglidc chidu kim ding-1i6 - TD3- Httong tam

124 Ddt song techtrcii cd dot

Lap cd cod diem: g6c phia tren, g6c phia duai va d ben trai canh lech trai ca dot

-TD: 1) Goc dttai ctSt song lech- ngudc chidu kim ding h8

2) Goc tren dot song lech- theo chieu kim ding h8

3) Goc canh d6t song Lech }Luang tam .Thao tic: song chinh - nein canh d6t- ng6n xoay bat tit teen xu6ng hoac tit duai goc lech

125 Doi song tai toan plain

- LOp cd xd co d diem - diem o ben canh d6t - diem giiia dot 18i - TB: 1) - ben canh d6t

2) Tren ca d6t 16i

- Huang: TD1- Tit sau truac cu6i ding huong tam

- TD2- Tit sau tritac

- Chua tit ba ngoai cd thing king vao del ben canh d6t song cho het lop cd xd co

Sau clang mai tic dOng tren lap cd co COm trail dot sling 16i

- Co the chia diem:

Goc duai: D1 goc &fed phai- D2 g6c dttOi trai

Goc trail: D3 g6c trail trai- D4 goc trai phL Canh phL: D5- canh d6t phai- D6 canh d6t trai

Khe g6c D7- khe goc dttai D8 Diem gifts d6t 16i: D9

126 Doi Mi phtin tren (neta tren.)

D6t song sinh 1ST: bao gia cling phai'nhin sd thay ben dudi dot song

D6t song henh ngu c6 d6t song 16i phan tren( nita teen) thi khong sa thSy bd chtai del song trail d6t 16i- vi 2.klie bi dinh ding

Ccich chita: Phi chit'a lam cho d6t

het dinh cling bang cach nen cho d6t chuyen Ong

- TB: BO tren d6t song 16i giita, co cuc 16i cao Dung thao tic lam cho canh d6t hgt dinh ding D'Sy tit bd cao d6t 16i xu6ng sat ba duai d6t tren.}hicing tit sau truac

Cita j: Dau gai trail tong long clang khong bat len dude vi d6t dinh vao Thao tic lam cho tan cal cuc d gitia khe va cac lop cd benh ljr lien quan

127 Doi song loi phan duai ( n eta dithi)

Nhu cach giai guy& dot song 16i phan tren Chi khac vi tri tic ding va each thao tic nguoc lai pha hop vii vi tri TB

128 Hai dot song Ian nhau, tech hhcic chieu hmfic tint song tech cach hoefc clot binh thaang

CAM NANG Vg PHCIONG PHAP TAC DONG COT SONG - 16 - NG UYiN TRAM TAN

1) - TD d goc dudi dot lech phAi(d6t tren) 2) - TD d goc duoi dot lech dudi (d6t duo*

129 Doi song Ioi 1?ch phcii

TD: 1) Canh dau lech phai

TD: 3.4 ben trai, ii ngoai lop cd nhUcic ben Arai se ce lop co ding TD 2.3.4 a dgy

Chu y: Chita hien tuong lech truck Chi-fa hien Wong 16i sau

130 Dot song goc ben phcii qch phcii va goc ben trciil?ch trai

- Bat soi cd co doc

- Song chinh TD1 goc tren phai lech phai va TD2 goc tren lech trai

131 Dot song goc tren trcii 1?ch trdi

- Gec tren trai lech trai theo chigu kim d'6ng h6

132 DOt song lech ca &Ct

CO TD:

1) G6c chi& dot song lech 2) Goc tren dot song lech

3) Canh dot sang tech phai hoac trai

133 DOI song loi can

- TD: d giaa dau gai sang

Ccich chtia:

1) Bao gill cling phai to giai toa ben ranh sang bi 'xo co

2) Neu 16i phan tren, huong tii trail xuang 3) Nati 161 phan dudi huOng tii duoi len TD: Gina bd khe dot

134 Doi song lam Ccich

1) Dung non tay ciSy tii duoi len, ctSy sau vac) cd bi co Lam cho tan dan lop cd co

2) Ding nem tay dua sat vao lop cd co, lam cho ben bAng

3) Cu6i cong non tay ding bi (1:dy) len

135 Dau quanh hhap vai

Xudng bA vai dau lien tyc TD khac ben

1) Khi van deng ma dau thi TD khac ben ?eU 1>L 2) Khong van dong clang dau TD khac ben

136 Di5 song bi cong ueo ming dual lung tren., nhung die'rn dau L4.5- S1.2

1) Khong duoc chila vao viing dang bi dau L4.5- S1.2

2) Phai tim di'Jm a ch8 dot sang cong ii vang duai lung trail, chea vao cam giac tom

3) Chttia tii tren xu6ng

137 Dot song lien lei Cdch chi? a:

1) Chuye'n to the nela bung, oAn lung 2) TD bis tren dot sang 16i tren ding 3) TD bii duoi dot sang 16i cal ding 4) TD chila vao dot sting 16i cao nhat:

138 Doi song loi dia dem

Neu cong lung, chat nhay phla sau Ngu can lung, chat nhay phia,trithc Neu khoang gifia dot reng hdn binh thuang

Ccich chaa:

1) Tac deng vao he cd co clang, r6i day dAn vao dia dem

2) Khi lop cd co mgm d6.n thi d'Sy din vao ch8 16i

3) Lam cho dot tren &Lai bAng nhau, met ben \tit, met ben &Sy

139 Doi song lien lOi can

Tren khu vuc d6t song lien 16i can c6 diem 0ben ngoai doan d6t song 16i co nhang lop cd benh 1S, a the reng lon va

Trong diem c1 trend ch8 16i dot song d6t sang lem có sOi co co nh6 va có

Trong digm a chiai ch8 d6t lom CO soi xd co nhO va co Tc'

- Phai song chinh digm va tren met doan 16i can Diem ii tren dot sting I6i

CAM NANG vt PHUONG PHAP TAC BONG COT SONG - 16/ • • BtD1 Df/C CUONG BitN SOAN

- Phai clang thu thuat xoay chaa ben d6t song lam NB.ditng thing tay bang chang

Tren d6t song diem a ben c6 lop cd banh 1Y, phai chaa tit diem &du rang nha:t caa lop cd vao trong, hitong tarn tit tren xuang, tit ngoai vao

Khi chfia tren didm, ngu NB o'an king, cac d6t le3i dan ra, s8 bat lai di

Phai tao song cam giac

Saukhi chit-a song phai "la" ben d6t song de cho d6t sting ditoc kin khit

Tuyat dot khong &Asc_ chila vao d6t sing ldi, vi cang chila tang ldi them

140 D6-t song lot tren va lot dual, d giiia c6 cat sang lam

TD: Didm cd co 1oi tren d6t lam, giaa doan lien lot Diem tren clang d6t lam 1a didm Didm dii6i ding doan lien 1oi la d6t lam

141 B?nh tam than D12- L1 lam

Chita D5-6.7

142 Tuye'n tang

La linh hdn bo phan quan nhat caa cd the ngudi

143 Khi mot tiet doan tuj, song bi roi loan gay thcinh berth, la phdn xa dinh hinh

- Phudng phap tic do, ng cat song tao song cam giac, tiic.la tao nen phan xa tug, co dinh holing de' xoa b6 d ral loan da dinh hinh

144 Rung nhi

Tac ding tit ddu mang tai vao den Cl

145 Rung that

Tic clang vao D9 chi chila (D9)

146 Can mac sinh tam hod: D9.10 rol loan

Chi chfia vao D9 khong chfla vao irting L, vi hian Wong tim gan gay r6i

147 Bi titu tie:n

148 Thcin hinh toa, ne'u thing len phdi ch cing tay

Chita D8.9

149 Li0 nila ngodi

Chi chaa huyg't ap da on dinh 1- Didu nhiat : C7- D1 va \rung S 2- Liat Judi, mat : Cl den C7 3- Liat tay : C4- D1,2.3 4- Liat chin : D12- Li den S2 5- Liat 'mem : chi-fa khac ben 6- Liat clang : Chita clang ben Chu Y.chaa hai cd co" de' Wan hoan tot

150 Say nhu'ac than kinh (Tam Can -Than)

Chu ygu: D7- D8 - C6-7- D7.8.10- L3.4.5

151 Khi c6 lop co' sal det, co nhigu lap sat len

- Chi gai va chi bat mep lop cd

152 Gidi toci cac lap 2cO stli

1- Xd sdi: bat that manh ca 136 ca Xoay ng6n cai vao sau, bat that manh

2- Xd Lan tan: thtiiing d dau gai song thing ng6n tay dua ngang, dua dot th6y lit sat Bat nhe bAng nen tay tr6 hoac ngon giaa Bat dat ngat, khong cho NB bigt

3- SO clgt: khong can bat, chi gai bat nghieng c6 lop cd sin sat, nhidu lop xe-p lai, bat, gai ii mep cac lop xd

4- Xd roi : Xoay chidu, loai hay r1 m tren vai, d yang S bi thoai hoa, phai tao song cam giac

5- Loai ad tam: Bat theo chigu

153 D61 lam ore lai- Thanh xua n hoci 1) - D2- L1.2.3

2) - D2F D12-L1

154 U sd tit cung

CAM NANG vt PHYONG PHAP TAC DONG COT SONG - 168 - NGUYEN THAM TAN

155 U sd tien lief tuyin

L4 - va S1-5 co gai

156 BO'nh thu6c Diking tinh

Phai tao song cam giac, phudng thitc song 157 .13 -nh thu6c Am tinh

An chim diem, phtteng thitc nen

.158 Benh HAC

Khong chide xong

159 Hoat clOng czia tim

Trong 24 gib, tim co b6p 10 van lan day va hilt 1.000'imau

1 phtit gan nhan duck 1,51mau Luang mau du tri d gan bang 11

160 Chita tim mach

Chita ben phai- Khi chUa phai tao song cam giac vita (thong dudc mau) - khong dtidc ChUa chim lien t9c Tao song cam giac thtia, nhe Khong gay dau lien t9c de' gay choang

161 Ccich chia ccic clot song

Nguyen tac la dSy tit ch8 16i cao cao xu6ng thap xu6ng dtt6i phan duoi d6t lam trait

1- Tit C2 vu6t xu6ng 03.4.5

2- Tit C7 16i cao phai day tit C7 len C6.5.4 3- Tit D1 clSy xu6ng D2.3

4- Tit D4 clSy ngudc len D3 5- Tit D4 day keo xu6ng D7 6- Tit D10 c1Sy len D9.8.7 7- Tit D12- L1 len D8 8- Tit L5- Si len 9- Tit L3-4 len

162 MuCcri chita b?nh gi cling phcii nghi cieh dot song co'

- Phai tim len dot s6ng co, nau CO r6i loan,

phai chita d6t song c6 truoc

163 Phcii quan tam din ma quan h0 bi‘u 15, czla Dong y

Vi d9: Tam lien quan den tidu truang PM' lien quan d6n dai trang

164 Hinh thai cat song bien doi

- Co 297 hinh thai d6t s6ng Irian d6i

165 Viern nao Nh6 t Bcin- Tay te

- C6 c6 dam r6i, chua vao to twin, nhung cit chUs cho (len het Ca'

- N6u cluaa khong het to phai tim tren cd vai, tac Bong vao ch8 lom dau cd se h & to

166 Trong he cot song c6 yang 15m

1- D3.4.5

2- Wing that lung

167 He cot song tie:p nhan song cam gicic nhzt the-nao la tot

1- S6ng cam giac khong thIch hdp NB cong lung, van ngLiaii la phan ve tit chol luc tac ding cua Thay Thu6c

2- Song cam giac thIch hdp, ngtthi benh oAn lung, tile la to dieu chinh, NB cam thay de chiu, thoii mai, nhu cc►i nut nao do, thich

mu6n chita

168 Kit hop gicii tod D9 vai ccic dot song co'•

Phai song chinh cac dot s6ng c6 yeti D9

169 Doi song NB bi ho lao pluci

D6t song bi vi trung lao an het men trang D6t s6ng 16i cao Da tren d6t song lao tim dO, cd co An vao sun xildng xuang tuY' gay liet phai than

170 DOT SONG LIEN QUAN DEN TANG, PHU VA BENHCHUNG

1)3 - D4: ph6i

ChU tri: Banh ph6i- Hong- Ngttc - D5: mang bao tim

Chu tri: Tim - Ngttc - Da day - Tam than

OS" - D6: Tim-

ChU tit Tim — Nguc — Tam thin nJ - )510: Gan

CAM NANG Vg PHYONG Pf-TAP TAC DONG COT SONG -169 - BOI DT:1C CLIONG BEEN SOAK

pio -D11: M4t

Chit tri: Dau- • Tai- Met- Hong- Met ben hong Met ben bung- Cac benh phat nong- cac hoi chitng dau

- D12: Lech

Chit tri:.Da-day- Ruet- Sinh due- Tiet nieu

1) - Ll: Da day

Chu tri: Da day- Ruet- Sinh due- Tiet nieu - L2: Tam tieu

Chit tri: Da day- Ruet- Hong Benh phat nong, tam thin

- L3: Th4n

Sinh duc- Tieu trang Phdi- Mat

LLt - L5: Rut gia

Chu tri: Dau- MGi- Rang- Mieng s'9 - S2: Ruet non

Chit tri.: ben dau- Tai — Mat- Gay- Hong Benh tam than- Benh phat nong

S - S3: Bang quang:

Chit tri: Mat- Gay- Dau- Lung-Eo lung- Chi duoi- Cac benh not tang va bi mong

171 Nhqt Jo to lap cd

Benh nao chita ta thd.y -nhiet de lop cd Khi ta -mist vac) ma nhiet de lop cd giam di la yen tarn di chita tigp

172 Chita tru'ac veto lap ca barn vao xuang mao cheju

Yang that king nam hay voi hoe hdn nit, tftc

la lop cd co cem day len Phai cat lop cd a ch8 no barn vao xudng mao cheu Chita ch8 truOc, sau mdi chiia vao d6t song

173 Nguai b?nh bi berth Lau hay set cao hon me

Chita: D7 a lop ngoai khe d6t, L3.S2

174 Wing L1 den IA lam nhung L5 xizeng lei cao, cinh hitting den van nong chi du'ai

Phai chfia tit L5 lei, chita ben cd va dau gai song chita len

175 Wing thilt lung ua vzing gifta lung loin, hoac lot ca hai ben hogfic mot ben

Chita vimg S tit dudi len Chii yeti la L4,

176 Gan c6 benh, bao gat cling lien quan den thcin

Khi chita gan nen chita them then

177 Wing gifta lung Idi cong len, yang thcit lung Lem

Chita lop cd xuaa phat diem ciia doom cong phia lung tran, sau chita tit L4, len

178 Dau lung cap ngoai ccimphong ham dau khong mo hoi

Chita D3T cho den me hoi la &Plc

179 Dau lung clip co mo h6i

Chaa hai ben cd cd ve vimg S Chita met lfic se do' m8 MI nen ket hop danh cam

Tim diem ii ch8 cd co tticing Ting: Truang hdp khong m6 hoi, cd len chila rat at

180 Dau lung man tim phei

Hay gap a nhang nguai lao deng tri oc dau viing lung tren co cd

Ch8 dau D3 - chita D4-5-9, cd thang co clang Bet cd thang, cd vai

181 Dau lung ccic benh not tiet

Cac trieu chftng vita then va tiet nieu nhu: dai rat, dai bu6t, u tai, mai gel, nu& tieu yang, viem voi triing clang thuang bi dau lung

Benh tiet nieu: eo lung phai Chila D11 F vao L4.5

Vita chita vita theo thang lung Benh ve nieu quan, chila L3

Benh than sinh duc, eo lung trai - Voi trfing viem: L2

- Than tii cung: L3

- Dieu kinh - dau bung kinh - u x0 tit cung: chila L4

a CAM NANG VA PHIIONG PI-1AP TAC DONG COT SONG - 170 - NGUYkN THAM TAN

182 Dau lung b?nh dai trang

- Tao bon, di ngoai mau Tri + T' vimg chim - TD: L5-S1

183 Dau voi hoa, thodi hoci

Thuong co cang citng, xd sdi Chup phim nhin thay diu gai song san sui, xu xi, an vao dau choi

Neu co cling phai dip cua ang

Phai giai toa het lop co co a hat ben diem dau

TD: D10 - 12

- Thoai hoa thuang tit S1 len L5 tra len

184 Ddt song cang hoa L5 dinh vai S1 - Ca.c d6t song dinh yeti tit L5 vOi Si

Kh6ng chila vao d6t song, chfia ii cd ngoai Ap dung cac phucIng thiic, cac tit the de' and cac khe.dot, dung cac thu thuat de and no - nen day - nen rung

NB da mo, khong

185 Dau lung sang chan

Giai toa cac lop co cho mem ra, dung cac thu thuat, cac to the chita thing, chas nghieng thubng chong khoi

186 Viem cot song dinh lzhap

Hai cci lung \rung h6ng co Om len nhtt mat

Trong •phim cac soi xd Ian tan, dinh khe dot, diu gai xu xi

Khong dtioc chfia \rang mong, hong

Phai.chtia \rang lung tren D4.5.6.7, \rung c6, cac d6t s6ng c6

187 Dau lung lao cot song

Thtiang xuat hien a D7, lien quan den ph8i An vao thay co mdm hdn binh thuang, cd xd sdi, an vao dau nhitc, cam giac nhtt cluoi dau ng6n tay nhtt c6 mun

188 ea 'luck mieng Chaa kh^ D2.D3

189 Dot song

Chita nhe tren dau gai song

190 Dot song 16i cao ma teo

Chita nhe tren khe d6t Gai nhe tren dau gai sang

191 Nguai gay corn, sat can,

Phai chaa nhe tren D2.3.4 va A3.4

192 Chita tit D3 trail xuang

Phai oin lung

193 Hinh thcii die'm gilt- a dau gai song

1 Hinh thai so le Oita &it cao va dot thep TD: d chan cao cua cho so le ay

2 Hinh thai lop co trey' dau gai song co day TD: a giita diu gai sting, cao hoac co day nhet

3 Hinh thai lop cd tren diu gai s6ng xd teo TD: d 18p co teo nhet

4 Hinh thai khe dot Ong TD: d khe sau nhet

194 Phu'ang phdp tic cfcmg cot song hitting phcii la xoa bop:

Phai tim cho cluoc lop co benh VI Tim duoc bat cal la xong Xoa b6p kh8ng c6 ket qua

195 Phcii bat yew hat nha

Phai tim cac lap co sau xem c6 hat nhO nhet a day sau thuang c6 hat nha nhet Phai bat de hat tan la khoi benh

196 Phai tim ch6 xa teo nheit:

Chc3 lop co xd teo, phai tim den ch6 xd teo nhat

TD: la ch6 nhU san ho, san

197 Cach gidi toil cac dot song lien 16i

Co cac hinh thai- Lien 16i, lien lech- Lien 16i lech

Trong doan lien 16i, d6t song nao clang lien quan den benh tat D6t nao cling la diem

CAM NANG Vg PHUC$NG PHAP TAC BONG COT SONG -171- BUI DfiC WONG BIEN SO/NN

1- ba trail d6t 16i tren nhat doan lien 16i

2- 1)6 duai d6t 16i cuol clang doan lien it3i

Thu thuOt gidi toci:

, 1- Tay trai dung ngon cai (tat nen tai diem duai ding sat ba cao diem cal cimg,d6y manh thi cot song NB se nun xu6ng phai an nang, an sau

2- Tay phai dung ngon trO, ngon giaa (rat tren bd cao cua d6t 161 tren tong, dung thia thuat ye de xac dinh diem, tim &too diem dung thi thuat xoay de tri Khi sa thay lop co co Om se xoay vao diem co Hai tay clang song chinh

3 Sau da giii toa xong d6t mot r6i, se tigp tuc gist toa d6t hai va cac d6t tiap theo cho den het cac

4 Khi giai toa phai tao song cam giac thIch hop vai NB, nau de chiu, thich chua la tot

5 Can ca khach quan la ct6t song nun xu6ng, lap cd da mem ra, nhiet cao tra lai binh thuang

198 Dong y : Tri phong tien tri huyet, huyet hank, phong tu dift

NhUng nau benh da lau ngay, Chita hanh huyet mai khong khOi, huyet bi kiet Neu chi chi ta hanh huyet se khong kh0i benh Nen phai b6 huyat, cho huygt day da, mai chfia hanh huygt

199 Thu thuifct thao tac chits benh ming hhcic

1 Ddt song cd - doi song lttng

Chita vao giUa khe d6t Tit bd cao dSy ngtiOc len, cey xu6ng sat ba dudi d6t s6ng lom phia tren

2 Doi song that lung

DA'y thi.ng tit sau truoc

3 Doi song yang cut

Trong diem d bct Song chinh hai ben du d6t 161 hay lom Trong diem is ben phai hoax ben trai Huang truc

4 Vang

Ch8 teo ITS), vao se dau is yang chSm Thao tac hitting truc tai diem khac ben, phAn giaa ranh song va ba ngoai ranh song Huang tit sau truoc, theo this to tit ngoai vao

200 Ceich Chita mot • ddt song lOrn, nhang a phia tren c6 may dot ldi

Chita vao d6t 161 tren cling - chaa xong d6t mai Chita tiap d6t 16i khac

201 Cach gidi tod cd thcing lung co cuing tic D8, 9, 10

Phai giai toa tit ba ngoai ranh s6ng den ranh song Trong diem ba ranh- song la quan nhat

202 reu cau ddi vai NB chcin va hhi tri bftch

1 Khi chSn phai yeu cau NB mai cong lung; d tit thg lam cho dau gai s6ng cd tang de tim hgt cac loci co va cac d6t song bi bign

2 Khi Chita benh phai yeti cau NB tit thg lam chUng On co, de Chita hdn

203 Thao tac a ctdu gai song, gay cam gidc dau

Thao tac d khe d6t se gay cam giac dau d8 chiu hdn

204 Vu ng L1, trai co

Chaa L4, phai

205 Song chinh diirn ddi dong

Ne'u NB bi 161 Lech trai, to tac dOng vao, xem co diem d61 dOng d d6t nao, có the d6t D3 phai nau d dO co may dOng Diem d6i dOng deu

khac ben

Cach chfia: Tac di;ing vao D10 d6ng thiji tay chaa vao cho may dOng D3 trai

Cul j: D1OT clUng loc nang hdn d laic tac dOng vac D 3F

CAM NANG VE PHUGNG PHAP TAC DONG COT SONG - 17 - NGUYEN THAM TAN

phai chiaa yang co co de' cho lop co nhitOc ben trai D3 not len la dUcic

206 Vying L lam

- Giai toa co vai co ding de \rung L 16i len

207 Chita ccic deng mach

- Chita ben trai

208 Tie-ng thdi tam thu

Chao ben h6chgni - N6u HAC chiaa D5-6

209 Tam nhi

- Lap cd ngoai tren dAu gai song D1.2.3

210 Tam thc-it

- lop D4.5.6

- Tam nhi: D1.2.3 nhung lop cd keo dAn den D4.5.6 la tarn th6t

211 C7- D10 16m

Chita ch6 Lech phai o vting lom C7 d6n D10 la xong

212 D11 den L3 ldi

Song chinh dAu va duoi viing 16i D11 d6n L3 16i

Sau chila ben doan D11 d6n L3 16i

213 Tam phe- man ( hit vao lac& docin hhi) Thcl thoi thOp, mang sztan phdi va trai ph4 phdng cd hoanh /thong hoot de ng

- Chita C2.3 d6n xtiong stidn khong phep ph6ng la duOc

214 D12 co corn ben trai - Chiic nang ho h6p

215 D1.2 loch phai, c6 lap ca vai phcii

CO

- ChCic nang tim

- Song chinh qua lop co nhuoc d6n lop co cd co corn vai D1.2 de' giai toa lap cd vai phai co

216 Ca thang co' co

Chita tren non so teen yang che'.m

217 Cd thang co' lop

- Song chinh D3 va yang chSm

218 D5, chi c6 lap ca ngoai vet V'ca phcii

- Chlac nang pho'i rot loan

219 D9.10

- Lam tim cl4p ch4m lai ( Th4n- Gan) - Hai ben ddn thtiAn la tieu hoe

220 D2

- Da bung day clang

221 Phcii hoc thuec long

• M6i lien quan timg d6t song -yeti cac to chiac not tang

LOP CCJ NGOAI VII BENH CHUNG

222 Lap ca ngoai C4, 5, 6, bie-n

- co? - vai - rive trai Mang bao tim

223 L CN 2, hien cloi

- Te" \rung nguc trai + lung tren

- Chu j,: T°+ di lign voi not tang - Tim trai - ThAn kinh clan toi tam nhi - phol

224 LCN D4, bien

- Ts+ yang co phai - vai phai - Ph6i

225 LCN D6, bien

1 - vung thtiOng vi - da day - T** suan phai - Gan - vai phai - Met

4 - T'4 gifia lung D7 den D11 - Tuy - la lach

226 LCN D8, bien 1 - thuong vi - Da day - scan phai - Gan - T' vai phai - Met -1' r6n - Ru5t non - - Ru5t gia

CAM NANG Vt PHIICING PHAP TAC3DONG COT SONG -173- BOI DUC CUONG DItNSOAN

3 - that lung - Then

4 - T° khe mong - Bueng chiing - Tit cung - Tien het tuyen

228 LCN D11 ban ddi 1 - '1"+ rein.- Ru6t non - Ru6t - TO+ chem - Ru6t gia - T** bung dtidi - Nieu dao - khe mong - Ong dan

229 LCN D12 ban ddi 1 - r6n - Ru6t non - T' cha'm - RuOt gia

3 - khe mong - Ong dan triing - Ngoc hanh - Tien liet tuyetn

230 LCN L1 ban dal 1 - T°` ch.em

- Rut thiia - Dai trang - Xich ma - that Ming - Then tigt nieu - khe mong - Than ti cung

231 LCN L2 ban ddi

1 - T°4 cha:m - Dai trang - Xich ma - that king - Nieu quan

3 - khe mong - Than tii cung - Co ti'i cung - Bertholine

232 LCN L3 ban doi

- T°+ khe rang - Bertholine

233 LCN S2 ban clai 1 - chern - Dai trang

2 - bung ditch - Bang quang - Nieu dao - khe mong - Tien list tuyen

234 LCN S3 bi(n dai 1 - T°4* chain - Truc trang

2 - bung &Jai - Bang quang - Nieu dao - khe mong - Tien list tuyen

235 LCN S4 ban crdi 1 - cham - Truc trang

2 - Tc.* bung &Jai - Bang quang - Nieu dao

236 Ranh sling phcii sach

Khong chick a soi xd nao d ranh song, cac cd van, cd trdn, cd tim r5.nh phai thong su6t tii tren xu6ng

237 COt song la trung tam cua phcin xa

He cot s6ng chi ph6i toan 136 he cd, Wan bc) than nhiet va toan b6 cam giac COt song la trung tarn caa phan xe

238 Quan h? than hinh udi h? cd

Phai quan tam den m6i lien quan he than kinh v6i he cd

239 Cd teo va nhiC't

Ndu didu dtioc nhiet d6 thi cd teo khong nue

240 Muc dich Ian cart phuo'n.g phdp TDCS chiing xd hoci

Khi co benh, phai nghi den t6 chiic nao bi xd hoa Phudng phap TDCS có muc dich lon nhet la tap trung ch6ng xd hoa Kh6ng ditOc xoa bop, phai bat manh vao cac sdi xd Bat soi cd, b6 cd, dam cd

241 Ceti ldn cria phasing phap TDCS

Cai lon cua phlicing phap TDCS la Cat cdn dau

242 Lien quan can cot *song

Khong c6 mot cai dau nao khong lien quan den cot song Khong c6 mot lop cd co nao khong lien quan dgn cot song

243 Ccic cidt song co

Cac d6t s6ng co' lien quan den 72 loai benh

244 Phvc hdi bfrih tim mach, HAC, bC'nh lieu, bfnh nao

Bao gia cling phAi chila vao viang S

245 Huyit cip het: Huyel cip ban ddi Col da thdp, huyei cip tdi thau cao

Song chinh D3// D10.11 co ding trai

246 Vang S

CAM NANG Vg PHTIONG PHAP TAC DONG COT SONG - 174 - NGUYEN THAM TAN 816 bat lieu dia Dong y

247 Co loci dau

1 Dau nhoi: Mang bao tim Dau tUc: Cd tim

3 Dau b6: Xd ding do, ng mach vanh

248 Giam colesterol

Chita D10, 11, 12 - L2, trai

249 Tim dap nhanh

An vao hai nhan cau, tim dap binh thuang

250 Dau hie:u hoai huyei

1 Da mat, tit chi yang pha xanh, Rau nhu rau ng8

3 T6c rung

251 Thie'u ruing twin hoan n.cio gay nhai mciu ca tim

Chila D2, D3 161 Lech phai de d6t song co khong dinh

252 Dong y

1 Tam = Tram Tay= Dau mai Can = Go ma - trai Pile = G6 ma - ma phai Than =

1 Tam = Daulu8i TS, vi = Giffa Can - clam= Doi dia Than = G6c

253 Lift chart tai bifn mach mciu nao, chan khong thcing lam ban chiin cong nghieng

- D3, trai ben chan lie't

254 Di ang i man ngz2a khcfp ngaai

- C7 - D10 L3

255 Cang dcing mach trong, gay nOng yang trcin

D9, 10 - 11

256 Viem hhap hang - khong claa chan cheo hod.' c ngai ngd chan sat xueing givang Ccich china: NB ni.'rn ngii' a ch6ng hai dau gea, baa sang hai ben Tim ch6 cd co ding a phia dui sat ben Phai bat a phia sat ben, de dui nga xu6ng sat giuCing cluoc

257 Day than kinh + Wing chS.m

258 Day than kinh 10 Cl +Vang cliSm trai

259 Dau bap chan trai nhtt dau nhot

D2, 3,

260 Kiet ly - Dll trai

261 la chdy - D11 phai

262 DOng hinh

Chita tit D3 len den ba ngoai cd iic don chum

263 Chita tra'ng ca

C3 ben phai, china nhe 16p ngoai

264 Vi tri quan nhal mot dot song b?nh 1.)'?

D6 la diem giffa tren dau gai song Lop co tren dau gai song chua giai toa het, benh tra lai

Benh khai }In lop co benh 157 tren dau gai song da sach, lam cho d6t sting thing, kin khit

265 Lanh lung: D2

266 S1 lom: TO cung co, dA say thai 267 Hep mon vi

- Cl - S2, - D8, 9, 10, 11, 12

268 Ung thu trung that phai = kho nueit nude b9t Cam gidic mOi neing a quanh

CAM NANG Vt PHLIONG PHAP TAC DONG COT SONG - 175 • BOI D1:1C CU'ONG BrtN SOAK

269 Ngdi xudng, hhi doing len, nem

mong ra sau

- L5 - S1- D2

270 Dot song voi hod, c6 lop cd teo nhuvc

Chia tit dot trail cling xu6ng Chaa nhe khe gifla hai d6t cho day len

271 Dot song co MI6 chita &in

So voi d6t song lung thi dot song c6 kho chfia hdn ggp 2, Ian

272 L4 leim

- D7, 8, hai ben

- Day L5 loi xueing bd duoi L4

273 Chita Icing bi tong

- NB ng6i thing lung, c6

- Tim d6t song 16i tren cling day len - Khong chfia cac cl6t du6i

274 B?rih viem cot so-rig dinh khap: chita dot song a yang lung tren

- Phai lam cho dot song kin khit

- Day tit dot tren nhgt tit cao xu6ng th6.p Sau d6 ddy tii ba duai cl6t the:p phia tren dSy

xu6ng

Het lop cd benh lSr mai dung thu thua.t rung

275 diem quan trong ngu'ai

thiic Dinh clang Sinh san Van dang

276 Dau king tit D4 den D9

- Chita D3 // D10

277 Veo cot song tit D8 den L5

- D6 len lop cd ben trod - Sau chita tit D8 xu6ng L5

278 Thao tdc chiia cat /c3m

- NB phai cui het mite lam cho dot -sting 16i len that tang lam khe d6t lOm tren d6t 16i

Dat that nhe dau nem tay sat vao 16p da dau khe d6t 11i dudi Lgy clang ban tay lam die tS,7X-era-y day ctitt-rrgon-t-a-Mit-m-eho lop da

dudi dam ngon tay co sat veil lop mang gan duoi lop gan Dau nem tay khong di dOng, chi xoay, day that nhe, chi chita nhe vao mai-1g gan Khong duct de' dau ng6n tay lam lom ch6 da sat dau ng6n tay Chi xoay ng6n tay, khong thing ca ban tay Khong duct an vao lop cd co

Neu tic &Ong dung didm, dung thao tic xoay, ddy a 16p da ngoai thi NB se tidy mot cam giac thich hdp, gai gai Ding thai 16p c9 16i tren dau gai song se teo di nhanh ch6ng

Xoay cqy sao cho cac hian tudng da kho se, rap, gdn se thu nhua.nlai, tits la lop da tren killing kilo se, rap, gdn nita

279 Tim dot song diem mai

Khi to chaa a didm 1, tim tren hg cot song xem neu 16p cd map may ta d6t nao phia tren D6 la didm a khac ben

280 Hai tay lank, gid len bi dau

NB gid ca hai tay len Tim a lung thgy ch6 co co D6 la didm

281 Phdi bdo ye cdc dot song sinh 15, - Ccic cat song cao sinh ly •

- Cl, - C7, D1 - D4 - D10 - L5 - S1 - S5

Ccic dot sing MOP sinh ly

- C3, - L5 nam

Dot song hdi l'ech phcii

- D6 lach phai

282 NB gid tay phdi, dau heo ve ben phdi

- Trong didm: Cac dot song

283 NB gid tay han chg, lung aci'n co - Treng didm: a ba lung

284 NB gid tay ierc, ne-u dot song venh len

- Tr:mg didm: a ch6 d6t song venh len

285 NB gid hai tay len, xem hai co' vai, vai bi han che co d vai nth) dau

CAM NANG Vt PHUtiNG PHAP TAC DONG COT SONG -176 - NGUYiN THAM TAN

286 NB gia tay phai len bi han the

- Trong vai ben till (lanh khOng dau) a ch6 hem gan vai

287 NB gict tay phai, cg /Leo ve ben trcii, ca vai ben binh thithng co lai

- Trong Cl có lop xd

288 Nang chcin bi h.an chg

- Nang chan (tan ch8 bi han chg Gap chan vao, day sat bung Tim sdi cd co Bat that manh cal Sli cd chung la hat dau

289 Khong ngdi xgm clu9'c

- NB ng6i x6m - chi.la vao D2 la ng6i dvdc Chita hai ben ranh song xd boa tii D12 xueing viIng S

290 Chita li:et chi dual

- Chita vao ch8 dau xildng cut

291 Dau a canh khe =tang bci ben trcii

KhOng clyaa ch8 dau, chfia vao d6t song ben phai, ch8 tildng itng vdi digin dau

292 Quay tay ben trcii dau

Phai chtia d6t song lech ben till

293 Rieng khap vai co sat de vao diem dau

Phai chiia ben d6i d6ng khac ben mai khOi

294 Bai liet tre em

Liet mam - T't -yang king tren

Chi chiia rieng D4 se giai guy& chtdc nhiet xu6ng la khOi benh Khong phai chiia ch6 khac

295 Dau dau kiem xd citng dfmg mach vanh

Khong dvdc chfia vao C1, 2, 3,

296 Gian ddng tit - mat and

- Khong chfia vao Cl, - Chfia: C7

297 Co ddng tit - melt and

- Khong d.idc chfia vao C7 -

- Chita: Cl

298 Tim tn.& - huyei ap thgp

- Chaa dau xticing cut huyat fip len

299 Cdt can dau bung

- D5 trai • D7 phai - D12 - L3

300 Dau gai song bi teo, D2, 3, 15m

- D'Au gai song cao len ma teo

- Chia nhe dau gai song + khe d6t chila nhe D2, 3, Chi gai thoi

301 S5 + yang cut

- Chan tay run

302 Tim suy:

- S4 - S5

303 D4 hay rot loan, lien quan den nhieu benh

- Lam nhip tim nhanh

- Ngtiai khong on Binh, tit Wang khOng tap trung, mat nga Tre khOc dem Di chi ng viem nao B Viing lung tren nong cao Chan tay bac nhvdc, tay gid len rdi xu6ng - RAC - Thigu nang, tu'an hohn nao - Than kinh tim - He giao

cam C

304 Chan an

- D6, Ira \ging chSm

305 Dinh hhap hang 'thong ngdi xgm lilac

- Chfia D2, khong chGa L3, 4, va Si,

306 C6, lfch phai

- Chong mat, hay bi nga - Thiau mau nao

307 Cgp cc-hi truy tim mach

Trong benh tim mach, trung wing giao cam chi6m vu the nen khOng chfia vac, trung Icing giao cam

- Phai chfia vac) trung icing giao cam a Cl,

308 Gan Achille dau

CAM NANG Vg PHLIONG PHAP TAC DONG COT SONG -177 - Btil DI:1C CTIONG Bt N SOAN

309 Gan Achille hhOng dau - Chi.la viing mong

4-k t

310 qia-tay len bi han chi- cha I4

NB gid tay len va xueing that nhanh Tim diem dau.C6 the L4

311 Khci nang ud tat dung cita phdang phcip tcic dfing cot song

1 Chita dtioc nhieu loai benh, ke ca benh cap Ian benh man tinh hoac cac benh c6 vi trimg

2 Khong nhung chila duoc cac trieu chiing ma chila duoc ca cac loai tat, ke' ca cac benh da ton thuong thtic the

3 Dieu chinh duoc nhiet d6 cox khu v-uc cd the, dieu chinh duoc nhip tim, thay doi duoc not tigt, cac lop cd benh 1S, va mot so loai u

4 Mi phut duoc site khoe va cac cd quan

chac nang da suy ye-u, lam cho nguai minh ink them

I.Lfz; Lo-r6 j2