Giáo Trình Tác Động Cột Sống

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LU'O'NG Y NGUYtN THAM TAN

TAC

GIA

<b>CAM NAN G </b>

<b>vE </b>

<b>PHOING PHAP TAC BONG COT SONG </b>

BO 13(5C CUONG bien

sown

QW.,N

II

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MUC LUC

Trang

1 Ngu6n goc va hi:6u qua caa phuang phap tac dOng cot song 5 - 12

2 Ccit song 13 -16

3 Dfit sang lien quan void6t.sting 17

4 Ba diem khop ban 18 - 19

5 9 vang.tarn giac 20'- 22

6 Meiilien quan gicia dot Sling 23 - 24

7 Vi tri trong 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 do 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

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CAM NANG Vg PHUGNG PHAP TAC DONG COT SONG 5 NGUYEN THAM TAN

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

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

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

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

<i>De ccic ban hieu biet them ve nhung viec Thdy da lam duoc, tai xin not rat so lupe ve ngu6n </i>

<i>gtic cua phuong phcip va mat so' hieu qua cua phu-ong phcip ma toi da linh hoi duoc. </i>

<i>I- NGUON GOC COA PHUONG PHAP TAC BONG COT SONG </i>

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

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

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

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

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CAM NANG VE PHUONG PHAP TAC DONG COT SONG 6 BOI DUC CUONG BIN SCAN

<i>dau bung. He trong gia dinh haft ho hang hay nguai trong Zang trong xei, he ai dau bung la </i>
<i>Thay den khdm va da chart kh6i benh. </i>

<i>Cho den nay, mat s6 nguai u¢n can nghi hog' c? CO phcii Thay da tim ra phuong phdp tdc </i>
<i>Bong cot sing nay hay khong? CO the' do mat nguai nao do da day Thay? Mat ngubi coo hoc vein </i>

<i>nhu- Thay lam gi co kha ruing nghien cau ra nhieu van de hoc baa n.hzr not dung caa phuong </i>
<i>phdp? Hoac có nguai cho rang Thay xem sdch bcio phuong Tay cip dung? Su th4t khi nay </i>
<i>nghien cart phuong phdp tcic clang cot song la trong thbi ky khcirzg chien do ii?t, lam gi co sdch </i>
<i>bdo ma nghien curt. </i>

<i>6 </i>

<i>not than da lam gi c6 phuong tien de' hoc h6i. </i>

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

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

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

<i>Thely da not &benh vien Vinh Phri: "Toi vo sit, va sdch. Khong duoc thay nao day d3, khong co </i>
<i>kinh nghiem gia truyen. Khang duct vao sdch v& Tit tai tim tbi, nghien curt nhung kinh nghiem </i>

<i>truyen dan tac va tren hang tram cot tong caa nguai benh ma sang tao thanh phuong phdp tdc clang </i>
<i>Cat song". • </i>

<i>H - HISU QUA COA PHUONG PHAP </i>

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

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

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CAM NANG Alt PHUONG PHAP TAC DONG COT S6NG 7 NGUYEN TRAM TAN

<i>They </i> <i>lay 5 benh nhan mac benh tim da china 6- ccic benh vien Tay y, nhung chua kh6i. Co </i>
<i>nbaicoi suy tim, tim to, ngoai tam thu, so cang- dOng mach vanh, huye't cip cao, huye't cip thap, nhip </i>
<i>tim nhanh v.v... SS benh nhan nay &u dupc cac benh vien xet nghiem chdu, chap day du. They </i>
<i>chug 5 benh nhan nay khei hcin. Ca 5 nguati da den ccic berth vien ca chieu chap lai, ccic kenh </i>
<i>vien da xdc nhan khong can kenh tim naa. </i>

<i>Ban Thanh tra y tinh Vinh Phil den kdm tra do Ong trung ty y tinh lam tru6ng doan. </i>
<i>Lac clau Thay dug ra 4 hi so ca day dii ccic xet nghiem. Xem xong Ong truOng tru6-ng ban phdt </i>
<i>'Benh tim la kenh kho chart, &mg ngan tay china tren cot sang thi kh6i benh the nao dupc. </i>
<i>Co the' ccic berth vien truck da dodn sai". Cuai cling, Thay duo ra benh an do chtnh Ong Thanh </i>
<i>tra nay khi con lam gieim do-c benh vien AIL khcim, ong cuai noi: "Co the lac do, Mi da kham </i>
<i>sal" . </i>

<i>Tat qud, They dinh dem at ca tai lieu di' nghien cz-ru dot sach. May thay nha co cu ba Bang </i>
<i>Thi Loan da khuyen gidi They. They mai nguoi ngoai. Thay nghi: "Da the to phai chug ccic benh </i>

<i>nhan ma ai cling bat. Do la nhung kenh nhan cam, liet". </i>

<i>So' benh nhan cam, liet có lac thing tai hon 40 nguati. Thdy di' china cam cho ba em gdi cda </i>
<i>ca. Tang bi thu- Truing Chinh kh6i kenh. MOt ba 6- Son Tcly co 2 con gcli cam de'n china. Het gyo </i>
<i>ba ve lay ggo. Ddn tong nha Thay, con gdi chay ra goi: "Mg oi". DOt ngOt qud, ba me vat di. </i>
<i>Tinh tai, ba noi: "Nuoi con 18 nom nay, /an dela tieri chciu mai noi duoc". </i>

<i>Chu Ta Van Ly v huyen Vinh Lac tank. Vinh Phil 1:4 liet, 2 than teo co lai. Ter nho, chi nei </i>
<i>vi' le bang 2 ban tay. di hoc phcii nho ccic ban thay nhau cOng. Nam chd china kenh cid 13 tudi. </i>
<i>They china 6 thcing. Chd MI thing len, di lai binh thuang, Ve lang nguari lang no nzic ra don </i>
<i>ngua4 liet da di lai binh thuang. Gia dinh lam 12 ma m c6, an merng </i> <i>Thciy lie. Ai cling muicn </i>

<i>nhin thdy doi ban tay yang cdcz Thciy. Den tuai nhap ngil, chzi Ly nang 60kg, nhap nga 3 nom, </i>

<i>tra lie lay vo sinh 3 chdu deu kh6e manh. Chic Ly xin Thay duoc lam con nuoi. </i>

<i>Bcic si Thily Linh o benh vien Hay nghi bi benh tam than phein liet. Co lac a:4 chuang chay </i>
<i>ra ngoai pha, They </i> <i>china kh6i. Bile si trey lai cong tic. Val nom sau, bdc si Thdy Linh cho </i>
<i>biet di' có 3 de tai rzghien cdu khoa hoc, duoc hOi dOng khoa hoc cda berth vien khen thuang. </i>

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

<i>Ve Ha Noi, Thdy uao china berth 6..80 tu. lenh Thong tin duoc 3 nom. Nhieu benh nhan trung </i>
<i>cao don sic vi' quan sinduoc They chug kh6i benh. </i>

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

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CAM NANG VP PHUGNG PHAP TAC DONG COT SONG 8 BUT DUC CUONG BIN SOAN

<i>bi liet mot ccinh tay. Chad .6 ccic benh vien Ha N:6i, khong kh6i phdi sang Cong hba dan chd Dac </i>

<i>chart 6 thang cling khong kh6i. Thei y chua kh6i benh. Dcti tuong da ddnh bong ban duoc. </i>

<i>Ong Nguyen Dar Thuan co chd tich HOi lien hiep Cong doan Viet Nam gieri thieu mot can bO </i>

<i>cao cap Lien Xo sang giap ta thy dung Cung </i>

van

<i>h&c hau nghi. Ong nay bi rapt melt da 17 nam </i>

nay,

<i>khong nhdm Twit duoc. Mat ca mQ chang chang ke cd liic bet° tuyet, lam rat rat melt, chua </i>

<i>kheip noi 6 Lien XO khong khoi. Ong cho biet: "Ne-u cu khong chua kh6i cho toi, thi vc toi se b6 </i>

<i>toi. Co Zan dang ngd, co thice day thdy mat toi ca- nu cha-ng chang, co ay gia: t minh khoc thet </i>

<i>len"..Thd y chua mot thi i gian ?vein. Ong nhelm melt binh thubng.. </i>

<i>Thely chua benh cho ba Ciic, va co Thd Wang Pham Van D6ng. Ba Ctic bi benh tam thein, ca </i>

<i>ngay chi vuot do. KJiong pluin biet duoc nguai than. Dcti den tcio bon phdi chiu dau don, lan lOn </i>

<i>tren givang rat kh6 s6. Theiy china cho ba dinh tinh tluin, khOi tao ban. Ba da biet duoc ngubi </i>

<i>than, cbn, biet hdt cd mot so bai ca h6i tru6c each mang. Thd tiding Pham Van D6ng da mbi corn </i>

<i>Thdy va mot tien sy y hoc. Thd tuong rat ca ngai phuong phcip tdc clOng cOt song. Thai tuong noi: </i>

<i>"Bcic da chua khoi benh cho nhieu can bp each mang, tac la Bdc da cau cdch mang". Ong tien </i>

<i>sy y hoc gop "Bac noi ro them nguyen </i>

nhan vi

<i>sao tac Bong cot song lai chart duoc benh". Thd </i>

<i>tuong trci lbi ngay "Chang ta clang thing dien cho cdc nganh khoa hoc. Den nay vein chua tim ra </i>

<i>Mn chat cda dien. Nhung ta van clang dien rat tot . Lac ra ve thzt ky rieng cda thd tiro-rig </i>

<i>"Chun bao gib- Thd tuong mai corn vet ru5i chuyen voi Bcic lau den the' "1 gib • 15 phut". </i>

<i>O khdch san Duang Thanh, Thdy chart benh nhein bi di tinh. Tinh trang ta- Ong thocit ra </i>

<i>lien tac, chi= noi nao chua duoc. Benh nhein xanh sao, khong hoc hanh duoc. Thdy chart kh6i. </i>

<i>Anh thy ra nutic ngoai hoc tap, c16 dat cao. MOt chi phac vu khach san cia ngoai 20 tudi, bi benh </i>

<i>dal m, chug nhie u noi khong kh6i. CO khong ddm lay thong. Tiuly chum kh6i benh. Co lay </i>

<i>ch6ng sinh con. Thdy than kh6i benh huyet dp cao cho trung taring Nguyen Hung Phong, chinh </i>

<i>riy quan khu I. Da gdn 20 nam benh khong tai phcit. Nam 1978 Thdy duoc ve berth vie:n Bach </i>

<i>Mai lam nghien tali chuyen de, xcic minh hie:u qud tai khoa y hoc dan tOc. Thdy nh:dn chua benh </i>

<i>viem cOt sting dinh kherp do gido sic Deli-1g Van Trung chd nhiem khoa noi chez tri. Viem cOt song </i>

<i>dinh khop la benh nan y. Ccic bdc si quen than voi thdy Be nghi Thdy nen chon Be tai khcfc. Vi </i>

<i>benh thy the- gioi da chiu, nen Thdy khong thanh tong thi con dau la su nghiep. Nhung Thdy </i>

<i>cam on va tin rang Thdy se chua kh6i. Ket qud Thdy chart kh6i benh viem cOt song dinh khop </i>

<i>dat ke-t qud tren 90%. Thdy thanh tong tie-p trong Be do nghien cau benh viem thdn kinh tog dat </i>

<i>tren 90%. </i>

<i>Piety chart kh6i benh r6i loan than kinh thar vat cho gicio su- tien si Vu Tuyen Hoeing chd </i>

<i>tich HO i lien hiep khoa hoc ky" thua: t da gel n 20 nam nay khong tai </i>

<i>Thdy lam de tai nghien cau chuyen Be voi Vie* n sinh ly hoa sinh do gicio su tien. si Nguyen Teti </i>

<i>Luang Vie n trizerng chi tri trong de tai "Phut hoi ngu6n sum me". Ket qud dat tren 90%. Dieu dac </i>

<i>biet la: khi vdt sari cda nhung ba me dii saa thi hang sesinh ly cda glucide la 7%, lipide la 1,5% </i>

<i>va protit la 0,5%. Cbn saa cda cdc ba me thie-u sun cdc hang so sinh ly cleu cao hoac theip hon. </i>

<i>Nhung ba thieu sat dupe Thdy chum co saa r6i thi hang so sinh ly lai trb ve binh thuang. Gicio sic </i>

<i>Nguyen Teti Luang da lam mot bcio cao ket qud 25 trang gdi len ban Khoct gido Trung tong. </i>

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CAM NANG Vt PHUONG PHAP TAC DONG COT SONG 9 NGUYEN THAM TAN

<i>duc. Chaa 6 thcing bcfc si Hdi thu thai. Chart lien tuc den khi de. Thdy ket hop v6i khoa sdn </i>

<i>Bach Mai yet benh vien C de theo dOi ket qua. Chciu Nguyen Ngoc Chau sinh ra rat thong minh </i>

<i>ua march kho6. Luc de chciu, ca khoa sdn toi them. Ho rat ngac nhien vi khoa scin da tiem thuOc </i>

<i>cho cdc ba me c6 thai chet luu. </i>

<i>Khi de </i>

<i>ra ccic chciu nay deu bi khuyet tat. Rieng chciu. Ngpc Chau </i>

<i>lac manh khoe binh thuOng, dang hoc tai nhac vien Ha NOi. </i>

<i>MO1 benh nhan nam del hon 30 tudi bi lcet duong. Duong vat bi that hart uao trong, khong </i>

<i>lay duoc vo. Thdy chug duong vat tr6 lac binh thuang, chic nay da lei); vp- sinh con. </i>

<i>Ong Tien can b:o Phd thd tu6ng bi li.et duong dd lau. Ong den yeu cdu thdy chaa. Vi sau mot </i>

<i>thcing Ong cu6i up: Thdy chuc kh6i, Ong sinh lien tiep hai chau trai. </i>

<i>Thdy chap nhieu -truang hop vo chdng lay nhau hang chuc nam khong c6 con. Chd Tam, </i>

<i>dai dy phi ding va co va la gicio vien xinh xdn, nhung khong c6 con. BS me chting bdt dai ziy phdi. </i>

<i>b6 va, cho rang co nay khong de duct. Theiy churl khoi. CO gicio da c6 hai chciu gai kh6e marsh. </i>

<i>Thdy chita kh6i berth suy tdy. Thong thuong ca ba clang rruiu deu thieu hut. Dong y chiu. </i>

<i>Tay y chi con duy nhat mot tech la tiep mau turri, nhung den chang mz.sc 71a0 co the khong, tiep </i>

<i>thu dupc, benh nhan chet dau don uo tang. Thdy dal yeu cau phcii ket hap voi Tay y cho tiep </i>

<i>mau. Gic chdu 6 benh vien Bach Mai va Vien nhi ra chap Thdy. Nhieu chcizz 6 cac tinh ca 3 </i>

<i>mien deu chaa kit& benh. </i>

<i>mot </i>

<i>die'n hinh la cu Nguyjn Thi Kiem </i>

<i>71.11771 </i>

<i>nay hon 80 tudi 6- 70 Hang Chieu Ha NOi. Kh.i </i>

<i>cu hon 60 thi bi benh suy tdy. Vao benh vien Cuba lac d6 c6 9 ngubi suy tdy. Rieng cu Kiem ra </i>

<i>china Theiy, cu Kiem khOi benh gein 20 nam nay khong bi tdi phcit. Can 8 rigu&i kia del vinh uien </i>

<i>ra di 6- berth vien Cuba. </i>

<i>Chd Ta Vdn L5, 14. Het gioi thieu em ho la Trdn Van Tien, xei Yen Dong, huyen Vinh Lac, </i>

<i>Vinh Phd bi suy tdy churl cdc not khong kh6i, Thdy da chap kh6i benh, chd Tien kh6e marsh, lay </i>

<i>uo c6 con. Hon chuc nam nay benh khong tdi phcit. </i>

<i>mot </i>

<i>trung td quern dOi 6- Vinh Phd thocii hoa cat song co, tay Chan be liet, benh vien 103 hen </i>

<i>md, nhung phcii ch6, chd Ta Van L.9 o Vinh Lac gioi thre</i>

<i>:u den Thdy. Den nha phcii c6 nguiri diu. </i>

<i>Thdy chap 20 horn benh khoi. Ong truing to den 103, ccic bcic si bdo vao md. Ong ay May nhdy </i>

<i>vung than tay tai ch6. H6i chaa ai? Chaa cu Tan. Moi nguai der biet cu nen rat hoan ngenh. </i>

<i>mot </i>

<i>nu benh nhan ngoai 20 tucli 14 to bang nha ngubi c6 thai 4-5 thcing. Cd nha lo so. Benh </i>

<i>vien Bach Mai mai Thdy den cuing chdn docin. Bdc si khcim nhung khong they tim thai, khong </i>

<i>ket titan dupe. Thdy khcim va cho rang: "Day la benh chda </i>

<i>girl, </i>

<i>iOi se nhan chaa". Thdy chaa </i>

<i>bung nh6 lei binh thuang. </i>

<i>Thdy chica duct nhieu berth ung thu-. Nhung thciy yeu cdu khong tuyen truyen. Vi not ra </i>

<i>sinh rdc rdi nen Thdy bcio: "Ch'ing ta c& chap, benh nhan-se tuyen tru.yen cho ta". </i>

<i>Chinh toi del gioi thi:eu co Ha Nhi tong nhan huu tr.( 6 so nha 307K1- tap thg in Tien BO bi </i>

<i>ung thu- Amiddan. Co ay chaa o benh uien Knhung khong not dupc, khong an duct ng6i cha chet </i>

<i>nha. Toi der due va chdng co chd ay den, Thdy chap benh der kh6i. CO den benh vien kham </i>

<i>khong can bi ung thu Amidan. Nay co van can song hon chuc nam. </i>

</div>
<span class='text_page_counter'>(8)</span><div class='page_container' data-page=8>

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

<i>khong con khci ruing chaa cho chau. Bac phdi cho chdu ve ngay horn nay. Neu khong di ngay thi </i>

<i>chciu se Chet o doc dubng. Me con so qud den nh& theiy. Chita 12 ldn chciu lai binh thuang, khdm </i>

<i>o benh vien K khong thet'y ung thu Amidan nCca. </i>

<i>Toi gi6i thieu rapt benh nhan có gitly nhap vien cda benh vien K de la: K vii ngay mai vao </i>

<i>Thei y der chart kh6i benh. CO Nguyen Thi Nhan hipri nay con song hon 10 nam kh6e rnanh, </i>

<i>benh khong tai phdt, CO o rtgO Luang Sec A S6 nha 33 ph6 Qutic Tir Gidm. </i>

<i>Ong Nguyen Van H6ng, nguyen truring phbng Tong hop Bp Giao thong Van tdi, di benh vien </i>

<i>Hau Nghi khdm </i>

<i>docin la ung thu trung that pho'i. Duoc dieu tri, nhung benh cang ruing </i>

<i>them. Hei do, BO truOng Bp Y re- la Pham Song, lac do la Gicim d6c berth vien da not voi Ong </i>

<i>H6ng: "Anh bi benh nay, nhung anh co tien sic benh gan nen khong Wong duoc rephamicine. Vi </i>

<i>very, benh vien khong c6 cdch gi giap. anh. Anh nen ye right tai nha thoi". Ong kiting that vong. </i>

<i>Ong da den nhb. Thdy chaa, Thdy chaa khocirtg &fin 2 mint. Di khdm ch5 ung thu- chi con 1 </i>

<i>dam nh6, Ong H6ng duoc BO cho nghi o nha chaa benh.Dein clan ong kh6e ra. Ong xin di lam </i>

<i>nem ngay. Sau 'Ong xin di lam ca ngay cho can khi ve huu. Ong con sting dupc 12 nam, benh ung </i>

<i>thu khong tdi phcit. Ong der rruit vi mot berth khcfc. </i>

<i>Tit 1981 cltn 1985 6- benh vien Bach Mai Thei y da chaa 847 benh nhan vai 23 loci berth </i>

<i>thuOc ccic he tub.' n hoan, ho hap, tam than, nOi tiet, tieu hba, sinh duc, dau co ruing va cdc benh </i>

<i>ca xu-orzg khdp. IC& quci'locti </i>

<i>va khd tit 87% der/ 90%. </i>

<i>Thdy vao trubng y hoc dan tOc, co truyen Tue TYn.h tic nam 1981 lam chd nhiem khoa tdc </i>

<i>clOrzg cot song. 1V7u1 tru&ng to chiic dupc 11 khoa hoc dao tao ve phuong phcip teic dOng cot song. </i>

<i>Rieng Bp Cling an da co nhieu y bdc si (3- cac trung tam y </i>

<i>te </i>

<i>tInh ve du. Chat luting cac khoa deu </i>

<i>dat loci khd va gi6i. Cdc hoc vien deu say sun hoc tap. Cuc y te" va Gidm d6c benh vien Y hpc </i>

<i>dan tOc co truyen cda BO cong an da mbi Thay day 2 kh6a. Tring ::Ong la 13 khoci co hon 300 hoc </i>

<i>vien. "Trong gia dinh Thdy da 5 lap co hon 40 hoc vien". </i>

<i>Trong thbi gian o trztong Thdy chaa duoc nhieu benh nhan. </i>

<i>Theiy chaa cho ba vp Ong A-li-da-de bi thu- thzi nhat dai sic quern Lien XO. Ba nartg 103 kg, di </i>

<i>lai kho khan. Thy chug, rat xuong 12 kg500. Ba con bi va he' hoach, có thai. Thdy da dieu hber </i>

<i>kinh nguy:et cho, nen dupc binh thubng. </i>

<i>Thdy duoc mai sang chaa benh 6 Mcit-sco-va 2 Mn., c6 them ba cong sit cling di trong 3 </i>

<i>thdng. ChCta duoc 210 berth nhan. Ket qua dat loci khd va tot 91,5%. Co benh nhan liet duong, </i>

<i>hai ch6ng cang chaa. Horn sau, ha up- den chart da not ngay: "Bac si Viet Nam tuyet vbi, tuyet </i>

<i>obi". MOt benh nhan Hang 82 kg. Chart gidm dupe 17kg. Vien than kinh trung uong Pi-go-r6p da </i>

<i>k'y 3 hop d6ng vOi Thdy, rnbi sang chCca berth. Nhung vi có dao chinh phdi ngang </i>

<i>Xu6ng phim tai lieu trung uong quay mot cEdn phim tai lieu not ve Thdy Bang thug hanh </i>

<i>chaa benh. ale dai phdt thanh, truyen hinh, dai tieng not Viet Nam, Tieng not clem-khuya phdt </i>

<i>di nhieu bai tieng nu6c ngoai tuyen truyen 6 trong nuric va nuoc npai. Cele bdo Nhetn d,a'n, Quern </i>

<i>dOi nhan dan, Tien phong, Phu nu Ha NOi, Khoa hoc va doi song, Ha NO i mvi, Cong an nhan </i>

<i>dan, bdo cong gido v.v... da nhieu /an ca ngoi phuong phdp "Tcic dong cot song". </i>

</div>
<span class='text_page_counter'>(9)</span><div class='page_container' data-page=9>

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

<i>ta mat phuong phdp chart bp.nh mai. Co ca than va tri b:enh. Nhung toi cling men chi la ngubi </i>

<i>link chign. Reit mong cdc nha khoa hoc clang dnh sang khoa hoc de' chring minh hi"eu guci va xay </i>

<i>dung phuong phdp tdc dong cot s6ng tr6 thanh mat nenY hoc cot s6ng Vi."?t Nam hipi. dai. Ket </i>

<i>hop hai nen y hoc Ring y ua Tay y, tao ra mat "chat mo-i", chaa tri cho nhei n dein ta ngay cang </i>

<i>manh khoe de' bap ve va xei y dung dat nixie ta ngay cang phtin vinh va hanh phitc". </i>

<i>Chting toi rat mong cdc ban dOng mon va cdc nha khoa hoc hay di sau vao cot song hoan </i>

<i>thi:en vaphcit trieln phuong phcip tae dOng cot s6ng dat dupe. mong Lilac czia Theiy. </i>

<i>Mong dpi cdc ban piling mon cling clang gop them dl silt/ chi-a tai lieu not ho nay cho dupe </i>

<i>hoan chinh </i>

BUT DUC CUONG

</div>
<span class='text_page_counter'>(10)</span><div class='page_container' data-page=10>

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

<i>(KS, </i>

<i> hi:eu la C chit cldu ciia ter Cervicalis) </i>

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 nay 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 trong 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.

</div>
<span class='text_page_counter'>(11)</span><div class='page_container' data-page=11>

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

12 DOT SONG LUNG

<i>(Kf, </i>

<i> lieu la D, chit cidu ctia trr Dorsalis) </i>

Cac dot song lung, do 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 khi ta so thdy duOi gai cua mOt.d6t nao do

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 trong tren ciaa 2 xvong ha, thdp ho'n D2 va

Inthng ra 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 - 2 khe cac cl6t dgu bA.ng nhau. D7 n.dm tren dvOng thang n6i 2 goc

duai cua xixong ba

D10 - Loi cao

D11 - BO dithi D11 cao hornbctrenD12.

D12 -

dtthi D12 bang ho4c th6p horn be' tren Li.

</div>
<span class='text_page_counter'>(12)</span><div class='page_container' data-page=12>

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

5

DOT SONG THAT LUNG

<i>(Kfr hi"Ou </i>

<i>la </i>

<i>L, cha dSu cila </i>

<i>ter </i>

<i>Lombalis) </i>

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 2 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 ra 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 ra 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

<i>(K.k hiOu </i>

<i>la </i>

<i>S, chi? da</i>

<i>.0 </i>

<i>ala </i>

<i>ter </i>

<i>Sacrilis) </i>

</div>
<span class='text_page_counter'>(13)</span><div class='page_container' data-page=13>

• 1 : C1 - 2 - 3

2

C7

3 : D1 - 2 - 3

▪

4:D4,

5 : D8 D1

6 : L1— L3

7 :

8:51S5

• 9 :Viing cut

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

INGUYtN TRAM TAN

5 DOT SONG GUT

<i>(Kfl </i>

<i>hiOu bAng cut </i>

<i>van </i>

<i>thing nguyen </i>

<i>ter </i>

<i>Coccyx) </i>

Cac xuo'ng cut deu dita ra phia tni&c va cling thanh 1 lien tang.

</div>
<span class='text_page_counter'>(14)</span><div class='page_container' data-page=14>

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

,

DOT SONG LQ DOT SONG

*C1-2 // S1 -> 5 - 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 ha
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 2 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 2 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 ra - 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 trong 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 trong 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 - tuy - 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.

</div>
<span class='text_page_counter'>(15)</span><div class='page_container' data-page=15>

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

BA DIEM KHOP BAN LE

<i>3 dam nay lien quan nhieu CQ CNNT va </i>

<i>benh chung, anh hub-ng ion den sac khok, </i>
<i>benh tat chzia. at 3 diem nay, nang cao </i>
<i>sac kho, tri dupe nhigu berth tat. </i>

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
pho giao cam, CQ ngoai tigt. Wing dau c6 hop
so co nhieu khap thong vai nhau. 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

<i>1. Trieu c.hting: - Liet cirng t* chi - Liet day </i>

than kinh 7 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

<i>2. Chirc nang : Wing dau d6ng tik co lai </i>

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

THUdNG TREN VUNG C1.2:

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

chUng, teo nhuac. Chda D4:ben rktufil.
3. 2 co. thang deu chung la cam diec bai'm sinh,

khong sO thgy C1.2. Clii2pLluas=c
4. Gifra gay n6i len 1 b6 co' cdng to bang chiec
thanh &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 1 ben, bao gia co' thang,
CUDC, h6 cham cling co cam v6 ben lech.
QInla,C6E-ma-136.41-goai-GlIDG.

6. Chan: Ding 2 nein tay cila 2 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,
7.

len n4yde1Kung„s.a,u.n167.,,,yislita..

II. \TUNG C7 - D1

nguai 2 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, ngay 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

<i>1. Trieu chi= : Dau Tau kinh nien - Dau vai </i>

gay - Meo m6m - Mui chay ntrac trong - 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.

<i>2. Chirc nang : Mat - Mui - Khi quan - TK </i>

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

</div>
<span class='text_page_counter'>(16)</span><div class='page_container' data-page=16>

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

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

<i>2. Chirc nang : Tuyen giap Tuyen can gidp </i>

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

<i>3. Nhiet do : Vung nguc T Viing gida lung </i>

-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 con - 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

<i>1. Triezi chzing: HAC </i> 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 2. 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 con
- Cam barn sinh - Dau h9ng - Xdu da - Hen
xuyren - Ngoai tam thu - KhOng có m6 hOi.

<i>2. Chzic nang: Tim Chi tren TK giao cam </i>

-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 do 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.

<i>3. Nhiet do: Wing nguc trai Wing c6 phai </i>

-Vung gift lung.

• Chan tri viing C7-D1:

1. Can cir dd chan benh \Tung C7-D1 la he co' xa
cdng Ur 2 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.
2. Neu C7-D1 lOm phai chda vao D8 dd nang
3. C7-D1 16i lech, sau. khi lam merrucu,.2. vai
sAtcOt_sting se .nen.rung.2. ngontay.tren

t*rig Cua „cling- la -vi-

chinh.

minh.

<i>2. Nhiet do : - V. that lung phia sau - V. that </i>
lung phai - V. bung duoi - V. cha.'m

<i>• Si </i>

<i>1. Barth chzing: Bai liet - Liet chi &Teti - Te </i>

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 -

<i>2. Chu nand-: L5-S1 hay thodi hod lien quan </i>

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

• Chan tri yang L5-S1

1. Chan: BN dtIng thAng buong chung 2 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 thanh hinh cdi xeng lam hAn
xu6ng hay dap len 1 lop cu day thoai hod
hoA.c voi hod, d6t song bien d6i ra sao?
2. 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 do.

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 3 lop cu.

6. Wing hOng plui 1 lap co day phai nen tinh.
7. Vung L fro' xu6ng phai chcra lap ca ngoai

</div>
<span class='text_page_counter'>(17)</span><div class='page_container' data-page=17>

NGUYi'N TH..4M TAN

- 20 -

CAM NANG V.E PHUONG PHAP TAC ONG COT SONG

9 VONG A TREN Ht. COT SONG

<i>1. Veiny cci trot) d.1 </i>

<i>A. C1-C2-C3 Wang Ong chi2c ncing.thein </i>
<i>hinh: </i>

- TK pho giao cam.
- TK hoamcach.

<i>doqn thdn hinh C1-C2-C3 Wang </i>
<i>( _{Ong yeti cd quan}</i>

<i>1. TK pito gitio cdm Wang Ong uoi chz2c </i>
<i>ruing n6i tang. </i>

- Wing dau; - Dam r6i canh tay.

- Dong ta co Tigt nuesc bot.
jvi - Than kinh je- vi; - Dai trang

<i>1 </i>

<i>2. TK hparzh ccich Wang zing voi chOc nzing </i>
<i>n5i tyng </i>

- DOng mach chil; -- Tim

- Phdi; - guar'

- Gan; - TUi mat

'My. tang; - RuOt non
. <i>_{3. Ccic cd quan:}</i>

<i>-Nat - </i>

mai -

Tai.

<i>2. Wing c dud" d2 </i>

4 d6t: C4 de'n C7

<i>A. C4 -4 C7 Wang Ong vai chz2c ndng TK </i>

<i>va phcin xq </i>

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

<i>B. Tiel doqn TK phcin xg. C4 C7 c5ng </i>
<i>tzaing Ong vai. chile ncing </i> <i>tqng. </i>

<i>'1. TK hoanh cach Wang t2ng </i> <i>.chOc nang </i>
<i>n5i tyng </i>

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

<i>2. TK giao </i> <i>Wang Ong CN n5i tang </i>

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

<i>3. Phcin xct gem Wang Ong vat </i> <i>ua'n d5ng </i>

- Ban tay co lai.

- Tay co len.

- Cd ac don chum co lai.
- Co hai dau.

- )(twig quay tay.
- Gan.

<i>4. Ccim gicic da ang tu'dng Ong udi CN n5i </i>
<i>tang </i>

- Mang bao tim.

<i>5. Dong y </i>

<i>Pl.L; (----T-hieu quail </i>

- Chilt tren

<i>3. Wing lung tren d3 </i>

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

<i>A. D1 --13.3 tUdng itn.g voi CN thdn hinh </i>

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

Dong y.

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

<i>a) Lam co Icti: </i>

- 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.

<i>b. Lam njt ra </i>

- DOng mach vanh tim.

<i>c. Lam Oc che'co b6p bang quang </i>

- Co bop mach.
- Co yang nien dao.

<i>d. Lam bai tiet tuye'n nu'orc byt - tuye'n nctdc </i>
<i>mast - tuye'n md hoi. </i>

<i>d. Lam mach nhanh </i>

- Nhip dap ciaa tim.

<i>Mang Ong val. cciin gide da ang. </i>

- TK tim trai da'n toi tam nhi.
1 Ph6i.

<i>Tu'ang Ong gal TK tay ang. </i>

- Thanh quan
7 .,
- Tuyen giap.
- Hach hanh nhan.

</div>
<span class='text_page_counter'>(18)</span><div class='page_container' data-page=18>

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

- Khi quan.

<i>Turing </i> <i>TK the' dich </i>

- Tim trai.
<i>Ddng y </i>

- Tim - phi - khi quan - chi tren.
<i>4. Wing dual luhg tren A4 </i>

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

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

<i>A. D4 D7 tuang zing vai than hinh. </i>

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

<i>B. Tiei down TK D4 —) D7 Wring Ong vai </i>
<i>CN not tang </i>

<i>.1. TK giao cdm. Wring Ong vai CN nOi tang </i>

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

<i>2. TK tay song Wang Ong not CN nOi tang </i>

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

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

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

<i>5. Dong y </i>

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

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

Chia ra hai phan: Phan tren va phan dual.
<i>Ph/in tren tit D8 - D9 </i>

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

<i>A. D8, D9 lien quan Wang Ong </i> <i>CN </i>
<i>than kinh </i>

- TK giao cam - TK by sting

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

<i>Thing </i>y: Giap tich, du huyet.

<i>B. Chile ndng than hinh thuOc D8, 9 </i>
<i>tuang Ong CN not tang </i>

<i>1. TK giao cdm Wang Ong vai not tang. </i>

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

<i>2. TK tay song Wang Ong vai not tang. </i>

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

<i>3. TK the' dich wane Ong voi not tang </i>

- Ruat thaa.

<i>4. Ccim gidc da song </i>

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

<i>5. Dcim roi than kinh </i>

- Dam r6i throng.

<i>6. Bong y </i>

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

<i>6. Wing lung dual: z16 </i>

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

<i>A. D10, 11, 12 tuang Ong vai CN not tang </i>

- TK giao cam - TK tuy s6ng - Tk the dich

- Dam rea than kinh - Cam giac da son
<i>- Phan xa da - DOng y: Giap tic Du huyet </i>

<i>1. TK giao cdm Wang Ong vai CN not tang </i>

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

<i>2. TK tUy song Wang Ong (Jai CN not tang </i>

- Tvy tang - RA* non

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

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

da day-- vi toan - than - bang quang.

<i>4. Ccim gicic da song </i>

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

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

</div>
<span class='text_page_counter'>(19)</span><div class='page_container' data-page=19>

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

- Dam r6i doing.

<i>6. Bong y </i>

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

<i>7. Phan xa da </i>

- Da bung.
<i>7. Wing th5t lung 47 </i>

5 d6t tit Ll, 2, 3, 4, 5 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.

<i>A. Li L5 lien quan tucing Ong vdi CN </i>
<i>than hinh </i>

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

<i>- Phan xa da - Dong y: Giap tich, du huyet. </i>

<i>B. Tiet doan TK Li L5 Wang Ong veil </i>
<i>CN n *c5i tang </i>

<i>1. TK giao cdm tu'cing Ong udi CN ndi tang </i>

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

+ Bang quang.
+ Mach.

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

<i>2. TK to}, song Wang Ong udi CN ndi tang </i>

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

<i>3. TK the 'dich tu'ang Ong udi CN n5i tang. </i>

- Tit cung - Bang tritng - Sinh duc

- Ong dan tinh - Sinh duc nam - Bang
quang.

- Tiet nieu. Truc trang.

<i>4. Dam roi TK thdrig Ong udi CN n5i tang </i>

- Darn r6i mac treo dudi.

- Darn roi mac treo.

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

- Than tit cung - Co tit cung.

<i>6. Phdn xa gan </i> <i>CN ndi tang </i>

- Xttong banh che.

<i>7. Phdn xa do, tu'ang r?ng udi CN ndi tang </i>

- Ha nang (btu dal).
- Ban chan.

<i>8. Bong y: Gidp tich - Du huyet - Hue hhanh </i>

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

<i>- Bang quang - Gan - Mat - Tuy. </i>

<i>8. Wing hong d8 </i>

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.

<i>A. Si S5 Wang Ong vdi CN ndi tang </i>

- TK giao cam - TK chau.
- TK thd dich - Dam roi TK
- Phan xan gan - Phan xa. da.
<i>- Cam giac da song - Deng y. </i>

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

<i>1. TK giao cdm Wang Ong yeti CN ndi tang </i>
<i>- Co bop bang quang. </i>

<i>2. TK chdu thdng rTeng vat CN ndi tang </i>

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

<i>3. TK the dch. Wang Ong vdi CN ndi tang </i>

- Bang quang - Truc trang - Tiet nieu.

<i>4. Dam roi TK Wang Ong ()di CN n5i tang </i>

-Darn roi ha

<i>5. Pluin xa gan tu'ang zing vdi CN ndi tang </i>

- Gan Asin

<i>6. Phdn xa da song udi CN ndi tang </i>

- Ban chan - Cd rang - Hatt men.

<i>7. Coin gicic da song tu'ang Ong udi CN NT </i>

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

<i>8. Bong y: Gicip tich - du huyet - Hue hhanh </i>

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

<i>cyt d9 </i>

</div>
<span class='text_page_counter'>(20)</span><div class='page_container' data-page=20>

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
2. DOng mach chi, phOi, khi quan x x 2. Tam that, bUi thai duong _x _x _x
3. Gan, mat, tuy, runt non x x 3. Tim trai, DM chi _x x

4. Tim x 4. 0 tam, diet' khiEn cac tang trung that x

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

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

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

_
8. CO quan. t If& bot x . 8. Gan, mat, da day, to trang x x x x
9. Tai, la, tuytn vu, runt gia x 9. 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
1. Trung tam tang nhip tim x

14. Mang byng x x

2. Mang bao tim x x x x

15. Lach, tuy tang x x

3. Gan, DM chit, DM phO:i, khi 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 1. Gan, mat, da day, to trang x x x x x

8. Tuyen giap, Amidan x 2. Tuy tang, runt non x -x x x x

9. Tuyen 1e, tuye'vbcot .1"-c-"-'i*-' ..e'-e-f- x 3. Trung tam irc the tieu trang x x x x x
10. Khuj, tay dui ra, ban tay co x x 4. Dai trang, dam rOi throng x x x x x
11. DOng tir itti to, ban tay du8i ra x 5. Ruc:it tht:ra x x x x
12. Gan co nhi tau ---3--kv, x x 6. Mang byng x x x x

13. Xuong quay x 7. 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 6 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 0 byng x 16. Bang quang, nieu dao x x

8. DM nho 6 phi knao x 17. BuOng trUng x x

9. Phai, khi 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

</div>
<span class='text_page_counter'>(21)</span><div class='page_container' data-page=21>

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 3. Ban chin, chi dual x x

2. Dam riSi mac treo, nieu quan x x 4. Truc trang, dam rai ha vi x x

3. Dam r6i al.& lung x x x _{5. Dam rtSi that lung} _x

4. Dam re.)i ha 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
6. Bang quang, ngoc hanh x x x

8. Than, dal trang x

7. Dai trang, dal trang Sigma x x
8. 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,,,,. <i>r.tt• e....,, </i> ,

/.I Nan- 0660rigle, eiaLtriazNing x x

12. CO' tit cung x 3. 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 ha 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} <i>_{&D x CZ}</i>
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 <i>04.,b. ,1) </i>

„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

</div>
<span class='text_page_counter'>(22)</span><div class='page_container' data-page=22>

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
4. Tam nhi phai Lung tren D1-2-3 N

5. EIOng mach chit 2 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
7. DOng mach

nhO ngoai da

Lung tren D1-2 Bn

Rs
8. DOng mach

trong nottang

Lung tren D2 Bn

Rs
9. 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
thanh 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 4 T .it Rs

D5 G T BnRs

</div>
<span class='text_page_counter'>(23)</span><div class='page_container' data-page=23>

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 than

i

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 <i><b>2 </b></i>

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

</div>
<span class='text_page_counter'>(24)</span><div class='page_container' data-page=24>

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

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

<b>27. Mang runt </b> Ch6.m
R6n

<b>D5-6-7-8 </b>
<b>D9-10 </b>

N G T Bn

<b>!.`/ Rs </b>
<b>28. True trang </b> <b>Chgrn </b> <b>Li </b>

<b>L4-5 - Si </b>
<b>S2-3-4 </b>
S5
N
<b>N </b>
G
G
G
G
T
Rs
Rs
Rs
<b>29. Uc chg co </b>

<b>bop da day </b>

MO dc
GiCra lung

<b>L1-3 </b> T Bn

Rs

<b>30. Uc chg co </b>
<b>bop mang </b>
<b>runt </b>
<b>Cha:m </b>
R6n
<b>L1-3 </b>
.

T Bn

Rs

<b>31. Dam r6i </b>

mac treo

GiCra lung <b>L1-2 </b> <b>N </b> G Rs

<b>32. Dam r6i </b>

mac treo
dueri

Gina lung <b>L3 </b> <b>N </b> <b>G </b> Rs

33. Dam r6i ha
vi
Gida lung

MO ac
L1-2-3-4-5
S2-3-4-5
N

G T

,...Bn
Rs

<b>34. Dam r6i </b>
<b>throng </b>

Giva. lung D7-8-9-10

<b>D11-12 </b> 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
<b>L1-2 </b>
S2-3-4-5
N
T
Rs

Bet trong 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

</div>
<span class='text_page_counter'>(25)</span><div class='page_container' data-page=25>

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- 5 -
45. Nigu dao That lung

phai

Dil
S2-3-4-5

N

N G Rs

46. Bang quang Bung cluoi

3 1

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

a4

0

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 1

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& trong

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 7 Khe mOng L2-3 N
61. Phan xa \rung

irking

Dia phuong S1 N

62. Co' 2 dau Dia phuong C5-6 giCra

Rs

63. Co• than long Dia phuong D12

</div>
<span class='text_page_counter'>(26)</span><div class='page_container' data-page=26>

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

<b>IJIEU NM :ET </b>

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 ha 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° 4 toan. than:

- C1 trai + D3.4.5

<i>19. T" Co - NgLic - Co phai: </i>

- D5 -

20. T°+ vtang hmg tren va viing than:

- D7 .-

21. T°' hai thai throng:

- 2 ben D3

22. Dau 2 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 khi chita xong: - Wing S

26. 'I' dinh d6u:

- S4.5

,---- Ll phai + C3 trai

nn <i>m(1-1- • _;_r</i>

<i>• </i> <i>.1; </i> <i>- </i>

D3

28. r+ vilng gay:

- S2.3

- C5

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

- C2

</div>
<span class='text_page_counter'>(27)</span><div class='page_container' data-page=27>

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 - 2 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° 1 trail lanh, toat m6 hoi:

- D7.12 - L1 (Ty' hu)

39. V 2 tay lanh:

- C1.4.7 ca viing c6

40. T°1 chan tay lanh:

- Dll ra 3 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' 2 horn c6:

- C6 --

</div>
<span class='text_page_counter'>(28)</span><div class='page_container' data-page=28>

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

<i>1. Nao /thong binh thuiing </i>

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

Cam giac: dau v. trong diem - cham.

<i>2. Day 10 - TKphe vi roi loan </i>

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

Cam giac T.diam + v.cham.
3. <i>Day TK 7 hhong binh thueing </i>

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

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

<i>4. </i>Dam <i>rdi ccinh tay hhong binh thuemg </i>

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

-Cg: T.diem - v.cham.

<i>5. Tuyeh nuac bot hhong binh thueing </i>

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

<i>6. Nhip tim hhong binh thuang </i>

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

<i>1. </i>Dau <i>dau do berth tam than the' do </i>
<i>thanh </i>

<i>a. Nhip tim rdi loan </i>
<i>- DS: L'6i </i>phai hoac trai.

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

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

<i>b. Ching trang </i>

Wing sau dau dau, to bi. Trong dau am u,
kh6ng tap trung suy nghi. Thuang nghe thgy
tigng not o trong 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.

<i>2. Huyei ap thap (dau u.gciy) </i>

<i>a. Hien Wang roc loan </i>

- 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.

<i>b. Trang tra'ng </i>

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

Trong diem: Cl, 2, 3 - D6 - D10 43.
3. <i>Co long ter (dau dclu) </i>

- 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.

<i>4. Benh Pcic Kin-son (dau deiu) </i>

- 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. <i>Mat lanh (do con huyei ap theip) </i>

Mat lanh nhu bun do con huygt ap ha va
ret, mach gip va

Trong diem = Cl.

6. <i>Ca' cUng (do berth viern cot song dinh </i>
<i>hhdp) </i>

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

</div>
<span class='text_page_counter'>(29)</span><div class='page_container' data-page=29>

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

- Cg: Dau 6 phia gai song lech + v.chd.m.
Chitc nang yang c6 (Mu bi han chd, quay,
ng6a, nghieng datt kho.

<i>7. Budn non (do say song, say xe) </i>

- 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.

<i>8. Budn non (do TK thyc vat RL) </i>

- 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.

<i>9. Tai diec, tai </i>

- DS: Lech 16i, clang, day.
- TC: v.cham thanh 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

<i>10. NOi thdt thanh </i>

- 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.

<i>11. Liet cUng tit chi (do chen ep tu; </i>
<i>song) </i>

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

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

Trong di6m: Cl, C4.

<i>12. Mcit nhd m hhOng kin </i>

(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 khi
ng6. Hay chay nu& mat.

<i>13. Chem tay run 14 t bdt </i>

(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.

<i>14. Ccim mao </i>

- DS: Cl, 2, 6 + 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.

<i>15. Ngzi qua nhie.0 </i>

(Do huydt ap thap)

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

- TC: Co v.chem, T° tha/p 6 v.chdrn.
- Cg: T.diem + v.chd.m.

- Cd the binh thuang. Thinh thoang co ltic

bi dart tiic 6 \rang chdm khi co cdn huydt ap ha.
Trong diem: Cl, C2, C6 - L3.

<i>16. Nga bdt tinh va truy tim mach </i>

- DS: Cl, 2, 3, 4 - 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.

<i>17. Tim Op yeic </i>

- DS: Cl, 2, 3, 4 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.

<i>18. Mat nga heo dai (TK SN) </i>

- 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.

</div>
<span class='text_page_counter'>(30)</span><div class='page_container' data-page=30>

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

- Cl, 6, 7 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.

<i>20. Dau dau, nhtic mat </i>

(do tuyen yen r6i loan) (C2)

- Cl, 2, 7 - D1, 2 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
do.

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

Trong diem: Cl, C2, C7. 6 - DI - D2.

<i>21. Nhau me; h6i. Sy gio do cam </i>

- 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 ra ngoai duoc. Sau ngay dau dAu thi
dAu va mat va m6 hoi. Lan lain so gio.

Trong diem: Cl - D7.

<i>1.C1, 2: </i>

Dau day thAn kinh 10, than kinh 7. 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.

<i>2. Cl- </i>Truy tim mach (do TK giao cam
chiem uu the)- Phai chua. TK pho giao cam
C1).

<i>3. Cl - </i>T°' v.dAu

- Dau dAu bu6n non. Dau dAu phia sau.

<i>4. Cl + goc ham sat hhoe tai. </i>

- Kho nuac bot - it nitric bot.

<i>5. Cl, 2: </i>Tit TK Rho giao cam.

<i>6. Cl, 2 lom </i>

- Chaa vao ch8 lom giita ba )(Laing so voi C2
bang cach clua ngon tay lan ngang vao khe nay
cho den khi cd 6 khe day len.

<i>7. Ca co loi song trei u </i> <i>giaa hai cc/ </i>
<i>thang </i>

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

<i>8. Gidi toci ca co </i>a <i>be( xacing che.ru </i>

- Ha van 2 la.

<i>9. Gicii toa cd co (3: hai ben ho'cha: u ua D6 </i>

Ngoai tam thu (2 nhip mat 1 nhip) cluaa
cham, gilt ddu t6c do.

<i>10. Gicti toci co etc don chum trcii </i>

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

<i>11. Cl-C6 </i>

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

<i>12. </i>Wing <i>chS'm cang ben ua yang S doi </i>
<i>dqn </i>

- Bong gan ban chan.

<i>13. Cl, 2 1&hphdi co corn - C7, D1 tech trai </i>

- Song chinh Cl, 2 // C7-D1.

<i>14. Gicii toa veing chcl'm ua D3 </i>

- Cd thang c6 trai lap.

<i>15. CT - Si, 2, 3 cling ccing </i>

- R6i loan thAn kinh thuc vat.

<i>16. Chita ccic dot song </i>

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

<i>17. Cl, 2, 3,4 </i>

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

<i>18. Cl - C6 - C7. Than hinh 10 sat sau tai </i>

B16c nhl thgt.

Cz

I. CHI:1C NANG

<i>1. Mai /thong birth thzteing </i>

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:

<i>1. Trung tam tang nhip tim </i>

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

</div>
<span class='text_page_counter'>(31)</span><div class='page_container' data-page=31>

1

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

Tx-91-1g Cl, 2, 3, 4.

<i>2. Dang mach chu hhong binh thziang </i>
- 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.

<i>3. Tim hhong binh thdang </i>

- C2, 3, 4, 5 - 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.

<i>4. PIA hhong binh thu'ang </i>

- C2, 3, 4,5 - DI, 5, 6. C2 lien loch, lom,
nhac.

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

- T°' v.ngiic trai.

<i>5. Mat hhong binh thu'eing </i>

- C2, 3, 4, 5 - 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.
<i>6. Gan khong binh thu'O'ng </i>

- C2, 3, 4, 5 - D4, 10, 12 - Ll.

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

II. C2 ROI LOAN TU'CiNG LANG VOI BENH
CHONG

<i>1. </i>

<i>Litai co giat dcly </i>

- 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.

<i>2. Litai ddi qua </i>

- 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.

<i>3. Lanh yang gdy do huytt ap tha:p </i>

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.

<i>4. Mai chety nitric trong do cam lanh </i>
- 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.

<i>5. Mdt, mai may gist </i>

(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

<i>1. </i>

<i>Ho cam cam </i>

- C2, 3 - 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.

<i>2. Die-c beim sinh </i>

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

Trong tai nhii c6 u.
Trong diem: C2 - L2.

<i>3. Cdm ba'm sinh </i>
<i>- Cl - C2 - C6 - D1 + V.S </i>

- 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.

<i>COChcin tri yang CI, 2 bien doi </i>

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

</div>
<span class='text_page_counter'>(32)</span><div class='page_container' data-page=32>

CAM NANG <i>VE </i>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

<i>- Tri ithang hien Wang mat binh </i>
<i>thuang Cl, 2: </i>

<i>1. </i>Trong diem viing C1, 2 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

<i>8. C2 - V.cham rdi loan </i>

<i>- </i>Day ba dudi C2 lien quan chic nang van

<i>9. C2 có bigh clo'i </i> <i>chila </i>

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

<i>10. C2 15m - D5 15i = cam </i>

£1*..), C2 len ti/ goc ham len.

<i>11. C2, C3 - L3 - </i> <i>v.dau - </i> <i>- that </i>
<i>icing </i>

- 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, 2 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, thanh &tang song trau, tit tren
v.cham xu6ng C7. Chita hai tay hai bo teo'cUa
soi nay if ch6 bat nguen cue soi cd nay tren nen
Sc.

5. C1, 2 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 6 hc.lc 4 ngon cUa hai tay tren ch6 teo
nhttoc ma BN they dau.

7. Cl, 2 16i lech, song chinh bang hai ngOn

tay de len nhau de' rung, sau se vi chinh.

<i>2. C2 - </i> <i>u.dau - ngvc trai </i>

- Dau clan kinh nien.

<i>3. C2 4-eh phdi </i>

- Chita D5 den D8 phai.

<i>4. C2 loin - C3 15i </i>

1. Chita 2 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.

<i>5. C2, 3, 4, 5 </i>

- Tuyan not tie't - Tuyen tuy.

<i>6. C2 15i - C6 lom </i>

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

7. <i>C2, 3 co corn </i>

- D4.

<b>C3 </b>

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

<i>1. Chiic nang tai hhong binh thztang </i>
<i>* HiOL tu'ang 4nh13; </i>

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 nhau tudng ling v6i benh co. the. Chi
tiat ghi ci phan 3 benh

- T' yang co +

- Dau T.diem + co co day.

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

<i>1. Than hinh hocinh ccich rdi loan </i>

C3, 4, 5 roi loan

T" ha soon hai ben. Dau: Tdiem + ha soon.

<i>2. Trung tarn tang nhip tim hhong binh </i>
<i>th ud/1g </i>

</div>
<span class='text_page_counter'>(33)</span><div class='page_container' data-page=33>

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

<i>4. Pheii - 5 - Gan - 6 - Mat hhong binh </i>
<i>thdang </i>

<i>7. La lcich /thong birth thaang. </i>

C3 - Dll rol loan

DS + TC nhu phan 1 phan 2
gitia lung - Dau:

III. BENH CHUNG

a. Benh chiing Wong Ting vdi dot song C3

<i>1. Nong ca yang deiu </i>

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

<i>2. Sec </i> <i>i: </i>

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

Hay s6 mui khi thai tigt thay
Trong diem: C3.

<i>3. Chan toy co citng </i>

- 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.

<i>4. Gai ret </i>

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

Co the suy nhuoc.
Trong diem: C3.

<i>5. Chong meet </i>

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

Bi choang khi quay c6 nhanh, ke ca khi
nom

C3 16i cao sinh chong mat.
Trong digm: C3.

b. C3 ciing nhieu d6t song r6i loan

<i>1. U tai </i>

- C3 lei lech co day. V.cldm co day.
- T" vai phai: mat. R6n + mO dc. •

- ThAt lung - Cam giac: Tdiem + v.che'm.

<i>2. Mai tho 16 </i>

- C3, 5 rol loan. C3 16i, lech, co day. Ngang
C3 co Om. - T" v.che:m.

- Dau:

Trong diem: C3 - C5.

<i>3. Dau 1/2 ben cleiu </i>

- C3, 4, 5, 6, 7 - 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, 7 - D11.

<i>4. Dau ciciu hinh nien. </i>

- C3, 4, 5, 6, 7 - 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.

<i>5. KILO the </i>

- C3, 4 - D2, 3, 4, 9 - 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.
<i>6. TM ngein hot </i>

<i>- C3, 4, 5 - </i>

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.

<i>7. Hen suyin </i>

- C3, 4 - 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.

<i>8. Than hinh suy n.hugc </i>

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

</div>
<span class='text_page_counter'>(34)</span><div class='page_container' data-page=34>

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, 7 - -D7, D8, D9, D10.

<i>1.1 Chruc ruing </i>

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

<i>2. C2 - </i> <i>dia phicong - Than hinh </i>

Chan tay co cap.

<i>3. C3 - </i> <i>u. dau -v.cham </i>

- NOng yang dau.

<i>4. C3 - Tu* town than - That Zang trdi </i>

- Gai ret

<i>5. C3 - </i> <i>did phu'ong - V.cham </i>
<i>- S6 </i>

<i>6. C3, 4, 5, 6,7, D11. P. dia phzcong - ma </i>
<i>dc - vai F: </i>

- Dau 1/2 dau.

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

- Tai u.

_I

<i>8. C3, 4, 5 - DO' Icing tren - Mang srton </i>
<i>• - Th8 ngan hdi. </i>

<i>9. C3 idi </i>

- NguOi benh ngoi thang, ngOa co. Thay
thu6c dSy tit sau ra trade 0 bat cladi C3 18i.

<i>10. C3 lom </i>

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

<i>11. C3, 4 cd.rig tang </i>

- Liet ti chi - Cam giac giam.

<i>12. C3 4.ch phai, co. co </i>

Tim sdi xd ben trai. Chaa d6i dOng 3 diem.
Ben trai - C3 - Ben phai chila cling mot lac 3
di6m. 3 tti th6 thang lung. Ben trai ly tam
-Ben phii htiong tam. C3 gifia day tit sau ra
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 0 than minh 0 tit chi. Chu

9: mang saan.

II. CHI-IC NANG

A. Chic nang r6i loan tu'dng utng vdi 1 dot
s6ng va C4 r6i loan

<i>1. Lttai hhong binh thitang </i>
<i>a. Hqn tztdng qnh ly </i>

DS va ti6t cd benh 19 nhu da ghi u phan 2
chilc nang 0 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 nhau tutting ling voi benh cu
the, chi ti6t ghi 0 phan 3 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

<i>- Than hinh horinh cdch r61 loan </i>

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).

<i>- Mang bao tim hhong binh thiteing </i>
<i>a. Hqn taceng kenh13; C4, 5, 6, 7 </i>

DS lop co tu9 thu8c vao cac nguyen nhan va
benh cu the ciia mang bao tim ma chung bi'du
<i>hien len Wong ling 0 tren he cot song va tie't cd </i>
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:

<i>1. Mci't cam gicic tocin than </i>

<i>a. HiOn tucmg 4nh </i>

Xem 0
phan Cl
phan chits

</div>
<span class='text_page_counter'>(35)</span><div class='page_container' data-page=35>

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.

<i>b. Trgng thong </i>

- Di lai kilo khan.

<i>2. Chan tay to bi </i>

<i>a. Hien tilting benh ly;: C4 lam xd </i>

- TC C1, 2 + v.chSm.khong binh thuang.
- Dau: T.die'm.

<i>b. Trcing chang: </i>

- Nguai cham chap.

<i>3. Dau ttic vang-rno dc </i>

<i>a. DS lien Lech co day. </i>

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

- Dau: T.didm - mang suan.

<i>b. Kern rdi loan tieu hod. </i>

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

<i>1. Viern hang </i>

a. C4, 5 - D4 r6i loan.
- C4 16i, lech, co day.

- TC: C2, 3 - v.cha'm rol loan.
- c6' phai, nguc trai.
- Dan: T.diem +

b. Thuang n6ng is yang lung teen.

<i>2. Dau mang so'o'n </i>

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

- T" v. clan, ha wan. Dau T.diem + co.

b. CO cam giac thuang xuyen dau d viing
ben suan.

<i>3. Cc/ the' suy nhuvc </i>

a. C4, D5, 7, 8, 9 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.
<i>4. Bai lief </i>

a. C4, 7 - L4, 5- Si, 2, 5

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

b. Liet mem + RL tieu hoa

<i>5. Rd'i loan tieu hod </i>

a. C4 - D10 - 12 - L4, 5 - S4.
- C4 lech co day.

- TC: Cl -2 + cham

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

<i>OC4 - ch0c ming </i>

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

<i>2. C4: </i>

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.

<i>3. C4 bid tren corn len, rech phcii </i>

- Benh tim.

<i>4. C4 lech trdi </i>

- Benh phdi.

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

<i>6. Mudritim C4 , </i>

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

<i>7. C4 lam nhcit uthig co </i>

<i>D'Sy len thay gon a ha dual C3, keo xu6ng </i>

thgy d ba teen C5.

<i>8. C4 - C5 lech phdi </i>

Nhin su vat quay cuemg. Chong mat.

<i>9. C4 ldi gyn len bet tren corn len. </i>

Ngoai tam thu - lam tang hoac lam giim
nhip tim.

<i>10..C4, C5, C6 </i>

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

<i>11. C4 </i>

<i>Co ac don chum bi co. Dung 4 ngon chaa </i>

co ac clan chum, con 2 nem cai dat chua Dl.

<b>Cs </b>

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

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

<i>b. T. da c4a phu'ang Wong zing </i>

Lien quan nhiau den chi tren.
II. CHUC NANG

A. Chitc nang RL ttidng Ling viii C5

<i>1. Tay co le'n </i>

- 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.

<i>11) - C 5.- </i>

<i>2. Thanh quern </i>

- 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, 6 la On; C5176 la xlicing quay tay.

<i>1</i>

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

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

<i>1. Ho that thanh </i>

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) , ,-..)----

<i>2. Hay buo'n non </i>

- C5 16i, lech co day.

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

- Cam giac: Tdiem + h6 cham.
- T.chitng: nOng 8 lung tren.
<i>3. Ti(ng not rigrcit doan </i>
- C5 lech, co mOng.

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

- Cgiac: Tdiem.

- T. clang: Tie'p xiic cham.

<i>4. TiEng not hhong r5 </i>

C5: Lech, co day.

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

Cgiac: Tdiem.

TchUng: CO cam giac ming v.dau.

<i>5. Nong Laing gay </i>

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.
<i>6. Te bi ccinh tay </i>

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

<i>1. Cao huye't cip </i>

Hien tudng benh 19:

'1--;1. - C5, 6, 7 - D1, 2, 3, 10 - Li, 2, 3
- 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, ha suan, that lung,
dam, mat, c6.

-TO: Nang ng tri tae.

<i>2. Dau nhz2c ccinh tay </i>

Hien tudng benh 19:
1-47/ - C5 - D2, 3, 4 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.

<i>63) C5 </i>

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

<i>4. C5 4.ch phcii </i>

- Tang huye't ap.

<i>5. C5 hhong binh thu'ang </i>

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

<i>6. C5 - C7 </i>

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

<i>. C5, 6, 7 - DI, 2, 3 rat quan trong song </i>
<i>letu </i>

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.

<b>Cfs </b>

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, 7 ban tay co lai.

- C6, 7 khuY'u tay.
III. BENH CHtING

A. C6 r6i loan tong iing vdi benh chiing

<i>I. Dau nht2c /Mop vai </i>

Hien. Wong benh 19:
- C6 Wch co day

- TC ngang C5 khong binh thuang.
- df.

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

<i><b>2. Bitdu ce </b></i>

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.

<i>3. Ban chan lanh budt </i>

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.

<i>4. Ho get </i>

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

<i>1. Ccim do di cht2ng </i>

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.

<i>2. Tam than binh </i>

HiOn Wong bOh 1St:
TO - C6, 7 - D8 - L4.

- C6 16i, *h, co along.

- TC: C4, 5 - D5, D12 khong binh thttang:
- Cgiac: Tdi6m + Trigt co.

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

<i>3. Tri Whet giam </i>

Hien tuung benh 19:

- C6, 7 - 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.

<i>4. Ndi hctch cd </i>

Hien -Wong benh 1St:

Ti -

C6, 7

- C6 Lech co day.

- TC: C5, 6 khong binh thuCing.
- T': v. CO' gay.

- Cgiac: Tdiem +
TC: b6c do mat.

<i>5. Cd Ray citng dau </i>

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<span class='text_page_counter'>(38)</span><div class='page_container' data-page=38>

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.
6. <i>Mcit loan thi. </i>

Hien Wong benh 19:
-. C6, 7 roi loan.
- C6: lot tech, co mang.

- TC: ngang C5, 6 khong binh thuang.
- T": v.dau.

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

<i>7. </i> <i>t 16. </i>

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

- TC: ngang C5, 6 khong binh thoEing.
- T": Df + dam,

- Cgiac: Tdie'm + Ted benh 19.
TC: ThuCing xuyen dau dau.
<i>8. Suy Binh due nam </i>
Hien tuOng benh 19:
- C6, 7. - 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.
9. <i>Vzing iron nong </i>

Hien Wong benh 19:

- C6, 8 - D11 khong binh thuang.
- C6: lech co mong.

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

- C6, 7 khong binh thuOng.
- C6 16i, lech co rm1ng.

- TC: ngang C5, 6 khOng binh thtaing.
- T": ngoc trai, lung tren RL.

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

<i>11. Litt c 'zing </i>

Hien Wong benh 19:
- C6, 7 r6i loan.
- C6 lech, along.

- TC: Ngang C5, 6 roi loan.
-T°`: df dau - mat - c6.
- Cgiac: Tdidm + Ted Wong Ong.
TC: an tieing kho.

<i>12. Tie'ng not tho </i>
Hien Wong benh 19:

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

- TC: ngang C5, 6 r6i loan.
- T": v. lung tren.

- Cgiac: Tdidm + TC benh 1Y.

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

<i>13. Lip chi tren </i>
Hien Wong benh 19:

- C6, D10 kh8ng binh thuang.

- C6: 16i co day.

- TC: ngay C5 - 7 khong binh thuong.
- T': yang lung tren.

- Cgiac: Tdie'm + TC benh 19.

TC: Lien quan chic nang 118 hap + Tuan
hoan.

<i>14. Thocii hod dot song etc </i>
- C6, 7 - D1 + 2 vai.

<i>(1,7 C6 - chi2c nang </i>

Xuong quay tay - Phan xa gan - Ban tay co
lai - Khu9u tay co 2 dau mang bao

<i>2. C6 </i>

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

Gia.m tidu cau.
<i>3. C6 co c6ng </i>

- D11
<i>4. C6 </i>

- Chan tay ra

<i>5. C6, 7 ctreng . ccing </i>
-IL* chi tren
<i>6. C6, 7 4.ch phcii </i>

- Thi6u mau nao - Chong mat c16 nga.
<i>7. C6 </i>

Cd the binh thttang 8 c6 nhiau hach,
cd ifc don chum co, chfia cac hach cd thang co.

</div>
<span class='text_page_counter'>(39)</span><div class='page_container' data-page=39>

1i

Tac dOng that nhc nhang 6 lop c ngoai C6.
Song chinh bng 3 ngon tay 6 136 ilcd itc don
chum, chi va ngon tay vao, kh8ng c/Sy.

<i>8. C6 - L2 </i>

- Thodi hoa d6t song di'.

<i>9. C6, 7 - Dl, 2 16i, c6 lap ca mein phii </i>
<i>len </i>

- Lam mdm cd vai.

- Chita C6 trudc, sau chila C7, D1, 2.

<i>10. C6 - D3 - D10 </i>

- Nhang d6t song quan trong dam bao sUc

khoe.

<i>11. C6, 7 - D1 - D7 - L5 </i>

<i>Mac not 16n. </i>

<i>12. Khe C6, 7 - D1, 2, 3 </i>

Thoai hoa d6t song co - Gay to nhitc tay.

C7

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

<i>a. T"' tu'ong t'ing vai </i> <i>tang </i>

1. V. nguc trai T".
2. V. giila lung T°-

<i>b. I" d a phuang </i>

1. Chi tren.
2. MAt.
II. CHIYC NANG

A. C7 RL Wang ling vOri cac chiic nang

<i>1. Tuydn ntidc bot roi loan. </i>

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.

<i>2. Tuydn nu'ac mat </i>

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

- TC: ngang Cl, 2 khong binh thuang.
- T":

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

<i>3. Tuyin gicip trang roi loan </i>

Hien Wong benh 1.Sr
- C7 16i loch, co day.
- TC ngang C5, 6 + cd vai.
- T°4: v.a.0 + lung tren.
- Cg: Tdiem + co vai.
TC: Hay h6i hOp.

<i>4. Hach hanh nhan </i>

Hien Wong benh 1Sr:
<i>- C7 16i, co day. </i>

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

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

<i>5. D6ng tot ma to </i>

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

- TC ngang C5, 6 + cd itc don chum.
- T°': v.dau.

- Cgiac: Tdidm + Tcd RL.

TC: Thuang phai nhfu hai mat lai de' nhin.
<i>6. Tay duji ra dau </i>

Hien Wong benh
- C7: Lech do 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

<i>* Tuyen me; h6i </i>

Hien Wong benh
- C7, DI, 2 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

<i>1. Mit sup mi </i>

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

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

</div>
<span class='text_page_counter'>(40)</span><div class='page_container' data-page=40>

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

TC thin kinh (nao).
<i>2. Melt mat phdn </i>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.
<i>3. Mat nhu có bui </i>
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. <i>Te </i>

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.
<i>5. Dein ciOn </i>

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: ngay nge.

<i>6. Nu thz1y dich Itho </i>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. <i>Nam giao h9p khong </i>xuat <i>tinh </i>
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.

<i>8. Hai chid n lanh </i>
. 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 ha chi.
9. <i>(1 phe'qucin </i>

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.
<i>10. Khi phe'thiing </i>

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

<i>1. Dau deiu buOn non </i>
Hien tudng benh 19:

- C7 + 01 rei loan (xem a 01)
<i>2. KhOp hang moi </i>

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.
<i>3. Mi melt nhiu dip tai </i>

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.
<i>4. MCit lOi </i>

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

- TC ngang co vai co corn.

</div>
<span class='text_page_counter'>(41)</span><div class='page_container' data-page=41>

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

TC: Hay h6i Nip, tim dap nhanh.
<i>5. SO-t ret can </i>

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.
<i>6. Lang gdy co czing </i>
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.
<i>7. Cam beim sinh </i>
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.
<i>8. Tri tieu hod hem </i>
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.
<i>9. Ngogi tam thu </i>

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

- TC: ngang C6, 7 - D1 roi loan.
- nguc trai, that lung.
- Cg: Td + Ted benh 1Y.

TC: Hay then thilc kho chic.
<i>10. Tim loan nhip nhanh </i>
Hien Wong benh IY:

- C7 - D4 - D9
- C7 Lech co mang.

- TC ngang D2, 6 r6i loan.

TC: Met miai, hai h6p, kho tha.
11. <i>Lift ditang </i>

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.
<i>12. Di mOng tinh - Hoat tinh </i>
Hien Wong benhlY:

- C7 - Ll, 2, 3 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.
<i>13. Nit hinh nguyet /thong deu </i>
Hien Wong benh 1Y:

- C7 - D11, 12- L1, 2 - Sl, 2.
- C7 lech co mOng.

- TC ngang C5, 7, 8, 9, 10 - Li, 2 roi loan.
- v. gifia lung + mO Ac.

- Cg: Td + tcd benh 1Y.
TC: Kern an, kern nga.
<i>14. Thein hinh suy nhz.fvc </i>
Hien tlidng benh 1Y:
- C7, D1, 5, 6, 8, 9 - L2.
- C7 lech co mOng.

- TC ngang C5, 6, 7 - D3, 4, 10.
- T' nguc trai + c6 phai, that lung.
-Cg: Td + dot d6rig + Tcd blY.
TC: Dau dau, mat nga.
<i>15. it sa'a </i>

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.
<i>16. Iferu da </i>

Hien Wong benh
- C7 - Dl.

- C7 lei lech, co mOng.
- TC ngang C5, 6, 7 roi loan.

- giy+giEta-long

</div>
<span class='text_page_counter'>(42)</span><div class='page_container' data-page=42>

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

TC: Lien quan TK va not tigt.

<i>17. Run tay </i>

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.

<i>18. Liet rizia ngrldi </i>

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.

<i>19D(fing kinh </i>

Hien Wong benh 1Y:

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

- TC ngang C6, 7 - 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,
ha hap, mat, da day.

<i>20. Chocing yang nhu' say song </i>

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.

<i>CZ.:)C7 - Tiei co' ngang C6 - D9 </i>

Ban tay co lai, canh tay dui ra. 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.

<i>- Chcin trio C7-D1 bie.n </i>

1. Can di de/ chan benh vang C1-D1 la he cd
xd clang tit 2 vai vao dot song, phai chfia tit 2 cd
vai vao C7 D1 - D3 va D6 - 11 lam m6m 2 cd
vai.

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

3. C7-D1 16i lech, sau khi lam m6m co vai
den sat c'Ot, song, se nen rung 2 ng6n tay trail
tong g6c tong d6t met.

Cu6i cung la vi chinh.
C7 - trieu chiing

<i>1. Trieu chz2ng </i>

HAC - Benh liet - Liet 1/2 nguai, 2 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, ngay
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 khi thiing - U phg quan - Run tay - u tai.

<i>2. Chic nang </i>

<i>- Tuygn giap - Tuygn can giap. Tuygn riti6c </i>

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

<i>3. Nhiet dO </i>

<i>Wing ngvc trai - Wing gifia lung - Than </i>

kinh not tigt.

<i>2. C7 - D1 - L2 </i>

Tdthan kinh giao cam.

<i>3. C7 lech trai co' thang ben phcii lep </i>

Chita vao D3.2.1.

<i>4. C7 co day </i> _.))1,

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

</div>
<span class='text_page_counter'>(43)</span><div class='page_container' data-page=43>

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

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

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

<i>6. C7 - D1 lom: </i> A. D1 rSi loan tu'dng ling

Chita D8 - D 10. DOng mach chn nhO.

<i>7. C7 - D1 ldi cao nhcit </i> 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&}

<i>8. C7 - D1 lam, col teo nhu'cic - D2 cao len: </i> _{- D1, 2: dOng mach vanh tim.}

- Benh ph6i.

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

<i>9. C7 1?ch phcii, phia tren </i>

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

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

<i>10. C7 le'ch trai phia che6i </i>

nlut kin bO.

- D1, 2, 3: So anh sang.

<i>16. C7 - D1 den D10 lom nhu'ng Dll den </i>

- DI, 10 - Ll: Dau hong.

<i>L3 ldi </i>

<i>1. D1 trieu chitng </i>

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, 5 phai // C7. II. BE:NH cmirNo

<i>11. C7 loin - Dll ldi: </i> A. D1 rSi loan tticing ling

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

<i>12. C7 - D1 tang ceing </i> khop - mat hoa nhigu matt sac. Nguai thoang

me, xay xam mat may. Lao dao muSn nga. Hei
Chita D3 va 2 ben cd c6 va sat xttong don.

<i>13. C7 - D1 </i> chiing tin dinh - cd CO' va gay co gist - than

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

<i>14. C7 loin - D1 bsi hhong c6 be. </i> BSc n6ng len mat.

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

<i>15. C7 </i> - D1, 2: Cd may giat - so gio lua - cam sot.

1. Tim clSt lech trong doan loin de chaa.

<i>CDTri@zchti'ng </i>

2. Sau chaa tigp doan loi D11 den L3.

<i>HAC- NguOi thoang me - Tam than kinh - </i>

<i>18. C6, 7 - D1, 2, 3 </i> _{Toan than co cling - Dau dau kinh nien - Mgt}

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

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

<i>20. Ca gdi dau co tit Cl den D3, 4 </i> _{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, 4. bac nhuoc - Xay sam mat may - Bai liet toan

<i>21. C7 - D6, 7, 8, 9, 10 lien quan L3, 4 r+ </i> than - Liet rifia ngoai - Liet chi tren - Teo co -
<i>ngvc trai - co phai - vai trait </i> Chan tay co giat - Tay run - Bitou co - Mat loi

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

Tigng not the' - Cam sot - ITT tai - Co, gay co
2. 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 ngay is 16ng nguc la dau than c6 ma hoi.

kinh lien soon. <i>2. Chz2c ming </i>

</div>
<span class='text_page_counter'>(44)</span><div class='page_container' data-page=44>

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.

<i>3. Nhi?t do </i>

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

<i>2. D1 Lech phai - D2 loch phcii co lap cc </i>
<i>ngoai ranh song ben phcli </i>

- Nhip tim nhanh - Chita C7 hoac D3,4.

<i>3. D1 tang ci2ng </i>

- Than kinh suy nhudc

<i>4. Dl, D3 ca. ng ca'ng: </i>

Hoc kern, trf tile kern.

<i>5. D1, D2 co cam trai </i>

- Benh ho hap.

<i>6. Dl Lech phcii - cc bgn phcii co cung </i>

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.

<i>7. D1 15m D2, 3 1.51 </i>

Chaa vao D1 lam marn 2 cd vai, kh6ng dudc
chaa vao

<i>8. Dl, D2 • </i>

Dong mach vanh tim na ra - 3 lap cd co len
o hai ben.

Trong diem ngoai ranh song.

<i>9. D1, D2 151 1- ch phcii </i>

Trong diem o lap cd ngoai tren dau gai song
D1, 2 - mo nhe vao da thay dau.

<i>10. DI, 2, 3,4 </i>

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

<i>11. DI den D6 lam </i>

Chita tii dtioi Len, tii D6 len clan clgn Dl.

<i>12. D1, 2, 3,4 </i>

Huygt ap ket chfia ben phai DI, 2, 3, 4 lam
huyet ap t6i thiL xu6ng.

1

)2

<i>I. CHIYC NANG </i>

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, 5 - D1, 3 - 4, 5, 6: Tim.
- D2, C2, 3, 4, 5 - 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 khi
gang sOc. Viem phe quan. Dau dau do 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 do toan than cao.

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

- D2 lam: thiL nang d'Ong mach vanh.

<i>C-1)D2 - Chitc ncing </i>

Tim - Tim trai - Tam nhi - Tim dap nhanh
- Tuyen m6 hoi. D'Ong mach vanh - DOng mach
nha ngoai da - DOng mach nhO trong 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.

<i>2. D2 Lech trai: </i>

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

<i>3. D2 15m 1?ch phcii: </i>

Xd ding dOng mach vanh.

<i>4. D2 lach phtii </i>

Tinh tinh thay d6i - Benh tam than.

<i>5. D2 rdi loan có 2 chaec nang </i>

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.

<i>6. D2 leii1fth trai </i>

Ngu and ac mOng - Dai trang

</div>
<span class='text_page_counter'>(45)</span><div class='page_container' data-page=45>

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

<i>7. D2 16i tech phcii </i>

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

<i>8. D1, 2 lam de:mg mach varth m6 ra </i>
<i>Chua </i>cdn bo lOng ngvc va ha vai.

<i>9. D2, 7,8 </i>

Got chan dau.

<i>10.. D2, 3 ccing ceing </i>

Hen phe quan

<i>11. D2 phcii - Dll trai - S1.2 phcii. </i>

- Dai dam

<i>12. D2, </i>3: Chaa di dinh thin (khong chila
D4, tang hoang loan ngay).

<i>13. Chu ye.0 D2: </i>

Khong cludc chila D9 se xoa sach.

<b>D3 </b>

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: khi quan.

- D3, C2, 3, 4, 5 + 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 khi
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.

<i>()D3 </i>

- Chi phei toan be he cd gay co clang, xd hoa.
- Cac loai u deu phai chila 6 D3 no gay co
clang.

- Trung tam dieu khiL cac not tang

a

trung
th'it, chi phel C6 va toan than.

- D3 san ra limphe T4-T8. tria is Dll
Dua limphe vao boat dong 6 L3 - san ra tyrosin
6 tuyen giap.

<i>2. D3 chitc ndng </i>

Tim - Tim trai Tarn nhi - Tim dap nhanh
- Tuyen me hal - Deng mach vanh - Deng
mach nhO ngoai da -Deng mach nhe trong
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

<i>3. D3 15m </i>

- Chtira D6 - D10.

<i>4. D3 1?ch trai </i>
<i>- NO. </i>and ac meng.

<i>5. D3, 4 </i>

- Cd thang trai co cling. Cd thang phai
mdm.

<i>6. D3 ho teo </i>

- Phai chua lau.

<i>7. D3 </i>

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

them.

<i>8. Chi-to </i>cc <i>cri'nglii.D3 tree di </i>

- Chtla bang 6 nen tay ii hai ben, phai cong
ngon tay, keo tit tren xu6ng. Bat manh vao lop
cd say.

<i>9. D3, 4, 5 high clei </i>

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

<i>10. D3 - D10 - L5 </i>

- San ra kiem - toan.

<i>11. D3 --)D8 16i </i>

- Chaa D12 - S1 - 3.

<i>12. D3 l'ch phcii </i>

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

- C7 trai - D1, 2.

<b>D4 </b>

I. CHI-

IC

NANG

</div>
<span class='text_page_counter'>(46)</span><div class='page_container' data-page=46>

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

- D4, 5, 6, 7 : Ba cong nha, da day
- D4, 5 12 : Da day, to trang
- D4, 5, 6 : Tam thaa
- D4, 5, 6 : Tuy6n vu

- D4, 1, 2, 3 : 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, 5 :64,y co rat hong, lao ph6i
- D3, 1, 2 : Tre kinh gist <i>, 2 </i>

- D4 - Ll : Th6 huyet
- D4, 10, 11, 12: An khong tieu
<i>(?). D4 - chac ncing </i>

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

<i>2. D4 bien </i>

- 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).

<i>3- D4 lech phai </i>

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

Chila hai ben C5 - D4, 5, 6.

<i>4 - D4 co coin ben phcii </i>

- Than kinh tim.

<i>5. D4 co corn: </i>

- Tam th6t trai gian na.

<i>6. D4 lech trcii: </i>

- Dau TK lien suan, n6u ch6 dau ming.

<i>7_ D4 cang cling ca hai ben </i>

- Nguai met. Chfla tit ngoai vao.

<i>8. D4 </i>

- Suy tim. Nguc trai lanh.

L71 - Dau tirriag chua suy tim n6u ch6 dau
nong.

<i>9. D4 D7 co co', có hhi hai ben not cao </i>
<i>thanh mot lap co' lot sat thanh be; </i>

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

benh 1Y, r6i mai chila vac c6t. song.

<i>10. D4 lam </i>

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

<i>II. D4 lam - yang lung tren 15m: </i>

- Ngurai met mai.

- Tim cac loaf xd c1 ba ngoai cd thing lung,
chtia tit do vac cho tai lop xd ba trong cd thang
lung d6n ranh song cho h6t lop xd benh 1Y.
Cu6i cling 2 ba day len thi D4 moi n6i ten &loc.

<i>12. Chita hai ben D4 </i>

- Phuc h6i hai tha.

<i>13. Tre em sot cao </i>

<i>- Dat up ban tay vao D3, 4 co corn chira that </i>

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

<i>14. D4, 5, 6 bi dau </i>

- Dai clang. Killing china ch6 dau.

- Chua. C1, 2 - Si, 2, 3. Than kinh giao cam.
Than kinh ph6

<i>15. D4 -)D11 </i> <i>logn </i>

- Tuyen tuy rol loan.
- Chua Cl, 2 if Si, 2, 3.

<i>16. Co dem D4, 5, 6 - Trn D7 - cd thcing lung </i>

- Hanh to trang.

<i>17. CI, 2 II SI, 2, 3 - </i> <i>D4 </i> <i>Dll cd </i>
<i>thcing lang </i>

- Tuyen tuy.

<b>Ds </b>

I. CHI:J'C NANG

</div>
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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, 8 : Bui thai ducmg.
- D5-05-D2, 3, 4 : khi quan.
- D5, 6, 7, 8, 9, 10 : Mang ru6t.
- D5, 4, 6 : Thitc quan.

- D5, 4, 6, 7 : 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, 5 - D1, 2, 3, 4, 6 - Tim - Ph6i.
- D5, C2-> 5 - D4 -> D12: Mat.

- D5 - C2 --> 5 - 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, 9 : Tim dau nhoi.

- D5, L5 : Hon me. (X t, <i>•‘-/fr'''' </i>

- 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 - tuy - 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, 6 le, ch trai

Con bo 16ng nguc. aftng mach phed va nao.
- Bat lop cd co is ranh song.

6. T" L4, 5 - S1 --> 5

- Cluaa nhung khong chcia vao ch6 nong cao.
- Phai chits D5, 6, 7, 8 phai.

7. D5 -> Dll

- Ng6i xu6ng dung len kilo.
8. D5, 7 -> D3, 6

- Kh6 nu6t.

9. D5, 6 lech phai - trai bing
-the hep al 3 lap cci banh ly

- Banh tim trai - Thgt nhi trai day.

10. D5, 10, 11 - TCN: D3, '7, 8 - T°' ha
stain phai vai phai

- Viem tin mat.

<i>11. D5, 10, 11- TCN: D3 - 7 - T" 114 stian </i>
phai - vai phai

- Dau gan.

<b>D6 </b>

I. CHt1C NANG

A. D6 tudng

- Khong.

B. D6 veil cac d6t khan
- D6, C2 5 - D1 -> 6 : Tim -
- D6, 4, 5: Tuyen vu - Thuc quan.
- D6, C2 --> 5 - D4 --> 12 : Mat:
- D6, C2 --> 5 - D4 --> 12-L1: Gan
- D6, 5, 7, 8 : Bui thai during
- D6, 7, 8, 9 : La lath.
- D6 - D4 --> 10 : Tuyen tuy
- 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,. 5 --> 12- : Da day.
II. BENH CHUNG

A. D6 r6i loan

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CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 51 - B1:11 DUC CUONG BIEN SOAN

Then thec. Ho'i hap. Tinh tinh ruing nay.
Thuang hay len con kho tha. .Nam hay tra
minh. Te hong.

B. D6 veil cac d6t khac rol loan
- D6 - L2 : Trang nhac
- D6, 7, 9 : ng.met mai
- D6 - L2, 3 : mita

- D6, 7 : Hen phe quan
- D6, 9 : Hen phe quan.
1 6 - 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.
3. D6 llech - T" c6' phai
- Benh pho"i.

4. D6, 7, 8, 9 - T°0 thu'qng vi - 2 cci thing
lung

- Da day. 1,

5. D6, 7, 8, 9 - T" ha stie‘n phai cd
thing lung

- Gan.

6. Cd dem D6, 7, 8, 9 - T" vai phai + c d
thing lung:

- Mat.

7. D6, 7 - To+ gii-fa lung - cci thing lung
- Lach.

8. D6, 9 - L2, 3 - S2, 3
- Dau chin va mat ca ngoai.

D7
I. CHUC NANG

A. D7 tticing itng
Khong

B. D7 veil cac d6t khac
- D7 C2 -4 5 - D6 ->12: Mat
- D7 - C2 ->5 - D6 -412 - L1: Gan
- D7, 5, 6,8 : Btii thai during
- D7, 6, 8, 9 : LA lath
- D7, 4 -> 12 : TA trang
- D7, 6 -> 12 - L1 : Tuydn tuy
- D7 --> 2 - L2, 3 : Ruat non
- D7, 5, 6 ->10 : Mang runt.

- D7, 4, 5, 6 : Ba cong nha da day
- D7, 5,6 -> 10 : Tuye'n day da day
- D7, 4, 5, 6 -> 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 ra mau lan dam.

B. D7 r6i loan veil cac dot khac
- D7, 8: Dau bung quan ra 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 do

a

tam, than.
Noi kinh:

- D7, ngoai la tid'u tam

- Trong la phu mau.
- Trung tam caa hai huyet.
2. D7, 8, 9, 10, 11, 12 - L1 ->5:

- Chaa giam beo phi chua tit S1 len tren.
3. D7, 8, 9 r6i loan

- Trung tam sinh tinh.
- Trung tam van dang ha chi.
- Trung tam didu nhiet ha chi.
4. D7 --> D12

- Lq van &Ong chi duai.
5. DOng y. D7, 8, 9, 10, 11, 12
1) chinh lac: D7 - 11: 7 d6t
2) Phu lac: D8, 9, 10: 3 d6t.

3) Trung tam am duong - mach d6c: D7
4) Gia lac: DU, 12.

6. D7, 8, 9 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

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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, 4 sau chu.a L4, 5 Mi.
10,,p7, 8, 9

- Thoai hod tit LI ->5, 2 co lung co clang nhu
hai chi& banh my.

- Thoai vi dia dem, nen dau ti[ L5 den hong,
dau xang dui, dau ra 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.

<b>D9 </b>

<b>D8 </b>

I. CHUC NANG
A. D8 tu'dng ling
KhOng

B. D8 yeti cac d6t khac

- D8, C2 -->

- D8, C2 ->
- D8, 5, 6, 7
- D8, 6, 7, 9
- D8, 4, 5, 6

5 - D4 -> 12: mat
5 - D4 --> 12 - Ll: Gan

: Bui thai &icing
: La lach
-> 12 : Ta trang
-D8, 5, 6--> 10 : Mang ruOt
- D8, 6, 7 12 - L1 : Tuyen tuy
- D8,

-D8,
5, 6
4 ->

->
12

10 : Tuyen day da. day

<i>• </i>

: Da day

- D8, 5 -4 12 - Ll : TTam tic tieu trang
- D8 -> 12 - Ll : Rut thita

- D8 -> 12 - L1, 2 : Dai trang
II. BENH CHUNG

A. D8 tu'dng Ting r6i loan

- R6i loan chuyen hoa - co may giat.
- Di ra 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 - 4 - cut: ia lOng

OD8, 9 lech phai - T" v. giita king
- Gay mOi met.

2. Hai ben D8, 9 co:
- Tieu hoa. <i>R.L. </i>
3. D8, 9, 10 phai co:

- Chaa tach tang da song met tit tren
xu6ng.

p ai 4 - 12 - r5=S5

I. CHT:IC NANG

A. D9 tlidng

Khong

B. D9 yeti cac d6t khac
- D9, C2 --> 5 - D4 -* 12 :Mat
- D9, C2 -> 5 - D4 ->12 - LI: Gan
- D9, 6, 7, 8 : Lfi lach
- D9, D4 ->12 : Ta trang
- D9, D5 -> 10 : Mang runt
- D9, 6 -> 12 - L2 - 3 : T-tryeim
- D9, 6 -> 12 - L2 -3 : Runt non

-D9, 5 -> 10 : Tuyen day da day
- D9, 4 -> 12 :Da day

- D9, 7 12 - LI : TT lac che'Ttrang
- D9, 7 -> 12 : Dam r81 &tong
-D9,8-4i2-Li-2 : Dai trang
- D9, D4, 2 - 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.
2. D9 --> D12 lam

1) Canh cac d6t lom deu co lop cd nhuoc,
khong du9c chfla vac do.

2) Phi tim lop co ngoai yang cd nhudc d bd

ngoai co thing lung, chaa cho rri'dm cac co nay.
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--

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<span class='text_page_counter'>(50)</span><div class='page_container' data-page=50>

-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.
7. D9 - D6 - L2, 3 - $23

Dau cha'm va dau mat ca ngoai.

o

1. CHtiC NANG
<i>A. D10 tu'dng ling </i>

- TTam vdg thuong ha 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, 3

: Than tit cung
:

- D10-L1,2

Bung trang
- D10, 12 - Ll, 2, 3

: Than
- D10, 12- L1, 2, 3

: TT tang dudi cd hoanh
- D10-5 9

: Tuygn day da day
- D10, 5—*9

: Da day
- D10 —>12

- D10, 5 -*12 - Ll : Dam reh thai throng

- D10, 8 -412 - L1,2 : TTruc trang
- D10, 8 --->12-L1, 2 : Dai trang
- D10, 12 -S2-3 : Tign liet tuygn
2. 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.
2. D10 lech phai

- Ia chay -Can hoa vtiong.
3. D10 lech trai:

- Thie'u na."ng gan. Kiet ly.

4. 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.
7. D10 lech phai

- Khong sin ra 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 ra thi ngang.

8. D10 -11

- San ra Adrenaline.
9. 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 do can int.
14. D10,11, 12

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<span class='text_page_counter'>(51)</span><div class='page_container' data-page=51>

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, ra bung day
- D10, 12 : HK qua nhieu, tii cung ra man
- D10 -L1,3 : Sung dai, thi lue giam
- D10, 11, 12 -L1, 2,3: Soi bung, day bung
- D10, 11, 12-L1, 2 : Hay da'y bung
- D10- L1, 2, 4, 5 - Si, 2, 3, 4: Tao bon
- D10: Khop gea co khong duoi dttoc.

Di

i

I. CHIC NANG
A. Dll ttidng ling
- Trung tam tieu tien.
B. Dli vai cac d6t khac
- D11-C2, 3, 4, 5 -D4 ->12 : Mat
- D11-C2-->5-D4-->12-L1 : Gan
- D11, 6->10,12-L1 : Tuygn tuy
- D11, 4->12 : Ta trang
- D11, 7->12-L2, 3 : Ru6t non
-D11, 12 : Ong Can tning
-D11-10-12-L1,2,3 : Ng9c hanh
- D11, 4 -->12 : Da day
- D11, 7 ->12: Dam rol thai throng
-D11, 5, 6 -->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 2 chi dudi.
Dau 2 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
1. 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" ha 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" ha stian phai -Thing
- Te pha.

9. D11-L1 -TCN: D8 - T" vai phai -Thing
Sung mang phdi.

10. Dll - L2, 3, 5 - 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 - ha stain phai - ma

- Bi dai.

12. Dli r6i loan:
- Dau giaa bung dudi.
13. D11 - Sl, 2, 3

- Dai during khong khat nuoc.

14. D11, 12-L4-TCN: D8, 9, 10 - T°÷ that
king phai (than)

- Dai during.
15. Dli

- 2 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

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<span class='text_page_counter'>(52)</span><div class='page_container' data-page=52>

CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 55 - BUI DOC CUONG BIEN SOAN

D12
1. 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 tuy - 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, 3 : 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 do 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, 3 : Viem da day

- D124,1, 2 : 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 ha chi
CDD12 rol loan

- Dan tren xttong mu.
2. D12 —>L3 16i Om len

Chita tit ch6 lom dudi L3 chila len. Sau mdi
chaa tie-p D12 16i.

3. Bi an so" 6. Cd tit xu'ong ma4 chau
D12 barn xu6ng.

- Giai toi ngay it hai ch6 dau barn vao
xttong mao chau.

4. D12-L1

- Ming do da day nong
5. 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 ha 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 1 ben
nhay mat, chay nudc mat, h6t hang,
ngoeo

B. L1 vari cac d6t khac r6i loan
-L1, 4 : Dau nhiic ha 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 ha 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 trong.
3. Ll —> 5 lorn

- Chita 2 lop co co clang d hai vai.

4. L1 —> 5 thoai hoa, hai <i>cd </i>lung to nhu
hai banh mi

- Chita: D7, 8 - L2, 3 - S2,3.
- BN dau chan va mat ca ngoai.
5. LI tr6 xu6ng

Lquan sinh duc, tigtnieu.

6. L1 + khe mong:
Than tit cung.

7. L1-2, <i>cd </i>dem - T°* that lung ph Ai:

</div>
<span class='text_page_counter'>(53)</span><div class='page_container' data-page=53>

- 56 - NGUYiN THAM TAN
CAM NANG Vk PHUONG PHAP TAC DONG COT SONG

- Then tiet nieu.

<b>L2 </b>

I. CI-TUC NANG
A. L2 tufting ling

- Khong.

B. L2 vai cac dot khac

- L2, 3, 4 : Ttam iuc the dai trang
bang quang

- L2, 3 : Tuye'n Bertolin
- L2, 3, 4 : 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, 5 :Viem than

- L2-S2 : Lang tai nghgnh ngang
Ban tay va khap vai dau
- L2 - S3 : Thily thung

- L2, 3, 4 - Si, 2, 3: Dal dam
- L2 - S5 : Eo lung dau clang
-- L2, 5 - 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.

<b>2. L2: </b>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 0 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

<b>5. D7 -> D11: </b>

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, 3 - <b>L5 - Sl, 2, 3 </b>
<b>- Benh goutte. </b>

<b>Chi-La </b>tit S5 tra len den S4, 3, 2, 1 va D7, <b>8, </b>
<b>9, 10 </b>

<b>9. L2 - T" khe mong </b>
<b>- Than tii cung - </b>co tit cung.
- Titygn Bertholine.

<b>L3 </b>
<b>I. ClItiC NANG </b>

<b>A. L3 Wong ling: </b>
<b>- Dam r6i mac </b>treo

<b>- Sinh duc nil. </b>

<b>B. L3 </b>va <b>cac d6t khac </b>

<b>- L3, SI ->5 </b> <b>: Co quan sinh diic </b>

<b>- L3, 2, 4 </b> <b>: Tr itc dai trang - bang </b>
<b>quang </b>

<b>II. BENH </b>CHUNG

<b>A. L3 r6i loan </b>tlidng ling

<b>- Tao bon kinh dien - Bi bi chi tren. </b>
<b>- Dau dinh da'u - Ink khOng nhin xa. </b>
<b>- Dai son - Di hoat tinh - Sinh duc nam. </b>
<b>- Kinh </b>qua <b>it - Dai rat - Nong khong co n -3 </b>
<b>hoi. </b>

<b>B. L3 vai cac &it khac rol loan </b>
<b>- L3, S1 </b> <b>: Teo cd bg.p chan </b>
<b>- L3, 4, 5 </b> <b>: Dau quanh kh6p vai </b>
<b>- L3, S3 </b> <b>: Viem tit cung </b>
<b>- L3, 4 </b> <b>: </b>Co tit <b>cung phi dai </b>
<b>- L3, 5 </b> <b>: Sa sinh.duc </b>
<b>- L3, 4, 5 </b> <b>: Lam thon minh lai </b>
<b>- L3 -S2 </b> <b>: Sung hong </b>

<b>(1). L3 - chic nang </b>

<b> Co quan sinh duc nam nu Tit cung </b>
<b>-Bang </b>truing - <b>Ngoc hanh - Then - Bertholine - </b>
<b>Ruot non - Xudng banh the - itc the co bop </b>
<b>bang quang - iic the co bop nieu dao. </b>

<b>2. L3 roi loan </b>
<b>- Phia du6i dui try6c. </b>

- Suy <b>than. </b>

<b>3. Ni: L3, nam: L4 </b>
<b>- Dau g6t chan. </b>

<b>4. L3 loch sang mot ben </b>

- Viem tac <b>6ng dan triing. </b>

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CAM NANG VE PHUCJNG PHAP TAC DONG COT SONG - 57 - B1111 DUC CUONG BIEN SOAN
5. L3, 4, 5 16i, nha't la L5 16i cao hdn, Si,

2, 3 lam han v'e phia tru'ac

Tri nho giam Tao bon Viem dai trang
-Tien bi - Gu lung.

L3, 4, 5 16i loch - BN nen lung, nem nguai
ra phia truck, tha''y lop co co corn. Chi chaa vao
digm co co 8 L3, 4, 5 nhung khang chaa vao ba
cao L5 va Si, 2, 3 lam.

<b>L4 </b>

I. CHtfC NANG
A. IA tu'dng ang
- Sinh dvc nam.
- Ong clan tinh.

B. IA yeti cac dot khac
- IA, 2, 3 : Banh the
- L4, 5 - S1 : Ban than
- L4, 1, 5-S1-->5 : Trvc trang
- L4, 5 - S1 : Chi duOi
- L4, 1 -->5-S1—>5: Dam r6i ha vi
II. BENH CHUNG

A. IA ral loan tu'dng U'ng
Viem thin kinh vai

B. IA va d6t khac r6i loan
- L4, 5 : 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.
3. IA loin

1) Chfia hai lop co co a hai co thang lung tin
D7, 8, 9 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, 5 16i cao, nhal la L5 nhu'ng Si, 2,
3 lain Ilan ve &Lig tru'ac. L3, 4, 5 loch

Trieu Tri nho giam - Tao bon - Viem
dai trang - Tien bi - Ga lung - Khong dirOc
china vac S1, 2, 3 lam. Khong ditoc chaa vao ba
cao L5, chi chaa diem co a yang L3, 4, 5.

6. L4, 5 lain + Viing S 16i

- Chaa song chinh, mat tay chaa ch6 loch
tren dau 'long cut, mat tay chaa yang S.

7. IA, 5 ming cao: D2, 3
8. L5 d6n D8 161 cong len:
- Chaa sach yang S ten cl6n L5 16i.
9. 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 1 lop cd dem day - Phei nen tinh.
11. DOI song cung hoa: IA, 5 ding hoa
Cac d6t song dinh vao nhau, bast dau tit L5
tr6 len dinh vao S1 thanh mat mat tang.

Phi ma cac d6t khe d6t va tach dan cac d6t
ra. Chaa D7 —> 10- L1, 4, 5 - S4, 5.

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 khi - 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, 3 : 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 do

Vang that lung phia sau, vang that lung
phai, yang duoi bung, yang cham.

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<span class='text_page_counter'>(55)</span><div class='page_container' data-page=55>

CAM NANG VE PHIJONG PHAP TAC DONG COT SONG - 58 - NGUYEN THAM TAN

1) BN dung thing bang chung 2 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 thanh 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
<i>ngn s9 trait v. cld.m. Teo ben nao chila ben ay. </i>

Vung co chung teo nhigu thanh cal xeng
phai chtia tit co thing lung D7, 8, 9, 10 tra
xu6ng tii ngoai vao trong,-theo 3 lop co.

4) Wing hong phi 1 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 4.

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, 2 - Si, 2.

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 ha chi.

3. Wing S chit ye-u la S1 khuySt ma-u:
- Dau xuong h6ng, co th4 co nhU con 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 ra mau.

- Doi khi 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, 3

Trung tam thdn kinh pito giao cam lien
quan tuygn tuy.

5. Dau to chan

Giai ton xo sOi &du mgu chung Ion (yang
hong).

<b>S2 </b>

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

</div>
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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 ha 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.

<b>S4 </b>

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 nay dau mai - ROI loan man kinh.

B. S4 vori cac d6t khac r6i loan
- S4, 5: Nong dinh dau.

<b>S5 </b>

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

<b>CUT </b>

I.CHUC NANG
A. Cut ttiOng ling.
B. Cut voi cac dot khac
- Cut S3: Ham mon.
II. BENH CHUNG

</div>
<span class='text_page_counter'>(57)</span><div class='page_container' data-page=57>

- 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 thanh trang thai dau mai 6
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.

<i><b>1. Loai </b>dau rile </i>

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,

<i><b>2. Loai dau nit& </b></i>

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

<i>va tren d6t song giong benh 19 c6 hien Wong </i>

gan cd co cang, phU., cem.

<i><b>3. Loai </b>dau rp'n </i>

<i>Khi thay thu6c an tay tren vang co cam giac </i>
dau thi nguai benh thgy met sit xung deng dai
truydn len nao ghe ghe va ran rdn kho chiu. Co
khi 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.

<i>4. Loai dau diu </i>

Khi thay thu6c an, ve hoac migt trail vUng

c6 cam giac dau thi NB c6 cam giac dau diu,
trong 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.

<i>5. Loai dau moi </i>

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

<i>1. Loai to ban ran </i>

Th'g.y thu6c an, ve, migt 6 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.

<i>2. Te dai </i>

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.

<i>3. Te bi </i>

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

</div>
<span class='text_page_counter'>(58)</span><div class='page_container' data-page=58>

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

<i>1. Loai rdi loan dau rtic </i>

Trang thai r6i loan rift xuat hien o tren 1
dot song vas. 2 nhom cd lung d6i xiing. MOt ben
dau rift, 1 ben to bi. Ben phai to thi ben trai
dau va ngitoc lai. Dac diem nhit dau mOi.

<i>2. Loai rdi loan dau nhoi </i>

Trang thai r6i loan dau nhoi xuat hien tren
1 cl6t song va 2 nh6m co lung d6i ximg. M.Ot
ben dau nhoi, 1 ben Co bi. Dac diem nlat dau
nhOi.

<i>3. Loai roi loan dau rdn </i>

Trang thai r6i loan dau ron xuat hien tren
1/2 hay 1 goc clia. 1 dot song va 2 nhorn cc, lung.
1\46t ben dau ron, 1 ben to bi.

<i>4. Loai ro-i loan dau diu </i>

Trang thai loai r6i loan dau diu xuat hien
tren met hg 1 goc clia. 1 d6t song, mot ben dau
diu, 1 ben to bi.

<i>5. Loai rdi loan dau m6i </i>

Trang thai loai rol loan dau mOi xuat hien
tren 1/2 hg 1 goc ciia 1 dal song, 1 ben dau diu,
1 ben to bi (1/2 hg 1 g6c).

Can cif vao -tiing hien Wong cam giac dau
dia NB de tim ra phuong phap tri lieu.

</div>
<span class='text_page_counter'>(59)</span><div class='page_container' data-page=59>

CAM NANG \A PH1JONG PHAP TAC BONG COT SONG - 62 - NGUYEN THAM TAN

PH [YONG THfre CHAN BENH

<i>hhoci van nang cria PPTDCS </i>

<i>4. Nhiet d'§ la cd sa de theo d5i st! tien </i>
trin cua benh

Dula benh him ngheo, nen diJu doge nhiet
thi van cc') the chaa. &loc.

Hang ngay phai theo dal nhiet do thUang.
xuyen ve. trong ca qua trinh chaa. benh.

Thay thu6c phai rat coi trong nhiet
Khong hic nao raj nhiet do. •

<i>Chu j: Khi chria benh da thgy nhiet do giam </i>

thi ngUng lai. Neu chfia co the nhiet do lai tang
cao. Chia den nguang phai neing lai, chfia lau
có hai cho NB.

. 5. Nhd có nhiet do ma they thu6c chfia
benh du'qc an toan tuyet doi, khong sd tai
Wen

Lay nhiet do lam chuAn dich, nen kh8ng thi
se rdi vao chinh cot hoc cho nen di sau vao
nhiet d8, nAm vilng nhiet do 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 trong 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 thanh
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 do cot sang bidn
DO la phan xa cua tiay song.

Thao tac:

- NB de' his lung, huong lung ra phla có anh

<i>Ccic phu'ung thti'c la chic </i>

I. PITUCiNG THU'C DIEU NHIET

Nhiet do da la bo duo-c soi &fang trong viec
chan va tri benh bang PPTDCS.

1. Nhiet do 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 do
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 do earn.. Chan to nh9 kian

can, nhiet do cao.

They thutic can nam vfing hai Wing nhiet
di): 1 - Nhiet do 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 do bien ddi la co thd
benh

2. Nhiet do la cd s3 de' xac dinh trong
didm

Mu6n xac dinh trong didm phai cb hai co s3:
1- Nhiet de bien

2- D6t song bien

3. Nhiet do la cd set de' them do, tien
lttdng benh

Ne9 chila rei ma nhiet do khong thay d6i
thi khong the chua dude benh.

• Khi thao tac tai d6t song bien doi dOng thai
thAy nhiet do thay d6i thi viec dien tri se thuan
Suy tim do 3 - 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.

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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 8 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 trong digm.
VI du: - Dau quanh khiip vai tim vao lop co
cd corn da. giai toa khi NB van deng t6i da.

- Neu bi ho, NB de ha 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 trong 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 con lan toa den toan bo co thg.

Cd sa dg xac dinh m6i quan he nay la: Hien
ttiOng may deng

a

hai vi tri lien quan song
song bigu hien len, xac dinh bang till' thuat
migt khi 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
trong 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 ra 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 con dude ph6i hdp vai trong 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 ra va tan dan di.

<i>Can </i>

<i>chzi </i>

1. Phai giai quygt mei lien quan caa trong
digm veci. d6t

Ta phai dung m6i lien quan giaa cac d6t
<i>song cg voi cac d6t song that lung va cac d6t </i>
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 trong
digm voi ngoai vi

Trong digm d6t sang lech bao gid cling lien
quan

a

khac ben. Vi du: trong digm a A ben
phai thi digm lien quan

a

B ben trai.

N6u trong diem i1 ngang thi ti6t doan trong
them

a

<i>gan hoac xa. Ngu trong digm chgch len </i>
tren, cheo len tren, chgch xuong ducii, cheo
xueng duOi thi tigt doan trong 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

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CAM NANG \t PHUCJNG PHAPTAC DONG COT SONG - 64 NGUYiN TRAM TAN
Dimg thu thuat bat tai didm dau d tren 6

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 do la d6t trong diem. VI du:
Thay thu6c bat 6 gan A-sin, NB gist minh gan
co va gist. Tren cot sang va co lung hic nay
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 6 benh giarn dau den het dau.
- Song gOn len cd lung se hat.

DOI song tan clang song co lan tai, do la d6t
song trong 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
trong diem de' quy nap, chan 'doan va dd ra
phuong huang didu tri.

NB phai a cac tit thg: ng6i thang, cili gap,
neia nguai ra 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
ra nhieu trong digm khong bi b6 sot.

Qua this nghi'em, he cot sang chia thanh 2
yang: 1- yang co; 2 - 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 ngay tay bang thong.
<i>a. NB cui gelp clau </i>

Xac dinh bang thii thuat vu6t
- D6t song bian d6i hitang ra 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 2 cd vai trcidc.

- Ngang: Tit b6 ngoai cd itc don chum tr6
vac lo6 trong co thang.

Ap dung thu thuat: Vu6t ve.

<i>b. NB ngita co ra trade </i>

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
trong co thang.

<i>c. NB ngdi nghieng phcli ho4c trai </i>

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& ra 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 khi 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' ha lung.

+

• + Ctii, nem, nghieng.
<i>a. NB ngiSi cal tong lung </i>

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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.

<i>b. NB ngSi ngica ngdoi </i>

Xac dinh bang tha thuat vu6t, an, ye.
- Tii D1 den viing cut cc!, hinh thai huong ra
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.

<i>c. NB rtgori nghieng ngrthi </i>

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 do 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.

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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 nay khong dtia vao kha nang
to digu chinh caa cd the ma dtta vao so kheo
leo caa thdy thu6c.

,

TuST thuec vao cac trong 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

<i>Muc </i> toa cac d6t song bi dinh
<i>ding tit D6 dgn D12 bign d6i va gift tinh cac </i>
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 ra 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 trong di6m, tay kia
cam chic hai ban tay NB clan khoa a sau gay.

<i>- Thao tdc: </i>

+ Th6.y thu6c dat tay phia trot', keo tay NB
cho nga nguai ra phia sau, r6i clSy vao to the
<i>cu. Tay kia dat nen tinh tai trong didm dSy </i>
manh ra phia tro6c. Khong cho phAn than Etch
chuydn deng ra 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 do yeu cau. Dgn ngang thi
ngUng.

2. TO the ditng keo nga

<i>Muc dich: Giai toa cac dot song bi dinh </i>

clang tit L1 cign L5 lien 16i, tao cho he cot song
NB tit L5 tra len chuydn Ong theo hoeing tit
sau ra 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 thanh 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 trong
didm trong pham vi tit Ll Mil L5.

<i>Thao tdc: </i>

- Th6Y'cthu6c tay phai keo cho NB nga
ngttai ra phia sau, r6i c/Sy tra vg tti thg cu. Tay
<i>kia dat tinh tai trong didm dSy ra phia troeic. </i>
Gift- khong cho phan than dttoi chuySn do, ng ra
phia sau.

- .Khi met tay c/Sy NB tra lai to th6 Ring
thing, thi tay kia 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

<i>Muc dich: Giii toa cac d6t </i>song bi din.h
-citng tit D8 dgn L5 lien 16i Lech hoac lien lath.
Tao cho trong didm D8 dgn L5 chuydn deng
dooc va gilt tinh L5 tra xuong.

- NB ng6i, ddo gal voting goc, Ming thing, c6
ngay. Met tay bang thong, met tay &la len

cite() qua ngoc va bung, chia ban tay ra mang
sttan ben kia cho thy thu6c nim c6 tay.

- Thy thu6c ng6i phia sau, mot tay
tro6c tai trong didm, tay kia na'.m co tay NB de"
keo van.

<i>Thao tic: </i>

- Thy thu6c met tay dat truck tai trong
diSm phia bi lath, tay kia keo van NB xoay ra
phia sau, ngooc chidu bi 16i lath.

- Thao tic nhip nhang keo van NB ra phia
sau r8i tra lai ttt the cu nhi6u ran tit thua den
mau. Dgn ngoang thi ngitrig.

C. DCrng keo van

<i>cac rtrit_sbng </i> hi rifnb

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CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 67- BUI DUC CUONG BIEN SOAN

lien lech hoac lien 16i lech. Tao cho trong 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 8
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 kia narn ca
tay NB keo van.

<i>Thao tric: </i>

- Thay thu6c met tay dung hic keo van.NB
ra phia sau, roi buong tra ve tii the di, nhip
nhang tit nhe den nang. Cuei cuing giat manh
dot nget.

- Tay kia thay thu6c gill xtfong mao chau
cila NB keo giat ra phia sau.

<i>Chu </i> D6t song lech phia nao thi thay
thu6c de mOng ben do tS7 vao dau g6i, hai tay
thay thu6c cuing keo manh ra sau, de dau g6i
gilt lai. Van th6y khop xtidng keo rang rac la
dat yeti cau.

D. Nen Wang
1. NgiSit nang tay

<i>Muc dich: GiAi toa cac d6t s6ng tui D6 den </i>

D10 lien 16i. 'Tao trong didm tit D6 den D10
chuydn deng theo hinh thing tit ngoai vao

trong.

- 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 ra sau. Met tay tS7 cin tay vao
dui lam didm dat nem tay hoac ban tay
tinh tai trong didm.

<i>Thao tete: </i>

- Thay thu6c ding met hic gat hai canh tay
NB ra phia sau. Tay kia nen tinh tai trong
<i>didm clSy ra phia tritoc. Sau do tra lai to the </i>
Thao tic nhe nhang. Den ngiteing thi nguing.

<i>Chu Y: NB phai gill to the cho viing de khi </i>

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

<i>Muc dich: Giai toa cac d6t bi dinh ding tit </i>

D8 den D12 15i. Tao trong didm D8 den D12
chuye'n deng theo lulling tit ngoai vao trong.

- 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 kia chuan bi nen.

<i>Thao tdc </i>

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 trong didm. Khi thay lung
NB bet cuing thi tao ra met sU dot nget, met
tay nang cao NB, ding lie do diing tay kia nen
nhanh va manh tren trong didm.

Thao tic nay chi lam met lan, it khi phai
lam lai.

3. Warn nang hai than

<i>Mltc dich: .Gia.i toa cac d6t song bi dinh </i>

clang tit L3 den S5 lien 16i, chuygn Ong theo
huong tit ngoai vao trong.

- 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.

<i>Thao tcic: Thay thu6c nang hai than NB </i>

len cho vimg king tit L2 den S5 bang khi mat
gittang r6i tra va to the cu. Thao tic vii lan
den khi nang th6.y viinghing NB bet clang, thi
cuing met luc met tay nang being NB len, tay
kia nen manh tai trong didm an xu6ng.

- Thao tic thing Mc, chi can thuc hien met
lan la tai ngitang.

4. Nam nang mitt than

<i>Muc dich: Giai toa cac d6t song 1:4 dinh </i>

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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 trong diem de chua.'n bi
nen.

<i>Thao tic: </i>Thay thu6c nang b6ng chan NB
ben phia co co ding len khai gittang, roi tra vd
to the cu.

Thao tic vai lan, khi thay viing lung bat
cling thi mot tay nang b6ng chan NB len, tay
kia dOt net an manh tai trong diem, nen
xuang mot lan den ngliang thi thoi.

D. Nen vit

1. Nen vit mot clAu g6i

<i>Mac dich: </i>Giai toe. cac &it s6ng bi dinh
cling tit S1 den S5 16i Tech ddn hoac lien tech.
Tao cho trong diem Si den S5 chuyen deng
dust theo hitang chach 45° tit ngoai vao trong
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 trong
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.

<i>Thao tcic:. </i>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

<i>Muc dich: </i>Giai toe cac d6t song bi dinh
ding tit S1 den S5 don 16i hoc lien lai. Tao cho
trong diem Si den S5 chuygn &Ong &roc theo
huongthang tit ngoai vao trong.

- 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

<i>Thao tic: </i>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.
3. Ding vit mot mong

<i>Mac dich: </i>Giai toa cac d6t s6ng bi dinh
clang trong viing lung va hong tit Ll den S5 16i
lath va lath tao cho trong diem L1 den S5
chuyen dOng dude to phia sau ra 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 kia bang
- Thay thu6c dung canh tay ding ben tay
NB thong trail xuong hong, nam chic khuSru
tay NB de than tic, tay kia nam chic vai ben
kia caa NB.

<i>Thao tic: </i>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 ra truesc. Thao tic nhip nhang (tan
nguang thi ngiing.

4. Ding vit hai thong

<i>Muc dich: Giai </i>toa cac d6t song dinh ding
<i>t, </i>7 tit Ll den L5 lien 46i. Tao cho trong diem tit
Ll den L5 chuye'n do, ng ditac theo huang sau ra
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.

<i>Thao tic: </i>Keo vit hai canh tay caa NB
dang ch6ng tren hong theo twang tit trail
xu6ng duoi <i>de </i>chinh hai ban tay NB <i>&Sy </i>hai
along caa minh tit phia sau ra trtroc. S au khi
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

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.1 NANG \t PHUC1NG PHAP TAC DONG COT SONG - 69 - BOI DOC CUONG BIEN SOAN

<i>Muc dich: </i>Giai toa cac dgt s6ng bi dinh
clang tit L3 den S5 va cut lien 16i lOch, lOch va
lien lom loch. Tao cho trong 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
trong didm, hai tay dd chin.

- Thay thugc d6ng ciai 6 ngang yang thAt
lung caa NB, hai ban tay xoe rOng ap lung NB,

ty hai ng6n cal tai trong didrn, canh tay thing.

<i>Thao tic: </i>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 trong den khi 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
trong chgch ra ngoai.

Thao tic khi d6t song bi dinh clang da
chuydn dOng thi ng-Ung thao tic.

<i>2. Ndm sap vOn.g tay trade trcin </i>

<i>Muc dich: Giai </i>toa cac d6t s6ng bi dinh
ding tit L4 den S5 lien 16i lOch hoac lien lOch,
tao cho trong 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 trong didm.

<i>Thao tic: </i>Thay thu6c nen tinh hai neon cai
tai trong didm tic dOng tai trong 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.

<i>3. Nam slip trithn nglieli </i>

<i>Muc dich: </i> toa cac <i>d</i>ot s6ng 131 dinh
cling tilt D8 den S5 lien 16i Lech hoac Lech. Tao
cho trong 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 trong didm,
hai canh tay xoe rOng, dat hai ng6n cai vac)
trong didm.

<i>Thao tdc: </i>Nen tinh tai trong digm, bAng
Luc hai ngon cal tit t6i thidu den t6i da, lam cho
d6t song chuydn dOng du9c tit phia sau ra 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

<i>1. NCim nghieng chcin die° </i>

<i>Muc dich: </i>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 trong
didm U viing thit lung tra xu6ng chuydn dOng
to sau ra tract vai hinh thai lien 16i lOch, to
phai sang trai hay ng-tioc lai vai hinh thai lien
Lech va to trong ra 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 ra
phia truck.

- Thay thu6c Ring cui ngang trong didm,
hai canh tay thing, hai ban tay xoe rOng dat
hai ngon cai tai trong didm.

<i>Thao tdc: </i>Nen tinh ca hai ngon tay tai
trong didm, dung lttc t6i thidu den -t6i da theo
huang chgch to sau ra truck dgi voi hinh thai
lien 16i lOch, to phai sang trai hoac nguoc lai
d6i vdi hinh thai lien lOch va to trong ra ngoai
d6i voi hinh thai lien lom.

Sau khi nen lai buong chimg tay, ng-img
thao tic de' NB tra lai to the cu. Thao tic nhip
nhang den nguong thi ngitng.

<i>2. Nam nghieng mot than co td'i da </i>

<i>Muc dich: </i>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
kia du6i thing nArn chAc ngon than cai caa
chin co. Thay thu6c dung et:1i ngang trong
didm, dat tay tai trong didm.

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CAM NANG VE PHITONG PHAP TAC DONG COT SONG - 70 - NGUYEN THAM TAN

Sau khi nen lai bang chimg. Thao tax nhip
nhang den ngtiang thi ngimg.

<i>3. .Wim nghieng than co </i>

<i>Muc dich: </i>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 do.

- They thus& &Mg ngang trong didm NB.
<i>Thao tic: </i>Nen tinh tai trong didm tit luc
tot thik . cign tot da theo nguyen tic dinh luc
hueing che-ch tit ngoai vao trong d6i voi hinh
thai lien 16i lath, ngang tit phai quay trai hay

ngucc lai dot vai hinh thai lien Lech, va huang
tit trong ra ngoai vdi hinh thai lien lOrn.

Thao tic nhip nhang den ngtiong thi
c. Tii the nen cliing luort

<i>1. Dung /dot oan long </i>

<i>Muc dich: Giai </i>toe cac d6t song bi dinh
ding tit D8 den D12 lien 16i.

- NB thing giang hai than cach nhau 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 trong didm de thao tic.

<i>Thao Mc: </i>Nen theo do 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.
<i>2. DOng heat cong lung </i>

<i>Muc </i> Giai toe cac d6t song dinh ding
tit D8 den L3 &in lOm.

- NB dung giang hai chin cach nhau 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 trong diJm.

<i>Thao Mc: </i>Nen theo do chdch 15° den 45° tit
ditoi len tren de" bi tit trong ra ngoai. Den
nguang thi ngiing.

<i>Muc dich: </i>Giai to. cac dot dinh clang Ll
den L3 lien 16i hay lien 16i lath.

- NB thing giang than each nhau 40cm, hai
tay clang tren didm ty 30 -40cm, deu ngd.rig
cao, lung oan xuong.

- They thu6c thing sau ngang trong digm.
<i>Thao tic: </i>thing hai nem cai nen thing tit
ngoai vao trong loai lien 16i va theo hudng
che-ch tit ngoai vao trong loai lien 16i lath. Thao
that nhip nhang, den nguang thi ngitng.

<i>4. Nen cui gap </i>

<i>Muc dich: </i>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 trong
didm.

<i>Thao tic: </i>Nen tai trong 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 trong ra loai
Jam. Luc t6i thidu den t6i da cho cac d6t
chuydn Ong. Thao tic nhip nhang. Dgn
nguang thi ngitng.

<i>5. Nen cra'ng heat nghieng </i>

<i>Muc dich: </i>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 kia gac ngang len didm tY
cao 30 -40cm, tay kia 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 trong didm.

<i>Mao tic: </i>Ap dung lt.ic tit t6i thidu den tot

da chdch 45° tit ngoai vao trong hoc theo
intOng tit phai qua trai hay ngucc lai, tuy theo
ct6t song lech. Thao tic nhip nhang. Den

<i>3. Ditng czii oan lung </i> <i>ngifong </i>chi ngang.

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CAM NANG Vi PHUONG PHAP TAC DONG COT SONG - <i>71- </i> BU[ DUC CUCJNG BIEN SC:IAN

<i>Muc dich: </i>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 trong
diJrn.

<i>Thao trice </i>Nen tinh tai trong 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.

<i>Chu )5: </i>

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 6 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
trong 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 trong digm tren he cot song co mot
cam giac dau yen khoang each dau din thanh
• 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 trong 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
1. Ng6i co cui g4p

<i>Muc dich: </i>Giai toa trong diem lach don hay
lien lach to C1 ddn C3.

- NB ng8i, ngithi ngay, hai g6i vuOng goc,
hai tay tu do tS, trail tren ban.

- Thay thu6c de' tay tren trong diJm.

<i>Thao tcic: </i>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

<i>Muc dich: </i>Giai toa trong 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.

<i>Thao teic: </i>Ap dung to t61 thiL cldn t6i da
dia ban tay theo huong thing tii ngoai vao
trong voi hinh thai 16i, huang chdch ben Lech
vac) true vial thu thuat xoay, &Sy thich hop.

Ddn nguang thi ngang.

B. Giii toa trong diem tit C4 den C7
1. Ng6i guc cldu

<i>Mac dich: - </i>Giai toa trong diem lom, lom
lach, teo nhtfOc.

- NB ng6i cui, guc dau tren hai tay

- Thdy thu6c dung sau, de? tay tren trong
digm.

<i>Thao tic: </i>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

<i>Muc dich: </i>Giai toa trong 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, 2 g6i vuOng goo.

- Th'dy thu6c dung hoac ng8i phia sau, mot

s

tay da trai NB, tay kia thao tic tai trong

<i>Thao tcic: </i>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 trong d6i voi 16i lach.

Ddn ngudng thi ngang.
3. Nam up sap mat

<i>Muc dich: </i>Giai toa trong diJrn to C4 ddriC7
15m, lom Lech, teo, nhuoc, xo.

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- 72 - NGUY:E N TRAM TAN
OW NANO VE PHLIONG PHAP TAC DONG COT SONG

<i>Thao tcic: Dung hic mot ban tay tit t6i </i>

thidu den t6i da, bi song chinh vdi hinh thai
lam lech. Den nguang thi ngitrig.

C. Gi5i toa trong diem tit D1 den D3
1. Ng6i ngay

<i>Mac dich: Giai toa trong diem tit D1 den </i>

D3 16i hoac 16i lech.

- NB ng6i thing lung, hai tay xuoi, dau, co
ngay.

- Thay thu6c: dung hoac ng6i phia sau, mot
tay theo nhiet do da, tay kia co, ban tay tY
sat tren king NB, dung nen giaa thao tic tai
trong

<i>Thao tdc: Dung laic mot . ban tay tit t6i </i>

thiL den toi da, xoay theo lattong thing tit
ngoai vao trong d6i vdi hinh thai 16i theo huong

chech vao doi vOi 16i lech.

• Den nguang thi ngitng.
2. Ng6i ngay, lung d6.0 guc

<i>Muc dich: Giai toa trong diem D1 den D3 </i>

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 4 da, mot tay thao tic tai trong
didm.

<i>Thao tic: Dung lilt tit t6i thidu den t6i da </i>
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 trong diem viing lung dual lung
tren tit D4 de'n D7

1. Ng6i gac tay ngang vai

<i>Mac dich: Giai toa trong didm 16i, 16i lech </i>

co day D4 den D7.

- NB ng6i, dau, c6, lung ngay.
- Thay thu6c ng6i phia sau thao tic.

<i>Thao tdc: Dimg lilt tit VA thidu den t6i da </i>

cui ngon tay, dung thia thuat day va xoay dung
huOng thing tit ngoai vao trong doi vdi hinh
thai 16i, chech tit ngoai vao trong vdi hinh tb.di

2. Ng6i cui lu'at

<i>Mac dich: Giai toa trong diem co day. </i>

- 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 do. da, tay kia thao tic.

<i>Thao tdc: Dung thia thuat day theo nguyen </i>

tic Binh lilt thing tit ngoai vao trong theo
nguyen tic diau nhiet song chinh tai trong
didm va didm d6i d6ng tai lap cd tren cot song.

Den nguang thi n.gitng.
3. Ng6i gu lung •

<i>Mac dich: Giai toa trong di4m co hinh thai </i>

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.

<i>Thao tdc: Dung th5 thuat bi song chinh dal </i>

voi hinh thai lam lech.
Den nguang thi

E. Gi5i toa trong diem tren lung tit 08 den D9
1. Mini sap tay yang trout tran

<i>Mac dich: Giai toa trong diem có hinh thai </i>

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- trong didm.

<i>Thao tdc: Ap dung— thia thuat xoay, day </i>

theo huong chech tit ngoai vao trong 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 trong ra ngoai.

Den nguang thi ngitng.
2. Ng6i ngay gac ban tay

<i>Mac dich: Giai toa trong didm lech, lom </i>

lech don hoac lien, co, xd, day, mOng.

- NB ng6i ngay lung, hai canh tay Ai) sat,
sttan, hai ban tay dat len ban.

- Thay thu6c ng6i phia sau.

<i>Thao tdc: Dung th5 thuat va day theo </i>

huOng ngang to phai sang trai hay nguoc lai
loi lech.

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<span class='text_page_counter'>(70)</span><div class='page_container' data-page=70>

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 trong ra ngoai voi hinh thai lam lach.
Den nguang thi ngUng.

3. DUng thing, tay thing

<i>Muc dich: Giai </i>toa trong 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.

<i>Thao tdc: </i>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

<i>Muc dich: </i>Giai toa trong 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.

<i>Thao tic: </i>Dung thU thuat bi ddn chinh voi
hinh thai lam Lech, bi song chinh voi hinh thai
lam.

Den ngttang thi ngimg.
5. Ng6i van long

<i>Mac dich: </i>Giai toa trong 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 kia.
- Thay thu6c ng6i ho4c ddng.

<i>Thao tic: </i>Dung thu thuat xoay va day tit
ngoai vao trong d6i vOi hinh thai 18i, theo
Iniong chech to ngoai vao hinh thai Lech.

Dan nguang thi
6. DUng hiot. th

<i>Mac dich: </i>Giai toa trong diem D8, D9 co
hinh thai 16i lath ddn hoac lien co day.

- NB dUng thing, 2 tay thong vao -Wang,
lung n'am xu6ng.

- Thay thu6c thing sau.

<i>Thao tcic: </i>Dung thu thuat xoay va day theo
hang tic ngoai vao doi voi hinh thai 18i chech,
to ngoai vao trong 061 vOi hinh thai 18i Lech.

Den ngdang thi ngUng.

G. Giai toa trong diem D10 den D12
1. Ditng cui tong Ding

<i>Mac dich: Giai </i>toa trong 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 trong diem.
<i>Thao tic: </i>Bi ddn chinh vai hinh thai lam
lach. Bi song chinh voi hinh thai lam.

D6n nguang thi ngicng.
2. Dung nghieng

<i>Mac dich: </i>Giai toa trong 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 kia 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.

<i>Thao tat:: </i>thing thU thuat xoay d'Sy tit
ngoai vao.

Den nguang thi ngimg.
3. Ng6i cui g4p

<i>Mac dich: </i>Giai toa 16i, lam, lach don va lien
tit D8 den S5.

- NB ng8i, hai than giang n)ng, guc dau
trail 1 gh6 khfic tren hai tay, lung bang.

- Thay thu6c &Mg cui thao tic.

<i>Thao lace </i>Dung xoay <i>dSy </i>voi hinh thai
l'ach, bi voi hinh thai lam.

Den ngtfang thi ngitng.
4. DUng mai thing king

<i>Mac dich: Giai toa </i>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.

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CAM NANG VE PHU:3NC PHAP TAC DONG COT SONG - 74 - NGUYEN TRAM TAN
Den ngitong thi ngiing.

H. Giai toa trong die'rn vOng thAt lung
1. Nam sap truan ngtidi

<i>Muc dich: Giai toa tit Li dgn S5 có hinh </i>

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 trong didm.

<i>Thao tic: Dung cdy xoay. </i>

Den nguang thi ngiing.
2. Diing o'an ling

<i>Muc dich: Giai toa trong didm tit LI. den </i>

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 trong didm.

<i>Thao tdc: Dung day va xoay. </i>

Dgn ngang thi ngiing.
3. Ng6i ngita. ngtiai

<i>Mac dich: Giai toa Ll den L5 16i, 16i lech </i>

va co day cem.

- NB ng6i ghg, dau ggi vuOng goc, hai chan
song hinh, hai tay ti,i do.

- Thay thugc ng6i xem thao tic.
Den ngtiOng thi

4. Nam sap tay yang trtteic tram

<i>Mac dich: Giai toa Ll dgn L5 lech, co day, </i>

mong, xd.

- NB nam sap, hai tay khoanh tntoc tram tSr.
- Thay thu6c ng6i ngang trong di4m.

<i>Thao tdc: Dung day va xoay. </i>

Dgn ngang thi ngitng.
5. Nam nghieng chin co

<i>Mac dich: Giai toa trong didm Li den L5 </i>

16i lech, lech, lom lech.

- NB nam nghieng, chan &Leh dui

chan tren co vuong goc, tay dual ke dau, tay
tren tit do.

- Thay thu6c dimg ngang trong didm.

<i>Thao tdc: Dung day va xoay. </i>

Den ngudng thi ngitng.
I. Giai toa vung cOng

1. N'am nghieng, chan co t6i da

<i>Mac dich: Giai toa viing trong didm tit Si </i>

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.

<i>- Thay thu6c dUng ngang trong digm. </i>

<i>Thao tdc: Pang ctSy va xoay voi 16i lech, 161 </i>

hoac lam.

Dgn ngudng thi ngitng.

2. Nam nghieng chart Oleo

<i>Mac dich: Giai toa trong didm tit S1 den </i>

S5 16i lech, lech, lam lech co day hoac mong.
- NB nam nghieng, 1 canh tay gal Tau, tay
kia to do, chan du& du6i thing, chan tren dat
cheo ra truoc cuing 20cm.

- Thay thu6c dung cui hoac ng6i ngang
trong

<i>Thao tic: Day va xoay \raj hinh thai 16i, 16i </i>

lech..., bi vdi hinh thai lom, tic Ong manh.
Den ngang thi ngitng.

3. Nam sap g5p ch5.n

<i>Mac dich: Giai toa trong didm tit Si den </i>

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.

<i>Thao.tcic: Day xoay 16i, bi voi lam. </i>

Den ngUang thi ngitng.

4. Nam sap chan co, chan du6i

<i>Mac dich: Giai toa trong didm Si den cut </i>

có hinh thai lech, lom lech co day, mong.
- NB nam sap, vong tay dau guc teen tay,
ben có trong didm thi co chan chloi bung, chan
kia du6i. •

- Thay thu6c dung cui thao tic.

<i>TJrazrtac. Day, xuay, </i>

</div>
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CAM NANG Vh PHUONG PHAP TAC DONG COT SONG <i>-75 - </i> _{BOI DUC CUEING BIEN SOAN}

K. Giai toa trong die'm \rung cut
1. Ditng thing giang than

<i>Mac dich: Giai toa viing cut bi lech. </i>

- NB dimg thing, hai chin giang Org.
- Thay thu6c thing sau thao tic.

<i>Thao tdc: Day, xoay huong truc. </i>

Deb nguong thi ngUng.
2. NAm sap giang than

<i>Mac dich: Giai toa \rung cut bi 16i, I6i lech, - </i>

tech.

- NB nAm sap, hai chin giang rOng, dau dat
tren tay.

- Thay thu6c ng6i ghdngay trong diem.

<i>Thao icic:DSy - xoay nhe nhang. </i>

Dan ngifong thi ngitng.

L. Giai toa d6t s6ng bi 161, 1611§ch, torn

1. Ditng cui khong quy Binh yang trong
diem

<i>Mac dich: Giai toa 16i, I6i lech, tom, citing, </i>

day, mang, xcs, soi.

- NB clang thing lung, lung cui t6i da.
- Thay thu6c Ring ngay trong diem.

<i>Thao Vic: Day, xoay, bi don hoac song </i>

chinh.

Dgn ngUang thi nOng.

III. PHU'ONG THI:fC DON CHINH

<i>Mac dich: Muc dich va phuong thiac nay </i>

lam giai toa hinh thai cua trong diem d mot b6
phan nhO d tren dau gai song.

TuSt thu6c vao hinh thai va vi tri cila trong
diem ma rip dung cac thu thuat thich hdp bAng
phan mem dau ng6n tay de giai toa hinh thai
trong diem, phuc h6i su can bAng de tri benh.

Don chinh khi 6 r6i loan goi la trong diem
chi is cot song, con 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 trong
diem, 6 r6i loan se duoc giai toa, d6ng thai clang
giai toa duoc cac 6 benh khac. •

PHU'ONG THUG SONG CHINH

Dung hai tay thao tic tai hai vi tri khac
nhau ding mot Vic. CS trong diem tren dau gai
<i>song va mot vi tri lien quan de' giai toa trong </i>
diem va diem lien quan.

Tug, vi tri va trang thai dia trong diem ma
ap dung cac thu thuat thich hop.

The hep: Trong diem 0 dau gai s6ng chi tic
crOng don chinh.

The r6ng: Khi o r6i loan lan r6ng ra ngoai
ranh song den bo cao co thang.lung phai tic
d§ng song chinh.

The lan: Khi o r6i loan Ian Ong ra qua bd
cao cd thing lung va xa hon nua phai tic &Ong

song chinh..

1. Song chinh tit Cl den C7

Khi trong khu d yang C, trong 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 trong diem.

2. Song chinh tit D1 den D8

Khi trong diem tit DI. deb D8 during Ian gam
co the vuot ra ngoai co thing lung. During lan
xa co the chay \long nua than nguoi va tan
clang 8 bd xUdng itc, phai song chinh mai giai
toa dude trong diem.

3. Song chinh tii D9 den D10

Khi trong didm 0 D9 deb D10, &tang Ian
gan c6 the vlidt ra 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 trong (ham:
4. Song chinh tit L1 den L5

Khi trong digin d 1,1 den L5, during lab e6
the deb xtiang chau, phai tic dOng song chinh
mai giai toa duoc trong diem.

5. Song chinh tit S1 den S5 va viing cut
Khi trong dijrn d Si den S5 va yang cut,
during Ian toa c6 the den co mong va co dui.

</div>
<span class='text_page_counter'>(73)</span><div class='page_container' data-page=73>

- 76 - _{NGUYiN 1 IAm TAN}
CAM NANG Vfi PHUONG PFIAP TAC DONG COT SONG

1. Neu 6 rol loan a the hep thi don chinh, 6
rel loan duoc giai toe depng thai giai toil 6 benh
lien quan cle'n trong 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 trong
diem hoac Ti gen 'mac d xa trong diem, cluoc goi
la diem dell &Ong. Cho nen phai song chinh,
met tay tac deng tai trot-1g diem, met tay tac
deng veo 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 trong 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
<i>song kin khit. Mu6n dat dti9c dieu do can phai </i>
xac dinh dude va giai to dude trong diem, khu
till d cac ba cao tren deu gai s6ng va trong
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
khi da dude ddn chinh hoac chinh. 1 ,0
•2. Vi tri thao tac

Phtidng thfic vi chinh chi ap dung tren dau
gai song va khe d6t, khong du0c fip dung ra
ngoai pham vi cot song. .

3. Thil thu'a't trong 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 nay
thanh hai Olen, sau dO tac deng xong met ben
r6i se the Ong hen con lai, sao cho lip co nay
bin mat, con lai lap cd thu nhuan, tay they
thuee sd vao dUctc deu gai song NB.

b. Thing hai nem chi clot ngay

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 ngay 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 trong diem co
hinh thai so le lech 0 khe ben &it ben phai.

</div>
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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
2. Cam die-c C7

3.•Cam ham sink C1.2.6 -'D1 - VS
4. Cam di chirng C6

5. Chang mat C1.2 - D1.2
6. Dau dau KN C2.3.4.5.6.7 - D1
7. Dau 1 ben dau C2.3.4.5.6 - Dll - L1
8. Dau dinh dSu L3

9. Dau vting tran D12 - Ll - Vai F
10. Dau tdc v.gay C1.2 - D10
11. Dau dau do 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 khi S5

29. Noi ngong C2.6.7
30. N6i ngat doan C5
31. Nang nay 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
<i>36. Sq nai dOng ng-tr&i. D1.2 </i>

37. Sq anli sang D1.2.3

38. Sq gio lua D1.2
<i>39.. Sq sat v6 ca </i> D2

40. Say nlitnic TIC C3-> D1 - D7 ->12
<i><b>4]. Say nhircic ca 016 C4.D5.7.8.9.10.11 </b></i>

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
4. Canli tay dau nhirc C5

5. Chan tay run ray C1.3 - S5 - Cut
6. Chan tay co giat D12

7. Chan dau to D7
8. Chan hi re) D12
9. 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 ha 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 2 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 2 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
2. Benh. mat L5 :fiLtt

</div>
<span class='text_page_counter'>(75)</span><div class='page_container' data-page=75>

- 78 - NCUliN TI [AM TAN
CAM NANG Nift P1.11.1CYNC; miAr TAC ONG COI" SONG

4. Bung duoi day ti cD10.12 - Ll
5. Bu6ng trdng lanh D7

6. Bu6n non C5 - D7
7. Can dau do sai mat D10.11
8. Da bung day D10.11.12
-9_ Dai tien ra 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 trong 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 tuy 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
3. Ho ra man D4.7.8 - Ma

4. Hen suyan - Ch C3.4 - D1.2.3.4.6.7 - L1

5. Ho mat tigng C5 - Nt
6. Ho tau ngay • L1 - Ma

7. Ho ga C6

8. Mui chay nuo'c trong C2.3 - Ch
9. 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
2. Dau yang tim D9

3. HAC L1.2.3 - 05.6.7 - D1.2.3 - D1.12
4. HAT C1.2.3.4 - D1.2.3.6 - S2.3
5. Ngqc neng D9

6. Ngoai tam thu C7.D1.2.3 - D9
7. So' deng mach Dll - Vai F
8. 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
2. Benh than L3

3. Bi dai D10.11.12
4. Ccm dau do sOi than Dll - Vai F
5. Doi bu6t C7

6. Dai dam L2.3.4 - S1.2.3

7. Dai &long D11.12 - 134 - L4 - TLT
8. 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 ra 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

</div>
<span class='text_page_counter'>(76)</span><div class='page_container' data-page=76>

-79- aft DUC CLUNG BIEN SOAN
CAM NANG VE PHIJONG PIIAP TAC BONG COT SONG

19. BtrCru c8 C6.7 - D1.3 5. Stit ret C6.7 - D1.9.12 - L2

20. Hach c6 C6.7 - NT 6. SOI cao D2

7. Sol nhe lien mien D7

VII. SINT{ DUC 8. SOt thuang lian D10

1. Dau nhoi 2 ben L2 9. Tre sal cao D3

2. Dau throng vat D10.12 - HSF 10. Viem mang nao tre L2 - TLT
3. Giao hop khong xua't tinh C7 <i>11. Nong khOng co m6 hOi L3 </i>
4. Khi hut D12- L1.2.3.4 - S4 12. Phat nOng D12 - NT
5. Kinh man S4 - TLF

6. Kinh nguyet khOng dgu C7 - D10.12 - L1.3 IX 'tAP BENH

S.1.2.5 1. Co dOng tii Cl

7. Kinh ng-uyet qua nhigu D10 2. Chay mrac mat Li

8. Hach ben D10 3. Di img D5

9. Ha nang dau mai S4 4. Die-c tai, U tai L3

10. float, di mang tinh C7 - D1->6 - D12 5. Die'c tai Dll - Vai F
Ll .2.3 - Cut TLF 6. Liet day TK7 Cl - C6

11. Liet datrng C7 -.D12 - L2->5 7. Mit mop C6.7 - D10 - 11 - TLT
12. Suy sinh duc nam C6.7 - IA 8. Mit loan thi C6.7

13. Suy sinh duc n Cr L3 9. Mit loi C7

14. Sa d a con L3.5 - TLF 10. mAt trnn ngtroc. D9 - GL

15. Tt'r cung ra 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

</div>
<span class='text_page_counter'>(77)</span><div class='page_container' data-page=77>

-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
3. Dau dAu kinh nien: C2.7 - D1
4. Dau nda dAu: C3.7 - Dll
5. Dau 1 ben dAu tru&c: L1 (trail trail)
6. Dau 1 ben dAu sau: Cl

7. Dau nhu thAt &vac tram D12 - L1
8. Dau dAu buOn non: C7

9. Dau Tau do bi.cam: D2
10. dau ddu nhirc mat: D10
II. DAU VUNG CO GAY

1. Dau yang gay: C1.2 - D10
2. Dau c6 va. tay: C6.7 - D1

III. DAU MAT

1. Dau nh*c mat: D11
2. Dau mat do: L2
IV. DAU TAI

1. Dau tai: L3

2. Dau tai Dll

V. DAU HONG

1. Dau hong: C4.5 - Dll
2. Dau hong nhu nghen: L5

VI. DAU BANG

1. Dau rang: L1.2.3
VII. DAU LUNG

1. Dau cg lung: L1.3 - S3
2. Dau cirng lung: D3
3. Lung dau c6 cling: D6
4. Dau thAt hrng: D6

5. Dau cling that hxng: L2 - D7 - S5 - Cut
6. Dau Fang- ling:

VIII. DAU BUNG

1. Dau bung: C3-D6.7 - L1.2
2. Dau bung kinh nien: D12 - Ll
3. Dau quAn bung: D7 - 8
4. Dau bung mot ran: Dll
5. Dau bung hic &A: D9.6
6. Dau tirc bung d*Cei: D10 - Ll
7. Dau bung do giun moc: D12
8. Dau bung khi 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
2. Dau ID() long nguc D2

3. Dau tirc lOng nguc T D3.4
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
2. Dau ke sugn F D10
3. Dau ke worn T D7
4. Dau TK lien sugn D2.3.4.5
XI. TUAN HOA.N

1. Dau nhoi vung tim D5.6.9
2. 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 ha nang S4
2. Dau t*c ng.hanh - mong S3
3. Dau &song vat D10 - L3
4. Dau quy dAu D12
5. Thong kinh D10
XV. DAU TAY

1. Dau kherp c6 tay L2
2. Dau khov ba. vai C6

3. Dau khap vai-chi tren C3 - D8.12 - L3
4. Dau ngon tay D4

5. Dau ngon - ban tay C2.5 - D7.12 - L2.3 -
S3

6. Dau ban tay L2.5 - S2
7. Dau c'ang tay C3 - D8 - L1.2.5
8. Dau Ong - canh tay C3.7 - D1.8 - L1.2.5
9. 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
3. Dau nhitc khOrp vai C6
4. Vai + ban tay dau L2 - S2
5. Dau vai + canh tay L2
XVII. DAU CHAN

1. Dau mai va to chan D7.10 - L3 - S5
2. Dau g6t chan L3

3. Dau mat ca. chan L5

4. Dau khoeo chan D12 - L3 - S1.5
5. Dau nhtic 2 chan L1.4

-

</div>
<span class='text_page_counter'>(78)</span><div class='page_container' data-page=78>

t_s VLI I <b>I/ </b> <b>I,'.•.,•• •,. </b> <b>• ..,• •••• </b>

CAC BENH CHUNG TREN Dll

<i>1. ChCrc nang: - </i>

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.

<i>2. Nhiet 016: H.S.F - Hai vai - Vai F - MA - </i>

Glung - That lung T - Khe mong - Bung &raj
- Ron - Cham.

<i>3. Benh chirng: </i>
<i>a. Bgnh tiet nigu: </i>

• 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

<i>b. Bgnh tieu hog: </i>

• 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
<i>c. Bkh pheli: </i>

• 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
<i>d. Bgnh sinh duc: </i>

• 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 - 5

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.
<i>e. Bgnh not tiet: </i>

• 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

1. 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

</div>
<span class='text_page_counter'>(79)</span><div class='page_container' data-page=79>

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 4. Chu6t rut bap chan: Dll

5. Dau bung mot ran : D11 + S1.2.3.4
6. Co gay arng: • Dll + D10 - L3.4
7. Cam mao trung phong: Dll + D8.9.10
1. 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 8. Te phU: Dll + D1 - D10
5. Dau mat ca chan: L5 + L4 - S1.2 9. Xo' d6ng mach: Dll + D12 + D10
6. Cac benh v6 L5 + C2.3.4 - D2 -> 5 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
9. 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
2. Tay khong co dui duqc: D4 + C6.7 - DI.

1. Sung cuOng ph6i: D5 + D3 + C2.3.4.5 - S2
2. Kilo tho': D5.D2 + C2->5 - D9 - S2

3. Cac benh tam than: D6 - D3 - C1.2.6.7

D1.2.3.6.11.12 - L1->5
4. S9 hai dien cu6ng:

D5 - C6 - D11.12 - Ll - S2
5. Lo rang s9 hai : D5 - C6 - D11.12 - L1 - S2
6. Nguoi phien muon:

D5 + C1.2.6.11.12 + L3.4.5 + S2
7. Tim dap nhanh : D6 + D3.4 + D9 + S2
8. Dau nhoi tim: D6 + D1 -> 5 + S2
3. Ng6n tay dau: D4 + C6.7 - D1 9. Tim h6i h6p: D5 + D2.3.4.9 + S2
4. 0 D4 + C2.3.4 - D2.3 - 11.12 10. Dau tim: D5 - D9 - C7 - D->6 + L5 + S1.2
5. Dau nh6i trong ng-qc : D4 + Di ->6

6. S6t khOng ra m6 }lei: D4 + C1.2 - C7 - DI
7. Cam cam: D4 + C1.2

8. Viem phe quan: D4 + D5
9. 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

</div>
<span class='text_page_counter'>(80)</span><div class='page_container' data-page=80>

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 do giun moc:

D12- D5.7.10 - L1.2.3
7. MAt trop ngtroc: D9 + C1.2.7 + D4.9
8. Mat pha: D12 + LI + D3.4
9. Tre kinh giat: D12 + Ll + D3.4

• 6- T"

V. Ma AC - D12 - L1 - DA DAY

1. 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:
2. Strng khOp c6 tay:
3. 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
2. Chan te: D12 + Ll - L2.3.4.5

3. Ho lau khong bat: D12 + Ll + C6.7 + D4
4. Th6 huy6t: D12 + Ll + D4.5
5. Tirc th& nhieu dim: D12 + Ll + C6-7 + D1.2
6. Day bung: D12 + Ll + D4.5.6.7.11
7. Hoang h6t: D12 + Ll + D1.2 - D9
8. Nhay mat: D12 + Ll + C1.2 - 7
9. 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
2. Dau tirc bung chr&i: D10 - D11.12 + L1.2.3
3. Co khit am ciao: D10.11.12 + L1.2.3+S1->5
4. Sung 6ng dai: D10.11.12 + L1->4 + S1->5
5. Dau dau throng vat: D10

6. Thien dau th6ng: D10 + C1.2.5.7 + Dll
7. Ban chan, 6ng than te, rihirc mOi:

D10.11 + L4.5 + S1.2
8. Tinh than tang thing, lo lAng:

D1O+C6+D8->12 + L1.2.3
9. 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 do vi rut: D5.10 + L2.3 + Dll
16. Do gan sung to: D10 - 8 - Dll L3

17. Lich sung to: D10.12 - Dll + L2.3

4. Vai, canh tay dau nhdc: L2+ D5.6.7 + Dll
5. Dau khop vai: L2 + D5.6.7 + D1
6. Lo lAng tru phi6n: L2+ D11.12 + Ll
7. Dau mAt dO: L2 + C1 + D10 + Ll
8. Tre viern yang nao: L2-C1.2 + D4 + S1->5
9. 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 -> 4
2. Th6ng kinh: S4 + D10 + Ll -> 4

• 10- r+ THAT LUNG PHAI - PHIA SAU - L3

-

CQ SINE DIX

1. Be kinh: L3.2 + D10 + S1->5
(D3-D10 + L2.3)
2. Kinh qua it: L3 + D10.12 + S1->5
3. Sa da con: L3 + D10.12 + L1->3 + S2-5
4. Liet throng: L2.3.4 + Cut+C7+D1O+S1 ->5
5. Di hoat tinh: L3+C7 + D1.10 S1 ->5
6. Viem than : L2.3.5 + D10.12 + Ll
7. Dai dAt: L3+D9.11 + L1.2.5 + S1->5
8. 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

</div>
<span class='text_page_counter'>(81)</span><div class='page_container' data-page=81>

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 2 ben dAu: S2 + D6 ->12 + S1 -> 5
2. 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
6. Trung phong hon me: S2 + D6 + C1.2.7 + D1
• 12 - r+ BUNG DUO1 - S3 - B.QUANG
1. Dai bu6t: S3 + Dll + L1.2.3.5 + S1->5

2. 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'.

• 3 - T°.'" HA SUN PHAI + NGUC TRAI -
D10.11.12 - GAN - LACH

- Kinh nguyet qua nhieu
- cung ra 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 - 2 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 - 2 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

<b>-Sung</b>vi

</div>
<span class='text_page_counter'>(82)</span><div class='page_container' data-page=82>

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 7 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

</div>
<span class='text_page_counter'>(83)</span><div class='page_container' data-page=83>

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

<i>Cha : </i> <i>die'm doi de2)ng: chita nitc lop </i>
<i>ngoai D7E, tint ditm co' barn vex xlicing </i>
<i>bci ngoai ba' ding. 1 tay tcic do:ng D7 - 1 </i>
<i>tay lac dO:ng veto &ern co' co, meii thdy co </i>
<i>tren xadrig bd may difing, ccin chrta </i>
<i>tie'P vac) do. </i>

2. Tre cao co giat do di chiing nao
- T°4- toan than - chan co giat

- C7 - Di - D3.4

- flat Up ban tay len D3-4, nen có con
giat, chila that nhe lop ngoai tren

- D3.4 - chita 2 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 ra truck. Sau chita tie-p vao D3.4.
3. Sift ret cdn

- T' Lung tren - Nguc T (DM chia)
- C7 - len C4

- Chita 2 tail. da'y len, 1 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 khi 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 thanh 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 - 2 ben h6cha'm
6. Sot retlien mien ve chie'u s6t-do-than

- T' L.T + 2 ben TL.
- D7 - A4

<i>7. </i> cao hoang h6t

BN hay so set, hay tha kh8ng thich
cuai. Phai chfla tuc cho khi 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, trong ngrt.thi lying, chi
mu6n uOng wide rrOng

- T' HSF - MA
- L1 - D5.10 - A4 - 5

<i>Chti </i> <i>: Tat cci ccic ccim giac wing ho'cic </i>

<i>acing lttng, nOng ngay dem, ho4c NI </i>
<i>tocin than deu chita D12.1.3 </i>

<i>- </i> <i>có ccim gicic dau, nhang nong rat. </i>
<i>.Ho4c thdy lanh ngoai da. </i> <i>chita 1,1 </i>
<i>tritcic, rifii den D5 rdi D10. Ceit co'n nOng </i>
<i>trtiOc. </i>

10. Sol - xnAt xanh, tha dai

Ngu6i nhu bung duai kha

chiu. Tigu tien kh8ng thong. SO set bOn
ch6n trong 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

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- 87 - 131:1I DUC CLUNG BIEN SOAN
CAM NANG Vh PHIJONG PHAP TAC DONG COT SONG

Benh rat kho chiia. Sau 1 tie"ng lai s6t.
Phi china lien tiep 1 ngay nhie'u
chi a lop co ngoai trail DS truck. Sau
mOi chila vao cO gala, cO trong.

<i>Chu y </i>

:

<i>Chita sot bao gib- cling phcii. </i>
<i>clzCea CN tieu Itha trizac: Ru'O't non:rue:it </i>
<i>gia lq Tim-Phai-Da day-Lcich-Gan- Agit. </i>

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 ra 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 6 - 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 - 9 - 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 5

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 khi T"

- Chita 2 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 trong

- 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

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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 do.
Nguai lanh toat)

- C1.2 II S2.3 cho 46n..khi 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..

</div>
<span class='text_page_counter'>(86)</span><div class='page_container' data-page=86>

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
2. Tay duZii ra C7 - 3L + Rs
3. Tay colai C5 - 3L + Rs

4. KhuS'ru tay C6.7 - 3L + Ts
5. Khop khuYu tay mO, ra C7 - D1
6. Kherp khuku tay co lai C5-6
7. Xuo-ng quay tay C5.-6 3L + Rs
8. Klieg) vai co lai C5.6

9. Khdrp vai duoi ra C7 - D1
10. Khdrp vai thu vao C6 -. D1
11. Kherp vai ma ra C5 '
12. Kherp vai quay ngoai C5
13. 'Chop vai quay trong C6 - D1
14. Canh tay co vao trong C5.6
15. Canh tay dua ra truck C6 - Di
16. Kherp c6 tay du6i ra C5.6
17. Kherp c6 tay gap lai C7 - D1
18. Kherp nem tay duoi ra 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, trong L4.5
23. Kherp c6 chan quay ra 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.). ra L4.5 - S1
28. Kherp hang thu vao trong L2.3.4
29. Kherp hang dua ra ngoai L4.5 - Si
30. Kherp hang quay vao trong L4.5

31. Kli-p hang quay ra 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
2. Co cui han the va dau:

• Vai F - D3.4 - Ph6i

3. Ngita c6 han ch6 va dau
• HSF - D10 - Gan Erm
4. Ming viing gay .

• Ch - Co F - C5 - A2 xcr co len C4 + 2 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 1 - 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

• 2 ca vai + D3

14. Co' thang co 1 ben nhuo:c, 1 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

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<span class='text_page_counter'>(87)</span><div class='page_container' data-page=87>

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 1 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.
3. Dau ng6n tay nong:

• L2 - 3

4. Ngon tay te, co vat) khong chat, co' vai F
co:

• 1...T cham - C1.2.3 - D6 - 7

5. Dan moi ngon cal va ng6n tr6 khong vi6t
dime:

• C3F - 2 co' vai - C6-7 - D7F

6. NgOn cal gap vao, khong du6i ra 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

<i>13. Tay run Kc : HC Tien. dinh Sr anh sang </i>

<i>-Sa tieng d6ng - So gio - Ngoai tam thu </i>

•-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 - > 6
• 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 -> 5 - D7 -> D12 - L2.3

• Kc : thO. - Ho - Hen - Suy'en - Lao Th6
huye't - Viem hong

- C6 F - D4 - C2-> 5 - 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 - 2 ben D4

23. Khujru tay + 6ng tay dau nhirc: Kc Ho
-Hen suy6n - Viem hong - Th6 huyat - Ho ra
mau

• C6 F - D4 - C2 ->5- DI - D6
24. Canh tay to bi:

• C6 F - Ch - C5 - A 2
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-

</div>
<span class='text_page_counter'>(88)</span><div class='page_container' data-page=88>

CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 91 - BUJ DUC CUC1NG BIEN SOAN

<i>31'9 </i>

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 do - 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
hung - Lao ph6i - Th6 huy6t

• C6 F - D4 - C6-7 - D1
• C6 F - D4.5 - A 4
• 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 do -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 2
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 1 ben dau - Nhay mat - chay nu'Crc
<i>mat - ngoeo c6 - Khi hu L,NA_Op---, 44-off -</i>, -a,
• Kc: Tao bon KN - Dau dinh dau - Nhin khong
duqc xa - Dai son - Nang khOng ra 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 1 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:

</div>
<span class='text_page_counter'>(89)</span><div class='page_container' data-page=89>

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 2 ben - 6,3 lop
ngoai.

58. TAc tinh mach tay T - Dau nlytic xe thit:
• D10 - C6 .7 - 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 5 - 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

8. 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 2 vai: 2 vai va co' khOT vai teo
nhircre - Dau am i - Dau nhiAu khi 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

<b>_ • ^ </b>

• Gia tay len 6. cat to tiO" dew dau,: <b>..,</b> -`7

- D3 <i>of </i> =21-g- •=4, •

- D4.6.7

• Nang tay len dau:

- Wing c6 + Cl - Ca delta - L3 ding ben
• 'Wing tay ra 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 trong 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 veo. 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 do.

+ Gia tay len dau, hoac hic binh throng cung
dau 6' ba vai drbri xuang ba, khong dixac
chi3a vao ch6 dau, trong diem O'•khac ben d6i
xling voi diem dau.

+ Dau khop vai dau phia trong xucrng ba,
trong 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 + 2 vai
14. Dau quanh kherp vai:

• Ch - Bd - L3.4.5 -D11.12 - Li

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CAM NANG Vi PHUONG PHAP TAC DONG COT SONG - 92- NGUYE <i>N </i>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 2 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
ha

• 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 1 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 - 8

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 ra 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
4. Chan lanh va teo:

• Tram - c6 - C7 - D12 - L1 S2
• Ma - C7 - D9 ->12 - L1
5. 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

- 9. 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:

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-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 7 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 khi 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 ra (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. ha chi:

• TLF - S3
• R - S2.3 - L3
45. Teo co ha 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:

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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 trong 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
ra 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 - 5
67. I-Chap hang ctimg mOi:

• C7

68. Viem dau kherp hang:
• V.F - Dll - D7 ->D12

69. Dau di mong (u ng6i ha nang):
• BD : L2/1 \rung S - A 6.7

70. Dau mOi ha nang:
• S4

71. Dau nhoi 2 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 3 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 <i>S </i>

78. Viem cot mac (dau bu6t trong 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 veo 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 2 gai chau tach
xa nhau.

• Wing S va vung cut
V. DAU LUNG

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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 1 chan
• Dau L2.3.4 - nam sap nang 2 chan
2. Dau lung cap do ngoai cam phong

dau khong ra m6 hoi:

• D3 cho den khi ra m6 hoi mad ngting
3. Dan lung cap có m6 hoi:

• Cht/a 2 ben co c6 phol hop voi \rang S se d6
m6 hoi - Ke't hop danh cam.

4. Dau lung do benh tim ph6i: Hay gap &
nhung ngutri lao dOng tri oc, ca co Wing lung
tren anh hi/Ong den tim ph6i.

• Bat 2 ca thang vting c6 - 2 ca vai va yang lung

tren

• D3 - lien quan D4 - D5 - D9

5. Dau lung do 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 do than sinh duc:
• ELT - L2 - L5 - S2.3

7. Dau lung nhe ca 2 ben do viem cau than:
• TL L2 - A6

8. Dan mOi, nang, kho chiu a gifra song
lung:

• TL - VF - D11 - L2 - A5.6

9. Dau 2 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 - 3 - 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:

• 2 ben ha - 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 3 - 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 do dau, co lint dau
tang, dau lien tuc, clan dam lung bi cong
hoac veo 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 khi 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 do L4.5 thoai hoa, ca lung
v6rtg len, phia lung lom di lech nguai:
• V cha'rnli vOng S

26. Dau lung do L2 - > L5 loi:
• TL - L2 - D10

• D8 - D12

27. Dau lmig do L4 - LF -1D5:

• (1911n lung tim didm 16i 6. gida lung chira tru6:c
- sau chixa D9 - cu6i cung china vao L4 va D5
28. Dau lung do 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:

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CAM NANG VE PHUONG PHAP TAC HONG COT SONG -96- NGUAN TI-LAM TAN

30. Daii lung, ming rat & trong lung, lung 3. List cling to chi, do then ep tuY song:
ben teo nhuac, ben ngoai lung rat lanh: • DF - GL - MA - Than kinh - Da day - Lach
• D7 lam mat trong 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 - 2 ca thang lung to bang 2 banh
mi

- Dung ban tay day tit sat ranh sang sang

CTL -

<i>day </i>

that manh tit co' binh thubng sang co'
co cho 2 CTL mem ra - sau BN ng6i Iron bung
tim d6t 16i 6. \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

6. 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 do 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
9. 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 2 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

</div>
<span class='text_page_counter'>(95)</span><div class='page_container' data-page=95>

CAM NANG VE PI-WONG NAP TAC DONG COT SONG -97- BUI DI:IC CLIC5NG BIEN SOF01

<b>TAM THAN KINII </b>

Vi tri trong diem:

.1. Than kinh pho giao cam: C1.2 - S2.3
2. Than kinh giao corn: C7 - D1 - L2
3. Than kinh ngoai bien: C2 - D3.4
4. Than kinh s6 5: Cl - C5-6
6. Than kinh phe vi day 10: C3 - Ll
I. DAU DAU

<i>1. BOnh sinh: do chdc nang van d6ng cua nao </i>

khong duqc binh thuong: co mach hoac dan
mach.

<i>2. BOnh nguyen: 5 nguyen nhan: Di truyen - Cci </i>

dia di *rig - He lieu hoa r6i loan: gan, mat - R6i
loan not tie't - Tam thin kinh.

<i>* Elting y: do CanThan Int Can than bat giao </i>

-Can hoa vucmg, can Int D10 LF -Can hoa

<i>d acing: D10 LT - phai song chinh D10 + d6t </i>

song c6.

1. Dau dau do 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 do 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 - 1..- T.kinh Dal trang.
4. 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 con
- 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 7
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 -> 5 - S1 -> 5

- Vai F : D2 - Li - Dll + Cac d6t co + Wing lung
duoi

9. Dau dau yang truerc tran + ming runt con
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 trong dau - Tao b6n

* Ddu - C6 - Gay - LT - HSF : C1.2 - C7 - D1.2 -
Xo' lan len chdm, 2CUDC + 2 vai

5. Dau Ca vOng dau + tao bOn

</div>
<span class='text_page_counter'>(96)</span><div class='page_container' data-page=96>

CAM NANG Vi PHUONG PHAP TAC DONG COT SONG - 98- NGUYEN THAM TAN

1 - 2 - 3 - Than hoan - Ha hgp - Tk Hoanh each
* C6 - HSF - D10.11 - >S5 - T: D8-D: D12 -

N: Bn CTL

14. Dau 2 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
* 2 ben D3

15. Dau 1 ben Thai throng:

* D3 ben Thai &rang dau + \rung tren nen Sc
ben dau, day vao thay dau

16. Dau 2 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 1 ben dau phia truerc
* MA : Ll - T: Ll - D : L3 - N: CTL

xg ngang Mchau

18. Dau 1 ben dau phia sau:

* DF : Cl - T : Cl - D: C3 - N: goc chtim -> CUDC
19. Dau 1 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 7
-dau rang

* D11 - 3 - L4 - D4
* Dll - D7 - D12

* Thi ltrc yam - Ma Ch: C3 -> C7 - D11
20. Dau 1 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 - <i>A </i>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-> 5
* 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: ha cha'm - D: C3 - N: gOc
cham -> CUDC Al - Dai trang- ha 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 ngay 2 ben
CUDC + co vai truck - A2

30. Dau tire sau gay

*- c6 + gay - C1.2 - Dll - Al - 5 - Than kinh -
MAt

31. Ca c6 + viing gay co giat - ngtreri hay
hoang h6t

* NT-LT-DF : D1 - xcr Ian len C5.6.7 2 CUDC A 3
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 1 - 2 - 5
* Vf : Dll - D7 - > 12

* C6 F - dau : C2->5 D1 -> 6
* Ma - dau Ll - D5 -> Ll

34. Dau giAt mot ben dau
* D10 - L3 - D6

35. Dau dau buOn min - HAT - Mach cham
* Dau - Gay - Cl - C7 - len <i>ngtrqc </i>tir C6 len Cl

+ cham sang ben CUDC + ca vai trtrac + A 1 -2
* LT : Dll + 'Wing c6

• T°1 eo ltmg - buan non - biting an dAu nong
-C7 - D6.7

</div>
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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 trong
* 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. trong xg ba
* D9 - T : D8 - D: D12 - N : Bn CTL

38. Dau dau do benh tam thin th4 ao thanh
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 trong lac lam viec
hoac khi /lam

* Ch - sau dau - Cl xo' len yang cham va ngang
sang 2 ben CUDC - Al - Than kinh - Dai trang.
39. Dau dau do benh Parkinson

Kc : Dau dau, nang dau viing nao sau, dau dau
nhieu khi di, dau lao ve phia truac va tay run.
* V.dau - Cl - Al - xd lan len yang chain - than

kinh.

40. Dau dau do clang tn.' co lai : dau (tau ben

Bang tui, mat mar nhieu, cang dau hcm.

* V.dau - Cl - A 1 - Than kinh

41. Dau dau do than kinh suy nhirqc
- V.dau - C6t L - D7.8 - chiia 16p co ngoli
43. Dau dau do 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 con
• 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 do huyet ap cao

KC : Tim h6i h6p, ngirc dau, dau do day, non ra*
mau, hOng dau. •

* Co - NT (mang bao tim) - cam tac d6ng C1.2
C3.4.5.6.7 - D5

* Than trong khi tac Ong D6 - D1OF - L3F

50. Dau tit viing cham, huy'et ap ha, met la,
tay than ra 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 khi quay c6
nhanh

* Tram - C3 xo len h6 cham sang 2 ben CUDC
A 1 - 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 do HAT
* Cl - D1 - Khe C6.7 va C7 - D1

56. Hoa mat, chong mat
* Bar throi C5 va tren C6
* TL - VF - L3 - A 6 - Mat - Than
57. Can b6c 'long

* + R - S3 - D7 - L3

* Dau + Ch - L5 - D8 - L2

* Dau + Bd - S3 - Ll -> 5 - S1 ->5

58. Ming dinh dau - TKSN - Tam can SN
* V. dau - Cl ->C7 - S4.5

* V. dau - S2-.3
49. Dau dau do huye't ap thap

- Ch Tot - C1.2.3.4

</div>
<span class='text_page_counter'>(98)</span><div class='page_container' data-page=98>

CAM NANG \A PHUC1NG PHAP TAC BONG COT SONG - 100 - NGUYiN TRAM TAN

C6 xcr len C5 ngang 2 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 ha
* 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 trong 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:

<i>* D10.12 - L1-5 </i>

• 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 trong

69. Chit y: 2 tru&ng hqp khong cluaa duqc:
* Viem nao: non, sot, cimg c6, 2 chin va bung

U nao: tang ap ltrc so nao, cl6ng ttr rna to, non,
xugt huygt do 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

<i>* Xoa nhe D3.4 </i>

1. Kh6 ngu, thirc day khong ngu lai ducyc

<i>* NT - D3.6 - </i>A <i>3.4 </i>

2. Ng* khOng yen gigc

* NT - GL - Tugn hoan - N5i tiet - D8.9.10 - A5
3. NgU mu gist mirth

* NT - Ma - Tam - TY : D5 - A 4

* NT - Ma : D5 - D2.8 S2
4. Ngti mu ac Meng :

* NT - Ma - D3T - D1.2 D6 - A3.4
* D2.3 T.

* D12 - Ll - C2.
5. 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

<i>Chi/ fit Mgt ngli keo dai 2 ca thing lung thir&ng </i>

co ctIng, phai giai tog. lam thu nhugn 2 ca
thing ltrng r6i mai china cot song

9. Mgt ngti do TKSN }4S-t,
* C6 - D7.8.9.10

10. Mgt ng* do thao b6n ch6n, khong
vao gigc ducyc

• D3.4F

11. Mgt ngti do thao thirc, sot runt, hoang
Wong: D6

12. Mgt ngti do tam can suy nhacyc
* D2F - D5

13. Mgt ngti do 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

</div>
<span class='text_page_counter'>(99)</span><div class='page_container' data-page=99>

CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 101- _{DUC CUONG BIEN SO6N}
•

17. Mgt ngil. mat van tinh tao
* 2 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 4

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 1

23. Mat ngxl:

* Dau gai s6ng D2.3 tro khong thanh 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 ra
O. 5 vi, nen cach chaa khac nhau

* Chinh ta: do 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: do cac thanh mach ctla dOng mach
va tinh mach xo' cirng gay dau -

5

• Dong y:

* Nguyen nhan: 3 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

<i>• Phucrng phap tac d6ng cot song: </i>

- Dau dau do cac thanh 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 do r6i loan &
D7.8, D7, tinh khi oda tim tik ra. Ngoai la tau
tam, trong la phu mau (am ductng), la trung
tam dieu boa am duong trong 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 6 7 -

n1 _

q 10 -

D11 - Ll - -A 1.2.3.4.5.6

</div>
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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

<i>2. Di lao ye phia tra&c, than tay run, not </i>
kho:

- Ch - L trail - C1.2 - D2 - -A 1 - 3 - D3 16i leCh
- A3

3. Me° mieng trap mat (pile)
- Dau- LT: D3 - A 3

4 Meo mieng do 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
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
7. Tai diet, tai Ch - LT : Cl - A 1
8. 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. ngay 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 do r6i loan than kinh that
vat:

- Wing tram lanh, nhieu m6 hoi, sa gio, ira nuirc
dai trong, thong mat.

Ch - Cl - A 1 •

<i>11. N1xi6u m6 hoi, sq gio do bi cam: Ltic dau </i>
dau dau da d6i, de-n not khong thg buac ra
ngoal dugc. Ngay ham sau dau, mat va m6 hoi,
luon sa gio.

- Diu - C6 - Gay: Cl - D7 - A 1 - A 4

12. Say song, say xe: Ua nuerc dai trong,
thong mat

- Tram - Cl - A 1

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

<i>14. Than sac bac nhuqc - KC : so hai </i>

- NT - DllOm lech 16p co' xa teo tren dam g:15-i D1
Ian sang 2 co vai A 3

15. Kinh giat (Tuan hoan nao)

- NT - D3 16i lech car xa lan len D1 + 2 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 3

18. Sq. gio lua - Ngueri met mai.
- NT - D1.2 - A 3

19. So' ti6ng dOng - Hay hoang htit
- NT - LT - D1.2 - A 3

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 2 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 ngay ngo
- D6u - c6 - gay: C7 - A 2

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 2 ben tii bar trong nrcmg
• ba

- D5.6 - D11.12 - L1->5

27. Co giat:

- NT - SF : D5.10 - A 4.5

<i>28. Co giat toan than: LT - D2 xa ca lan len C7 </i>
- 2 vai : D2 - A 3

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 4

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CAM NANG \t PHUONG PHAP TAC BONG COT SONG - 103 - BUT DUG CUONG BIEN SOAN

- NT - Ch - TL : D3 - L3.5 lan sang 2 ben tOi bq
ngoai CTL toi xuong mao chau - 4.6.7
.32. Tre khoc dem: Co F - D4 - A 4

33. Noi cued nhieu: Co F - D4 - A 4

34. Ngueri phien muon - Tim dau nhOi Kho
ngd

- NT - D5 - A 4

- D5 - C1.2.V1.12 - L3.4.5 - S2

<i>35. So' </i>ncri dong n.gueri ngtroi bung birng
kho chiu

- Ch - L tren - D.2 - A 3

36. Sq set -ye ca - Dau h6 chau F khi ging
stic - NT - D2 - A 3

LT - C6.7 - D1 A 2.3

53. NM thgt thanh (mgt tigng, nOi khan)
- Ch - C6 F - C1.2 - L3 lach - teo tron
- D6 - C5 - 6 - D12

54. Chan tay run lit bat do 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 thanh vang cao
16i lath khac thuerng, khOng thanh bb. Tir
D9.10.11.12. c6 khi clgn Ll bi 16i lom thanh
yang ltrOrt ra 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 ngay 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 6 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 - <i>A </i>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 <i>sq : </i>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 2
50. Hay nghi linh tinh : L4

51. Tigng noi ngat doan: - C6 F - dam A 2
52. Tigng nOi, tha, h6i hop, th6- ngin had:

</div>
<span class='text_page_counter'>(102)</span><div class='page_container' data-page=102>

<i>•• </i> <i>- </i>

CAM NANG Vi PHUONG PHAP TAC DONG COT SONG - 104 - NGUYEN THAM TAN

<b>TURN HOAN </b>

<b>I. HUYETAP CAO </b>

▪ <i>TriOu chting: Met moi, nhdc dau, buon non, </i>

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 khi
nong den D2.3, co cdng 2 co vai. HAC:
160/120. <i>4. - AA (2 </i>

<i>. Giai tor </i> Giai toa 2 co vai co cdrig.

<b>- 07 - D1 Ice() HAC t6i da xuong(Dtra ngang) </b>
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. .

<i>• Dot saiig: Co the bie'n d6ng & C5.6.7 D1.2.3 </i>

-L1.2.3.

. T°+: Dau - Mat - Co - 2 ben vai NT - Vai F -
HSF - TL - Ch - R - Ma - Bd.

• Neu t6i thieu cao phai chfra ha xu6ng: D2.3.10
sau moi chda C7.D1 ha huyet ap.

<b>1. NIthc dasu buon non: Nhdc dau du d6i, bu6n </b>

<b>non, b6c nong len mat. Dau - Mat - Co - C7 </b><i><b>-P </b></i>2
- ThAn kinh - N6i tiet.

<b>2. Hoa mat, chong mat u tai, dung khong </b>

<b>rang: </b>

<b>- TL -VF- L3 - P6 - 1\44t - </b>

<b>3. Xay sam mat may, dung khong va-ng: </b>
- LT- D1 -P 3 - Tam - Ph6. •

4. Da xanh: Met mOi., kho thef, tieuhoa kern:
-NT- Ma - D5.6 -P4

<b>5. Xuat huy6t duOi da, niem mac: </b>

-Vai F - TL: D1 1 - L1.2.3.5

<b>6. Ti6u ti6n khong thong Ici: </b>

-Vai F - TL: Dll - L1.2.3.5

<b>7. HA tai da cao nhung HA tai thiL binh dialing: </b>

<b>-,Dgu - M4t - 06 - NT - TL: </b>

- 05.6.7 - D1.2.3 - D10 - L1.2.3
p2.3.5.6 - Than kinh - Tim - Than

<b>8. HA tai da cao nhung HA t6i thi6u giarn: </b>

<b>met mOi, kho thd.: </b>

<b>- NT: D2.3.4T - P 4 - Tagil hoan </b>

- 160/60 - Nang HA t6i thieu len - S3.4
<b>- Ha HA tai da xueing: D2.3.4F </b>

<b>9. R4 t6i thi6u cao nhung HA t6i da binh </b>
<b>thuongho4c giam: </b>

- 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.

<b>11. HA dao d6ng: 2 ma ruing, co gay lanh: </b>

- T° 4 c6 gay lanh - T°+ Ch -NT
- C1.2 - D21 LF

- C6LT// D1.2.3

<b>12. HAC + co' thang 1 ben lep: D3//v. chgrn </b>

<b>13. HA ket </b>

- Chita D2.3 trueic ha HA tai thi6u.
<b>- Sau moi china C7 - Dl. </b>

<b>14. HAC + thigu mau: D2.3.4 </b>

<b>15. HA cao do suy dOng mach vanh: (D2 lam </b>

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.

<b>16. HAC + choang yang theo con: </b>
<b>-C6.7 </b>

<b>17. HA cao do not ti6t: </b>

- L5

18. HA cao + u6ng thu6c nhi6u : D2->5
19. HA cao do tim lam vic qua sirc:

- C 1F.7 - D4.5F

20. HA cao do cuong tuy6n thuong than:
- D10.11F

21. HA cao do than: viern cAu than
- 2 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.

<b>24.. HA cao do r6i loan thAn kinh tim: (tdc </b>
ngirc - bi n.gc khi ngap):

- D2 - D4F (TK tim).

<b>25. HA cao - tim dap nhanh: </b>

</div>
<span class='text_page_counter'>(103)</span><div class='page_container' data-page=103>

-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 do 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
4. Tim dap cham, ngucai met la:

- T°'L C6 - Gay - T°÷ NT - Cl.D1 - A 1.3
5. Ha huyet ap dot nget do r6i loan than

kinh tim:

- T4 c6 - gay - T°± NT - C1.2.6 - A1.4
6. 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.
8. HAT do benh ho hap

- T°+ Co F - R: D2.4.5 - A3.4
9. HA thap do benh gan: HSF - R

- D2.10 - L3.5 - A3.5.6.7
10. HAT do 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 ha dao dong:

- T°1c6 - gay 7T°' Ch - NT

- C1.2 - D2 - 41.3

15. Senn met khi 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 - 2 ben co' c6 - V.S
III. XUAT HUYET NAO:

<i>TriOu chimg: DF - NT - LT - Dau•- CO - </i>

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 thanh tigng to do vuong
trong 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
7. Suy tim: D5 ->D9 - Dl iF

</div>
<span class='text_page_counter'>(104)</span><div class='page_container' data-page=104>

-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
9. 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 2 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

<i>TriOu </i> 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

<i>_g </i>

1.2.3.4

<i>Chu y: Benh ve T. hoan: </i>

- 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.
2. 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
4. Thoang flat:

- T°,1 toan than - T °+NT

- Cl - D1.2 -A1.2 - Than kinh - Tim mach
5. Mat van d6ng 1 phan chi trong 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
6. 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
8. Tri giam:

- NT - TL - C6.7 - D1.2.3.4 - L4

<i>-A 2.3.5.7 - Tim - Than </i>

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 do thieu mau nao:

- D3

V. CON DAU TIM:

<i>Trieu Chung: </i>

- NT - C6 F - Vai F - Ch TL
- C1.2.4 -D2 -> 7 -D11
- A1.2.3.4

1. Dau bol6ng ngire: NT - D1.2 - A3 - Tim
2. 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
3. Dau tire nguc, dau ba vai:

- Vai F - D11 - D2 - A 5 - Mat

</div>
<span class='text_page_counter'>(105)</span><div class='page_container' data-page=105>

- 107 - Btfl DUC CUONIG BrENI SOAN
CiuM NANG vE PHIJONG PHAP TAC DONG COT SONG

4. Trieu chting nh6i mau co. tim:

- Te ngon 4 - 5 - BN nam bat clang to khong
phut h6i ductc, phai di benh vien ngay.
5. Nhip tim dank, khi 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
8. 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 ra.
12. Hep khit van 2 la: D9

13. Th6 huyet: D12 - Ll - D4.5
VI. BENH MANG BAO TIM

<i>TriOu </i> <i>: </i>

<i>-Vang truck tim co tieng co sat nhu 2 mieng </i>

da xat vao nhau.

- Nghe tieng tim xa xam (mang bao tim
khong binh thuong.

<i>- HOi chUng suy tim F: mai tim, tinh mach c6 </i>

not to, di d6ng, co khi 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.

<i>TriOu chting chunk:' - Gay, sat can, sot hoac </i>

khong, met men, dai it, an khong ngon, tieu
hala that thuong.

<i>TriOu chting ca nang: Dau tirc nguc, kho </i>

tho', kh6 nu6t, ho, rigc.

<i>" Tay y: Do virut, tao keo, dung thu6c dong </i>

mau, suy tim, u ph6i.

<i>Dorf </i>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 khi ho, tho., dau tang
cam khi 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& khi 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 trong nguc

- Ch: L5 -A7 - Ruat gia

<i>4. Ho: lien quan long nguc - co' 16ng ngqc, than </i>
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
6. Rho nga:

- NT - D3.6 - Tim
7. 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

<i>TriOu chCmg. Loan nhip tim </i>

- 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

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CAM NANG yE PHUONG PHAP TAC DONG COT SONG - 108- NGUYEN TRAM TAN

2. Lo Fang, bu6n phien:
- NT - D2 -A3 - Tim
3. Danh tr6ng ngirc:

- NT - LT: D4.9 - A 4.5 - Tuan hoan - HO help
4. 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
6. Dau nhOi vung tim: •

- C6 F - NT - TL - D4.9 7. 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 trong ng-tyc: (co luc tim
ngdng dap)

- NT - D2 -A2.3 - Tim
9. 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)

<i>- NT - TL - C5 - D1.2.3.9 - A 2.3.5 </i>

12. Ngoai tam thu - Tim clap cham:
- C4tLF

- C7 - D1.2.3.5.6.9

VIII. B ;ENH R61 LOAN THAN KLNH TIM

<i>'Nguyen nhan: </i>

- He than kinh giao cam C7 - L2 - D2.3.4 bi
kich thich, lam dap nhanh nen HAC. Nguac
lai he TK pho 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 pho giao cam bi kich thich
lam tim thu lai: Tam thu.

- Hien Clang dUng Hei chting than kinh tim
chua chinh xac.

<i>Phuong phap tac Ong c5t song: Benh cu </i>

the va trieu chting nang CO bieu hien githig
nhau ve 4 dac trung. Trieu chdng la ngon cda

6 benh. Trieu chdrig keo dai se thanh benh.
Tim la ca quan diet' chinh ca the, neu benh ra
'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 khi hien mot lap co moi tren
cac d6t song la khe d6t day len, mai giai
guy& dude benh.

<i>Trieu chting chti quan: </i>

- 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.

<i>Trieu chting khach quan: </i>

- Nhip tim nhanh, ngoai tam thu, HA hai cao
hoac hai thgp, benh nang 616 dLi den suy tim.

<i>Nhung bitfu hien chinh: </i>

a. Dau - Mat - C6 - NT- LT - TL
b. C1.2.5.6.7 - D1->7 - D10 - L3

c. TK trong 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 trong 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 trong track + ba trong
xuong bi

5. Ng-U hay giat minh:
- NT - Ma - D5 -A4
B. TIEU HOA
1. An khOng tieu:

- SF - D4.10.11.12 -L1

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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
3. Day bung: Ma - L1.2 - A4.5

- Da day N: CTL xoay ngang yang chau.
4. Lanh bung tren:

- DF - D7 -A4 - Than kinh: trong nong ngoai
lanh hoac ngagc lai.

5. Ru6t gan sot: D6
C. TINH THAN
1. Nguroi thoang me:

- Ch - LT - D1 - A2 - N: Co' vai sau
2. Hay cluing mat:

- TL - Vai - C1 - D1 - A1.2 - Mat - Than
3. Mat may xay sAm, nguoi lao ciao:

- LT: D1 -A 3 - Tam - Phe.
4. NO ngat xiu:

Tot toan than - Cl - D1- Than kinh
N: g6c chum ->CUDC

5. Mat b6c nong:

- NT - D1 -A 3 - Tim - N: co' sau vai.
6. Hoa mat 96 matt sac:

NT-D1-A3
D. CAC BENH TIM
1. Con h6i h6p:

- NT - D3.6 - A 3.4 - Co' tim - N: cavai
2. Danh tr6ng nguc, loan nhip:

- NT - LT - D4.9 - A4.5 - Tim - Gan
3. Nong ran 16ng nguc:

- TL - D7 - A 4 - Than
4. Dau tiro vung m6 Ac:

- TL - D9 - A 5 - HO hap
- C4 - D4

5. Nang nguc tren:
- C6 F - D9 - A 5 - HO hap
6. Dau tire nguc:

- NT - Vai F - TL - D2.5.9.11 - L3
A 3.4.5 - Tim - Mat - Than
7. Dau ttic ngtyc T:

- NT - C6 F - D6 - 4 - Tuan hoan - HO hap

vanh - D2 -A3.4 - Tim

9. 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 do tim F co hoa.c khong phai do tim.
- Tac Bong tit ngoai vao, song chinh 2 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:

<i>- Ch: C1.2 .5.6.7 - D1->6 (Chi; ye-u: D5.6) </i>
15. Tim dap nhanh, kho th6', 2 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 2 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:

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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 do tim:
- D5T - D2.3

32. Rho th6• do gan to gay suy tim: D9.4.5.6
33. Hay sc. D2F

IX. B :ENH XO MO DONG MACH
1. Dau thAt v-ung tim:

-Vai F - TLF - D5.6.9 - T: D3
- D: D12 - N: D4F - D7

N: Co' trong >along bi Bn CTL
2. Nh6i mau co' tim:

- NT den D3 - Vai F d6n D6
3. Tim to, suy tim:

- R: S3.4 - T: S1 - D: S5

- N: B6 trong 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
5. 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
7. 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 con 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: trong nong, ngoai lanh
11. Xo• ca-ng clOng mach: Dll - D2F

12. Xo• cling dOng mach vanh tim: D1.2F : 3
lOp

X. CON NHIP TIM NHANH
1. Tim dap rat nhanh

- NT - HSF: C7 - D4 - D9 - A 2.4.5
2. H6i hap - choang yang:

- NT - C6 F - C7 - D2 -A2.3
- D4F

3. Bu6n non:

- Dau - Mat - C6- C5 -A2
4. Huy6t Ap ha, mach nho:

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- 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 do 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:

<i>- Vai - NT:.D2 - 26 </i>

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:

<i>- TL - C4 - D7 -A2.4 </i>

- C4 - D4

6. Dau nhoi 16ng nArc:

- C6 F-D9 -A5

7. Nong16ng ngqc:

- C6 F -D9 -A 5

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 2 la:

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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 3 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, 3 thd

19. DOng mach nhO o• bung co thAt:

D2F - The rang ngoai co' thAng lung.

20. Co tim: D1->D6 - 3 thd - 3 lop

21. DOng mach ph6i va nao co lai:

- D6 - 3 lop - 3 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:

</div>
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BO1 DOC C1J'CING BIEN SOAN
- 113 -

CAA NANG Vt. l'HUGNG TAC DONG COT SONG

<b>TIED IlOil </b>

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.
2. Viem da day man:

+ MA - D5 - A 4.
3. Dau da day:

+ NT-V-D8 - L2 - A 5.6 .
4. Da day co rat:

+ TLF fs CQSD.
+ D12 - L3 - A 5.6.
5. Dau nh6i da day:

+ GL - Tuy - NOi

+ D7.8.11.12 - Ll - A 5.6.

+ Ngc: C7 - D7.8.

15. Non mica sau khi an:
+ NT - MA - D5.6.7.8 - D9->12.

16. Chong mat vb.' m6 hoi sau khi 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 4.

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 4
+ TLT R - D5T

9. Viem hanh to trang:
+ MA - D5 - A 4.

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 1 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.

• 1
10. Dau rat yang thucyng vi khong co chu

ky:

+ GLTL - D12 - L2.3.

<i>11. Biting an, day bung, q ho'i, </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 khi 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 <i>4- D-1_?- </i> .

II. VIEM DAI TRANG
1. Dau quan bung:

+ MA - D7.8 - A4.5

2. Day bung, biting an, ludi trang:
+ MA - L1.2 - A6.

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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.
7. 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 do cam lanh, mot ran:
4 C7 - Dl.

+ Dang khop 2 ngon
8. Ia chay : R6n T

+ D7 - DlOT - D11.
9. 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
9. 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.
2. S6t soi bung, dau bung:

+ VF-GL - A 5 - BnCTL
D12.T - D8 - D: D12
+ N: Bn CTL

3. Di riia town nucic:
+ TL - D7.T: D4 - D:D7.

+ CBT xBa - A 4.

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 ra 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

5. 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 1 trO• xuang ngang khe 18. Day bung:

mong. + MA - D12 - Ll - L5 - D1

+ D9-D12. + MA - TLF - L2 - D10.11.12

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CAM NANG Vi PHIJONG PHAP TAC SONG COT SONG -

115-

_{13tTI DUC CUONG BIEN SCAN}

+ D12 - Li

<i>g </i>

+ 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 2 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 - 3 - 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 do thieu chat nhOn trong

phan:

+ D12 - Ll

6. Tao bon do 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 ra 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 khi gAng

+ Ch - D2 - A3

9. Dau thoat vi ben:

</div>
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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 con cao khi tinh day:
+ HSF - D10

+ D6

14. Da bung day:
+ DF - D10.11.12 - A5
15. CA-t con dau bung:

+ D5T

16. Dau hung 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-> 5 - 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 ra 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 6 - 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
1. Dau gan: VF - HSF.

+ D5 - 10 - A 4-5
+ VF - Dll - D7->12
2. Cac benh gan:

+ BD - S3 - L1-> 5 - S1->5
+ HSF - D10 - L5 ->12
3. Gan sung to :

+ SF - D10 - D4 ->12
4. Viem gan:

+ D11.12 - L1F

+ D7.8.9.10F - D12 - Ll

5. Viem gan, xo' gan do vi HSF
+ D10 - D5->12

6. Sung -till mat:

+ VF - CF - D5.10.11 xulan tOa. 2 ben Uri Bn
CTL

7. An khang tieu:
+ SF - D4.10.11 - L2
8. 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

</div>
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CAM NANG VE PHUGNic PHAP TAC DONG COT SONG - 117 - BUI DUC CUONG BIEN SOAN

<b>CHAY - </b>

<b>LUNG </b>

(T°±2 ben rOn)

1. Dinh nghia: Di is nhanh, nhieu lan, trong
phan cc') nhieu nuot, do runt tang a/Ong tiet
dich va co bop

2. Sinh ly co bop runt: 3 loai:

a. 8f/lan, xdo trOn thuc an cho tham dam cac
men tieu hod.

b. Khong có chu ky, keo dai tit 1 - 1,5f dAy thlic
an tir tren xuong

c. KhOng co chu kY, mo lan tir 1-10f do trucmg
the ctla thanh runt guy& dinh.

+ Thirc an & da day tit lgia ruOi den 3 gio duqc
dua xuong runt non, nam do den gib' thin 6

-7 day sang dal. trang. Can banam O• day 24
gier sau btla an duo'c tong ra 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 5
+ Di2: N: Ch - R - TL
3. 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 4. 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 - 9

/ 6"-- : Ia long va is chay la bai tiet phan quA + A 5.6.7
nhanh, phan long va di nhieu ldn do 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, <i>- G MA - </i> 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

<b>• </b>

co' lien quan.
- N: R - Ch - GL

+ D12 : N : Ch - R - TL
+ L5: G - T: Ch

- G: Ch - BD - TL
+ Nghen : D3T

</div>
<span class='text_page_counter'>(116)</span><div class='page_container' data-page=116>

CAM NANG Vi PHUONG PHAP TAC DONG COT SONG -118 - _{NC;UYiN TRAM TAN}

nuot girng.

6. Beo phi do r6i loan chuygn hoa:

+ D5->12 co day 16i, 2 co. lung to day. Tri:
dung day ca ban tay voi luc that nang
chita tit ngoai vao va di Ur 2 ranh song ra
dd giai toa 2 ben co lung co day. Sau chita
tin D5-> 12 va L1->5.

7. Luoi:

+ C5.6T - C6 - Than kinh thiet hau
8. Moi;m6M. nhiet:

+ C6// DIO
9. Tri ra mau:

+ D10.11 - S2.3
10. An ngra tot: D9F
11. Tieu hoa kern:

+ D11.12 - L4.5 - SlF

12. Tri: china sat vao 2 ben mom cut (T°4- Vch
- S1.2.3 - Cut)

13. Tri nOi: lei dom ra ngoai mau dO

14. Tri ngoai : loi dam ra ngoai mau xam
+ D11.12 - L2.3T 5 - S2.3

,15. Sa true trang:
+ D10 - L5 - S1 - S5

16. Tri : ViIng S co 1 lap co 16i Om, china
manh V.S.F hoac S r(s4

17. Nglicn: D3

18. Ch6ng cha'y mau: D1OF

20. Nu6t nghen :
+ D2.3.6

+ LLOi - D10 - L5 - D3 - L2
+ C1.7 - D1.2.3.7.8.9

</div>
<span class='text_page_counter'>(117)</span><div class='page_container' data-page=117>

CAM NANG Vi PI-RJONG PHAPTiC DONG COT SONG - 119 - Bth DfIC CIJONG BIEN SOAN

<b>HO HAP </b>

HEN S1TYEN

- Thor ra kh6: Hen suyen.

- Hit vao kho: Suy tim, tam phe man

- Hen chtira luc dau len con. T6c do thua cham
theo nhip th& ra - 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 ra nhieu (term lien tuc:

<i>_CA</i>

- D4 - D6 - A4.

3. Hen, th& nhigu, th& mau, kem
thuang xa'y ra 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.
5. Hen not Chung:

- NT - CF - TL - D6.7 - L1 -
6. 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.
2. Ca king nguc: Co that ca long ngtrc nhu

danh dai dueri vai, nen khi 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, khi the. ra
benh nhan phai thOt bung lai, da'y ra kh6i
runt nang co. hoanh len ep khong khi ra.

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 ra e. nhtIng xtrcmg suo.n
cut, vi khi the., co. hoanh phai lien tuc dgy

kh6i runt xu6ng. Cu bung lai day nguqc kh6i
runt len, lam co. bung phinh ra hon 16ng
ngu:c.

4. Di ting:

CO 3 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 khi th&
chen c6 tn.-mg tren me Ac.

- Hen: Th& ra kho, nen khi the' ra 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& do 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:

</div>
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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 do phe:

- Ho kern tieng kho khe nang, don c6 mau;

Sang dai trang: dai tien khong to chu dirqc.
2. Ho do tam:

- Ho dau nguc - cam gide trong hong co vat tr&
ngai. Nang: dau hau hong; Sang tiOu trixemg:
vita ho vita danh trung tien.

3. Ho do can:

- Khi ho dau 2 ben suarn, truong day, kho chiu.
Sang dean, ho khac ra nuac dAng.

5. Ho c6 dem: D1.2.
6. Ho sau: D3.4.5.

7. Ho c6 mau l'An trong 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 nay NT CF, D2.3 lOm lech
-D4 - A 2.3.4.

13. Ho cum: NT - CF

4. Ho do tk: _{+ D3 - A 3.}

- Khi ho dau ha 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 ra giun dua. + A 1.2.3.

5. Ho do than: 15. Tre em ho:

- Ho kern dau eo lung - dai rat. Nang: nhO' ra + CO F - D5 - A 4.
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 4.

den Tam tieu. Ho do phii: Chfra du huyet - 17. Ho xuyen man tinh:
sung phir tilt/a kinh huyet. + CF - NT - D6 - A 4.

18. Ho ra mau lAn dean:
* *

+ MA - TL - D7 - A 4.
1. 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.
2. 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 4.
+ D3.5.7 - D12.

20. Lao hach CO:
+ D6 - A 4.

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.
4. Ho ga: (mat sung, chay ntreec mat) + C4.5 - D7.

</div>
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- 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 do tim : D4.

+ V. dau - LT - CF - MA

+ Hen do than : Ll.

+ Hen do 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 4.

27. Viem phg

+ D3.5.6.

+ CF - D4 - D3 - A 3.4 (g6c trai F).

28. Sung ph6i:

+ CF - D6 - A 4.

29. Lad ph6i:

+ BD - D4.5 - A 4.

30. Cac clang lao:

+D4 - Lop, N - he hap.

+ BD - D4.5 - A 4.

31. U phe quan:

+ Tran dich mang ph6i

TL - C7 - A 2.

32. Khi phg

+ Tran khi ph6i - lien quan Than

- TLF - C7 - A 2..

33. Sung cu6ng ph6i:

+ S2->5 - S2.

+ NT - BD - D3.5 - A 3.4.

+ Ca tren D3 lan len D1.2 ngang sang 2 vait

- TCN: D5 RL.

37. Hen :

+ C4.5 ra 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 con kho tha.:

+ D6 - D2.3.

'40. Viem hong:

+ CF - MA.EL - Ch.

+ Goc ham 1 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. 2 ben co

47. Viem thanh

arch len, 2 ba vai, ca true(c nguc, co

6tritil.i

quanh bi vai, chda 2 tay clang saki phia

+ D5.

+ Viem hong: Cl - D4 - goc ham sau tai F.

trong xuo'ng ba, 1 tay TS), vai

sau. Hen

ghee-quin : 2 ev-i,Lai----D-1-2-3-co-cem---D12

48. Te hong:

Ll.

+ C6 F - MA - EL - Ch.

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CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 122 - NGUYEN TRAM TAN
- A 2.3.4.5.

62. Ho 2 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 ha 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: ra 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 ra giun:

+ MA - D5.6.7 lq D11.12- A 4.5.
66. Ho ra 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 do ho hap:
+ D7.8.

tay dau:
+ Bat C5.

Nhuon ca thanh 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& nghen 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 thanh tieng, co khi 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, trong 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:

+ 2 co. vai - C7 - D12 - CV/VS - D4//D9 - D12
- Li .

+ D1.2F - 5->10.
+ Chu <i>Si: </i>D1.8. 12.
72. ThO. dau, th& dai:

</div>
<span class='text_page_counter'>(121)</span><div class='page_container' data-page=121>

CAM NANG VE PHUONG PHAP TAC DONG COT SONG - 123 -' BUT DUC CUONG BIN SOAN

SINH DUC

<b>NAM </b>

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 2 ben

yang teo. Chita 2 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 4 5 - 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 4 5

- GL. TL - L1.2.3 - 2 ben

- Bd - S3-L145 S1 45

- HSF- D10.D4 Ll

- GL. Dl. Lq D7.12

4 Di mang tinh (L4.5 thang, Sit

<b>) </b>

- 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 4 5

- 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 4 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 4 5

- C7 LT

11. Tinh trang it (S3 CQ sinh tinh)

- GL D9 - D7 412

- BD S3 - Ll ->5 - S1 --> 5

- 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

</div>
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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 hung &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
1. 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
thanh vo sinh,

- Chita d' 2 gai cha.0 xa nhau, Ong ra
- 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 trong 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
6. 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
8. Co tii cung phi dai

VAIF - LT:

- L3-T : Li -D : L3 - CTL xg MC
- L4 - T: Ll - D: L5 - MC xg BTCC
9. Tac voi tritng

- D1 - S1.2.3
10. Tit cung ra mau

- Vai F - GL SF-D10 - D4 - L1
- D10.12 - T:D8 - D : D12 - Bn CTL
<i>11. Sa da con : (S2LF) </i>

- 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

</div>
<span class='text_page_counter'>(123)</span><div class='page_container' data-page=123>

- 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 7 - 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 ngay 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 ra 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 ha

- 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 con

</div>
<span class='text_page_counter'>(124)</span><div class='page_container' data-page=124>

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 con trai : S21'- Mach F kich hoat

Giao hdp sau khi 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 ra sau nhigu hdn

46. Sinh con gai 524, - Mach T sich

hoat. Giao hop ngay 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 do trong 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 ra sau - Sau 4 con

L5 : Ti l cung ra truoc

48. Sting tut cung : - D9 + D7 ->12

39. Tit cung - bung tritng

- MA - Ll - D7 ->12

50. U

xd

d4 con

- 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

</div>
<span class='text_page_counter'>(125)</span><div class='page_container' data-page=125>

OW NANG VE PHIJONG PHAP TAC DONC COT SONG - 127 - BOI DtIC CIJONG BIEN. SOAN

NOI TIfT

cAc Lap u

<i>* Trieu chting : </i>

1. Da mat yang rorn.

2. L6p tren DGS mem,. day, bung nhimg, hoac
teo nhan. Lop co tang mong tang kho chda.
3. T°+viingU rat cao.

4. Cac loai U deu co dien mg d6i xung &vang co%
5. U (K) khi 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.
7. Khi có U (K) cc!) nhieu soi thanh bo, chay then 1

chien song hanh. Nhieu cum soi thanh xct trim
det, co chi) có lop co mong nhu tirng to giay xep
lai thanh 1 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 con - 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)

<i>Ph. ii song chinh: </i>

C6.7 //D3
- D3 // L3
-D11.12//L4.5
1. U Arnidan

*T 0+DF - CO goc ham trai

- T°+TU not tang: cham - \rung lung tren..

<i>* Tri eu thing: N6i nin6u hach c6, Amidan </i>

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.

<i>a. Amidan sung to: C6.7 - D11ien quan. D3 </i>
<i>b. Ngtrai m *et moi:D3.4 lien quan L2.3 </i>

<i>c. Nu& 166:D2.3 lien quan D6 </i>
<i>d. Noi k126: C5.6.7 lien quan D5 </i>
<i>e. An kem:D6T lien quan D8.9F </i>

<i>f Ngu kem:D3.4lien quan D7.8.9 </i>
<i>g. Coto co hach: C6.7 lien quan D3 </i>
<i>h. Dau swan T: C7 lien quan D5.6.7 </i>
<i>i. Tuydn yen: C2.3 </i>

<i>h. Tuyen gi ap trang: C6.7 - D1 </i>
<i>k. Tuyeil irc: D3 - limpho </i>
<i>1. Dv trCtlimpho:D11 </i>

<i>n. LT - TL : Barn 2 huyet Dong phong, 2 ben c6 </i>

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 1
ben, co nguoi Kvil 2 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.

<i>a. Uctan vii: D6.9 </i>
<i>b. Ubgu tai: D10 </i>

<i>c. Unongavu khi han.h kink: L1->5 - S1.2 </i>
<i>d. Uvti F. D6T </i>

<i>d. U Ira T:D3F </i>

+ C6.7 -D1 -D3.9 -L2
+TL - D3.6

+GL-D9-D7->12

</div>
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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 1 -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 thanh 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 ha s6t

D7.8.9.10.11.12 - L2.3

+ Cl -S21q D5

18. Unangbu6ng trirng:

-L2t-L34.chuatirdtroilen

<b>19. CAt con dau K: </b>

- 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

4

25. Ung thuph6i:

- D6.10 -L3 - Dll - L2

26. K throng runt:

- D10.11.12 -L1->5 - S2->5

27. U6n van:

</div>
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CAM NANG Vi PHIJONG PHAP Tic BONG COT SONG - 129 - BUI DUC CIJONG BIEN SOAN

<b>MAT Sti A </b>

<i>* Chira mdt sun: </i>

A. Nhiet do 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

<i>* </i>

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
2. 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
3. DAu nang, niunvd

a. Nhiet do thgp:

- Hong - Mang - Toan than
- Song chinh - C1- S5
b. Nhiet d0 tam than cao:
- Don chinh: D9 - L3.4

<i>* Chit Sr: Vu6t quanh vu ma nang vta not gai la tot </i>
II. TB:11USDA

1. Nang nheo:

- 2 ben dg.0 - That lung - Gii2a lung - Co vai
trai:

- Song c in :

- Don chinh: D1.2
2. Nam vii nheo co gai:

- 2 ben dau, lung tren: C7 - Dl.D2 - 2 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
4. 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.
2. Dau dau mat ngU do tuyen vu viern.: •

-L2.3 - D1

<b>13 :ENH THE EM </b>

1. Di twit: Ch -L5 - C3.7 - D8
2. Tien hoa kem: C7 - D9
3. Biting an:- D4.5F

- D4.9
-D6

4. Kinh giAt: D3.4 nhe -103.6c dem : D3.4
5. Col x-trong: D4

6. Meo mom - tron mat: D3

7. Viem mang nao: TLT: L2 - C1.2 - D4 - S1->5
8. Bai liet: D3 - L5

9. MAt tri: C7 - D4 -D12

10. Ch lam phat trien tri tue: D2F 7 - 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

</div>
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• • 1; ... •

<i>:AM </i>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

<i>Dau lung nhq ca hai ben </i>

- TL - L2 - A6

<i>Phil. 174M tre-ing tit mi mat xueing cha'n: </i>
TL - L2.3 - A6

<i>Nizoc tiiu et3 it - de) ctuc </i>

- NT-TL - Ch - Ma : L4.5 - A 7

<i>HAC : D6u - M -C - TCF - SF: </i>

C5.6.7 - D1.2.3.10 - L1.2.3

<i>Nguoi nu5i net - chdn an </i>

- 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 khi sung tam

- D34 - 7.10.11 - L2 - S5

30. Than khi 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

</div>
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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
3. Tre em dai dIrn

- L2 --> 5 - D4 - 11
4. Dai dem

- C1T - D3F - L4.5 - SL2.3

5. 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
7. 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
9. 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 ra 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 tuy
- 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: do tuydn tuy roi loan
khang san ra insoline. Do cac hoot mon a
gan itc chd tuydn tuy hoac do day Phe. vi
ttc chg tuyen tuy IcMng san ra

<i>Thy </i>y: Can cit htdng &Ong trong nude
tieu : tit dao Lang gait tidt.insoline

<i>Being y : an nhigu - </i>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 khi

<i>Khcit do thcin kinh phe" vi. </i>

- 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

<i>Han ch.( sem ra insoline </i>

- D10.12 -L1 - C1.2 - S1.2
- CF - C1.5 -D1.6

</div>
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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

<i>(khong </i> <i>v. lung tren) </i>

- D3 - D11
- C1.2 - S2.3

32. M6 hOi chan tay chfia thy tru&d.
- Vai - C6.7- D3.4-- D1).

- D31. - D12 - L2 •

<i>- D7 -412 (khong china C7 - D1.2) </i>

<i>33.*. Ban t ay nhieu ma hoi </i>

-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 : trong rnieng sac
do

- 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

</div>
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CAM NANG 18 PHUONG PHAP TAC DONG COT SONG _-_{133 -}

131111 DI:IC C1JONG BIEN SOAN

<b>CAC GIAC QUAN </b>

DA

Chfra ram ma do not ti6t, tac Ong tir D10 den
L5, clula nhe 2 ben de huy Ong nOi tigt.
1. 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
4. 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
6. 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.
8. 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

<i>MAT </i>

<i>* Cac Nnh </i>

-T°+ V. dued R - lq Bang quang S3
- S3 lqL1->5 - S1->5.

1. NIAt sung d6:
- Bd - S3 lq L1->5
2. Dau mat dO:

- C7 - D3.4->10 - L1.3
- L2 - C6.7 - D3.6.7.10
3. 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 2 mat:

Cap tinh: Dau dau, nhirc mat, nay dom dom
gg.n nhu n6 con 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
6. 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
7. Duc thuy tinh the: C6 - D3

8. Sirrighoa giac mac: C6.7 - D1 - D3 -D12
- D1.3.10712-

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16. Viem gia.c mac:
- C1.5.6.7 - D8.11.12
17. mdt loan thi.:

<i>-V . dAu - C6.7 - D1.2.3.8.10.12:4 </i>

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 7
- 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:

- 2 ben C6.7 - 2 ben L2.3 - D7.8

13. Thoai hoa vong mac, due thug tinh the:

- C1.6.7 - L5
28. MAt lac:

- C5.6 - 2 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°+ 2 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-> 5

- 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 trong 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:

</div>
<span class='text_page_counter'>(133)</span><div class='page_container' data-page=133>

- 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 1
2. the le: Ch - C3.5 -A 1.2

3. SO Ch - C3 -Al
4. TAc mui - Ngat mai: C2

5. Viem Ch - C1.7 - D2
6. Not miii: D5 - L5

7. Chiymau cam: Ch - D5 - L5

<b>MAT </b>

<b>1. M4t </b>

gi4t: Ch - DF - D2 - A 3

2. M4t to bi: Ma - Ll- A6

3. Mat lanh: DF - Cl -Al

4. Mat nOng: L C6 - Gay - NT: D 1 1 - D5
D1

5. Mat nong being: D6
6. B6c nong len mat:

-D1.2
- L5 - D8 - L1

7. Ma sung: Ma - Ll -A6
8. 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: 1. 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

<b>MONG-MOI </b>

1. 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
5. Meng kho, mei kho:

</div>
<span class='text_page_counter'>(134)</span><div class='page_container' data-page=134>

JAM NANG Vi PHUONG PHAP TAC DONG COT SONG - 136 - _{NGUYEN THAM TAN}

<i>CAM DEC </i>

<i>Chita diec truac - Chita cam sau </i>

DlEeC
Kie'm tra mang nhi

DUng 2 tay lam loa, ghe sat tai die-c het
that to. BN sham mat la thang inang
nhi. Neu BN gat dau, ngaTn nguai ra la
con chua duoc. Cgu nhi da trail cang
tay, BN dau, nhan mat, con 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 khi 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

<i>Chita dityc : </i>

lAiai be, dal, thing, dau luoi trim -
ngan - to - co - nhan - lech vat trOn
trai, vat mang.

<i>Kheing chfia ducc: </i>

- Luai vat thauh gin

a

xung quanh do
di chitng. Luai khong cong cillOc. Ltiai
day mieng.

- Kie'm tra Kong - Icha'u thief, binh
thuang hay c6 hien tuong cha'u ra
thanh 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
2. Cam di chiing D6 - S1.2.3 - L4.5 T
3. 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 do 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
6. Tai die-C - Tay gi4t

Chita 2 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 trong 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 sao
dliqc. Di loang choang

- C6 - C2. C7

- C5.6 - than kinh thiet hau
17. Noi khi : - L3 - S5
18. NOi nhi, khOng not to d-doic :

- C5 - D5

</div>
<span class='text_page_counter'>(135)</span><div class='page_container' data-page=135>

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- 2 -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 1 - 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

</div>
<span class='text_page_counter'>(136)</span><div class='page_container' data-page=136>

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 trong cd the, do cac re thin kinh that
lung L4, 5 va S1 2 hdp thanh, ndi to nhat
khoang bang ngon tit.

Duang di dia day than kinh hong to tit ch6
ra 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 thanh day than kinh
khoeo trong 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 do
cac re than kinh that lung L4, 5 va S1, 2 bi
then ep hoac co cac r6i loan khac.

• Chik nang van dOng thuang bi han the tii

t6i thidu den .t6i da trong 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 do dau: am i hoac dau du doi, nhat la
khi 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.

<i>a. Dot song </i>

Thithng co biAu hien dinh cling, it nhat la tit
2 cl6t tra len. CO khi toi 5 d6t dinh cling thanh
mot tang khong chuydn dOng.

Co 5 loci d6t song r6i loan:

- Lien 16i - Lien lom - Lien 16i Lech.
- Lien lech.

Cac d6t song diAn hinh trong benh viem day
than kinh hong to la L4 - 5 - S1 - S2, ngoai ra

con lien quan den nhidu d6t song ntita, tuj,
thu5c tUng the benh.

<i>b. Lop cd d:em </i>

Lop cd dem thuang: co, day, xd, sdi va teo.
Co the lop cd dem chi 8 tren pham vi cot song,
hoac lan ra ranh song, hoac lan rOng ra ngoai
cd thang lung.,

Lop cd benh 1ST tren co the a lop cd ngoai, lop
gifia hoac lop trong 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.

<i>c. Cam gicic </i>

Cam giac dau tang.

ThUang ii tren nhiang lop cd cuang nhu: co,
cling, day, mong, xd, sdi. Lop cd nay 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 nay 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.

<i>d. Nhiet dO </i>

Khu yuc ca cam giac dau thi nhiet do 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 0 trong
khu, trong digm c6 nhiet do 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.

</div>
<span class='text_page_counter'>(137)</span><div class='page_container' data-page=137>

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 khi bat, phai tim tren cat song, có
diem nao nhay nhay. DO la digm clang hinh
phai chila ngay vao do.

2. KT tra c6 5 dau hiau bi dau:

- Hong - Mong - Khoeo - Got - Dot sang.
3. 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.
4. 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, 2 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 ha
cot song va cua cac dot song ngoa.iviing that
lung co lien quan den L4 - 5 va S1 .- 2, anh
huang clan day than kinh hong to.

<b>6. Tai sao lai co 16p xo: </b>

- DS lam khong gay xd, nhung do (tat sang
tren loi nen gay xd.

7. Chita chic nang van clang
- Phai chila trong 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 ngay trail lop xd, chi lam
giam dau nhung khong kh6i, phai chua tren
dat sang 1.61 6 tren.

9. Diem dau ciaa banh viem than kinh
hong to

- Day TK hong to di tit L4 - 5 - S1 chay ra
h6ng, chap lai thanh mat day, chay den sau

dui, khoeo chap, chia tach ra hai lam hai la
khoeo trong 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.

<i><b>a. Deiu hqu tay dat binh thaang </b></i>

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.

<i><b>b. Deiu hifu tay dtit bi han chi </b></i>

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 ha cat sang va

ccs lung NB thay ch6 nao diem cci co cling nhat,
dO chinh la trong diem phai giai toa.

<i><b>c. Xcic dinh chi so- dtiu hi?u </b></i>tay - <i><b>cleft bi </b></i>

<i><b>han chg. </b></i>

NB dung cili gap nhu to thg tren.

</div>
<span class='text_page_counter'>(138)</span><div class='page_container' data-page=138>

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, do la chi s6 dau hieu tay dat bi han che
caa. NB.

<i>d. Xdc Minh trong diern tay - ddt bi han </i>
<i>cite- </i> <i>die.0 tri </i>

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 trong diem.

THUC HANH TRI BENH

I. Giai toa tr9ng diem tu'dn g ling veil dau

hieu tay - dat bi han che-

<i>1. Loai lien lCii co day: Ngoai - Lan </i>

D6t s6ng tit hai d6t lien nhau 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 nay tUdng iing voi viem day than kinh

toa hai ben.

Trit \rung c6, co the khu tru tit D1 xu6ng
viing S.

<i>2. Loai lien 1o'i co day: Ngoai - Lan </i>

Tit hai d6t lien nhau bi dinh cdng, 16i ra
phia sau, dui lech han ve' mat ben phai hoac
trai.. <i>/ 1 0) </i>

Lap co/bi co cam v6 phia ben dat sang lech

va Ian sang cd thing lung.

Logi nay bi viem TK hang to mat ben phai
hoac trai.

Co the khu tru 6 bat cit ndi nao doc cat song

tii Cl den =mg cot.

<i>3. Loai lien 1?ch co day: Giz2a - Lon </i>

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 nay bi viem TK hong to 1 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

<i>1. Nen tinh </i>

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 6 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 trong vii ngoai.

<i>2. Nen n.ang </i>

Nen tinh chua chuyen, phai nen nang.

<i>a. Nen ncim ?Lang chin: </i>

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 trong ldc tay kia nen
manh xuong trong diem.

<i>b. Nen nged 'Lang tay </i>

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 ra sau.
Trong hic do mot tay nen tai trong diem, day

\rang tr9ng diem tit sau ra truck.

Nen khong chuyen, phai dip cua ang.

<i>c. Nen narn ruing tay </i>

</div>
<span class='text_page_counter'>(139)</span><div class='page_container' data-page=139>

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 kia nen manh
tren trong diem.

<i>3. Nen heo </i>

- TrUng diem tit D7 den D12 da ap dung
nen nang, nhung chtta (tat yeu ceu thi dung
phuong that nen keo.

<i>a. Nen hio ngeta </i>

- NB dUng, the.ng, hai tay khoa chat cac
ngon tay sau gay.

- They: Mdt tay nam lay hai ban tay NB keo
neta ra phia sau. Ding thai tay kia at tinh
tai trong diem. Dung thao tac day theo hitang
tit sau ra truck: hai tay phei hdp nhip nhang
<i>clang thao tac mot ide vita keo, vita cd.y. </i>

<i>b. Ngdi nen heo ngeta </i>

<i>• </i>

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 trong 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.

<i>2. Gidi too trong die'rn lien Idi lech co </i>
<i>(day hoek m'ong). The n.goeci - 161n. </i>

<i>a. Nen tinh </i>

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.

<i>b. Nen heo van </i>

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, 1
tay dua truce nguc qua phia mang stian ben
kia.

- Thay thu6c ng8i ghe phia sau NB, mot tay
dat tinh tai trong diem. Tay kia nem co tay NB
da dua ra phia mang stthn. Kdo tit truce ra sau,
a cot song NB phai van theo yeu ceu tti benh,
deng thai tay oat d trong diem ay. manh
hue:in trim

<i>c. Nen thing keo van: Trong diem Li cre-n. L5 </i>

- NB ditng thang, met tay bu6ng thong, met
tay dua truce nguc sang phia mang sUan ben
kia.

- 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 ra
phia sau mang sttan, tay kia thay oat chat
vac) xitong mao chau, thao tax nhip nhang keo
tay NB tit phia truce ra 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 ra phia
sau.

<i>c. Phu'ong thitc song </i>

</div>
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CAM NANG VE PHUC3NG PHAP TAC DONG COT SONG - 142- NGUYEN THAM TAN

<i>3. Gidi tod trong diem: Lien l'ch co </i>
<i>mong) the' gil2a - lan </i>

<i>a. Nen tinh </i>

Nen tinh don chinh bAng thao tac day ph6i
hop thao. tac rung tac dang vao lop co giiia
trong pham vi co trong diem.

Huang tit tren doc xu6ng, ngang hang tit
ngoai vao.

Muc dich: Tao d6t s6ng dinh chitng chuygn
dapg de giai toa trong

<i>b. Nen vit:.Trong die'm LI den L5 </i>

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
kia ch6ng len hong ben co co curing.

Thay dimg sau NB, mat tay giai ben vai NB
phia co canna 6 hang, tay kia ndm canh tay
NB, vit theo huong tit tren xu6ng, tao cho NB
van hong huong trot do chinh ban tay cua h9
dat tren h6ng lam diem ty chuyen clang ti/ phia
sau ra 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 trong

II. Giai toa trong diem tu'ong itng viii dau
hieu khong cui du'orc

Khong cUi duoc la do 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.

<i>1. Loai lien 16m xd sdi </i> <i>(doc ngang </i>

<i>-Oleo) the' trong - 16n </i>

- NB c6 gang mai het mitt. Thay nhan biet
bang thil thuat vu6t,

D6t sang lam trung va data ra phia trUgc tit
hai d6t tra len. Lop co teo nhudc, lop co trong
co thanh 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
trong dau.

Viem than kinh hong to ca hai ben.
Vi tri khu D2 den D12.

TRI BENH

<i>1. Loai lien 15m xd sai (doc - ngang - </i>
<i>cheo) the 'trong - 16n) </i>

<i>a. Nen tinh </i>

- 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
trong ra ngoai.

Muc dich: Tao cho cd the NB cong lung de'
day nhiing dot song lam, chuye'n clang tit trong
ra ngoai.

<i>b. Song </i>

Thu thuat: ap dung phtiong thitc song song
chinh, tac dang tai trong diem d lop cd benh ly
bA.ng thao tac bat va xoay ph6i hdp bi va rung.

Sau khi chita phai kie'm tra lai chi s6 bi han
chg.

<i>2. Loai lien Lech lam xo'm (doc - ngang - </i>
<i>cheo) the trong - lan </i>

D6t s6ng triing lam tit hai d6t tro len, (Ilia
ra phia trade va lech sang phai hoac trai.

Lop ed ngoai teo nhudc, lop cd trong co
thanh 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.

</div>
<span class='text_page_counter'>(141)</span><div class='page_container' data-page=141>

CAM NANG \IE PI-WONG PHAP TAC DONG COT SONG - 143 - BUI DUC CUONG BIEN SOAN

<i>a. Nen tinh </i>

- 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 trong diem.

<i>b. Song </i>

Dung phudng thiic song ddn chinh tac Ong
tai trong 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
trong ra ngoai.

III. Giai toa trong diem tdcing itng vdi

ng6i xom bi han chg

<i>1. Loai lien 16'i co day (day, rniing </i>
<i>-ngoai lan) </i>

NB ng6i xuong co hai d6t song lien nhau 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 nay viem day than kinh toa ca hai ben.

<i>a. Nen tinh </i>

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 do.

Thay 0 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 0 lop cd ngoai cua trong digm.

Huang doc tit tren xuong, chgch 45° huang

true.

<i>b. Song </i>

Dal song bi dinh ding da chuye'n long se
chuyen sang phudng thitc song.

Song song chinh bang thao tac xoay ph6i
<i>hop vdi thao tac day tac 4ng tai lop cd ngoai </i>

tren d6t song va cd lung.

Huang doe tit tren xuong, huang true chgch
45°.

<i>2. Loai lien losi co (day - Tring) the' </i>
<i>Ngoai - Lan </i>

Thay dung thao tac vu6t se thgy tit hai d6t
• bi dinh cang, 16i ra 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 nay tUdng ling vth viem thOn kinh toa mot
ben, co thd tit yang co xuong den xttong cut.

<i>a. Nen tinh </i>

Ding phudng thitc nen tinh dun chinh bang
thao tac day ph6i hop vai thao tac rung, .tac
do, ng U lap cd giiia trong yang có trong diem.

Huang doe tit tren xuong, ngang hUang_truc
tit ngoai va.o.

<i>b. Song </i>

Dung phudng thac song song chinh han dun
chinh tuY theo co hoac khong CO didm d6i Ong.
Tac do, ng vac trong didm d lap co giva bOng
<i>thao tac xoay, ph6i hdp thao tac day va. rung. </i>

Huang tit tren xuong, ngang true tit ngoai vao.
IV. Giai toa trong cligm ttidng ling <i>vdi dau </i>

hieu khi)ng ngeii dude •

<i>Dgu hieu khong ngo'i duoc la. can .cit c14 danh </i>
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 nay khong chi de danh gia vg chitc
nang dia. hang bi han chg ma con xem su han
chg do la dgu hieu bign d6i khong binh thti0ng
dia he cot song -chu ygu la: L4, 5 - Si, 2 va cac
d6t song cha ye-u có lien quan ve. khop hang bi

han chg.

TIED CHU .A_N DANH GIA
<i>a. Ddu hieu binh thaiing. </i>

</div>
<span class='text_page_counter'>(142)</span><div class='page_container' data-page=142>

: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.

<i>b. Dais hieu ngOi bi han che. </i>

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 kia khong the gap lai dude.

TRI BENH

<i>1. Loai lien Ioi co (clay) the' regocli - lOn </i>

Tit hal d6tb1 &I-1h ding va 16i ra 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 nay viem than kinh toa hai ben.

Trit vimg c6, con co the tit D1 xu6ng yang
hong.

<i>2. Loai lien lOi lath co (day) the' ngoai - lon </i>

Tit hai d6t bi dinh ding 16i ra 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 nay tuong ling yeti banh viem than
kinh hong to mOt ben phai hoac trai.

D6t song roi loan c6 the tit D 1 xu6ng xucing cut.

<i>3. Loai lien Lech co (day) the' ngoai - Ian </i>

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 0 phia d6t s6ng Lech.

Loai nay tuong itng voi banh viem day than
kinh hong to mot ben.

Tit D1 xu6ng xttong cut.

V6 hinh thai trong diem nhu da

. 2

song. va vi tri trong diem c6 khac voi cac
Loai the vi dgu hieu khong ng6i duoc, khong chi
do ton thitong a L4, 5 va Si, 2 ma con bi anh
huang bai ton thuong 0 cac d6t song khac tit

den D8, D9 bi dinh cling, khong ke cac d6t do
thuOc loai 16i, lam hay tech.

CACH GIAI TOA 3 LOAI HINH THAI TREN

<i>a. Nen tinh </i>

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.

<i>b. Song </i>

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 6 lop cd ngoai.

Huang tit tren xu6ng, chtich 45° huOng truc.

<i>4. Gidi toa trong diern hock lien torn xd </i>
<i>(doe - ngang - cheo) the. trong - lan </i>

<i>a. Nen tinh </i>

- 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
<i>guc, tua tren diem tS, cao hon ghe'ciia NB 40cm. </i>

- Thay nen tinh song chinh bAng thao tac
day ph6i hop thao tac rung, bi, bat tac clOng ii
dau gai s6ng, phia cti6i trong diem.

HuOng: d9c tit diem ngitoc len va tii trong ra

ngoai.

V. Giai toa trong diem tucing ling vdi dau

hieu nang chan bi han chg

</div>
<span class='text_page_counter'>(143)</span><div class='page_container' data-page=143>

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, 5 - Si, 5 va sdi bign dgi ciaa
he cot song de' xac dinh tr9ng digm dieu

<i>Tieu chutin: Nang than Ilan chg. </i>
<i>Deiu hieu binh thu'dng: </i>

NB nam ngUa, nang than tii phudng nam
ngang len phiidng thing clUng 90° hoac 80° la
clgu hieu binh thuang.

<i>1. Ddu hieubihanche </i>

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 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 do
duoc la dau hieu nang than bi han chg.

<i>2. Xcic dinh sit cuang nhu9c cda gdn co </i>
<i>b?nh ly </i>

NB nam neta dua bap than ggp sat vii dui,
co did sat bung, nguc va gift nguyen tu thg nay
trong 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 kia bat ngang quanh lop cd dui trong 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
trong didm.

<i>3. Xcic dinh sit bie'n cai ue nhift do da </i>
<i>cda chi du'di </i>

Thay co the dung may do 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 do da chi &Mil
goi la nhiet do dia p uong, day to co so t am

do, Lien Wong va theo dai su ti6n trign cua
benh.

<i>4. Xdc Binh trong diem </i>

<i>a. Xdc dinh trong diem Wong ieng </i> <i>dau </i>
<i>hieu ruing chcin bi han cite </i>

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 kia 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 do chInh la trong didm.

<i>b. Xdc chinh trong ctie'in• Wring Ong vai lap cd </i>
<i>bfnhlY </i>

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 kia 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 do la tr9ng

TRI BENH

<i>1. Loai lien ai co (day - mdng) the' </i>
<i>ngoai - lan </i>

- NB dui xu6ng t6i da: Thay dung thao tic
vu6t tur hai d6t lien nhau bi dinh cimg va Igi ra
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 nay viem day than kink hOng
to ca hai chin. Loai nay co to D1 dgn vung
hong va cut.

<i>2. Loai lien leoi 1?ch co (day - mOng) the' </i>
<i>ngodi - lan. </i>

</div>
<span class='text_page_counter'>(144)</span><div class='page_container' data-page=144>

CAM NANG Vi PHUCJNG PHAP TAC CONIC COT SONG - 146 - NGUYiN TRAM TAN

<i>a. Nen tinh </i>

NB nAm sap, hai tay khoanh yang truck
tran, buOng chiing gan cc. They clUng cui chech
phia truck trong 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 trong didm
htiong doc tii tren xuong, chech 45", huang
truc.

<i>b. Song </i>

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.

<i>3. Loai lien I5i 1?ch co (day - mOng) the' </i>
<i>ngoiti - 16'n </i>

<i>a. Nen tinh </i>

NB nAm nghieng 0 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 6 lap co ngoai trong didm. Huang tii

teen xuang, chech 45°, hang truc.

<i>b. Song </i>

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
<i>0 lap co ngoai, mot 6 diem dal th:ing. </i>

<i>3. Loai lien lech, co (day - mOng) the' </i>
<i>giila - Ian </i>

<i>a. Nen tinh </i>

Dung phudng thitc song song chinh bang
thao tac day ph6i hop vai rung b lop cd ngoai
trong didm.

<i>b. Song </i>

Dung phudng thiic song song chinh bang
<i>thao tac xoay ph6i hop thao tac day tac long 6 </i>
hai mot

a

lap cd ngoai, mot 0 diem doi
Ong.

<i>4. Loai lien 16m xo (d9c - ngang - cheo) </i>
<i>the. trong - Ion </i>

<i>a. Nen tinh </i>

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 trong
didm.

<i>b. Song </i>

Dung phudng thitc song song chinh bAng
thao tac bat va phai hop thao tac bi va rung.

<i>5. Loai lien 16m xo (doc - ngang - cheo) </i>
<i>the trong - 16'n </i>

<i>a. Nen tinh </i>

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.

<i>b. Song </i>

Thing phudng thitc song ddn chinh tai trot-1g
didm 6 lop cd benh ly bang thao tac bat xoay
-bi ph6i hop rung.

Giai toe trong diem tticing itng yeti dal.'
hieu di nhanh bi han the

<i>-1. Hinh thdi trong die'm </i>

Trdng didm dau hieu di nhanh bi hen the la
loai don lech soi (doc - ngang cheo) thd giita
ion.

</div>
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- 147 - BUT DUC CUONG BIEN SOAN
CAM NANG VE PHUONG PHAP TAC DONG COT SONG

Lop cd dem: Lop co ngoai teo nhuoc, lop
trong thanh 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

<i>a. Nen tinh </i>

<i>Nen tinh don chinh bAng thao tac dSy ph6i </i>
hop voi rung tren trong diSm.

<i>b. S6ng </i>

Dung phudng thlic song ddn chinh bAng
thao tac xoay, bat ph6i hop day lach.

VII. Giai toa trong die'm vori dau hieu
digm dau

TRI 13 . NH

<i>1. Loai don loi 1?ch co (day - mang) the' </i>
<i>ngoai - lan. </i>

D6t song co tit hai d6t tra len 131 dinh cling,
16i ra phia sau, Tech han ra 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.

<i>a. Nen tinh </i>

Dung phudng thlic nen tinh ddn chinh bAng
thao tic ay, phol hdp rung ii lop cd ngoai.
Huang tit tren xuang.

<i>b. Song </i>

Dung phudng thlic song don chinh bAng
<i>thao tac xoay, ay, rung. </i>

<i>2. Loai don 1?ch, co (day - m6ng) the' </i>
<i>giita - lan </i>

<i>a. Nen tinh </i>

Dung phudng thlic nen tinh bang thao tac
day ph6i hOp vOi rung 0 lop cd ngoai.

<i>b. Song </i>

Dung pinking thiic song ddn chinh bang
thao tac xoay - day - rung.

</div>
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CAM NANG VE PHUCING PHAF' TAC DONG COT SONG - 148 - NGUYEN THAM TAN

<b>NiliNG LOT THAY DAY </b>

<i>1. Hypocrite </i>

"Ai narn viing cot s6ng, ngtiai do nam yang
sinh menh con nguai".

Cot s6ng chi huy tat ca. Tat ca tit do ma ra.
Tat ca 10 tra ye do'! (cot song).

<i>2. Sambucy </i>

"Cot song la chia khoa caa ski s6ng. Chinh
tit do ma day than kinh giao cam di ra d4 chi
huy moi cd quan neii tang".

<i>3. Andre Mahe </i>

"Tram benh deu do cot song ma ra".

<i>4. Mark Kengi </i>

"Tram benh deli do tuS, sting bi kith thich".

<i>5. Gicio sit, bdc si Da Xuan Hq'p </i>

"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 trong cd the th6ng nhat
vai nhau. Met mat no lam cho co the thong
nhat v6i ngoai ca.nh, thien nhien va xa hei, ch6
ma co the con nguai data vaO dO ma song"

<i>6. Danh ngon Hy Lap </i>

"Cot song la cay dai".

<i>7. Kim Tr/ Thdp Ai Cqp </i>

<i>" Cot song la chia khoa cua s‘i sting". </i>

<i>8. DOng y : Tram benh deu lien quan </i>
<i>den Tri quan (2 vai vd xuo'nghong) </i>

- 2 vai lip n quan den phinh c6, chi huy chi tren.
- 2 xuong hOng lien quan den yang that
hing, chi huy chi ditch.

-Chia hai yang nay se chia &foe nhieu .
benh.

<i>9. 4 chi:cc ruing cda tuj, song </i>
<i>1- Y. </i> thlic.

2- Dinh &tang.
3- Van &Mg.
4- Sinh san.

<i>10.Hai cicic trung cact tuj, song </i>

1- Chiu s 1 kith thich.
2- Thay cu d6i mai.

<i>11. Ba phiin xa caa tuj, song: </i>
<i>1 - Dung than long. </i>

2. D6 m6 hoi.
3- Co co.

<i>12. Ccic huyft Dong y tren lung </i>
<i>- 17 huyet D6c mach. </i>

- 32 Du huyet.

- 14 huyet Hoa Da giap tich.

<i>13. adc day than hinh tren cot song </i>

- 12 doi day than kinh so nao.
- 33 doi day than kinh tug song.

<i>14. M61 quan he giiia than hinh ud the' </i>
<i>dich • </i>

1- Khong c6 the'• dich thi than kinh
khong hoat 4ng cluqc.

2- Kb:Ong c6 than kinh thi khong co
chuye'n hoa.

</div>
<span class='text_page_counter'>(147)</span><div class='page_container' data-page=147>

CAM NANG lig PHU'ONG PHAP TAC DONG COT SONG - 149 - BUl DfiC CUONGE1N SOAN

<i>15. Ba dac trzin.g gay nen b?nh tat </i>

1- Van deng.
2- Cam giac.

3- Than nhiet.

<i>16. Diem col lai cua phdong phcip tcic </i>
<i>dang cot-</i>

<i>song </i>

1)- Phuc h8i su can bang he cot song la
phuc h8i si thing ngay kin khit cua cot song
de chflabenh.

2)- Bao ve su can bang cot song la de
phang benh

<i>17. Mvc dich cact chaa b?nh theo </i>
<i>phito'ng phcip tcic dang cot song </i>

1)- Nhiet do 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

<i>18. Nhift da da </i>

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

<i>- 19. Hai b?nh </i>

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 nay
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.

<i>20. Tham hhdm </i>

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 4 dac thing cua phLtdng
phap tax deng cot song.

<i>a. Tim nhiet da da bien doi </i>

- Tim nhiet de da dia phudng.
- Tim nhiet di) da tr9ng

- Tim nhiet de da trong khu bang thil thuat
ap nang, ap re.

<i>b. Tim lap cd </i>

<i>bien </i>

<i>dei </i>

Khemg dudc vu6t ngay tren cot song. Phai
tim kip cd co Om hay teo nhttOc tii c-g—long ra

ngoai.

<i>Ccic triau chang co' nang:</i>

Khac vdi cac phudng phap kham benh khac,
phudng phap tic di:mg OA song can nam viing

</div>
<span class='text_page_counter'>(148)</span><div class='page_container' data-page=148>

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 trong cd thing lung,
den ranh sang. Sau mai di vao cot song d 2
canh d6t, khe d6t va ddu gai s6ng de xac dinh.
loai.

Tim lop co ngoai, lop cd giaa va lop cd trong
de xem lOp co a the nao: hep, Ong, lOn.

- Tit do, thy thu6c xac dinh lop cd bien doi
the loai nao?

<i>c. Tim dot song bie'n cre4 </i>

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 1 d6t, ma thong
thuang, mot benh deu c6 lien quan den mot s6
46t song benh 1Y. Tit do 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
do ta xac dinh d6t song trong diem va cac ci6t
song lien quan.

<i>d. Tim cam giac bien doi </i>

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 do gai
dOi, dau do khung lung v.v... }along tic ding
ngay vao cac o dau nay truoc. Phai tim cac d6t
có lien quan den cac 613'nh de chita

Diem cam giac bien &di d cac d6t dau khi ta
chita vao die; d6, NB cam giac dau nhung d'8"
chiu, dau nhung mu6n chfia, coi nhu gai ngita.

<i>Ghi n.hd: </i>Ngay nao cung phai tharn kham
mot ldn.

<i>21. Quy nap chin docin </i>
<i>Can </i>cif vao:

- Cac trieu chiing co nang NB cho biet;
-Cac xet nghiem lam sang va tit nhUng hien

ddi caa 4 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 ra 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 do xac dinh trong 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 ra sao?

<i>Chu </i>

- CO the ta chua cac dot song lien quan
trttoc, sau mai chita d6t song trong diem.

- Trong qua trinh chiia benh phai kiem tra

nhiet d9 da, huyet a.p va tim mach tot, xe:u ra
sao de kip thai xii

<i>22. Ba each chin benh </i>

<i>1. Ngzt&i. b?nh hhong hhai 4-nh </i>

1) Xac dinh trong khu.

2) Mc dinh \ging ttidng fing vai trong khu.
3) Chuyen tti the.

4) Xac dinh trong diem.
5) Thao tic tri benh.

<i>2. Loai benh 6'1 die'n hinh. Co hO sd b?nh </i>
<i>ly </i>

1) Xac dinh viing Wong iing benh 1Y.
2) Xac dinh trong khu.

3) Chuyen tit the.
4) Mc dinh trong diem.
5) Thao tic tri benh.

3. <i>Qua trieu chang lam sang d8 dacc </i>
<i>hhetm </i>

</div>
<span class='text_page_counter'>(149)</span><div class='page_container' data-page=149>

CAM NANG VE PHIIONG PHAP TAC DONG c(T S6NG - 151- Bal DUG WONG BIEN SOAN

2) Xac dinh trong khu.

3) Xac dinh viing tudng iing vai not tang.
4) Chuyeri to the.

5) Xfic dinh trong diem.
6) Thao tic tri benh.'

<i>23. Xcic dinh trong diem va gicii tod </i>
<i>trong diem </i>

1) Van dd c6t loi dm pinking phap tic dOng
cot song la phai: Xac dinh trong diem -va giai
toa dude trong di4m.

2) Trong diem la d6t song benh 1Y, co lap cd
benh 15, phil len.

Khi to chila dung trong diem thi nhiet dO

tildng iing vai not tang va nhiet do dia phudng

se tra lai binh thuCing.

Chita dung trong diem se lam cho d6t song
benh ly, lop cd ,benh ly va nhiet do benh lY
tticing ling v6i not tang tra lai binh thuang, lam
cho khoi benh.

<i>24. The new la trong diem da davc gidi </i>

<i>tod </i>

1) Nhiet dO 3 \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 6 benh tren cot song phai het dau.

4) Cac dal song benh 15, phai trA lai binh
thuang, ngay 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 ra mot
chdt dinh nhu mo hOi.

<i>25. Dieu quan trong ddu tien khi khcim </i>
<i>vd chita benh phcii xdc dinh ducc vd gidi </i>
<i>tod dit9'c 3 wing nhift dO bfrth 1j. </i>

Nhiet dO da la. bid .du6c soi during trong khi
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 do da mai xac dinh

dude trong 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.

<i>26. Ngon tay khi chits qnh </i>

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.

<i>27. Hai nguyen tic ca bcin trong khi </i>
<i>khcim vd chik a b?nh </i>

Kham benh lay nguyen tic dol xiing la co
ban

Tri benh 163, nguyen tic tao song cam giac
la chinh.

<i>28. Lam the nay de Jao dafic song cdm </i>
<i>gidc </i>

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 thanh hai phan, bAng each clang: 2 dau
nem cai ding len tang day vac) giiia d6t song
16i de? tach lop co 161 thanh hai phAn. Sau do
tap trung giii toa tang phan mot, cho den khi
lap cd thu nhuan, thay thu6c sit dude vao dau
gai song, hic do mai rung.

</div>
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CAM NANG VE PRIDING PHAP TAC DOING COT SONG - 152 - NGUYN THAM TAN

<i>29. Lap cd t)"'nh 131. </i>

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 do moi sd dieu
khiin dia he than kinh

<i>30. Lop co' b?z-th 15, vii b?rth chzing </i>
<i>1- The </i>ring 16n = benh moi

The hip = benh lau nam
The cuffing = giai doan 1 co corn
The nintdc = giai doan 2 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 2 ben co cimg: Dot song lOm
<i>31. Tct theWB, Cach chica 3 lap co': </i>
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.

<i>32. Cdch chi a 3 16'p ca </i>
<i>1) Lap ca ngocii </i>

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 do.

<i>2) Lap co' giika </i>

Dung thO thuat an, xoay, <i>dSy, </i>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.

<i>3) Lap cd sau </i>

Khong phai an sau mai vao trong 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.

<i>33. Dijn bieh ccia1ap co' qnh 1j) </i>
1) Tug, song bi kith thich gay co cd

2) Co Cd gay thanh 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.

<i>34. Lap ca benh ly </i>

Lop cd benh lY thttOng 0 ngang dau gai
song. Nhung thtiOng theo quy luat sau:

Tit C1 din C7 16p cd d tren 1 d6t.
Tit D1 din D7 16p cd ii tren 2 d6t.
Tit D8 din D12 lop cd d trail 3 dot.
Tit L1 din L5 lop cd d tren 4 d6t.

</div>
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CAM NANG VA PHU'ONG PHAP TAC DONG COT SONG -153- BUT DO'C WONG BLEN SOAN

<i>35. Cdc hinh thdi lop cd bO'nh ly tren </i>
<i>cac dit sing benh 1j," </i>

<i>1) Dit sing </i>

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 trong.
5) Cem len: Co lai.

6) Mdm: Tay en OD they nat.
2. <i>Ditsing lath </i>

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 thanh
met ming.

<i>3. Dit sing loin 1?ch </i>

Xd- Det- San sui- Rang ca- Nhen- GO-
HO.

1) Teo: chi con da, san sui nhu san ho.
2) Rang ca: o giaa trdntru hai 2 ben dau gai
song nhii rang ca.

3) GO: 2 d6t lOm sau xu6ng bo tren thanh 2
go, chet 2 d6t lorn sau, con chita dude.

4) H.& 2 lap cd hai ben bi teo nhtidc - Vuect
ranh s6ng nhti va vao san ho.

HO chila kh6, lau. Nhting benh kh5ng
nghiem trong.

ClItrA CAC LOAI CCi Bt' NH LY

<i>36. Lap cd nzemg mem </i>

Lap cd mOng mem 0 tren dau gai s6ng, mem
hdn binh thliang. N6 0 2 khe <i>dLi </i>gai song giap
nhau, lan trong cc sau. Vui:k thing khong thay,

an sau mai thay. Nhiet do 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 khi
• giai toa cac lop cd khac, cuoi ding con lop cd
mang mem nay, phai giai toa het, benh se
khong tai phat.

<i>37. Lap cd czing </i>

Loai nay 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 trong lap cd can lai. N6 phat tridn theo
chieu dai va chieu reng, tit dau gai sang lan
sang ranh song, ra 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 do 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 <i>d4. </i>tim
cd sau, thi lap cd nay can lai.

Khi ve they tat nay kho se va cang
nhting khong c6 sdi xd nhO lan tan, ma cang
thanh 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 1 nam.

<i>Cdch </i>

- Phai dap bet, de tit cang cling sang thu
nhuan, r6i mai chtia, neu chiia ngay, benh se

xiti <i>di. </i>

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CAM NANG VE PHUCJNG PHAP TAC DONG COT SONG - 15 4 - NGUYEN TRAM TAN
1- Loai nh6: thanh mot cai Binh nho trait

dau gai s6ng hoac trait ca 1 d6t sting.

2- Loai Ion: Dud mot didm nhting lon, lan
sang 2 ben cd lung, lan clan dau, cd se kilo se
hoac teo cd.

<i>38. Loai cd xd cOng </i>

Loai nay 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 2 cd lung
va can lan rOng hon nita.

Vu6t thgy tat gdn len ngon tay they re) milt
do nhO, hep 8 1 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 do cling Om
len.

An vao. ch5 cling, nhiat dO cao hon binh

thtiang.

Ve they d6t s6ng 16i hin len va lop cd tren
do 16i cao len. 6 ch5 act tech d6t khi 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 thanh lop cd co
corn. Khi Ye NB thgy dau bu6t.

Loai xd cling hep, co lilt hian ra 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 4 1*: NhO - Hep - ROng - Lan.

<i>39. Loai xo. rol </i>

Trait dau gai song co lop gin cd dap them
len nhu mot cai tat, ket lai nhu t6c r6i. An
xu6ng thi lom khi 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 nay khong phat trie'n. Theo
be rOng, no chi co mot dac trung la nhiat do cao
8 2 ben cd lung.

An they nhiat dO cao lan sang 2 ben cd lung.
Ve they mam mai nhu mot bin toc r6i d lop
cd glue va 10p cd sau.

Loai nay chi a trong 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 4 loai xd r6i:

1) Xd r6i ngoai d tren cot sting.

2) Xd r6i nho 0 trait 1 d6t song, it gap.
3) Xd r6i lan trait 2-3 d6t sting, it gap.
4) Xd r6i nho, sau Cl tren 1 d6t sting nhung
lop cd sau.

KhOng c6 thd hep, the rOng. Chita khoi
dude.

<i>40. Loai tat con dai Oleic </i>

<i>Mot loai gin cd co ci)m lai thanh mot loai </i>

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,

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CAM NANG'S/A PHU'ONG PHAP TAC DONG COT SONG • 155 - BT:TI D(TC CUUNG BEEN SOAK

Vila bang 3 nen tay doc cat sling tai diem
c6 tat con 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 do tang va NB bi dau.

NO ghat trien tai dau thi cd lung teo cling
lai

d

do.

An thgy rat- dai, an manh khong tan. Day
manh khong xe dich, T(' hoac thgp.

Ve tai dau, NB dau bunt tai do. 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 2 chi.
2) C6 : Mom tim to, be ra.
3) D4 : tre kinh giat.

4) C7- D1.2 c6 tat con dai chic co corn

a

cd
lung ngang D9 va

a

2 vai.

<i>Ccich chi a </i>

DAp cua thing tren con va ch8 eo lung dai
chic co calm

CO 3 loai con dai chic.
1) The nhO

a rot

d6t.

2) The nh6 rang, sau 0 hai ben.

3) The lan 8 nhigu d6t lien tigp lan sang 2 cd
lung.

<i>41. Loai tg.t con mem </i>

Loai cd mgm mai, khong c6 sdi Ian tan, dap
tren dau gai sex-1g lam tr6i cao len. Loai tat nay
cang Ion thi gdn cao len.

Vu6t 3 ng6n tay doc cot sang nhu va phai
<i>mat c6n trot cao len. Loai tat nay cang Ion thi </i>
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 trong cd

sau.

Ve they lap cd c6n mOm mai, an vac) thgy
<i>tan di. Khi ye NB dau bu6t. </i>

Phan ngoai mOm, nhung an sau va.o lap cd

sau, ye

a

phia trong gai song nhu c6 mat lap
xudng gam On len nhii rang ca la loai kh6
chUa.

Loai con mgm xugt hian:

1) L2.3: Chi dual co, dau mai 0 dui dgn chan
(bung chan), nhitc dau el 0 2 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 con mgm: Giao hqp khong xugt
tinh - Di tinh. .

<i>Ccich </i>

Chu ygu: dap- de cao.
Loai tat con mgm c6 4 the

1) Loai c6n ni6n1

a

dau gai sting de chfia.
2) The nhO rang, lan sang cd lung, sdi thua
that trong 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 0 nhieu &it .sang theo chigu rang
va sau. Chita lau khOi.

<i>42. Loai tat mOrig chic </i>

<i>Lo4i nay khong thanh, con ma chi thanh </i>

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 0 gifia d6t song dac bit
ro la: 2 ranh song ding hdn cat khu vue binh
thtthng.

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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 nay. D6 la giai doan

tien phat.

Khi benh phat thilang xuyen, xuat hien loai
tat nay. Sati giai doan U benh, Inc thai tiet
thay doi loai tat nay Ian reng sang ranh sting
va cd lung. DO la loai benh nang.

Loai tat nay 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.

<i>Cdch </i>

Phai dip, do, cao, bet moi khei.
Co 4 loai:

1) Thg nhe

2) Thg sau, nho, reng tren met d6t sting
nhung di vao co sau, lan reng sang 2 ben cd
lung.

3) Thg reng tit 2- 3 cl6t tre len.

4) The reng tit 2- 3 d6t tra len, Ian sang cd
lung va co sau.

<i>43. Loai tat lech </i>

Cl khe 2 gai s6ng lien nhau, thtiang co 1 lop
gan co dip them len. Loai gan co nay thuang
chic mem, con citng, cc!) loai gan cd mem meng.
Khien cho 2 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 2 co lung toi 2-3 d6t lien
nhau. cao hoac the]) 6 d6t song benh 1ST va. 2
cd king.

Ve vao 2 cidu gai s6ng lien nhau thtteng so
le - Ve nhe den nang, NB thAy dau.

Nguyen nhan : do lao deng than tay qua
mitt, ganh vac nang, nga, dap vv...

Tat nay lien quan den chiic nang van deng.
Benh 0 2 dot de chita.

Benh a nhieu d6t, dinh citng kho chUa.

<i>Cdch </i>

DAp da trtioc. Khi co thu nhuan mOi dUng

thu thuat. Khong co phan loai.

<i>44. Loai tat di iron </i>

Loai tat di trOn nhu 1 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 2 den 5 d6t. Co loai tat nAm ngang trail
d6t song vat dau gai sting xuong thap hon binh
thu6ng. Vi the hai dau loci tat nay 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 nay 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 nay 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.

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CAM NANG Vt PHISONG PHAP TAC DONG COT SONG - 157 - BI:JI DI:CC WONG BlfEN SOAN

<i>Ccich chit: </i>

Dap do cao 5. 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 4 loai tat.
1- The nhO.
2 The lan.
3- The nam ngang.
4- The nam cheo.

<i>45. Loai tat di det </i>

Loai tat det mang, dai chic, clUa sat vao cot
song. Killing vat cheo sang cd lung. Nhung tit
d6t sting nay 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 2 loai:

1) Di det nha a mot Mt.

2) Di det land nhidu d6t song lidn nhau va
lan rOng sang 2 cd lung.

<i>Ccich chita </i>

Dung cao 5 de ti tieu. Sau khi benh tien bO
mai chila bang thii thuat.

<i>46. D6t song lai can </i>

D6t song 16i, cang an cang de vao d6t sting
16i, no van 16i len.

<i>Phai tim cac d6t 16i Om do chtia truac, sau </i>
mai chGa vao d6t 16i cao nhgt. Vi du: L3 16i

cao, canh do c6 D12- Ll 16i va L5-S1 16i sau.
Cu6i cling mdi chiia vao L3 16i cao.

Chiba dtit 16i can phai chiia a 2 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
do mdi chiia tap trung vao 2 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 do mdi dimg th6. thuat Rung
de tao song cam giac.

<i>47. Dict sang do'n 1?ch </i>

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 ngay vao ch6 dau ch6 co cd.

Phai chita tit ch6 lap cd 6 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.

<i>48. Dict song don. ldi 1?ch </i>

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 thanh 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
<i>16i lech phai, lgy clang ban tay lam diem tSr. </i>

<i>49. Dot song dun loin </i>

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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 2 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

<i>50. Trong 1 doan dot song lien 15m phcii </i>
<i>tim dot song tech de Chita truoc. </i>

1) Phai tim d6t song lech trong doan lien
15m doe' Chita truoc.

2) Song chinh d6t 16i trail doan lom.
3) Chila d6t cutii cling cua doan lam.

<i>51. Chita sdi xd eh& tren lop ca nhztac </i>

Khi trong 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 ngay 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 trong
digm. Ket hdp song chinh lop cd se mem ra.

2) Chita tit ngoai cd thing lung va \Tung
lung co cem. Dung met ngon tay bat ngang, lop
ccise mem ra.

<i>52. Ccich Chita sai xd ngang a ben cldt </i>
<i>song nliztac </i>

Khi d.6t song lech duoi no hay xua:t hien sdi
xd va theo quy lue.t d6i xitng, nhiing yang sdi
xd do se có sdi xd ngang viii no. Phai thao tic
d' giai toa nhiing sdi xd nay.

<i>53. Chita mot doan lot cong va'y rdng </i>
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 ra 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 khi thay
thu6c sa thgy dau gai song.

<i>54. Tren he cot song co ithieu doan 16m. </i>

1) Chita tit doan lam cuei cling Chita len.
2) Sau do mai Chita dttdc doan lam this 2, tit
du& len.

<i>55. NB beo phi hho phat hi?rz cdc dO't </i>
<i>song benh ly, phcii Chita de'tirn cho dztac. </i>

1) Tim va Chita tit ngoai cd thing lung cho
den ranh song va tren dau gai song sao cho cac
lop cd nay mem ra ca 2 ben.

2) Sau do mai tim thay trong digm.

3) Da tim dudc &it sting trong diem phai
giai toa cho xong ngay.

<i>56. Khong ci‘ co nizitng clict song thzta. </i>

Phai dung ng6n tay xoay, clay cho tan lap cd

o khe d6t, lam cho khe dot day len.

<i>57. Gidi tod cdc ddt song bi dinh citng. </i>

Dot song benh 1St la nhiing d6t song bi dinh
Da.0 gai song xuong thap khi 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, <i>dSy, </i>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
con dinh ding nila.

<i>58. Khong dudc Chita vao nhiing dot </i>
<i>song hhi tcic dOng hhim.g bi dau. </i>

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CAM NANG NiA PHUCING PHAP TAC DONG COT SONG - - 159 - 13111 DI:IC CUCiNG Bit N SOAN

<i>59. Muein .chita hit& bfnh, phcii chita </i>
<i>cac dot sting b?rth ly chuye'n thetnh ccic dtit </i>
<i>song sinh ly binh thcaing. </i>

Trot& het phai tim cac sdi cd co, cheo
ngang, chech len, chech xuang, cheo xu6ng, de
difa den cac d6t song benh IY nay chuyen
thanh cac &it sang sinh lY binh thuang.

<i>60. Trong diim </i>

a

<i>dau </i>

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 khi nghieng la dat yeu
du.

<i>61. Phcii chaa tren tract gai song va </i>
<i>canh </i>

1) Phai chfia tren dau gai song va canh d6t
so le gifts. 2 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 trong. sao
cho cac cd rne'm ra, nhet la a ranh sang. Sau
mdi chfia vao dau gai song.

<i>62. Nhi?t dO ming ttiong zing voi It*rth </i>
<i>hhcic von nhi0 dO bp-ch. </i>

NB truck khi cht3a, da they dau d d6t sang.
Day la 6 benh nhti gai doi, theai vi dia dem

khong phai la trong diem.

Khang phai chita ngay vao 6 benh, chits vao
do se dau them.

Phai tim ra trong diem co lien quan Wong
Ting vai 6 benh de chita.

.

Tac do, vao trong diem larn cho nhiet di) 6
benh thay

<i>63. Nei& chita• clang trong diem se xutit </i>
<i>hi?n 4 vein de. </i>

1) Bien 061 dude nhiet do lien quan vai not
tang, voi 613-oh va nhiet do 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.

<i>64. Chita ccic.dol sting cong LT() </i>

Chita trtioc ben nhtroc, ben lep, ben tha'p
truck. Sau mdi chita tiep ben co, ben cao, ben
cong.

<i>65. Giai tad doan lien 16m </i>

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.

<i>66. Cdch chit' a dot song lien loin co 2 </i>
<i>dai cd. </i>

Cd phla d ben trong ga'n cot .song loin bi
nIntdc.

Cd phia ben ngoai dai cd.nlnidc se có 1 dai
cd co.

Chita. tnidc dai cd co ben ngoai xong r6i
chfia vao cd nhudc thi dai cd nhudc ben trong
. se diidc phuc h6i.

Phai chits song chinh 2 tay.

<i>67. Gicii tod lap co co </i>

Chita lap cd co phai chfia - dung trong diem,
dung hp, dung twang. Phai chila den ngueng
mdi thai.

Neu cd co chtfa tan, phai dung hic manh
hdn nua.

<i>68. Gidi toci 10p cd treat </i>

Phai tim vao d6t ding 16i bat that manh lop
cd tron nam d9c cot song.

<i>69. Gicii toe 16p co xci .591 </i>

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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 1 nem
tren dau gai song, tren bb co. Bat 3 ng6n tay
bit cd ngoai cd thing lung.

<i>70. Gicii toa lop co' xd lan tan </i>

Giai toa bang thii thuat bat nhe bang ngon
tr.6, ngon gitia. lop cd xd lan tan nay chay
ngang, chay doc, chay cheo len, cheo xu6ng.

<i>71. Gidi toa lap co' xo' sdi det mOng xe;p </i>
<i>lai vai nhau thanh 16'p </i>

Dung thi thuat gai nhe d mei) cac cd xd sdi
det mOng xap len nhau ( benh ung thu)

<i>72. Gicii toa lap xd sdi nhct b6 tam </i>

Phai bat theo met chiau..

<i>73. Gidi tea lap co' vang S thocii </i>hod
Phai nen tinh tren lop cd mgm day.
74. Giai <i>toa lap ca voi hod </i>

Phai xoa nhe tren lung NB a tii the rig&
cong lung. Phai xoa nhe tren lop cd teo nhtidc,
trd xtfOng.

<i>75. Gidi tea lop co' sou </i>

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.

<i>76. Tai sao phcii chila song chinh </i>

1) Neu chi a met diem thi he phan ve trong
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.

<i>77. Phdi chila veto giaa he </i>a <i>giaa 2 </i>
<i>xu'cing subn </i>

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.

<i>78. Cdc loci u thaang coo r-6.1 loan </i>
<i>vang chcirn </i>

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.

<i>79. Hier.' qud chita tr cot song </i>

Khi thay thu6c chits tren cot song, nen c6
hieu qua thi NB an lung xuang, va c6 cam
giac dau de chiu.

<i>80. Phdi chaa veto chi; venh cua dot </i>
<i>song. </i>

Chita vac) khe giiia 2 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.

<i>81. Chita sdi xd cheo ben lop co' nlacyc </i>

Khi trong 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 trong diem d6i deng, lop cd benh ly se
marn ra.

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 ra.

<i>82. Gidi toa cac sdi cd xd ngang d ben </i>
<i>dot song c6 ca nhdyc </i>

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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 2 dgt tra len.

1- Lien 16i 2 d6t, C1+2 hoac C2+C3.

2- Lien 16i 3 Mt: Cl+ C2 + C3. •

Thai gian Chita lien 16i 2 khac veil lien 16i 3.
Hinh thai lien hei clang day liet tit chi. Kh6
chfia.

Khong nen chfia lien 16i 3 dot, lien loin can
hoac lien 16i can. Nen lien 16i it con chfia &loc.
Neu chi 16i la rat khe chiia, phai. chila den may
nam.Loai lien 16i can phuc h6i con cham hdn.

D"o"t song lien 16i can,-cd

a

2 ben dau ct.tang,
nhung lop cd trong lai nluidc, 2 re truec hOng,
lien quan den cot thap. 2 cot thap dgu h0ng.
Khi va tit tren xuong d giiia va 2 ben dau dau.

Dot song 16i deli co 2 ben cd 16i cao. Nhiet dO
nhu nhau. Nhiet d8

a

chinh gifia cao hdn.

<i>84. Hinh thcii loaf lien lei cuang, cz2ng, </i>
<i>day C1+ 2 </i>

T°+0 C1-C2 lien quan den nao sau. 2 ben gai
song C2 to hdn .binh thUang, gifia dau gai
song cao hcn binh thileng.

Lop cd dem tren gai sau ding day thanh
Ian r6ng sang 2 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.

<i>Ccich Chita: Khong tac dOng hing tha </i>

thuat &toe. Phai dap cua, dap b8t phi kin
trail 3 lop cd day. Da.p lien tuc khong ke th0i
gian. Kong ngai cau, la xa, m6i len -30 philt,
ngay 2 len. Lam 3 viec trail den khi lop cd co
day, ding chuyen sang co day nhung sa thgy
dau gai sang. Luc de mei chfia bAng thu thuat.

<i>85. Hinh thai loci lien IA cang day </i>
<i>C2-C3 the'lan </i>

TD* viing co trail lien quan dgri be thap 2
ben ranh song va gifia dinh .cao hdn binh
thuang.

Lop cd co ding day. 0 giaa. va lan sang 2 ben
h6 cham. Vu6t tit teen xuong, thgy c6 khe

ha.

Vu6t manh cho nao cang dau. Vu6t nhe ch6
nao dau nhgt la trong diem.

<i>Cach .chita: </i>

1) Nen tinh tai trong diem, 19c khOng qua 1
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
0 bat trail C2. Khong c/U9c tac or8n.g tit duel len
Nth tii ngoai vao.

Co kha nang phuc h6i tit 6 thang..

<i>86. Hinh thai lien hei cang day Cl. C2. </i>
<i>C3 </i>

Vu6t 2 ben thgy lop cd co day Ian sang 2 ben
chem. •

Vufit khong sal thgy dau gai Cl. Vu6t 2 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.

<i>Ccich Chita: Phai can cif vao diem dau 0 2 </i>

ben va caa dgt song de tim trong diem.

<i>87. Dot song sinh l31 C1.2.3 </i>

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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.

<i>88. Dot song b?nh ly tren C1.2.3 </i>

Khe dot bi dinh tong, khong chuyen long.
Chi chuyen dong ca tang, khi NB

quay phai, quay trai. Vu6t 2 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.

<i>89. Lop co sinh ly tren C1.2.3 </i>

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.

<i>90. Lap cd 14rth1.3 tren C1.2.3 </i>

Lap cd a khe, d canh va ii glita d6t, khong
phat hien dude, vi no thanh 1 khgi day cQm.
Khong ha khe chS.m, Ian rQng sang 2 ben h6
cham.

"1'2 canh bAng nhau. gifia dgt cao hdn
2 canh.

Cam gific dau te, 2 canh dau bang
nhau-Dau nhgt ii gifla khe d6t.

<i>Ccich chita: Ca 3 dgt ding 16i, thi khong </i>

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 khi lOp co mem
ra, mai chua bang th0 thuat &Loc.

Lgy khe diem lam chudn. Khe chAm khong
ha thi khong tac dQng. Chi tac dQng vao bit cao
cua C2.

<i>91. Chita thocit oi die d'On (hhvng lung) </i>

Nguyen nha.n cua thoat vi dia

<i>Mang vac nang- khieng, ciSy vat qua nang, </i>
hoac ii tti the khong binh thuang nen bi kitting
Icing. cua lung.

Dau ngang thAt lung L2.3 den L4.5.

<i>Cdch chita: am chGa vao D9, chua vao </i>

dgy se xoa sach cac diem da

- KhOng dttoc theta ngay vao ch6 dau.
- Phai tim lop•co co a D5.6, 0 ranh sting ben
có dgt lech. Lam mem lop co nay bAng th0
thuat bat, &Sy, nen, rung tit ngoai vao dAn den
d6t song lech.

1111Qt tay tim 0 D7 den D10 khac ben vai dgt
song lech, phla dual lop co co cQm.

Song chinh 2 diem trai chieu.

Neu L4.5 lech phai 16i dia dem thi d L5 có
r6. Chita vao trong diem gifla L5-S1. Khe giaa
dgt lOm va dot 16i.

Nang chart: Thoat vi L5- S1 thi nang 1 chart

ben dau len cho tai nguang.

Neu thoat vi L2.3.4 thi nang ca 2 chan len.

<i>Cha y: 1 tay dat vao L5- S1 hoac L2.3.4 an </i>

xugng khi tay kia nang chan len.
- Chita tit tren xu6ng.

<i>92. Chita gai del </i>

Tren 1 dal song có hinh nhti cai ken- Do la
dgt song gai deli. NB thgy dau c1 diem nay.

Phai chua vao nhang diem lien quan Wong
ling vai diem dau.

<i>1) Gai deli d L5 phcii. </i>

Trong khu la D9.10.11 trai, chi a tit cd
thang lung di vao. Lop cd mem ra. Chita tiep
song chinh D9.10.11.12 voi L5- Wang th0 thuat
nen, dAy rung.

<i>2) Gai del d S1 trai. </i>

Tim trong 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.

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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.

<i>Ch6 </i> Gai doi co chi ken khong duck chila
ngay 'vao do. phai chaa cac d6t song c6 lien
quan. Sau phai chaa u 2 ben • cai ken ta cd
thing lung vac), phai giai toa cac loci co xd sdi.
Cuoi cling moi chaa vao cai ken sau khi cac lop
'co xung quanh mdm ra.

<i>93. Cele trung tam trong he cot song </i>

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.

<i>94. Ccic phayng thac rat can trong viee </i>
<i>tim trong diem de' gicii tod </i>

Trong cac benh vd he van d6ng, ta phai ap
dung cac plittang thiic d6ng hinh, <i>d6'i </i>d6ng, co
co tildng ang, chuyen to the. Vi tat ca m9i benh
tat deu. do tit he cot sting bi kich thick, bi r6i
loan gay ra.

<i>95. Khi ta chiia khuj,u tay, tay, ngan </i>
<i>tay can lau </i>

D6t s6ng trong diem: C5.6.7-D1.2.3 nhung
c6 cac d6t lien quan: L1.2.3.4.5.

<i>96. NB dau xu'o'ng ba ben trai </i>

Trong diem d cot sting ben phai del dien.

<i>97. NB dau that Zang; dot sang cong veo </i>
<i>len sung du'eri icing tren. </i>

Khong dudc chaa vao ch8 dau phai chita vao
ch8 d6t s6ng cong veo len vang Judi lung tren
cho thing ngay.

<i>98. Tu.; song la 1 he th‘ng to dieu </i>
<i>chinh, khi chili, nen </i>chaa <i>veto day-- c•-; </i>

Phai chila vao he to didu chinh cua cot

sting, tac la chaa vao ch8 co c6m not len tren

<i>99. Teo cd </i>

Chaa vang L: Neu yang tritoc va phia ngoai
dui teo.

Chaa vang S: neu yang sau va phia trong
dui bi teo.

<i>100. Chita berth mat nga </i>

Khong chaa vao 6,7 va. A9.

<i>101. He ca c6 tic dung lan trong tic </i>
<i>dOrtg cot song </i>

- He cd giup ta:

+ Tim dudc trong diem.

+ D6ng thdi he cd gulp ta biet trong - diem da
. dudc giai toa.

<i>102. DOng y co 5 Mit leei </i>

1. Dam ket 2: Han kgt

3. Kai ket 4. Huy& ket 5. Nhiet ket

<i>103. D5 </i> <i>song 16i Lech phcii co 467 d6ng </i>
<i>khcic ben </i>

}Chong dudc dung luc chila hai ben nhu
nhau. Chu <i>Sr </i>hic n4ng chaa ben d6i dong. Con.
ben trong diem chaa luc nhe hdn. .

<i>104. Tren cot sting c6 mot doan lien loi </i>5

<i>den - DCA tha ba loi cao nha't </i>

Cach aaa:

1. Chia vao &it 16i tren cling.
2. Song chinh voi dot 16i cuoi cling.
3. Dot trong diem a d6t 161 tren cling.
4. Cal tang mai chaa d6t 16i cao nhgt (d6t
ba).

<i>105. Co co' la phdn xa cact tu; song bi </i>
<i>kich thich </i>

Phan xa. nay:

1. Di vao not tang.
2. Di vao gai song.
3. Di vao khe xudng

<i>106. Die'n bigh czia he co' </i>

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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.

<i>107. Khi ta dci chila lam cho he co' rai </i>
<i>loan trd 19i thu nhuan, nhung berth chua </i>
<i>hhai </i>

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 con cac lop co
benh lg, barn vac), dOng thai phai rung de' tao
song cam giac, lam cho cot song thing ngay kin
khit mOi dat yeu cau chfia khi benh.

<i>108. Chita cot song phai cha </i>5,:

Chula vao cac mang gan cue cac h8 not tang
nhu: mang bao, tim, mang phi3i v.v...

<i>109. Chita ngu'ai berth: </i>

Khi ta chute khong phai ta chfia. " cai benh"
ma ta chua. " Nguai benh" cu the.

<i>110. COt song la trung tarn </i>

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 trong chat eh t xam c6a tuj?

s6ng. /i

<i>111. Sd b .f.) tim hielt ye Li; song </i>

Tug, s6ng c6 5 phan. Tug, song chia lam 3
phan, con 2 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 do mang nhen va
dich nao tug,.

Dich nao tug ch6a d be mang gan.

Trong 1 ngay thay cl6'i 4 lan - 1 lan 6 ga,
tug? sting di ra 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.

<i>112. Tai sao tuj, sang 19i bi kich thich? </i>

Tug song bi kich thich IA do 6ng s6ng bi di
lech, ch6 r6rig, ch6 hep.

Tug, s6ng d6ng can la sinh ly. Nhung khi
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 thanh phan xa, gay
co co.

<i>113. Berth mat nga co • T' yang lung </i>
<i>tren, neis yang lung tren. hhong !long se la </i>
<i>cac berth. </i>

a) Than kinh suy nhttoc.
b) Tam than.

c) Tam can suy nhttcic.

<i>114. NB bi to tay, nhung to id ngon 4 va 5 </i>

Nghi la trieu chimg nhOi mau co tim, phai
cho di benh vien ca.') dm.

<i>115. Dau day than hinh lien sitar& </i>

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.

<i>116. D10 lech F </i>

Dau bung khi hanh kinh.

<i>117. Viem tic Ong dan trang </i>

Bung dual bi dau nhoi, 2 116 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.

<i>118. Huy deng he mien dich </i>

Chita vac) mac n6i lon: D3- D11 trai- L3 trai.
Vi D3- D4 tuye-ri tic san ra lim pho T4- T8- Dila
xu6ng dii tail tai D11.

<i>119. Doi sang lech phcii phan tren. </i>

- CO lap co xo co huong phai phan tren.
- Trong digm: Khe g6c phia tren d6t song
lech phai phan tren.

- Nguoc kim d6ng ha.

<i>120. Dot sang tech phcii phein dit </i>

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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.

<i>121. DOI song tech trai phan tren </i>

- 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.

<i>122.Ddt sing tech trcii phein du' di </i>

-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.

<i>123. Doi song 4.ch phai cci dot </i>

- LOp co xd cod 2 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.

<i>124. Ddt song techtrcii cd dot </i>

Lap cd cod 3 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 - 1 nein 8 canh d6t- 1
ng6n xoay bat tit teen xu6ng hoac tit duai goc
lech.

<i>125. Doi song tai toan plain </i>

- LOp cd xd co d 3 diem.
- 2 diem o ben canh d6t.
- 1 diem giiia dot 18i.
- TB: 1) - 2 ben canh d6t.

2) Tren ca d6t 16i.

- Huang: TD1- Tit sau ra truac cu6i ding
huong tam.

- TD2- Tit sau ra tritac.

- Chua tit ba ngoai cd thing king vao 2 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 thanh 9 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.

<i>126. Doi Mi phtin tren (neta tren.) </i>

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 nay bi dinh ding.

<i>Ccich chita: Phi chit'a lam cho 2 d6t nay </i>

het dinh cling bang cach nen cho 2 d6t nay
chuyen Ong.

- TB: BO tren d6t song 16i 0 giita, co 1 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 ra truac.

<i>Cita j: Dau gai </i> trail khi tong long clang
khong bat len dude vi 2 d6t dinh vao nhau.
Thao tic lam cho tan cal cuc d gitia khe va cac
lop cd benh ljr lien quan.

<i>127. Doi song loi phan duai ( n eta dithi) </i>

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.

<i>128. Hai dot song Ian nhau, tech hhcic </i>
<i>chieu hmfic 2 tint song tech cach 1 hoefc 2 </i>
<i>clot binh thaang </i>

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CAM NANG Vg PHCIONG PHAP TAC DONG COT SONG - 16 6 - NG UYiN TRAM TAN

1) - TD d goc dudi dot lech phAi(d6t tren).

2) - TD d goc duoi dot lech dudi (d6t duo*

<i>129. Doi song Ioi 1?ch phcii </i>

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.

<i>Chu. </i>

y:

Chita hien tuong lech truck. Chi-fa
hien Wong 16i sau.

<i>130. Dot song goc ben phcii qch phcii va </i>
<i>goc ben trciil?ch trai </i>

<i>- Bat soi cd co doc. </i>

- Song chinh TD1 goc tren phai lech phai va
TD2 goc tren lech trai.

<i>131. Dot song goc tren trcii 1?ch trdi </i>

- Gec tren trai lech trai theo chigu kim
d'6ng h6.

<i>132. DOt song lech ca &Ct. </i>

CO 3 TD:

1) G6c chi& dot song lech.

2) Goc tren dot song lech.

3) Canh dot sang tech phai hoac trai.

<i>133. DOI song loi can </i>

- TD: d giaa dau gai sang.

<i>Ccich chtia: </i>

1) Bao gill cling phai to giai toa 2 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 2 dot.

<i>134. Doi song lam </i>
<i>Ccich </i>

<i>1) Dung 2 non tay ciSy tii duoi len, ctSy sau </i>
vac) cd trong bi co. Lam cho tan dan lop cd co
nay.

2) Ding 2 nem tay dua sat vao lop cd co,
lam cho 2 ben bAng nhau.

3) Cu6i cong 2 non tay ding bi (1:dy) len.

<i>135. Dau quanh hhap vai </i>

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.

<i>136. Di5. song bi cong ueo ming dual </i>
<i>lung tren., nhung die'rn dau </i> <i>L4.5- S1.2 </i>

1) Khong duoc chila vao viing dang bi dau
L4.5- S1.2.

2) Phai tim trong di'Jm a ch8 dot sang cong
veo ii vang duai lung trail, chea vao cam giac
tom.

3) Chttia tii tren xu6ng.

<i>137. Dot song lien lei </i>
<i>Cdch chi? a: </i>

<i>1) Chuye'n to the nela bung, oAn lung. </i>
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:

<i>138. Doi song loi dia dem </i>

Neu cong lung, chat nhay ra phla sau.
Ngu can lung, chat nhay ra phia,trithc.

Neu khoang gifia. 2 dot reng hdn binh
thuang.

<i>Ccich chaa: </i>

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 ra.

3) Lam cho 2 dot tren &Lai bAng nhau, met
<i>ben \tit, met ben &Sy. </i>

<i>139. Doi song lien lOi can </i>

Tren khu vuc d6t song lien 16i can c6 2 trong
diem 0ben ngoai doan d6t song 16i co nhang
lop cd benh 1S, a the reng lon 1 va 2.

Trong diem 1 c1 trend ch8 16i trong dot song
trong d6t sang lem có sOi co co nh6 va có

Trong digm 2 a chiai ch8 trong d6t lom CO soi
xd co nhO va co Tc'.

- Phai song chinh 0 2 trong digm 1 va 2
tren met doan 16i can. Diem 1 ii tren dot sting
I6i.

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CAM NANG vt PHUONG PHAP TAC BONG COT SONG - 16/ • • BtD1 Df/C CUONG BitN SOAN

- Phai clang thu thuat xoay chaa 2 ben d6t
song lam. NB.ditng thing 2 tay bang chang.

Tren d6t song trong diem a 2 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 trong.

Khi chfia tren trong 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" 2 ben d6t song
de cho d6t sting ditoc kin khit.

Tuyat dot khong &Asc_ chila ngay vao d6t
sing ldi, vi cang chila tang ldi them.

<i>140. D6-t song lot tren va lot dual, d giiia </i>
<i>c6 cat sang lam </i>

TD: Didm cd co 1oi 6 tren d6t lam, 6 giaa 2
doan lien lot. Diem tren clang d6t lam 1a didm
2. Didm dii6i ding doan lien 1oi la d6t lam 3.

<i>141. B?nh tam than D12- L1 lam </i>

Chita D5-6.7.

<i>142. Tuye'n tang </i>

La linh hdn bo phan quan trong nhat caa cd
the con ngudi.

<i>143. Khi mot tiet doan tuj, song bi roi </i>
<i>loan gay thcinh berth, do la 1 phdn xa dinh </i>
<i>hinh </i>

<i>- </i>Phudng phap tic do, ng cat song tao song
cam giac, tiic.la tao nen 1 phan xa tug, co dinh
holing de' xoa b6 d ral loan da dinh hinh.

<i>144. Rung nhi. </i>

Tac ding tit 2 ddu mang tai vao den Cl.

<i>145. Rung that </i>

Tic clang vao D9 chi chila 6 (D9).

<i>146. Can mac sinh tam hod: D9.10 rol </i>
<i>loan </i>

Chi chfia vao D9 khong chfla vao irting L, vi
hian Wong tim nay do gan gay r6i

<i>147. Bi titu tie:n </i>

<i>148. Thcin hinh toa, ne'u thing len phdi </i>
<i>ch .cing tay </i>

Chita D8.9.

<i>149. Li0 nila ngodi </i>

Chi chaa khi 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

<i>150. Say nhu'ac than kinh (Tam Can </i>
<i>-Than) </i>

Chu ygu: D7- D8.
- C6-7- D7.8.10- L3.4.5.

<i>151. Khi c6 lop co' sal det, co nhigu lap </i>
<i>sat len nhau. </i>

- Chi gai va chi bat 6 mep lop cd nay.

<i>152. Gidi toci cac lap 2cO stli </i>

<i>1- Xd sdi: </i>bat that manh ca 136 ca. Xoay ng6n
cai vao sau, bat that manh.

<i>2- Xd Lan tan: </i>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.

<i>3- SO clgt: </i>khong can bat, chi gai 6 bat
nghieng c6 1 lop cd sin sat, nhidu lop xe-p
lai, bat, gai ii mep cac lop xd.

<i>4- Xd roi : </i>Xoay 2 chidu, loai nay hay r1...m
tren vai, d yang S bi thoai hoa, phai tao
song cam giac.

<i>5- Loai ad </i>tam: Bat theo 1 chigu.

<i>153. D61 lam ore lai- Thanh xua n hoci. </i>
<i>1) - </i>D2- L1.2.3.

2) - D2F. D12-L1.

<i>154. U sd tit cung </i>

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CAM NANG vt PHYONG PHAP TAC DONG COT SONG - 168 - NGUYEN THAM TAN

<i>155. U sd tien lief tuyin </i>

L4 - 5 va S1-5 co gai.

<i>156. BO'nh thu6c Diking tinh </i>

<i>Phai tao song cam giac, phudng thitc song. </i>
<i>157. .13 -nh thu6c Am tinh </i>

An chim trong diem, phtteng thitc nen.

<i>.158. Benh HAC </i>

Khong chide xong.

<i>159. Hoat clOng czia tim </i>

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.

<i>160. Chita tim mach </i>

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.

<i>161. Ccich chia ccic clot song </i>

<i>Nguyen tac la dSy tit ch8 16i cao cao xu6ng </i>

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.
<i>3- Tit D1 clSy xu6ng D2.3. </i>

4- Tit D4 clSy ngudc len D3.
5- Tit D4 day keo xu6ng D7.
<i>6- Tit D10 c1Sy len D9.8.7. </i>
7- Tit D12- L1 len D8.
8- Tit L5- Si len.
9- Tit L3-4 len.

<i>162. MuCcri chita b?nh gi cling phcii nghi </i>
<i>cieh dot song co' </i>

<i>- Phai tim len dot s6ng co, nau CO r6i loan, </i>

phai chita d6t song c6 truoc.

<i>163. Phcii quan tam din ma quan h0 </i>
<i>bi‘u 15, czla Dong y </i>

Vi d9: Tam lien quan den tidu truang.
PM'. lien quan d6n dai trang.

<i>164. Hinh thai cat song bien doi </i>

- Co 297 hinh thai d6t s6ng Irian d6i.

<i>165. Viern nao Nh6 t Bcin- Tay te </i>

- C6 c6 dam r6i, chua vao to twin, nhung cit
chUs. cho (len khi het Ca'.

- N6u cluaa khong het to phai tim tren cd
vai, tac Bong vao ch8 lom dau cd se h .& to ngay.

<i>166. Trong he cot song c6 2 yang 15m </i>

1- D3.4.5.

2- Wing that lung.

<i>167. He cot song tie:p nhan song cam </i>
<i>gicic nhzt the-nao la tot </i>

<i>1- S6ng cam giac khong thIch hdp khi </i>
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 1 nut nao do, thich

mu6n chita.

<i>168. Kit hop gicii tod D9 vai ccic dot </i>
<i>song co'• </i>

Phai song chinh cac dot s6ng c6 yeti D9.

<i>169. Doi song NB bi ho lao pluci </i>

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 trong.

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

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CAM NANG Vg PHYONG Pf-TAP TAC DONG COT SONG -169 - BOI DT:1C CLIONG BEEN SOAK

<i>pio </i>

<b>-D11: M4t </b>

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.

<i>1) </i> <b>- Ll: Da day. </b>

Chu tri: Da day- Ruet- Sinh due- Tiet nieu.
- L2: Tam tieu.

Chit tri: Da day- Ruet- Hong.
Benh phat nong, tam thin.

<b>- L3: Th4n. </b>

Sinh duc- Tieu trang. Phdi- Mat.

<i>LLt. - L5: Rut gia. </i>

Chu tri: Dau- MGi- Rang- Mieng.

s'9

<b>- S2: Ruet non. </b>

Chit tri.: 2 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.

<i><b>171. Nhqt Jo to lap cd </b></i>

Benh nao khi chita ta thd.y -nhiet de trong
lop cd. Khi ta -mist vac) do ma nhiet de lop cd
giam di la yen tarn di chita tigp.

<i><b>172.. Chita tru'ac veto lap ca barn vao </b></i>
<i><b>xuang mao cheju </b></i>

<i><b>Yang that king nam hay voi hoe hdn nit, tftc </b></i>

la lop cd co cem day len. Phai cat lop cd nay a
ch8 no barn vao xudng mao cheu. Chita ch8 nay
truOc, sau mdi chiia vao d6t song.

<i><b>173. Nguai b?nh bi berth Lau ngay hay </b></i>
<i><b>set cao hon me </b></i>

Chita: D7 a lop ngoai khe d6t, L3.S2.

<i><b>174. Wing L1 den IA lam nhung L5 </b></i>
<i><b>xizeng lei cao, cinh hitting den van nong </b></i>
<i><b>chi du'ai </b></i>

Phai chfia tit L5 lei, chita 2 ben cd va dau
gai song chita len.

<i><b>175. Wing thilt lung ua vzing gifta lung </b></i>
<i><b>loin, hoac lot ca hai ben hogfic mot ben </b></i>

Chita vimg S tit dudi len. Chii yeti la L4, 5.

<i><b>176. Gan c6 benh, bao gat cling lien </b></i>
<i><b>quan den thcin </b></i>

Khi chita gan nen chita them then.

<i><b>177. Wing gifta lung Idi cong len, yang </b></i>
<i><b>thcit lung Lem </b></i>

Chita lop cd xuaa phat diem ciia doom cong
phia lung tran, sau chita tit L4, 5 len.

<i><b>178. Dau lung cap do ngoai ccimphong </b></i>
<i><b>ham dau khong ra mo hoi </b></i>

Chita D3T cho den khi ra me hoi la &Plc.

<i><b>179. Dau lung clip co mo h6i </b></i>

Chaa hai ben cd cd ve. vimg S. Chita met lfic
se do' m8 MI nen ket hop danh

cam.

Tim trong diem ii ch8 cd co tticing Ting:
Truang hdp khong ra

m6

hoi, veo cd len
chila rat at.

<i><b>180. Dau lung man do tim phei </b></i>

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.

<i><b>181. Dau lung do ccic benh not tiet </b></i>

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.

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a
CAM NANG VA PHIIONG PI-1AP TAC DONG COT SONG - 170 - NGUYkN THAM TAN

<i>182. Dau lung do b?nh dai trang </i>

- Tao bon, di ngoai ra mau. Tri + T' vimg
chim - TD: L5-S1.

<i>183. Dau do voi hoa, thodi hoci </i>

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.

<i>184. Ddt song cang hoa L5 dinh vai S1 </i>
<i>- Ca.c d6t song dinh yeti nhau tit L5 vOi Si. </i>

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 ra -
nen day - nen rung.

NB da mo, khong

<i>185. Dau lung do sang chan </i>

Giai toa cac lop co cho mem ra, dung cac
thu thuat, cac to the chita thing, chas nghieng
thubng chong khoi.

<i>186. Viem cot song dinh lzhap </i>

Hai cci lung \rung h6ng co Om len nhtt mat
trong.

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

<i>187. Dau lung do lao cot song </i>

Thtiang xuat hien a D7, 8 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.

<i>188. ea 'luck mieng </i>
Chaa. kh^ D2.D3.

<i>189. Dot song ha </i>

Chita nhe tren dau gai song.

<i>190. Dot song 16i cao ma teo </i>

Chita nhe tren khe d6t.
Gai nhe tren dau gai sang.

<i>191. Nguai gay corn, sat can, </i>

Phai chaa nhe tren D2.3.4 va A3.4.

<i>192. Chita tit D3 trail xuang </i>

Phai oin lung.

<i>193. Hinh thcii trong die'm gilt- a dau gai </i>
<i>song. </i>

1. Hinh thai so le Oita &it cao va dot thep.
TD: d chan ha 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 ha Ong.
TD: d khe ha sau nhet.

<i>194. Phu'ang phdp tic cfcmg cot song </i>
<i>hitting phcii la xoa bop: </i>

Phai tim cho cluoc lop co benh VI. Tim duoc
bat 3 cal la xong. Xoa b6p kh8ng c6 ket qua.

<i>195. Phcii bat yew hat nha </i>

Phai tim trong cac lap co sau xem c6 hat
nhO nhet a day sau thuang c6 hat nha nhet.
Phai bat de hat nay tan la khoi benh.

<i>196. Phai tim ch6 xa teo nheit: </i>

Chc3 lop co xd teo, phai tim den ch6 xd teo
nhat.

TD: la ch6 nhU san ho, san

<i>197. Cach gidi toil cac dot song lien 16i. </i>

Co cac hinh thai- Lien 16i, lien lech- Lien
16i lech.

Trong 1 doan lien 16i, d6t song nao clang lien
quan den benh tat. D6t nao cling la trong diem.

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CAM NANG Vg PHUC$NG PHAP TAC BONG COT SONG -171- BUI DfiC WONG BIEN SO/NN

1- 6

ba trail d6t 16i tren nhat trong doan
lien 16i.

2- 6

1)6 duai d6t 16i cuol clang trong doan
lien it3i.

<i>Thu thuOt gidi toci: </i>

,
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 trong diem, tim &too
trong 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 khi 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 khi ct6t song nun
xu6ng, lap cd da mem ra, nhiet do cao tra lai
binh thuang.

<i>198. Dong y : Tri phong tien tri huyet, </i>
<i>huyet hank, phong tu. dift </i>

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.

<i>199. Thu thuifct thao tac chits benh 4 </i>
<i>ming hhcic nhau </i>

<i>1. Ddt song cd - doi song lttng </i>

<i>Chita vao giUa khe d6t. Tit bd cao dSy ngtiOc </i>
len, cey xu6ng sat .ba dudi d6t s6ng lom phia
tren.

<i>2. Doi song that lung </i>

DA'y thi.ng tit sau ra truoc.

<i>3. Doi song yang cut </i>

Trong diem d bct trong. Song chinh hai ben
du d6t 161 hay lom. Trong diem is ben phai hoax

ben trai. Huang truc.

<i>4. Vang </i>

Ch8 teo ITS), vao se dau is yang chSm.
Thao tac hitting truc tai trong diem khac ben, 0
phAn giaa ranh song va ba ngoai ranh song.
Huang tit sau ra truoc, theo this to tit ngoai
vao trong.

<i>200. Ceich Chita mot • ddt. song lOrn, </i>
<i>nhang a phia tren c6 may dot ldi </i>

Chita vao d6t 161 tren cling - chaa xong d6t
nay mai Chita tiap d6t 16i khac.

<i>201. Cach gidi tod cd thcing lung co </i>
<i>cuing tic D8, 9, 10 </i>

Phai giai toa tit ba ngoai. ranh s6ng den
ranh song. Trong diem ba trong ranh- song la
quan trong nhat.

<i>202. reu cau ddi vai NB khi chcin va hhi </i>
<i>tri bftch </i>

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 0 tit thg
lam chUng On co, de Chita hdn.

<i>203. Thao tac a ctdu gai song, gay cam </i>
<i>gidc dau </i>

Thao tac d khe d6t se gay cam giac dau d8
chiu hdn.

<i>204. Vu ng L1, 2 trai co </i>

Chaa L4, 5 phai.

<i>205. Song chinh diirn ddi dong </i>

Ne'u NB bi 161 Lech trai, to tac dOng vao, xem
co diem d61 dOng d d6t nao, có the 0 d6t D3
phai nau d dO co may dOng. Diem d6i dOng deu

khac ben.

Cach chfia: Tac di;ing vao D10 d6ng thiji 1
tay chaa vao cho may dOng D3 trai..

Cul j: D1OT clUng loc nang hdn d laic tac
dOng vac D 3F.

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CAM NANG VE. PHUGNG PHAP TAC DONG COT SONG - 17 2 - NGUYEN THAM TAN

phai chiaa yang co co de' cho lop co nhitOc ben

trai D3 not len la dUcic.

<i>206. Vying L lam </i>

- Giai toa co vai co ding de \rung L 16i len.

<i>207. Chita ccic deng mach </i>

- Chita ben trai.

<i>208. Tie-ng thdi tam thu </i>

Chao. 2 ben h6chgni.
- N6u HAC chiaa D5-6.

<i>209. Tam nhi </i>

- Lap cd ngoai tren dAu gai song D1.2.3.

<i>210. Tam thc-it </i>

- 3 lop D4.5.6.

- Tam nhi: D1.2.3. nhung lop cd keo dAn den
D4.5.6 la tarn th6t.

<i>211. C7- D10 16m </i>

Chita ch6 Lech phai o vting lom C7 d6n D10
la xong.

<i>212. D11 den L3 ldi </i>

Song chinh 8 dAu va duoi viing 16i D11 d6n
L3 16i.

Sau chila 2 ben doan D11 d6n L3 16i.

<i>213. Tam phe- man ( hit vao lac& docin </i>
<i>hhi). Thcl thoi thOp, mang sztan phdi va </i>
<i>trai ph4 phdng do cd hoanh /thong hoot </i>
<i>de ng. </i>

- Chita C2.3..4. d6n khi xtiong stidn khong
phep ph6ng la duOc.

<i>214. D12 co corn ben trai </i>
<i>- </i>Chiic nang ho h6p.

<i>215. D1.2 loch phai, c6 lap ca vai phcii </i>

<i>CO. </i>

- 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.

<i>216. Ca thang co' co </i>

Chita tren non so teen yang che'.m.

<i>217. Cd thang co' lop </i>

- Song chinh D3 va yang chSm.

<i>218. D5, chi c6 lap ca ngoai vet V'ca. </i>
<i>phcii </i>

<i>- </i>Chlac nang pho'i rot loan.

<i>219. D9.10 </i>

<i>- Lam </i>tim cl4p. ch4m lai ( Th4n- Gan)
- Hai ben ddn thtiAn la tieu hoe.

<i>220. D2 </i>

<i>- Da </i>bung day clang.

<i>221. Phcii hoc thuec long </i>

• M6i lien quan timg d6t song -yeti cac to
chiac not tang.

LOP CCJ NGOAI VII BENH CHUNG

<i>222. Lap ca ngoai C4, 5, 6, 7 bie-n </i>

- co? - vai - rive trai. Mang bao tim.

<i>223. L. CN. </i> <i>2, 3 hien cloi </i>

- Te" \rung nguc trai + lung tren.

- Chu j,: T°+ di lign voi not tang - Tim trai.
- ThAn kinh clan toi tam nhi - phol

<i>224. LCN D4, 5 bien </i>

- Ts+ yang co phai - vai phai - Ph6i.

<i>225. LCN D6, 7 bien </i>

<i>1. - </i> vung thtiOng vi - da day
2. - T** ha suan phai - Gan
3. - vai phai - Met.

4. - T'4 gifia lung D7 den D11 - Tuy - la lach.

<i>226. LCN D8, 9 bien </i>
<i>1. - </i> thuong vi - Da day..
2. - ha scan phai - Gan.
3. - T' vai phai - Met.
4. -1' r6n - Ru5t non
5. - - Ru5t gia.

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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.

<i>228. LCN D11 ban ddi </i>
<i>1. - </i>'1"+ rein.- Ru6t non - Ru6t
2. - TO+ chem - Ru6t gia.
3. - T** bung dtidi - Nieu dao.
4. - khe mong - Ong dan

<i>229. LCN D12 ban ddi </i>
<i>1. - </i> r6n - Ru6t non.
2. - T' cha'm - RuOt gia.

3. - khe mong - Ong dan triing - Ngoc
hanh - Tien liet tuyetn.

<i>230. LCN L1 ban dal </i>
<i>1. - </i>T°` ch.em.

- Rut thiia - Dai trang - Xich ma.
2. - that Ming - Then tigt nieu.
3. - khe mong - Than ti cung.

<i>231. LCN L2 ban ddi </i>

<i>1. - </i>T°4 cha:m - Dai trang - Xich ma.
2. - that king - Nieu quan.

3. - khe mong - Than tii cung - Co ti'i

cung - Bertholine.

<i>232. LCN L3 ban doi </i>

- T°+ khe rang - Bertholine.

<i>233. LCN S2 ban clai. </i>
<i>1. - </i> chern - Dai trang.

2. - bung ditch - Bang quang - Nieu dao.
3. - khe mong - Tien list tuyen.

<i>234. LCN S3 bi(n dai </i>
<i>1. - </i>T°4* chain - Truc trang.

2. - bung &Jai - Bang quang - Nieu dao.
3. - khe mong - Tien list tuyen.

<i>235. LCN S4 ban crdi </i>
<i>1. - </i> cham - Truc trang.

2. - Tc.* bung &Jai - Bang quang - Nieu dao.

<i>236. Ranh sling phcii sach </i>

Khong chick a 1 soi xd nao d ranh song, cac
cd van, cd trdn, cd tim. 2 r5.nh phai thong su6t
tii tren xu6ng

<i>237. COt song la trung tam cua phcin xa </i>

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 <i>h? than hinh udi h? cd </i>

Phai quan tam den m6i lien quan he than
kinh v6i he cd.

<i>239. Cd teo va nhiC't do </i>

<i>Ndu didu </i>dtioc nhiet d6 thi cd teo khong con
nue.

<i>240. Muc dich Ian cart phuo'n.g phdp </i>
<i>TDCS chiing xd hoci </i>

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 1 soi cd, 1 b6
cd, 1 dam cd.

<i>241. Ceti ldn </i>cria <i>phasing phap TDCS </i>

Cai lon cua phlicing phap TDCS la Cat cdn
dau.

<i>242. Lien. quan can cot *song </i>

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.

<i>243. Ccic cidt song co </i>

Cac d6t s6ng co' lien quan den 72 loai benh.

<i>244. Phvc hdi bfrih tim mach, HAC, </i>
<i>bC'nh lieu, bfnh nao </i>

Bao gia cling phAi chila vao viang S.

<i>245. Huyit cip het: Huyel cip ban ddi Col </i>
<i>da thdp, huyei cip tdi thau cao </i>

Song chinh D3// D10.11 co ding trai.

<i>246. Vang S </i>

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CAM NANG Vg PHTIONG PHAP TAC DONG COT SONG - 174 - NGUYEN THAM TAN
3. 816 bat lieu dia. Dong <i>y. </i>

<i>247. Co 3 loci dau </i>

1. Dau nhoi: Mang bao tim.
2. Dau tUc: Cd tim.

3. Dau b6: Xd ding do, ng mach vanh.

<i>248. Giam colesterol </i>

Chita D10, 11, 12 - L2, 3 trai.

<i>249. Tim dap nhanh </i>

An vao hai nhan cau, tim dap binh thuang.

<i>250. Dau hie:u hoai huyei </i>

1. Da mat, tit chi yang pha xanh,
2. Rau do nhu rau ng8.

3. T6c rung.

<i>251. Thie'u ruing twin hoan n.cio gay </i>
<i>nhai mciu ca tim </i>

Chila D2, D3 161 Lech phai de d6t song co
khong dinh.

<i>252. Dong y </i>

1. Tam = Tram
2. Tay= Dau mai.
3. Can = Go ma - trai.
4. Pile = G6 ma - ma phai.
5. Than =

1. Tam = Daulu8i.
2. TS, vi = Giffa.
3. Can - clam= Doi dia
4. Than = G6c

<i>253. Lift chart do tai bifn mach mciu </i>
<i>nao, chan khong thcing lam ban chiin </i>
<i>cong nghieng </i>

- D3, 4 trai ben chan lie't.

<i>254. Di ang i man ngz2a khcfp ngaai </i>

- C7 - D10 L3.

<i>255. Cang dcing mach trong, gay nOng </i>
<i>yang trcin </i>

D9, 10 - 11.

<i>256. Viem hhap hang - khong claa chan </i>
<i>cheo hod.' c ngai ngd chan sat xueing givang </i>
<i>Ccich china: </i>NB ni.'rn ngii' a ch6ng hai dau
gea, baa sang hai ben. Tim ch6 cd co ding a
phia trong dui sat ben. Phai bat a phia sat ben,
de dui nga xu6ng sat giuCing cluoc.

<i>257. Day than kinh 7 </i>
<i>+ </i>Wing chS.m.

<i>258. Day than kinh 10 </i>
<i>Cl +Vang </i>cliSm trai.

259. Dau <i>bap chan trai nhtt dau nhot </i>

D2, 3, 4.

<i>260. Kiet ly - </i>Dll trai.

<i>261. la chdy - </i>D11 phai.

<i>262. DOng hinh </i>

Chita tit D3 len den ba ngoai cd iic don
chum.

<i>263. Chita tra'ng ca </i>

C3 ben phai, china nhe 16p ngoai.

<i>264. Vi tri quan trong nhal trong mot </i>
<i>dot song b?nh 1.)'? </i>

D6 la diem giffa tren dau gai song. Lop co
tren dau gai song chua giai toa het, benh con
tra lai.

Benh khai }In khi lop co benh 157 tren dau
gai song da sach, lam cho d6t sting ngay thing,
kin khit.

<i>265. Lanh lung: </i>D2.

<i>266. S1 lom: TO </i>cung co, dA say thai.
<i>267. Hep mon. vi </i>

<i>- Cl - </i>S2, 3
- D8, 9, 10, 11, 12.

<i>268. Ung thu trung that phai .= kho nueit </i>
<i>nude b9t. Cam gidic mOi neing </i>

<i>a </i>

<i>quanh </i>

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CAM NANG Vt PHLIONG PHAP TAC DONG COT SONG - 175 • BOI D1:1C CU'ONG BrtN SOAK

<i>269. Ngdi xudng, hhi doing len, nem </i>

mong <i>ra sau. </i>

- L5 - S1- D2.

<i>270. Dot song voi hod, c6 lop cd teo </i>
<i>nhuvc </i>

Chia tit dot trail cling xu6ng. Chaa nhe
khe gifla hai d6t cho day len.

<i>271. Dot song co MI6 chita &in </i>

So voi d6t song lung thi dot song c6 kho
chfia hdn ggp 2, 3 Ian.

<i>272. L4 leim </i>

- D7, 8, 9 hai ben.

- Day L5 loi xueing bd duoi L4.

<i>273. Chita Icing bi tong </i>

- NB ng6i thing lung, c6.

- Tim d6t song 16i tren cling day len.
- Khong chfia cac cl6t du6i.

<i>274. B?rih viem cot so-rig dinh khap: </i>
<i>chita dot song ha a yang lung tren. </i>

- Phai lam cho dot song kin khit.

- Day tit dot tren nhgt tit ha cao xu6ng th6.p.
Sau d6 ddy tii ba duai cl6t the:p phia tren <i>dSy </i>

xu6ng.

Het lop cd benh lSr mai dung thu thua.t rung.

<i>275. 4 diem quan trong trong con ngu'ai </i>

thiic 2. Dinh clang
3. Sinh san 4. Van dang

<i>276. Dau king tit D4 den D9 </i>

- Chita D3 // D10.

<i><b>277. Veo </b>cot song tit D8 den L5 </i>

- D6 len lop cd ben trod.
- Sau chita tit D8 xu6ng L5.

<i>278. Thao tdc chiia cat </i>/c3m

- NB phai cui het mite lam cho dot -sting 16i
len that tang lam ha khe d6t lOm tren d6t 16i.

Dat that nhe dau nem tay sat vao 16p da 8
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 nay. 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 trong 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 <i>cqy </i>sao cho cac hian tudng da kho se,
rap, gdn se thu nhua.nlai, tits la lop da tren
killing con kilo se, rap, gdn nita.

<i>279. Tim dot song trong diem mai </i>

Khi to chaa a trong didm 1, tim tren hg cot
song xem neu 16p cd map may ta d6t nao phia
tren. D6 la trong didm 2 a khac ben.

<i>280. Hai tay lank, gid len bi dau </i>

NB gid ca hai tay len. Tim a lung thgy ch6
co co. D6 la trong didm.

<i>281. Phdi bdo ye cdc dot song sinh 15, - </i>
<i>Ccic cat song cao sinh ly • </i>

<i>- </i>Cl, 2 - C7, D1 - D4 - D10 - L5 - S1 - S5.

<i>Ccic dot sing MOP sinh ly </i>

- C3, 4 - L5 nam.

<i>Dot song hdi l'ech phcii </i>

- D6 lach phai.

<i>282. NB gid tay phdi, dau heo ve ben </i>

<i>phdi </i>

- Trong didm: Cac dot song

<i>283. NB gid tay han chg, lung </i>aci'n co
- Treng didm: a ba lung veo.

<i>284. NB gid </i>tay ierc<i>, ne-u dot song venh. </i>
<i>len </i>

- Tr:mg didm: a ch6 d6t song venh len.

<i>285. NB gid hai tay len, xem hai co' vai, </i>
<i>vai bi han che co d vai nth) dau </i>

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CAM NANG Vt PHUtiNG PHAP TAC DONG COT SONG -176 - NGUYiN THAM TAN

<i>286. NB gia tay phai len bi han the </i>

- Trong vai ben till (lanh khOng dau)
a ch6 hem gan vai.

<i>287. NB gict tay phai, cg /Leo ve ben trcii, </i>
<i>ca vai ben binh thithng co lai </i>

- Trong Cl có lop xd.

<i>288. Nang chcin bi h.an chg. </i>

- Nang chan (tan ch8 bi han chg. Gap chan

vao, day sat bung. Tim sdi cd co. Bat that
manh 3 cal. Sli cd chung la hat dau.

<i>289. Khong ngdi xgm clu9'c </i>

- NB ng6i x6m - chi.la vao D2 la ng6i dvdc.
Chita hai ben ranh song xd boa tii D12 xueing
viIng S.

<i>290. Chita li:et chi dual. </i>

- Chita vao ch8 dau xildng cut.

<i>291. Dau </i>

<i>a </i>

<i>canh khe =tang bci ben trcii </i>

KhOng clyaa ch8 dau, chfia vao d6t song ben
phai, ch8 tildng itng vdi digin dau.

<i>292. Quay tay ben trcii dau </i>

Phai chtia d6t song lech ben till.

<i>293. Rieng khap vai co sat de vao diem </i>
<i>dau </i>

Phai chiia ben d6i d6ng khac ben mai khOi.

<i>294. Bai liet tre em </i>

Liet mam - T't -yang king tren.

Chi chiia rieng D4 se giai guy& chtdc nhiet
do xu6ng la khOi. benh. Khong phai chiia ch6
khac.

<i>295. Dau dau kiem xd citng dfmg mach </i>
<i>vanh </i>

Khong dvdc chfia vao C1, 2, 3, 4.

<i>296. Gian ddng tit - mat and </i>

- Khong chfia vao Cl, 2.
- Chfia: C7.

<i>297. Co ddng tit - melt and </i>

- Khong d.idc chfia vao C7 -

- Chita: Cl.

<i>298. Tim tn.& - huyei ap thgp </i>

- Chaa dau xticing cut huyat fip len.

<i>299. Cdt can dau bung </i>

- D5 trai • D7 phai - D12 - L3.

<i>300. Dau gai song bi teo, D2, 3, 4 15m </i>

- D'Au gai song cao len ma teo.

- Chia nhe dau gai song + khe d6t chila nhe
D2, 3, 4. Chi gai thoi.

<i>301. S5 + yang cut </i>

- Chan tay run.

<i>302. Tim suy: </i>

- S4 - S5

<i>303. D4 hay rot loan, lien quan den </i>
<i>nhieu benh. </i>

- 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

<i>304. Chan an </i>

- D6, 7 Ira \ging chSm.

<i>305. Dinh hhap hang 'thong ngdi xgm </i>
<i>lilac </i>

- Chfia. D2, 3 khong chGa L3, 4, 5 va Si, 2.

<i>306. C6, 7 lfch phai </i>

- Chong mat, hay bi nga.
- Thiau mau nao.

<i>307. Cgp cc-hi truy tim mach </i>

Trong benh tim mach, trung wing giao cam
chi6m vu the nen khOng chfia vac, trung Icing
giao cam.

- Phai chfia vac) trung icing pho giao cam a
Cl, 2.

<i>308. Gan Achille dau </i>

</div>
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CAM NANG Vg PHLIONG PHAP TAC DONG COT SONG -177 - Btil DI:1C CTIONG Bt N SOAN

<i>309. Gan Achille hhOng dau </i>
- Chi.la viing mong.

4-k t

<i>310. qia-tay len bi han chi- cha I4 </i>

NB gid tay len va xueing that nhanh. Tim
diem dau.C6 the L4.

<i>311. Khci nang ud tat dung cita phdang </i>
<i>phcip tcic dfing cot song </i>

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 con 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
trong 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 con nguai minh
ink them.

</div>
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I.Lfz;

Lo-r6

j2

</div>

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