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\u5c81\u7684\u5eb7\u5229\u662f\u5bbe\u5915\u6cd5\u5c3c\u4e9a\u4eba\u3002 \u6839\u636e\u5f17\u5409\u5c3c\u4e9a\u5dde\u533b\u5b66\u59d4\u5458\u4f1a\u7684\u8bb0\u5f55\uff0c2002\u5e74\u6bd5\u4e1a\u4e8e\u5723\u6bcd\u5927\u5b66\uff08University of Notre Dame\uff09\uff0c\u62ff\u7684\u662f\u79d1\u5b66\u5b66\u58eb\u5b66\u4f4d\uff0c2006\u5e74\u5728\u8d39\u57ce\u6574\u9aa8\u533b\u5b66\u9662\uff08Philadelphia College of Osteopathic Medicine\uff09\u83b7\u5f97\u4e86\u6574\u9aa8\u533b\u5e08\u7684\u8d44\u683c\uff0c\u7136\u540e\u8fdb\u5165\u5f17\u5409\u5c3c\u4e9a\u5dde\u6734\u8328\u8305\u65af\u7f8e\u56fd\u6d77\u519b\u533b\u5b66\u4e2d\u5fc3\u6210\u4e3a\u4e00\u540d\u4f4f\u9662\u533b\u751f\uff0c\u5e76\u5728\u90a3\u91cc\u7cfb\u7edf\u5b66\u4e60\u4e86\u7ecf\u6d4e\u6551\u62a4\u3002<\/p>\n\n\n\n 2013\u5e74\u88ab\u6d3e\u5f80\u963f\u5bcc\u6c57\uff0c\u6210\u4e3a\u5317\u7ea6\u963f\u5bcc\u6c57\u8054\u5408\u4f5c\u6218\u90e8\u961f\u7b2c3\u533b\u7597\u961f\u521b\u4f24\u79d1\u8d1f\u8d23\u4eba\uff0c\u671f\u95f4\u56e0\u4e3a\u4f7f\u7528\u5fc3\u810f\u4f53\u5916\u5faa\u73af\u6280\u672f\u6551\u52a9\u4e00\u540d\u6fd2\u6b7b\u7684\u7f57\u9a6c\u5c3c\u4e9a\u519b\u4eba\u83b7\u5f97\u5609\u5956\u3002\u56de\u5230\u6d77\u519b\u533b\u5b66\u4e2d\u5fc3\u540e\uff0c\u4ed6\u53c8\u8d1f\u8d23\u90a3\u91cc\u7684\u201c\u6218\u6597\u521b\u4f24\u7814\u7a76\u7ec4\u201d2\u5e74\u591a\uff0c\u76f4\u52302018\u5e743\u6708\u88ab\u4efb\u547d\u4e3a\u767d\u5bab\u4ee3\u7406\u533b\u5e08\uff0c2018\u5e745\u6708\u6b63\u5f0f\u6210\u4e3a\u7279\u6717\u666e\u603b\u7edf\u4efb\u5185\u7b2c\u4e8c\u4f4d\u767d\u5bab\u533b\u5e08\u3002<\/p>\n\n\n\n \u4ece\u5c65\u5386\u4e0a\u770b\uff0c\u5eb7\u5229\u663e\u7136\u4e0e\u4f20\u67d3\u75c5\u9632\u6cbb\u548c\u75c5\u6bd2\u7814\u7a76\u4e0d\u6cbe\u8fb9\uff0c\u8bb8\u591a\u5a92\u4f53\u6ca1\u6709\u660e\u8bf4\uff0c\u4f46\u5b57\u91cc\u884c\u95f4\u770b\u5f97\u51fa\u5bf9\u4ed6\u6574\u9aa8\u533b\u5b66\u7684\u5b66\u5386\u5e76\u4e0d\u592a\u611f\u5192\u3002<\/strong>\u4e3a\u4ec0\u4e48\u5462\uff1f\u56e0\u4e3a\u5728\u7f8e\u56fd\uff0c\u6574\u9aa8\u533b\u5b66\u7684\u786e\u662f\u4e00\u5957\u83b7\u5f97\u5b66\u672f\u754c\u548c\u6559\u80b2\u754c\u627f\u8ba4\u7684\u6b63\u89c4\u533b\u5b66\u4f53\u7cfb\uff0c\u4e5f\u7b97\u662f\u897f\u533b\u4e2d\u7684\u4e00\u652f\uff0c\u53ef\u662f\u5728\u6b63\u7edf\u897f\u533b\u770b\u6765\u6709\u70b9\u66ff\u4ee3\u7597\u6cd5\u4e0d\u591f\u79d1\u5b66\u7684\u610f\u601d\uff0c\u5982\u679c\u4f60\u6709\u673a\u4f1a\u548c\u7f8e\u56fd\u5927\u533b\u9662\u91cc\u7684\u533b\u751f\u804a\u5230\u6574\u9aa8\u533b\u5b66\uff0c\u4ed6\u4eec\u666e\u904d\u4f1a\u7528\u4e00\u79cd\u5fae\u5999\u7684\u53e3\u543b\u6765\u8c08\u8bba\u5b83\u3002<\/p>\n\n\n\n \u6574\u9aa8\u533b\u5b66\uff0c\u82f1\u6587\u53ebOsteopathic medicine,\u5b83\u548c\u6574\u810a\u533b\u5b66\uff08Chiropractic medicine\uff09\uff0c\u4e43\u81f3\u4e2d\u533b\u91cc\u7684\u63a8\u62ff\u6309\u6469\u6216\u4e2d\u56fd\u533b\u9662\u91cc\u5eb7\u590d\u4fdd\u5065\u79d1\u91cc\u641e\u7684\u4e1c\u897f\u6709\u70b9\u50cf\uff0c\u4f46\u53c8\u662f\u5b8c\u5168\u4e0d\u540c\u7684\u3002\u6574\u9aa8\u533b\u5b66\u662f1874\u5e74\u7531Dr. Andrew Tayler Still\u6240\u521b\u7acb\uff0c\u5176\u82f1\u6587\u8bcd\u6839Osteo\u6765\u81ea\u4e8e\u5e0c\u814a\u8bed\uff0c\u9664\u4e86\u4ee3\u8868\u9aa8\u80f3\u4e4b\u5916\uff0c\u8fd8\u6709\u56e0\u679c\u5173\u7cfb\u7684\u610f\u601d\u3002<\/p>\n\n\n\n \u6574\u9aa8\u533b\u5b66\u8ba4\u4e3a\uff0c\u4eba\u4f53\u7531\u9aa8\u80f3\u5f00\u59cb\u53d1\u80b2\uff0c\u9aa8\u80f3\u808c\u8089\u7cfb\u7edf\u5f71\u54cd\u4e86\u4eba\u4f53\u7684\u81ea\u6108\u80fd\u529b\uff0c\u900f\u8fc7\u8c03\u6574\u9aa8\u80f3\u808c\u8089\u53ef\u4ee5\u6062\u590d\u4eba\u4f53\u81ea\u6108\u80fd\u529b\u7ef4\u6301\u5065\u5eb7\u5e76\u8fdc\u79bb\u75be\u75c5\u3002\u4e0e\u4e4b\u76f8\u6bd4\uff0c\u6574\u810a\u533b\u5b66\u5219\u8d70\u5f97\u66f4\u8fdc\u4e00\u4e9b\uff0c\u66f4\u5f3a\u8c03\u810a\u690e\u5728\u9aa8\u9abc\u7cfb\u7edf\u4e2d\u7684\u6838\u5fc3\u4f5c\u7528\uff0c\u66f4\u5f3a\u8c03\u7528\u624b\u6cd5\u6765\u5b9e\u65bd\u8c03\u7406\u7684\u505a\u6cd5\uff0cChiropractic\u8fd9\u4e2a\u82f1\u6587\u5355\u8bcd\u7684\u5e0c\u814a\u8bed\u8bcd\u6839\u7684\u610f\u601d\u5c31\u662f\u201c\u7528\u624b\u5b8c\u6210\u201d\u3002<\/p>\n\n\n\n \u8fd9\u4fe9\u90fd\u662f\u6b63\u89c4\u533b\u5b66\uff0c\u4f46\u4e0e\u4eba\u4eec\u6982\u5ff5\u4e2d\u7684\u897f\u533b\u770b\u4e0a\u53bb\u5f88\u4e0d\u540c\u3002\u5e73\u65f6\u4eba\u4eec\u6240\u8bf4\u7684\u897f\u533b\uff0c\u5176\u5b9e\u6307\u7684\u662f\u897f\u533b\u4e2d\u7684\u5bf9\u6297\u533b\u5b66(Allopathicmedicine\uff09,\u4e13\u4ee5\u5316\u5b66\u6216\u7269\u7406\u575a\u6301\u4e3a\u624b\u6bb5\uff0c\u4ee5\u5316\u5b66\u836f\u7269\u548c\u5916\u79d1\u624b\u672f\u4e3a\u57fa\u672c\u6cbb\u7597\u65b9\u6cd5\uff0c\u6240\u8c13\u5bf9\u6297\uff0c\u610f\u601d\u5c31\u662f\u5bf9\u75c7\u4e0b\u836f\u6216\u624b\u672f\u3002\u800c\u6574\u9aa8\u533b\u5b66\u548c\u6574\u810a\u533b\u5b66\u53ef\u4ee5\u53eb\u505a\u987a\u52bf\u533b\u5b66\uff0c\u5b83\u4eec\u5bf9\u75be\u75c5\u548c\u5065\u5eb7\u7684\u89c2\u70b9\u4e0d\u540c\u4e8e\u5bf9\u6297\u533b\u5b66\uff0c\u8ba4\u4e3a\u4eba\u4f53\u662f\u4e00\u4e2a\u7269\u7406\u6574\u4f53\uff0c\u5c31\u50cf\u4e00\u53f0\u673a\u68b0\uff0c\u628a\u6574\u4f53\u8c03\u6821\u597d\u4e86\uff0c\u67d0\u4e2a\u5c40\u90e8\u7684\u75be\u75c5\u81ea\u7136\u5c31\u4f1a\u5f97\u5230\u6cbb\u7597\u3002<\/p>\n\n\n\n \u5f53\u7136\uff0c\u4ed6\u4eec\u9664\u4e86\u6bd4\u8f83\u6ce8\u91cd\u7cfb\u7edf\u6027\u7684\u7167\u987e\u5916\uff0c\u8bca\u65ad\u75be\u75c5\u65f6\u4e5f\u4f1a\u770bX\u5149\u7247\uff0c\u914d\u5408\u8eab\u4f53\u529f\u80fd\u5c42\u9762\u7684\u8bca\u65ad\uff0c\u4f46\u603b\u4f53\u6765\u8bf4\uff0c\u6574\u9aa8\u533b\u5e08\u53d7\u7684\u6838\u5fc3\u8bad\u7ec3\u662f\uff0c\u5bf9\u75c5\u4eba\u8eab\u4f53\u8fdb\u884c\u5168\u9762\u68c0\u67e5\uff0c\u800c\u4e0d\u662f\u4e3a\u7279\u5b9a\u7684\u75c7\u72b6\u6216\u75be\u75c5\u5f00\u836f\u3002<\/strong><\/p>\n\n\n\n \u7f8e\u56fd\u7b2c\u4e00\u5bb6\u6574\u9aa8\u5b66\u6821American School of Osteopathy\u4e8e1892\u5e74\u5728\u5bc6\u82cf\u91cc\u5dde\u79d1\u514b\u4ec0\u7ef4\u5229\uff08Kirksvill\uff09\u6210\u7acb\uff0c\u73b0\u4eca\u6539\u540d\u4e3a\u79d1\u514b\u4ec0\u7ef4\u5229\u6574\u9aa8\u533b\u5b66\u9662\uff08Kirksvill College of Osteopathic Medicine\uff09\uff0c\u5386\u53f2\u8d85\u767e\u5e74\u3002\u5b9e\u9645\u4e0a\uff0c\u5728\u533b\u5b66\u9662\u4e2d\uff0c\u6574\u9aa8\u533b\u751f\u9700\u8981\u5b8c\u6210\u5f88\u591a\u8bfe\u7a0b\uff0c\u4e86\u89e3\u4eba\u4f53\u7684\u9aa8\u9abc\u3001\u808c\u8089\u548c\u795e\u7ecf\u5982\u4f55\u5f71\u54cd\u6574\u4f53\u529f\u80fd\u548c\u5065\u5eb7\uff0c\u8fd8\u8981\u5b66\u4f1a\u7528\u5404\u7c7b\u624b\u6cd5\u8fdb\u884c\u8bca\u65ad\u548c\u6cbb\u7597\uff0c\u4f8b\u5982\u5bf9\u5173\u8282\u548c\u808c\u8089\u65bd\u52a0\u538b\u529b\u6216\u4f7f\u5176\u4f38\u5c55\u3002<\/p>\n\n\n\n \u5728\u7f8e\u56fd\uff0c\u6574\u9aa8\u533b\u5e08\uff0c\u88ab\u79f0\u4e3aDoctor of Osteopathy\uff0c\u7f29\u5199DO\uff0c\u8fd9\u4e5f\u5c31\u662f\u5eb7\u5229\u6240\u83b7\u5f97\u7684\u533b\u5b66\u5b66\u4f4d\u3002DO\u63a5\u53d7\u7684\u533b\u5b66\u6559\u80b2\u548c\u4e00\u822c\u533b\u5e08\uff0c\u5373Doctor of Medicine\uff0c\u7f29\u5199MD\uff0c\u51e0\u4e4e\u662f\u4e00\u6837\uff0c\u4f46\u66f4\u5f3a\u8c03\u9884\u9632\u533b\u5b66\u3001\u5168\u9762\u7684\u8eab\u5fc3\u7167\u987e\u3001\u9aa8\u80f3\u808c\u8089\u533b\u5b66\u548c\u6574\u9aa8\u64cd\u4f5c\u533b\u7597(osteopathic manipulation medicin)\uff0c\u5e38\u7528\u7684\u65b9\u6cd5\u5305\u62ecmuscleenergy technique(MET)\u3001high-velocity\u3001low-amplitude thrust(HVLA)\u3001 cranialosteopathy\u7b49\u7b49\u3002<\/p>\n\n\n\n \u6574\u9aa8\u533b\u5e08\u53ef\u4ee5\u53c2\u52a0\u7f8e\u56fd\u533b\u5e08\u8003\u8bd5\u5e76\u6210\u4e3a\u7f8e\u56fd\u533b\u5b66\u4f1a\u7684\u6210\u5458\uff0c\u4ed6\u4eec\u8fd8\u53ef\u4ee5\u5728\u533b\u9662\u63a5\u53d7\u4e13\u79d1\u8bad\u7ec3\uff0c\u5c31\u50cf\u5eb7\u5229\u5165\u4f0d\u540e\u53c8\u5b66\u4e60\u7684\u521b\u4f24\u6025\u6551\u3002\u73b0\u4eca\u7f8e\u56fd\u6709\u8d85\u8fc7\u4e94\u4e07\u540d\u6574\u9aa8\u533b\u5e08\u6267\u4e1a\uff0c\u7ea6\u5360\u6240\u6709\u533b\u5e08\u76845%\uff0c\u5176\u4e2d\u8d85\u8fc7\u516d\u6210\u4ece\u4e8b\u57fa\u5c42\u533b\u7597\u5de5\u4f5c\u3002\u6574\u9aa8\u533b\u5e08\u5728\u7f8e\u56fd\u6709\u5904\u65b9\u6743\uff0c\u4e5f\u6709\u5728\u533b\u9662\u7684\u51fa\u8bca\u6743\u3002<\/p>\n\n\n\n \u5b9e\u9645\u4e0a\uff0c\u5355\u5c31\u6cbb\u7597\u80ba\u708e\u6765\u8bf4\uff0c2014\u5e745\u67086\u65e5\u5728JoVE\u540c\u884c\u8bc4\u8bae\u5b66\u672f\u7f51\u7ad9\u4e0a\uff0c\u8fd8\u6709\u4e13\u95e8\u57fa\u4e8e\u4e34\u5e8a\u8bd5\u9a8c\u7684\u8bba\u6587\u63cf\u8ff0\uff0c\u6574\u9aa8\u624b\u6cd5\u6cbb\u7597\u53ef\u4ee5\u63d0\u5347\u80ba\u708e\u60a3\u8005\u7684\u514d\u75ab\u529f\u80fd\uff0c\u80fd\u591f\u51cf\u5c11\u4f4f\u9662\u5929\u6570\u3001\u6297\u751f\u7d20\u7684\u6301\u7eed\u4f7f\u7528\u65f6\u95f4\u3001\u547c\u5438\u8870\u7aed\u7684\u53d1\u75c5\u7387\u548c\u6b7b\u4ea1\u7387\u3002\u65e9\u5148\u8fd8\u6709\u8bba\u6587\u8bf4\uff0c1918\u5e74\u897f\u73ed\u7259\u6d41\u611f\u671f\u95f4\uff0c\u666e\u901a\u533b\u751f\u6cbb\u7597\u7684\u6b7b\u4ea1\u7387\u662f33%\uff0c\u800c\u6574\u9aa8\u533b\u751f\u6cbb\u7597\u7684\u6b7b\u4ea1\u7387\u53ea\u670910%\u3002<\/p>\n\n\n\n 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\u767d\u5bab\u533b\u751f\u8fd9\u4e2a\u804c\u4f4d\uff0c\u6700\u65e9\u662f\u79c1\u4eba\u6027\u8d28\u7684\uff0c1789\u5e74\uff0c\u7f8e\u56fd\u9996\u4efb\u603b\u7edf\u4e54\u6cbb\u00b7\u534e\u76db\u987f\u5c31\u804c\u540e\u4ec5\u4ec56\u4e2a\u661f\u671f\u5c31\u75c5\u5012\u4e86\uff0c6\u670813\u65e5\uff0c\u4ed6\u628a\u5f53\u65f6\u6700\u6770\u51fa\u7684\u533b\u751f\u4e4b\u4e00\u585e\u7f2a\u5c14\u00b7\u5df4\u5c14\u5fb7\uff08Samuel Bard\uff09\u53eb\u5230\u66fc\u54c8\u987f\u7684\u603b\u7edf\u5e9c\u770b\u75c5\u3002 \u6b64\u540e\uff0c\u534e\u76db\u987f\u5728\u603b\u7edf\u5e9c\u65f6\uff0c\u59cb\u7ec8\u4f9d\u9760\u5df4\u5c14\u5fb7\u63d0\u4f9b\u533b\u7597\u670d\u52a1\uff0c\u56e0\u6b64\u5df4\u5c14\u5fb7\u6210\u4e3a\u7f8e\u56fd\u5386\u53f2\u4e0a\u7b2c\u4e00\u4f4d\u767d\u5bab\u533b\u751f\u3002 1928\u5e74\uff0c\u7f8e\u56fd\u56fd\u4f1a\u6b63\u5f0f\u6279\u51c6\u8bbe\u7acb\u201c\u603b\u7edf\u533b\u5e08\u201d\u8fd9\u4e2a\u804c\u4f4d\uff0c\u5e38\u9a7b\u767d\u5bab\uff0c\u4f46\u8fd8\u4fdd\u7559\u4e86\u5f88\u5927\u7684\u79c1\u4eba\u7a7a\u95f4\uff0c\u76f4\u52301945\u5e74\u6b63\u5f0f\u5f52\u519b\u65b9\u7ba1\u7406\u3002<\/p>\n\n\n\n \u767d\u5bab\u4fdd\u5065\u90e8\u95e81945\u5e74\u53d8\u6210\u4e86\u4e00\u4e2a\u519b\u4e8b\u5355\u4f4d\uff0c\u5168\u79f0\u767d\u5bab\u533b\u7597\u5c0f\u7ec4\uff08WhiteHouse Medical Unit\uff09\uff0c\u82f1\u6587\u7f29\u5199WHMU\uff0c\u884c\u653f\u4e0a\u5c5e\u767d\u5bab\u519b\u4e8b\u529e\u516c\u5ba4\u7ba1\u8f96\uff0c\u4e3b\u4efb\u901a\u5e38\u517c\u4efb\u603b\u7edf\u79c1\u4eba\u533b\u751f\uff0c\u79f0\u201c\u603b\u7edf\u533b\u5e08\u201d\uff0c\u4e5f\u5c31\u662f\u901a\u4fd7\u8bf4\u7684\u767d\u5bab\u533b\u751f\u3002 \u4eba\u9009\u7531\u603b\u7edf\u81ea\u5df1\u5b9a\uff0c\u4efb\u547d\u72b6\u7531\u519b\u4e8b\u529e\u516c\u5ba4\u4e3b\u4efb\u7b7e\u53d1\u3002<\/p>\n\n\n\n \u5c0f\u7ec4\u6210\u5458\u4eba\u6570\u5e76\u4e0d\u56fa\u5b9a\uff0c\u4e00\u822c\u5305\u62ec6-7\u540d\u73b0\u5f79\u519b\u533b\uff0c\u6709\u65f6\u53ef\u80fd\u5305\u62ec\u4e00\u540d\u5e73\u6c11\u533b\u751f\uff0c\u6570\u540d\u6765\u81ea\u519b\u961f\u7684\u533b\u5e08\u52a9\u7406\u3001\u6ce8\u518c\u62a4\u58eb\u548c\u533b\u52a1\u4eba\u5458\uff0c\u533b\u5e08\u52a9\u7406\u670d\u5f79\u5e74\u9650\u5fc5\u987b\u57286\u5e74\u4ee5\u4e0a\uff0c\u6b64\u5916\u8fd8\u6709\u884c\u653f\u7ba1\u7406\u4eba\u5458\u548c\u533b\u7597\u4fe1\u606f\u6280\u672f\u7ecf\u7406\u5728\u5185\u7684\u8f85\u52a9\u4eba\u5458\u3002<\/p>\n\n\n\n \u8fd9\u4e2a\u5de5\u4f5c\u542c\u4e0a\u53bb\u5f88\u5389\u5bb3\uff0c\u4f46\u5b9e\u9645\u5e76\u975e\u5982\u6b64\u3002\u91cc\u6839\u5728\u767d\u5bab\u7684\u7b2c\u4e00\u4f4d\u79c1\u4eba\u533b\u751f\u4e39\u5c3c\u5c14\u00b7\u9c81\u683c\uff08Daniel Ruge)\uff0c\u5728\u91cc\u6839\u7b2c\u4e00\u4e2a\u4efb\u671f\u7ed3\u675f\u5c31\u8f9e\u804c\u4e86\uff0c\u56e0\u4e3a\u201c\u603b\u7edf\u533b\u5e08\u7684\u5de5\u4f5c\u88ab\u5938\u5927\u4e86\uff0c\u975e\u5e38\u65e0\u804a\u5e76\u4e14\u6ca1\u6709\u6311\u6218”\u3002<\/p>\n\n\n\n \u8001\u5e03\u4ec0\u548c\u514b\u6797\u987f\u7684\u4fdd\u5065\u533b\u751f\u3001\u9000\u5f79\u6d77\u519b\u5c11\u5c06\u5eb7\u59ae\u00b7\u9a6c\u91cc\u4e9a\u8bfa\uff08Connie Mariano\uff092010 \u5e74\u5199\u8fc7\u4e00\u672c\u300a\u767d\u5bab\u533b\u751f\uff1a \u56de\u5fc6\u5f55\u300b\uff08The White House Doctor:A Memoir\uff09\uff0c\u4e66\u4e2d\u8bb0\u8ff0\uff0c\u5979\u7b2c\u4e00\u6b21\u7ed9\u603b\u7edf\u770b\u75c5\u662f\u968f\u540c\u8001\u5e03\u4ec0\u4e00\u884c\u53bb\u6253\u9ad8\u5c14\u592b\u7403\uff0c\u7ed3\u679c\u8001\u5e03\u4ec0\u7684\u978b\u78e8\u811a\uff0c\u9700\u8981\u5728\u811a\u4e0a\u8d34\u5757\u521b\u53e3\u8d34\uff0c\u8fd9\u5c31\u662f\u5979\u7684\u5de5\u4f5c\u4e86\u3002 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