【摘要】 本文采用理论梳理、文献分析、经验总结与逻辑归纳相结合的方法，从理论创新、技法特色、疾病防治、学术传承与管理等多个维度，对罗才贵教授的学术体系进行系统性阐述。罗才贵教授为四川省非物质文化遗产“峨眉伤科疗法”代表性传承人、全国名老中医师带徒学术继承工作指导老师、四川省十大名中医，承袭峨眉伤科流派精髓，融汇多派之长，形成了系统完整的学术思想体系。在理论层面，他创新提出“五体五脏”辨证理论，深化了形气同治的伤科病机观;创立“气血为纲”的辨证纲领，将气血提升为统领伤科疾病病机分析的总纲。这两大理论创新为中医伤科辨证提供了更为系统化和精细化的理论工具。在此基础上，于技法层面发明“趾压踩跷法”并深化“筋骨空间力学”学说，为手法治疗提供现代力学依据;总结出“气血经络为体，松分温顺为用”的推拿手法思想，形成特色手法体系;创立以“温阳通痹”为核心的伤科针法，系统阐述“滞针温养”与“关输并刺”的临床应用。在疾病诊疗层面，建立了“荣通并重，脊筋通利”的腰痛病诊疗体系，提出以“气机开合”为核心的颈椎病辨治思路，并首次构建大骨节病“三阶三靶、分期施治”的中医证治框架。这些诊疗体系体现了其学术思想在临床实践中的高度整合性与实用性。其学术贡献还延伸至提出“以筋调气”的小儿推拿思想，研发“桂冰腰痛栓”等制剂并创立“肠腑-经络-靶位”中药直肠给药理论，形成“以脊为源”的功法体系，倡导“中医隐性知识传承”教育理念，构建“名医—名科—名院”三级发展路径。这些外延性工作充分展现了其学术思想的多维价值与活态传承的生命力。其学术思想展现出良好的临床疗效，并成功推动中医药国际交流。罗才贵教授的学术体系宏富，特色鲜明，恪守“守正创新”精神，对中医伤科学的传承与发展具有重要价值。更多还原

【Abstract】 This article uses a combined methodology of theoretical analysis,literature review,experience summarization,and logical induction to systematically elucidates Professor Luo Caigui’s academic system from multiple dimensions,including theoretical innovation,characteristic techniques,disease prevention and treatment,and academic inheritance and management. Professor Luo Caigui,the representative inheritor of the Sichuan Province Intangible Cultural Heritage " Emei Traumatology Therapy",a National Master guiding TCM apprenticeship,and one of Sichuan’s Top Ten Famous TCM Physicians,has inherited the essence of the Emei Traumatology School. By integrating strengths from multiple lineages,he has established a comprehensive and systematic academic thought system. Theoretically,he innovatively proposed the " Five Body Constituents and Five Zang-organs" syndrome differentiation theory,deepening the understanding of traumatology pathogenesis that emphasizes simultaneous treatment of the body and Qi. He also established the " Qi and Blood as the Guiding Principle" framework,elevating the concept of Qi and Blood to the overarching principle for analyzing the pathogenesis of traumatological diseases. These two major theoretical innovations provide more systematic and refined conceptual tools for TCM traumatology syndrome differentiation. Building upon this foundation,he made technical contributions by inventing the " Toe-Pressure and Treading Manipulation" and advancing the " Spatial Mechanics of Tendons and Bones" theory,thereby providing a modern biomechanical basis for manual therapy. He summarized the Tuina philosophy of " Qi,Blood,and Meridians as the Foundation; Loosening,Separating,Warming,and Smoothing as the Application",forming a distinctive manual therapy system. Furthermore,he established a traumatology acupuncture method centered on " Warming Yang to Unblock Impediment," systematically elaborating on the clinical application of " Retaining Needle for Warming and Nourishing" and " Combined Needling of Joint and Transport Points". In the realm of disease diagnosis and treatment,he established a management system for low back pain that emphasizes " Simultaneous Nourishment and Dredging to Ensure Spinal and Tendon Patency",proposed a cervical spondylosis differentiation and treatment strategy centered on the " Opening and Closing of the Qi Dynamic",and constructed,for the first time,a TCM syndrometreatment framework for Kashin-Beck disease characterized by " Three Stages,Three Targets,and Stage-Specific Treatment". These clinical management systems demonstrate the high level of integration and practicality of his academic thought. His contributions extend to proposing the pediatric tuina concept of " Regulating Qi via the Tendons",developing formulations such as the " Guibing Lumbago Suppository" and establishing the " Intestines-Meridians-Target Sites" theory for rectal administration of TCM medicinals,creating an exercise system based on the principle of " the Spine as the Source",advocating for the educational concept of " Inheriting Tacit Knowledge in TCM",and constructing a three-tier development model of " Famous Physician—Famous Department—Famous Hospital".These extended endeavors fully demonstrate the multidimensional value and dynamic vitality inherent in the transmission of his academic thought. His academic framework has demonstrated favorable clinical efficacy and has successfully facilitated international exchange in TCM. Professor Luo Caigui’s academic system is profound and distinctive,steadfastly adhering to the principle of " Upholding Orthodoxy while Making Innovations". It holds significant value for the inheritance and development of TCM traumatology.更多还原