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从足阳明胃经论治颈腰综合征的研究

A Study on the Treatment of Cervical Lumbar Syndrome from Foot Yangming Stomach Meridian

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초록

本文的目的在于,从中医学的角度对治疗颈腰综合征(TSS: tandem spinal stenosis)做理论假设并进行初步的临床治疗,为TSS等脊柱疾病的治疗提供理论和实践上的依据。目前对颈椎和腰椎症状的发病机理存有诸多理论和临床争论。本文从这一基本背景出发,针对在临床中偏向单一颈椎病或腰椎病变,并行中医学文献考察与临床研究,旨在减少诊断和治疗的过程中对病因的整体性认识甚少导致的误判和误诊,以及治疗效果不佳的现象。为此,笔者在查找相关中医文献时发现文献资料,发现在《内经》中记载的胃足阳明经病变与颈腰综合征的表现相类似,病因病机与阳明脉衰相吻合。这意味着即便病名不一, 亦可从中医角度提出有效的治疗方案。从整体观念出发,剖析TSS的病因病机,并从经络、肌筋膜螺旋链、营卫与调神止痛等方面探寻足阳明胃经与TSS的相关性,将此适当应用到临床,进而实现精准治疗。结果初步显示,针药并举从足阳明胃经治疗TSS,既能补益脾胃二脏,振奋阳气,调神止痛,又能恢复脊柱的生理曲线,缓解对神经根的压迫,促进水肿吸收,其效果显著,值得进一步的研究与推广。

Abstract

The purpose of the paper is to make the theoretical presumption and conduct the primary clinic treatment of the tandem spinal stenosis (TSS) treatment from the Chinese medical perspective, in order to provide the theoretical and practical basis for the treatment of TSS and some other spines diseases. At present, there are many theoretical and clinical arguments on the pathogenesis of cervical vertebra and lumbar vertebra symptoms. Based on this background, according to the single cervical spondylosis or lumbar spine disease in clinical practice with the literature reviews of Chinese medicine and clinical research, this paper is aimed at decreasing the misjudgment and misdiagnosis due to the little knowledge of the pathogenesis in the diagnosis and treatment process, as well as the phenomenon of bad treatment effects. Therefore, in the process of searching the relative Chinese medicine literature, the writer has found that the pathological changes of stomach foot Yangming Meridian recorded in The Internal Canon of Medicine are similar to the cervical lumbar syndrome presence, and the etiology and pathogenesis are consistent with the decline of Yangming pulse. This means that the effective scheme can be proposed from the Chinese medicine perspective even if the disease names are different. From the whole concept, analyze the etiology and pathogenesis of TSS, explore the relations between stomach meridian of foot-yangming and TSS from the perspective of meridians, myofascial spiral chain, construction and defense, regulating spirit and relieving pain. The result shows that treating TSS form stomach meridian of foot-yangming with needles and medicines can not only nourish stomach and spleen, activating Yang Qi, regulating spirit and relieving pain, but also can recover the physical curve of the spine, relieve the pressure to the nerve root, and promote the edema absorption. The effect is obvious and worth further research and promotion.

참고문헌 (18)

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