针灸治疗颈椎病颈痛的远期疗效问题及对策  

Question and discussion about the long-term effect of acupuncture therapy on neck pain caused by cervical spondylosis

作　　者：狄忠[1] 姜硕[1] 梁兆晖[2] 符文彬[2] 

机构地区：[1]广州中医药大学第二临床医学院,广州510405 [2]广东省中医院,广州510120

出　　处：《中华中医药杂志》2012年第8期1991-1993,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家科技部"十一五"科技支撑计划项目(No.2006BAI12B04-1);广东省科技计划项目(No.2009B030801287);广东省卫生厅课题(No.C2009025)~~

摘　　要：文章针对针灸治疗颈椎病颈痛的现状,分析目前针灸治疗颈椎病颈痛远期疗效欠佳的原因,探讨增强针灸治疗颈椎病颈痛远期疗效的对策。从颈椎病颈痛的本虚标实的病机入手,针对目前临床研究中存在的不足,提出相应的改善方案。分析发现目前针灸治疗颈椎病颈痛主要存在以下两方面不足:一是重针轻灸;一是重经络轻脏腑。而灸法可祛风散寒、温阳固本,标本兼治,防止复发。肾主骨生髓,心藏神、主血脉,调理心肾,可增强针灸治疗颈椎病颈痛的远期疗效。认为增强针灸治疗颈椎病颈痛的远期疗效关键在于脏腑辨证与经络辨证相结合,且重在调补心肾;刺灸方法应做到针灸并重。This paper aims to find the main cause of the impefection of acupuncture therapy on neck pain through analysing the current situation of clinical trails of neck pain with acupuncture.Then,directing to those impefection,propound opinions to enhence the long-term effect of acupuncture therapy on neck pain.The impefection of acupuncture therapy on neck pain exist in mainly two aspects,one is that moxibustion therapy is paid less attention than acupuncture,another is that the syndrome differentiation of viscera is paid less attention in clinic.Moxibustion can remove pathogenic wind and dampness and Strengthening Yang to Benefit Kidney.Traditional Chinese medicine considers that kidney control bone and produce marrow.Heart control mental activities and govern blood,Nourishing heart and tonifying kidney can enhence the vital qi.So we can conclude that the key to to enhence the long-term effect of acupuncture therapy on neck pain is to combine the syndrome differentiation of viscera and the differentiation of channels and collaterals,especially to nourishing the heart and kidney.The Acupuncture methods should be on the basis of the acupuncture reuse moxibustion.

关 键 词：针灸 颈痛 远期疗效 

分 类 号：R246.2[医药卫生—针灸推拿学]