韩碧英针灸治疗脊髓型颈椎病经验  

HAN Bi-ying’s experience in treating cervical spondylotic myelopathy

作　　者：关芮 郗亚薇 黄漫[3] GUAN Rui;XI Ya-wei;HUANG Man(Beijing Tongren Hospital,Capital Medical University,Beijing 100005,China;Liangxiang Hospital,Beijing 102401,China;Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)

机构地区：[1]首都医科大学附属北京同仁医院,北京100005 [2]北京市房山区良乡医院,北京102401 [3]中国中医科学院广安门医院针灸科,北京100053

出　　处：《中华中医药杂志》2021年第5期2743-2746,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：北京市中医药“薪火传承3+3工程”——韩碧英工作站(No.2017-52-c-67)。

摘　　要：脊髓型颈椎病是难治性疾病,临床表现复杂,针灸是常用的非手术治疗方法。韩碧英教授认为脊髓型颈椎病以颈部骨质、脊髓病变为基础,以四肢痿软无力为表现,属中医"骨痿"范畴;其主要病机是肾精亏虚、骨生变动,脾胃虚损、髓海筋肉失养;病本在脏腑,标在颈部骨质,损及髓海、肢体筋肉;病性为本虚标实。韩教授临床针刺以调治脏腑,充养骨、筋、肉为治则,治疗善用五输穴、八会穴、阴阳跷脉交会穴及运用"短刺"法,取得良好效果。Cervical spondylotic myelopathy is a refractory disease with complex clinical manifestations.Acupuncture is a commonly used non-surgical treatment method.Professor HAN Bi-ying believes that cervical spondylotic myelopathy,based on lesions of bone and spinal cord and characterized by weakness of limbs,belongs to the category of bone flaccidity syndrome.The main pathogenesis include deficiency of kidney essence,alteration of bone,deficiency of spleen and stomach,malnutrition of marrow,tendon and muscle.The origin of this disease is due to organ disfunction,while the outward manifestations involve the damage of neck bone,marrow,tendon and muscle.Therapeutic principles are focused on regulating viscera,nourishing bone,tendon and muscle.Acupuncture therapy emphasizes applying five-shu points,eight influential points,yin heel vessel and yang heel vessel crossing points,and manipulation of bone-needling,all together resulting in notable clinical efficacy.

关 键 词：脊髓型颈椎病 骨痿 五输穴 交会穴 短刺 

分 类 号：R246.9[医药卫生—针灸推拿学] R249[医药卫生—中医临床基础]