基于“形神兼顾、动静结合”理论防治颈椎病刍议  

Prevention and treatment of cervical spondylosis based on the theory of"balancing body and mind,combining motion and quiescence"

作　　者：郭凤红 范鹏[2] 刘冬银 王雷 GUO Fenghong;FAN Peng;LIU Dongyin;WANG Lei(Science and Education Department,Qinhuangdao Hospital of Traditional Chinese Medicine,Qinhuangdao Hebei 066000,China;不详)

机构地区：[1]秦皇岛市中医医院科教科,河北秦皇岛066000 [2]秦皇岛市中医医院康复科 [3]秦皇岛市中医医院重症医学科 [4]秦皇岛市中医医院针灸科

出　　处：《中华全科医学》2023年第5期861-863,885,共4页Chinese Journal of General Practice

基　　金：河北省秦皇岛市科学技术研究与发展计划项目(201902A123);第七批全国老中医药专家学术经验继承工作项目(国中医药人教函〔2022〕76号);河北省中医药管理局科技项目(2020371)。

摘　　要：颈椎病(cervical spondylosis,CS)是临床常见病、多发病。随着社会发展,人们工作节奏加快,生活压力加大,颈椎病发病率不断上升,且呈年轻化趋势,其属中医“痹症”“项痹”等范畴,一般认为病位在颈部筋骨,基本病机是筋骨受损,经络气血阻滞不通,往往存在粘连、瘢痕、挛缩,硬化、钙化和骨化等病理改变。笔者根据多年临床经验,提出“形神兼顾、动静结合”的理论防治颈椎病,认为筋骨失衡是颈椎病的主要病机,调形是治疗的基础。脊柱部的经筋相当于维持脊柱平衡的错综复杂而规律的生物力线,既要静态平衡,也要动态稳定。调形可通过采用针刺、艾灸、推拿等方法刺激对应经筋,重建颈椎的力学平衡,以达到筋柔骨正的目的。同时,形病多伴神病,需重视治神在治疗颈椎病中的应用。治神能够减轻消极情志因素对病情及临床疗效的影响。治神不仅要注意调节机体功能状态之神,恢复神之统帅调节功能,还要改善人们对不良生活方式的认知,从而减少颈椎病的发生及复发。笔者还运用动静结合理论指导临床诊查和治疗,使诊断精准化,治疗精细化,从而起到更有效的防治作用。“形神兼顾、动静结合”理论的综合运用,临床中取得了满意疗效。Cervical spondylosis(CS)is a common,frequently-occurring clinical disease.Due to accelerated work pace and increased life stress amid a progressing society,CS shows an increasing incidence and a trend of younger onset age.CS is considered as Bi syndrome or neck Bi in traditional Chinese medicine,and the lesion site is generally thought at the sinews and bones of the neck,and the basic pathogenesis is that there are damages in sinews and bones,and blockages in qi and blood in meridians in the neck,manifest often as adhesion,scar,contracture,sclerosis,calcification,ossification and other pathological changes.We put forward strategies relevant to the theory of"balancing body and mind,combining motion and quiescence"for the prevention and treatment of CS based on many years of clinical experiences.We think that sinew-bone imbalance is the major pathogenesis of CS,and improving physical constitution and function is the foundation of treatment.The spinal tendons are deemed as the intricate and regular lines of biological forces that maintain the balance of the spine,both statically and dynamically.Physical constitution and function can be improved by stimulating the corresponding meridians with acupuncture,moxibustion,massage and other methods to reconstruct the mechanical balance of the cervical spine,so as to achieve the purpose of softening the tendons and straightening the bones.As the physical problem often coexists with the emotional problem,importance should be attached to the use of emotion-based interventions in treating CS,which can reduce the influence of negative emotional factors on the condition and clinical efficacy.During the delivery of emotion-based interventions,attention should be given to enhancing patients'emotional state to improve their physical functions,and restoring the regulatory function of positive emotions,as well as increasing their awareness of unhealthy lifestyles,so as to reduce the occurrence and recurrence of CS.We also use the theory of"combining motion and quiescence"to guide clin

关 键 词：形神 动静 颈椎病 理论探讨 综合疗法 临床 

分 类 号：R681.55[医药卫生—骨科学]