张卫华运用尺胫针疗法结合减压松动手技治疗神经根型颈椎病经验撷要  

ZHANG Weihua's experience in treatment of cervical spondylotic radiculopathy with ulna-tibia needling therapy combined with decompression-loosening manual manipulation

作　　者：张朴 张卫华[2] 王卫刚 李昂 裴慧 ZHANG Pu;ZHANG Weihua;WANG Weigang;LI Ang;PEI Hui(Department of Acupuncture and Moxibustion,Affiliated Hospital of Shaanxi University of CM,Xianyang 712000,China;Famous Doctor's Hall,Second Affiliated Hospital of Shaanxi University of CM,Xianyang 712046)

机构地区：[1]陕西中医药大学附属医院针灸科,咸阳712000 [2]陕西中医药大学第二附属医院名医馆,咸阳712046

出　　处：《中国针灸》2024年第7期833-837,共5页Chinese Acupuncture & Moxibustion

基　　金：陕西省第三届名中医张卫华传承工作室建设项目:陕中医药函[2019]82号;第二届国医大师郭诚杰工作室建设项目。

摘　　要：介绍张卫华教授运用尺胫针疗法结合减压松动手技治疗神经根型颈椎病的经验。张卫华教授采用“二摸三查两阅”法对疾病的病位、分期、程度进行精确诊断,根据疾病的性质认为神经根型颈椎病当从3期论治,提出“以筋为纲,以经为要,以气血为基,筋骨并调”的学术思想,运用尺胫针疗法结合减压松动手技进行治疗。尺胫针选取太阳、少阳经尺部之区带的下1/3皮部(带状)范围进针;减压松动手技分为放松颈项、减压松动(包括定位旋转扳法、上抬后顶法、仰侧扳法)、镇痛理筋3步,并配合镇痛理筋手法加强疗效。The paper introduces professor ZHANG Weihua's experience in treatment of cervical spondylotic radiculopathy(CSR)with ulna-tibia needling therapy combined with decompression-loosening manual manipulation.Using"palpating,detecting and imaging observing",professor ZHANG Weihua gives the accurate diagnosis for the location,the stage and the severity of the disease.According to the nature of the disease,CSR is treated in three stages.He proposes the academic thought,"taking the tendons as the outline,regarding the meridians as the essential,rooting at qi and blood,co-regulating tendons and bones".The ulna-tibia needling therapy and decompression-loosening manual manipulation are combined in treatment.In the ulna-tibia needling therapy,the acupuncture is delivered at the lower 1/3 of the cutaneous regions of taiyang and shaoyang meridians,on the ulnar region(belt-like distribution).The decompression-loosening manual manipulation is operated in 3 steps,i.e.relaxing the nape region,decompressing and relaxing(includes positioning rotational wrenching,upward and backward elevation)and supination wrenching,and analgesia and regulating tendons;and the manipulation for analgesia and regulating tendons is supplemented to enhance the effect.

关 键 词：神经根型颈椎病 尺胫针 减压松动手技 名医经验 张卫华 

分 类 号：R249[医药卫生—中医临床基础] R246.9[医药卫生—中医学]