国医大师韦贵康治疗早中期脊髓型颈椎病经验浅谈  

Master of Traditional Chinese Medicine WEI Guikang's Experience in Treating Early and Middle Stage Cervical Spondylotic Myelopathy

作　　者：周德琪 吴超 李炳霖 肖发源 郑恩泽 夏天[1] ZHOU Deqi;WU Chao;LI Binglin;XIAO Fayuan;ZHENG Enze;XIA Tian(Guangxi University of Chinese Medicine,Guangxi Nanning 530001,China)

机构地区：[1]广西中医药大学,广西南宁530001

出　　处：《中医药临床杂志》2024年第9期1672-1676,共5页Clinical Journal of Traditional Chinese Medicine

基　　金：广西中医药大学“国医大师韦贵康学术思想与临床诊疗传承发展研究中心”资助项目(编号:2022V001);广西高校中青年教师科研基础能力提升项目(编号:2023KY0326)。

摘　　要：脊髓型颈椎病(Cervical spondylotic myelopathy,CSM)被普遍认为是颈椎病类型中最严重的一种,症状轻的表现为肢体麻木、无力、烧灼感、踩棉花感;症状重的表现为二便失禁、甚至瘫痪。中医治疗轻中度CSM具有明显的优势,文章基于韦贵康教授经验方“脊髓康”与韦氏手法相结合,内外兼顾,筋骨并重。手法治疗以“理筋、调骨、对症”三联疗法为基础。中药内服注重“补肾活血,通经逐瘀”以期能总结国医大师韦贵康教授运用脊髓康结合手法治疗早中期CSM经验特点,为中医药结合手法治疗此疾病开拓治法和思路。Spinal cervical spondylotic myelopathy is generally considered to be the most serious type of cervical spondylotic disease.Mild symptoms include numbness,weakness,burning sensation,and a feeling of stepping on cotton;severe symptoms include incontinence and even paralysis.Traditional Chinese medicine has obvious advantages in treating mild to moderate CSM.This article is based on Professor WEI Guikang’s empirical prescription“Spinal Cord Health”combined with WEI’s manipulation,taking both internal and external factors into consideration,and giving equal weight to tendons and bones.Manipulative treatment is based on the triple therapy of“regulating tendons,regulating bones,and treating symptoms”.Chinese medicine internal administration focuses on“Tonifying the kidney and activating blood circulation,unblocking the meridians and removing blood stasis”in order to summarize the experience and characteristics of Professor WEI Guikang,a master of traditional Chinese medicine,in using Spinal Cord Health combined with manipulation to treat early and middle-stage CSM,and to open up treatment methods and ideas for the treatment of this disease with traditional Chinese medicine combined with manipulation.

关 键 词：韦贵康 脊髓型颈椎病 脊髓康 脊督一体 六通论 

分 类 号：R274.9[医药卫生—中西医结合]