基于寒地病因特点探析颈椎病的针灸治疗  

Analysis of acupuncture and moxibustion in the treatment of cervical spondylosis based on the characteristics of cold regions

作　　者：孙忠人[1] 马瑀彤 胡其回 刘征[3] 尹洪娜[4] SUN Zhongren;MA Yutong;HU Qihui;LIU Zheng;YIN Hongna(Heilongjiang University of Chinese Medicine,Harbin 150040,China;Shenzhen Hospital of Guangzhou University of Chinese Medicine,Shenzhen 518000,China;First Affiliated Hospital,Heilongjiang University of Chinese Medicine,Harbin 150000,China;Second Affiliated Hospital,Heilongjiang University of Chinese Medicine,Harbin 150001,China)

机构地区：[1]黑龙江中医药大学,哈尔滨150040 [2]广州中医药大学深圳医院,深圳518000 [3]黑龙江中医药大学附属第一医院,哈尔滨150000 [4]黑龙江中医药大学附属第二医院,哈尔滨150001

出　　处：《中华中医药杂志》2024年第11期5778-5781,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家中医药管理局中医药循证能力建设项目(No.2019XZZX-ZJ005)。

摘　　要：寒地极端特殊的气候条件,形成了寒地居民独特的生活方式,而在二者的共同影响下,也形成了寒地颈椎病发病的独特表现,颈椎病在寒地发作的主要病因病机及临床特征有以下三点:正气空疏,风邪袭踞;阴寒入经,血脉痹阻;食饮失节,痰湿流着。在临床诊疗上应当结合寒地颈椎病的五大主要的致病因素,即风、寒、痰、瘀、虚,而做到标本俱到、灸刺并用、参因置针。The special climatic environment and the unique lifestyle of residents in the cold regions have formed the unique characteristics of cervical spondylosis in the cold regions.The main etiology and pathogenesis and clinical characteristics of cervical spondylosis in cold areas are as follows:Lack of positive qi leads to the invasion of wind evil;The cold evil enters the meridians and blood vessels stasis and obstruction;Eating disorder cause phlegm-dampness blocking collaterals.The diagnosis and treatment should also be combined with the five pathogenic factors of cold cervical spondylosis,namely wind,cold,phlegm,blood stasis and deficiency.Look at both the superficial and the fundamental,acupuncture and moxibustion should be used together,according to different etiologies to use different acupuncture methods.

关 键 词：寒地 致病特点 颈椎病 针灸 痛症 因地制宜 项痹 

分 类 号：R246.9[医药卫生—针灸推拿学]