从“瘀去-新生-髓长”探讨脊髓型颈椎病的疼痛机制及治疗思路  

Exploration on the pain mechanism and treatment idea of cervical spondylotic myelopathy from‘removing stasis,regenerating and lengthening marrow’

作　　者：赵煜 胡宇晴 张浩 张江 ZHAO Yu;HU Yuqing;ZHANG Hao;ZHANG Jiang(College of Traditional Chinese Medicine,Liaoning University of Traditional Chinese Medicine,Shenyang 110847,China;The First Clinical College,Liaoning University of Traditional Chinese Medicine,Shenyang 110847,China;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,China;Key Laboratory of TCM Viscera Theory and Application of Ministry of Education,Liaoning University of Traditional Chinese Medicine,Shenyang 110847,China)

机构地区：[1]辽宁中医药大学中医学院,沈阳110847 [2]辽宁中医药大学第一临床学院,沈阳110847 [3]辽宁中医药大学附属医院,沈阳110032 [4]辽宁中医药大学中医脏象理论及应用教育部重点实验室,沈阳110847

出　　处：《中华中医药杂志》2025年第2期534-537,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金项目(No.82305275);沈阳市卫生健康委员会2022年沈阳市第一批中医药专家学术经验继承工作(刘元禄,张江);辽宁中医药大学中医脏象理论及应用教育部重点实验室开放基金(No.zyzx2007)。

摘　　要：脊髓型颈椎病是较为严重的颈椎病亚型,疼痛作为其较为显著的症状之一,发作机制仍不明确,严重影响患者的日常生活。西医目前多采用手术治疗,但中老年患者术后恢复并不理想。中医学认为疼痛多为“不通”及“不荣”造成的,由此,笔者基于“瘀去-新生-髓长”理论,结合炎症反应、微循环破坏、神经细胞死亡等方面进行论述,并结合临床实践,以求为治疗脊髓型颈椎病的疼痛提供新的思路和方法。Cervical spondylotic myelopathy(CSM)is a more serious subtype of cervical spondylotic disease.As one of its more significant symptoms,pain is still unclear in its attack mechanism,which seriously affects the daily life of patients.At present,western medicine mostly uses surgical treatment,but the postoperative recovery of middle-aged and elderly patients is not ideal.Traditional Chinese medicine believes that pain is mostly caused by'impassability'and'inhonor'.Therefore,based on the theory of'removing stasis,regenerating and lengthening marrow',the author discusses inflammation,microcirculation destruction,nerve cell death and other aspects,combined with clinical practice,in order to provide new ideas and methods for the treatment of pain in CSM.

关 键 词：脊髓型颈椎病 疼痛机制 瘀去-新生-髓长 治疗思路 发病机制 

分 类 号：R68[医药卫生—骨科学]