摘要
根据自身临床实践,结合名老中医经验,笔者构建了以圆运动六经辨证为主导的理论体系,并基于圆运动六经辨识颈椎病,认为颈椎病是人体经络、气机出现异常,以致六气失偏、一气周流失常、阴阳失衡所致。颈型颈椎病通常以颈痛为主症,常发于太阳经所过之处,治疗当以太阳论治;神经根型颈椎病通常以上肢痹痛、麻木为主症,常发于太阳、少阳经所过之处,另有厥阴血虚所致之麻木,则当以开太阳、枢少阳、升厥阴论治;交感型颈椎病多以焦虑、失眠、胸闷为主症,可为少阴不足阳气不能温煦所致,亦有厥阴不升而致,故当从温少阴、升厥阴论治;椎动脉型颈椎病多以头晕为主症,可为太阳水饮上攻所致、少阴寒化阳气不能上荣所致、厥阴升发不及而血少失于灌注所致,则当从升厥阴、温少阴、开太阳、化水饮论治。通过临床辨证分析,抓准颈椎病的病因、病位、病性、病势,执简驭繁,灵活使用经方加减治疗,取得佳效。
Objective:A theoretical system dominated by the syndrome differentiation system of six meridians of circular motion was constructed according to the author's clinical practice combined with the experience of famous Chinese medicine physician.The cervical spondylosis is identified based on the six meridians of circular motion.It is believed that cervical spondylosis is caused by the abnormality of human meridians and collaterals and qi movement,resulting in the imbalance of six qi,the abnormality of qi circulation throughout the body,and the imbalance of yin and yang.Cervical spondylosis of neck type usually takes neck pain as the main symptom,and often happens in the place where the Taiyang meridian passes,and the Taiyang syndrome should be addressed as the primary approach;cervical spondylotic radiculopathy is usually characterized by upper limb pain and numbness,which often happens at the place where the Taiyang meridian and Shaoyang meridian pass with numbness caused by Jueyin blood deficiency.Therefore,it should be treated by opening the Taiyang,pivoting the Shaoyang and lifting the Jueyin;sympathetic cervical spondylosis is mainly characterized by anxiety,insomnia and chest tightness,which can be caused by the failure of deficient Shaoyin and yang qi to warm,and also by the failure of Jueyin to lift.Therefore,it should be treated by warming the Shaoyin and lifting the Jueyin;cervical spondylosis of vertebral artery type mostly takes dizziness as the main symptom,which may be arise from the upward attack of Taiyang water retention,the failure of Shaoyin's yang qi to ascend due to cold transformation,and insufficient Jueyin ascending movement leading to blood deficiency and malnourishment.Therefore,it should be treated from lifting the Jueyin,warming the Shaoyin,opening the Taiyang and resovling fluid retention.Through the analysis on clinical syndrome differentiation,the etiology,lesion location,disease nature,and progression trend of cervical spondylosis can be accurately identified.By simplifying complexity and flexibly modifying classical formulas,a favorable curative effect can be achieved.
作者
梁爽
邓贤斌
刘东娟
高颖奇
詹锦祥
马航展
LIANG Shuang;DENG Xianbin;LIU Dongjuan;GAO Yingqi;ZHAN Jinxiang;MA Hangzhan(Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510006,China;The Second Clinical Medical School of Guangzhou University of Chinese Medicine/Guangdong Provincial Hospital of Chinese Medicine,Guangzhou Guangdong 510370,China;Panyu Hospital of Traditional Chinese Medicine,Guangzhou Guangdong 511400,China)
出处
《新中医》
2025年第12期171-177,共7页
New Chinese Medicine
基金
广东省医学科学技术研究基金(A2023411)
广州市荔湾区科技计划项目(202201005)
广东省中医院齐玉茹学术经验传承工作室(中医二院〔2015〕37号-4)。
关键词
颈椎病
六经病
六经辨证
辨证论治
圆运动
Cervical spondylosis
Disease of six meridians
Syndrome differentiation of six meridians
Syndrome differentiation and treatment
Circular motion
