摘要
谢林教授认为颈椎病的核心病因病机在于筋骨血络痹阻及筋骨失荣。其临证之时,四诊合参,以明虚实,审辨其证,治以调衡筋骨为要,祛实补虚为纲,活用角药为法。风寒痰瘀内阻者,宜蠲痹通络利筋骨;脏腑气血亏虚者,当培本补虚养筋骨;另参病症,佐以解肌舒筋平肝风。临证每获良效,并附验案以佐证。
Professor Xie Lin points out that the core pathogenesis of cervical spondylosis lies in the blockage of muscles,bones,and blood vessels,as well as the malnutrition of the muscles and bones.In clinical practice,the diagnosis and treatment should be based on the four diagnostic methods,to clarify the condition of deficiency or excess,and differentiate the symptoms.The treatment principle should focus on muscles and bones,with the main strategy being the elimination of excess and supplementation of deficiency,and the active use of horn medicine.In cases of wind,cold,phlegm,and blood stasis blocking the channels,it is necessary to expel the pathogenic factors,unblock the channels,and benefit the muscles and bones.When the internal organs are deficient in qi and blood,the treatment should aim to nourish the base,supplement deficiency,and nourish the muscles and bones.Additionally,associated symptoms should be considered,and treatments for muscle relaxation,liver wind elimination,and the relaxation of muscles and tendons should be used.Clinical practice has shown good results,as evidenced by the case examples provided.
作者
陈恒
谢林
唐田
刘鑫
康然
CHEN Heng;XIE Lin;TANG Tian;LIU Xin;KANG Ran(Affiliated Hospital of Integrated Traditional Chinese and Western Medicine,Nanjing University of Chinese Medicine/Jiangsu Provincial Hospital on Integration of Chinese and Western Medicine,Nanjing 210028,China;The Third Clinical College of Nanjing University of Chinese Medicine,Nanjing 210046,China)
出处
《中医药学报》
2026年第1期45-48,共4页
Acta Chinese Medicine and Pharmacology
基金
国家自然科学基金项目(82302735)
第七批全国老中医药专家学术经验继承工作项目(22QGSC6)
江苏省自然科学基金面上项目(BK20221420)
江苏省中医药科技发展计划项目(ZD202008)
江苏省名中医专家传承工作室建设项目(苏中医科教[2021]7号)
江苏省干部保健项目(BJ23020)
江苏省预防医学课题项目(Ym2023049)
江苏省中医药领军人才项目(CZ2023SLJ0304)。
关键词
角药
颈椎病
辨治
中医药
Horn medicine
Cervical spondylosis
Differentiation and treatment
Traditional Chinese medicine
