“骨正筋柔”理论视域下神经根型颈椎病的手法及中药治疗研究进展

Research advances in manual therapy and Chinese medicine treatment for cervical spondylotic radiculopathy from the perspective of the ‘straight bones and flexible tendons’ theory

关键词:  骨正筋柔  神经根型颈椎病  正骨手法  中药

Key words:  bone strengthening and tendon softening  cervical spondylotic radiculopathy  bone-setting manipulation  Chinese herbal medicine

摘要:

神经根型颈椎病（CSR）是临床的常见病、多发病，发病率在六种颈椎病亚型中居于首位。“骨正筋柔”理论根源于《黄帝内经》，在该理论的领域视角下，筋与骨的平衡关系对CSR的发病影响显得尤为重要，筋骨关系失衡则筋不能柔，骨不能正，最终导致CSR的发病。文章基于“骨正筋柔”理论，在“筋骨并重”治疗思想的视域下分析“骨正筋柔”的理论内涵，并探讨CSR的手法及中药治疗方法，以期为临床治疗CSR提供思路。

Abstract:

Cervical Spondylotic Radiculopathy(CSR) is a common and common disease in clinical practice,and its incidence is the first among the six subtypes of cervical spondylosis. The theory of "Bone strengthening and tendon softening" is rooted in the Huangdi Neijing. From the perspective of this theory,the balance between tendons and bone has an important influence on the incidence of CSR. If the imbalance between muscles and bones,the tendons cannot be soft and the bones cannot be correct,which eventually leads to the incidence of CSR. Based on the theory of "Bone strengthening and tendon softening",this paper discusses the theoretical connotation of "Both bones and muscles are important" under the guidance of "equal bone and muscles",and discusses the manipulation and drug treatment of CSR,in order to provide ideas for the clinical treatment of CSR.