摘要
[目的]总结庄礼兴教授针药结合治疗常见类型颈椎病的诊治思路及临床应用经验。[方法]通过临床跟师侍诊,收集、分析老师临床针药结合治疗颈椎病的相关病历,总结庄师运用颈肩穴结合桂枝汤诊治颈椎病的临床思路及经验,并举验案一则加以佐证。[结果]庄礼兴教授认为颈椎病病位主要在颈项,与督脉、足太阳膀胱经密切相关,因气血阴阳失衡导致经络痹阻,从而引发相应的临床症状。在“引阳和阴,调和气血,针药结合,直达病所”临床思维纲要下,重视温针灸百会、风池引阳和阴,通督调神,颈三针配合经验穴颈肩穴舒筋通络,随症配穴并配合桂枝汤辨证加减,直达病所治疗颈椎病,临床有着较佳的疗效。病案中患者辨病为项痹病,辨证为气虚血瘀,以温针灸百会、风池、颈三针、颈肩穴为针灸基础处方,结合桂枝汤加减治疗,共奏调和营卫、行气活血、散寒除痹之效,使诸症悉除。[结论]庄礼兴教授临床运用针灸基础方结合桂枝汤加减治疗颈型、神经根型、交感神经型等常见类型颈椎病,临床疗效好,可供临床借鉴。
[Objective]To summarize the clinical experience of Professor ZHUANG Lixing diagnosis and treatment in cervical spondylosis.[Methods]Through studying with Professor ZHUANG,collecting and analyzing the relevant medical records of the clinical treatment of cervical spondylosis,summarizing the clinical thoughts and experience of the diagnosis and treatment of cervical spondylosis by Professor ZHUANG and a classic case was cited as an evidence.[Results]Professor ZHUANG believes that the cervical spondylosis is mainly in the neck,and is closely related to the Du Meridian and Taiyang Bladder Meridian of Foot.Due to the imbalance of Qi and Yang,the meridian is blocked,which leads to the corresponding clinical symptoms.Under the clinical thinking outline,the combination of acupuncture and medicine,direct attention to the clinical thinking outline,pay attention to warm acupuncture and moxibustion,Fengchi inducing Yang to harmonize Yin,the governor adjusting the spirit,the cervical three needles cooperate with the experience of Jinjian points to stretch the muscles and tendons,choose acupuncture points with the disease and in combination with Guizhi decoction syndrome differentiation and subtraction,thus the direct treatment of cervical spondylosis has a better clinical effect.[Conclusion]Professor ZHUANG has unique curative effect in the clinical treatment of cervical spondylosis,and this outline could be used for clinical reference,which may benefit the treatment of common types of cervical spondylosis.
作者
李婷
庄礼兴
LI Ting;ZHUANG Lixing(Guangzhou University of Chinese Medicine,Guangzhou(510405),China)
出处
《浙江中医药大学学报》
CAS
2019年第7期702-705,共4页
Journal of Zhejiang Chinese Medical University
基金
广东省庄礼兴名中医传承工作室建设项目(粤中医办函[2018]5)~~
关键词
颈椎病
颈肩穴
桂枝汤
庄礼兴
医案
名医经验
cervical spondylosis
Jingjian acupoint
Guizhi Decoction
ZHUANG Lixing
medicalcases
famous doctor’s experience
