摘要
“次第”理论强调临证治疗方案的选用应根据疾病发展不同阶段的病理特点选择合理的治法与方药。本研究以“次第”理论为指导,从颈椎病颈痛病因病机、临床分期依据和分期治疗方案三方面阐述颈椎病颈痛的诊断与治疗。认为颈椎病颈痛的病因主要分为外感风寒湿邪、正气亏虚及跌扑劳损三方面,病机主要责之于气机不畅,提出急性期、缓解期、筋结期的分期标准,在此基础上总结出急性期采用刺络放血为主治疗、缓解期采用针刺为主的综合疗法、筋结期以刃针为主治疗的分期“次第”针灸治疗方案,力求基于“次第”理论进一步提高针灸疗法治疗颈椎病颈痛的临床疗效。
The theory of"second order"emphasizes that the selection of clinical treatment plan should choose reasonable treatment method and prescription according to the pathological characteristics of different stages of disease development.Under the guidance of the theory of"second order",this study discussed the diagnosis and treatment of neck pain of cervical spondylosis from three aspects:etiology and pathogenesis,clinical staging basis and staging treatment scheme.It is considered that the etiology of cervical spondylosis can be divided into three aspects:exogenous wind,cold and dampness,deficiency of vital-qi and strain,and the pathogenesis is mainly due to the obstruction of qi.This study put forward the staging basis of acute stage,remission stage and reinforcement stage.On this basis,the acute stage is treated mainly by pricking collaterals and bloodletting,and the remission stage is treated by comprehensive therapy based on acupuncture.In the reinforcement period,the"second order"of edge acupuncture or fire edge acupuncture was used to further improve the clinical effect of acupuncture and moxibustion in the treatment of neck pain of cervical spondylosis.
作者
张熙
粟胜勇
黄小珍
覃美相
ZHANG Xi;SU Shengyong;HUANG Xiaozhen;QIN Meixiang(Guangxi University of Chinese Medicine, Nanning 530001, China;The First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning 530023, China)
出处
《针灸临床杂志》
2020年第9期1-5,共5页
Journal of Clinical Acupuncture and Moxibustion
基金
国家自然科学基金,编号:81460745
广西自然科学基金,编号:2018GXNSFAA281111、2017GXNSFAA198328。
关键词
颈椎病
颈痛
次第理论
分期
针灸
Cervical spondylosis
Neck pain
Second order theory
Stage
Acupuncture
