【作者】 戴文良；

【导师】 于天源；

【作者基本信息】 北京中医药大学 ， 针灸推拿学， 2007， 硕士

【摘要】 目的：本课题研究目的是回顾现代推拿治疗神经根型颈椎病发病机理，以推动推拿临床治疗神经根型颈椎病的发展。方法：通过图书馆网站查阅近10年有关神经根型颈椎病的文献资料，探讨推拿治疗神经根型颈椎病的发病机理，比较中西医发病机理及治疗方法。从中探寻治疗神经根型颈椎病系统化和规范化的方案，方便后来学者传承和学习。结果：通过对神经根型颈椎病发病机理的科学分析和临床探讨，肯定推拿治疗神经根型颈椎病的疗效，并有推广的价值。结论：中医认为神经根型颈椎病的病因是脏腑功能失调，特别是脾肝肾亏虚，筋骨失于濡养为主导，而感受风寒湿邪，经络阻滞、气滞血瘀是颈椎病的病机。西医认为颈椎间盘退行性改变及继发性椎间关节退变为关键病机，神经根被压迫、局部组织水肿及关节的炎性反应为基本病因。推拿治疗颈椎病对中医而言，可起到舒筋通络、活血化瘀、理筋整复的作用；而西医学认为通过解除肌肉痉挛，改善局部血液循环，分离粘连，促使机体代谢功能，消除无菌性炎症，程度上可以增大狭窄的椎间隙，纠正颈椎小关节的结构功能紊乱和椎体的滑移旋转，从而消除或减轻对颈神经根、交感神经、椎动脉等的激惹和压迫，因此临床症状得到缓解。更多还原

【Abstract】 A research on the mechanism of Tuina treatment of the nerve-root-type cervicalAim: This thesis is a retrospective studies of the mechanism of Tuina treatment of the nerve-root-type cervical spondylosis, with the vision of extending the skill of Tuina treatment to cervical spondylosis as one of the main technique in the modern methodology.Method: Medical thesis concerning cervical spondylosis were extracted from internet-search, by the methods of analysis and deduction, exploring the etiology of cervical spondylosis, in the Chinese Medicine and Western Medicine contexts, finally seek for a system to standardize the Tuina treatment for cervical spondylosis.Result: A systematic analysis of cervical spondylosis thesis of the past ten years has disclosed that Tuina treatment of cervical spondylosis has gained better efficacy and it has become one of the choice of treatments. Therefore it is worth to be studied and disseminated to the medical circles.Conclusion: The cause of cervical spondylosis has been claimed by Chinese Medicine as it is due to malfunction of zang and fu, especially exhibiting syndrome of deficiency of spleen, liver and kidney and also malnutrition of tendon and bone as the main factors. Infection of wind-cold-damp, blockage of channel, stagnancy of qi and blood stasis remain its mechanism. The mechanism of cervical spondylosis in western medicine has been claimed as degenerative of cervical intervertebral discs and secondary inflammation of vertebral articulations. Compression of nerve, swelling of tissues and inflammation of joints remain as the main cause of cervical spondylosis. Tuina treatment of cervical spondylosis in the Chinese medicine context works well as to relaxing muscles and tendons and activating the flow of qi and blood in the channels and collaterals, relieving rigidity of muscles and activating collaterals; promoting blood circulation by removing blood stasis restoring injured soft tissues. Western medicine claimed that removing muscular spasm, improving local circulation, separation of adhesion, improve metabolism, removing aseptic inflammation to a certain extent could enlarge the vertebral spaces, adjust the structure of cervical vertebrae joints, restore micro dislocation or rotation, thereby reduce the compression irritation of nerve-root, sympathetic nerve and vertebral artery, henceforth to eliminate symptoms and signs arise by the cervical spondylosis.更多还原