基于经筋理论筋骨同调治疗颈型颈椎病的临床探讨
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邓明阳，闫杏娜，谢占清
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1.湖南中医药大学，湖南长沙，410208；2.博野县医院，河北保定，071300；3.保定市第二医院，河北保定，071000
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摘要：颈型颈椎病是常见的经筋慢性劳损性病变。近年受不良生活及工作习惯影响，发病群体日趋年轻化、复发率偏高，严重影响生活质量。常规干预多以对症镇痛、局部松解为主，仅短期缓解症状，未能干预结构性病理根源，远期疗效有限。谢占清所倡导的经筋力学理论认为：颈型颈椎病核心并非骨骼器质性损伤，而是颈项经筋长期劳损形成结筋病灶点，致双侧经筋张力不对称、力学稳态失衡，继发颈椎棘突偏移，属“筋病在先、骨损在后” 的筋骨失衡类疾患。本文结合传统经筋学说与现代生物力学，剖析颈型颈椎病病机与症状机制，总结正骨复衡、定点解结、筋骨并治的规范化策略，为优化中医外治方案、提高远期疗效、降低复发率提供参考。
关健词：颈型颈椎病；经筋疗法；力学失衡；结筋病灶点；筋骨同调
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Clinical Discussion on Sinew-Bone Simultaneous Regulation in the Treatment of Neck-Type Cervical Spondylosis Based on Meridian Tendon Theory
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Mingyang Deng,Xingna Yan,Zhanqing Xie
1.Hunan University of Chinese Medicine，Changsha Hunan 410208，China；2.Boye County Hospital，Baoding Hebei 071300，China；3.Baoding Second Hospital，Baoding Hebei 071000，China
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Abstract: Neck-type cervical spondylosis is a common chronic strain disorder of the meridian tendons. In recent years, influenced by poor lifestyle and work habits, the affected population has become increasingly younger, with a high recurrence rate, significantly impacting patients' quality of life. Conventional interventions mainly focus on symptomatic analgesia and local release, which only provide short-term symptom relief without addressing the structural pathological roots, resulting in limited long-term efficacy.The meridian tendon biomechanical theory advocated by Zhanqing Xie proposes that the core pathology of neck-type cervical spondylosis is not organic bone injury, but rather the formation of sinew-node lesions due to chronic strain of the cervical meridian tendons. This leads to bilateral meridian tendon tension asymmetry and biomechanical instability, secondarily causing deviation of the cervical spinous processes. It is a sinew-bone imbalance disorder characterized by "sinew disorder preceding bone injury."This article integrates traditional meridian tendon theory with modern biomechanics to analyze the pathogenesis and symptomatic mechanisms of neck-type cervical spondylosis. It summarizes a standardized strategy of bone-setting for balance restoration, targeted node release, and simultaneous sinew-bone regulation, providing a reference for optimizing external treatment approaches in traditional Chinese medicine, improving long-term efficacy, and reducing recurrence rates.
Keywords : Neck-type cervical spondylosis；Meridian tendon therapy；Mechanical imbalance；Sinew lesion points；Simultaneous regulation of muscle and bone
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