岭南针药相须流派李滋平对颈椎病颈痛的治疗经验
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摘要
经过不断的临床实践,岭南针药相须流派李滋平教授在治疗痛证方面积累了丰富的治疗经验。在颈椎病颈痛的治疗方面,岭南针药相须流派通过传统针刺治疗配合穴位注射发挥针药相须的特色及优势,并辨证运用拔罐、药物艾灸、护理调摄,形成了一个完整的治疗体系,临床疗效显著。本文详细总结了流派传承人李滋平教授在治疗颈椎病颈痛方面的经验,着重介绍针刺及穴位注射的治疗特色,并附上一则医案,以供探讨。
Through continuous clinical practice, Professor Li Ziping who are school of acupuncture and Chinese medicine mutual synergizing in Lingnan has accumulated rich experience in treating pain. In the treatment of cervical spondylosis with neck pain, the school acupuncture and Chinese medicine mutual synergizing in Lingnan give full play to the characteristics and advantages of acupuncture and Chinese medicine mutual synergizing through the combination of traditional acupuncture treatment and acupoint injection. It has formed a complete treatment system including the use of cupping, medicine moxibustion and personal care based on syndrome differentiation, which has achieved significant clinical effects. This paper summarizes the experience of Professor Li Ziping, the inheritor of the school, in treating neck pain caused by cervical spondylosis. It focuses on the treatment features of acupuncture and acupoint injection,and attaches a medical case for discussion.
Through continuous clinical practice, Professor Li Ziping who are school of acupuncture and Chinese medicine mutual synergizing in Lingnan has accumulated rich experience in treating pain. In the treatment of cervical spondylosis with neck pain, the school acupuncture and Chinese medicine mutual synergizing in Lingnan give full play to the characteristics and advantages of acupuncture and Chinese medicine mutual synergizing through the combination of traditional acupuncture treatment and acupoint injection. It has formed a complete treatment system including the use of cupping, medicine moxibustion and personal care based on syndrome differentiation, which has achieved significant clinical effects. This paper summarizes the experience of Professor Li Ziping, the inheritor of the school, in treating neck pain caused by cervical spondylosis. It focuses on the treatment features of acupuncture and acupoint injection,and attaches a medical case for discussion.
引文
[1]孟方,段培蓓,安红丽,等.刮痧联合拔罐治疗颈型颈椎病疗效观察[J].辽宁中医药大学学报,2016,18(7):202-204.
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[13]雷华明,韦琪,何浚治.理筋手法配合穴位注射治疗神经根型颈椎病256例临床观察[J].西部医学,2013,25(8):1189-1190.
[14]曾祥成,甘霖,胡启洋.穴位注射治疗神经根型颈椎病进展[J].江西中医药大学学报,2017,29(5):105-107.
[15]清·叶天士.临证指南医案[M].北京:人民卫生出版社,2015:397-400.
[16]邱超,张志强.穴位注射配合针灸治疗神经根型颈椎病的疗效观察[J].陕西中医,2015,16(6):727-729.
[17]中国康复医学会.颈椎病诊治与康复指南2010版[S].北京:中国康复医学会颈椎病专业委员会,2010:1-7.
[18]韩斐,李秋,赵晓东.背部腧穴排列把关治疗颈椎病疗效观察[J].中国全科医学,2012,15(18):2091-2092.
[19]张英杰,徐鸣曙,陈春艳,等.中医刺络放血疗法治疗颈椎病的研究进展及作用机制[J].中医外治杂志,2015,24(5):50-52.
[20]张殿银,刘菲菲.海桐皮汤热敷配合针灸推拿治疗神经根型颈椎病的临床疗效观察[J].山西医药杂志,2016,45(18):2192-2193.
[21]颜学军.针灸治疗神经根型颈椎病的比较分析[J].内蒙古中医药,2015,34(11):127.
[22]柳璇,王琦.《中医体质分类与判定》标准修改建议及分析[J].北京中医药大学学报,2013,36(5):300-304.
[23]阙庆辉,黄守雄.隔姜灸神阙穴对T细胞的影响[J].上海深究杂志,1996,15(3):57.
[24]李杰.隔姜灸对肱骨外上髁炎的临床镇痛效果观察[J].针灸临床杂志,2007,23(4):39-40.
[25]陈妍.对颈椎病患者进行中医护理的效果探析[J].当代医药论丛,2016,14(16):156-157.
[26]商月辉,商亚丽,蔡艳芳,等.八段锦锻炼对颈型颈椎病康复效果的影响[J].护理研究,2017,31(31):4017-4019.
[2]李滋平.岭南针药相须流派精要传承[M].北京:人民卫生出版社,2015:4-6,246.
[3]王登,胡雪梅.针灸联合穴位注射治疗神经根型颈椎病的临床效果分析[J].北方药学,2016,13(3):192.
[4]黄征宙.颈型颈椎病的治疗进展[J].全科护理,2015,13(23):2245.
[5]Zhang H,Guo M,Lu X.Pulse changes in patients with cervical spondylosis before and after acupuncture treatment[J].J Trad Chin Med,2016,36(1):63-70.
[6]胡阳,高昆.针灸结合穴位注射疗法治疗神经根型颈椎病疗效观察[J].亚太传统医学,2016,12(8):114.
[7]明·杨继洲.针灸大成[M].台北:志远书局,2003.
[8]罗琳,陶惠琼.针刺后溪、列缺治疗颈型颈椎病166例[J].光明中医,2014,29(1):129-130.
[9]费菲.让针灸行走于世界的“中国疼痛先驱”[J].中国医药科学,2013,3(21):2.
[10]陈广烈.颈夹脊电针治疗颈型颈椎病的临床疗效观察[D].哈尔滨:黑龙江中医药大学,2016.
[11]Aranha MF,Müller CE,Gavi觔o MB.Pain intensity and cervical range of motion in women with myofasical pain treated with acupuncture and electroacupuncture:a doubleblinded,randomized clinical trial[J].Braz J Phys Ther,2015,19(1):34-43.
[12]陈波,陈杏枝,刘红.多向穴位注射治疗神经根型颈椎病临床观察[J].针灸临床杂志,2013,29(2):23-25.
[13]雷华明,韦琪,何浚治.理筋手法配合穴位注射治疗神经根型颈椎病256例临床观察[J].西部医学,2013,25(8):1189-1190.
[14]曾祥成,甘霖,胡启洋.穴位注射治疗神经根型颈椎病进展[J].江西中医药大学学报,2017,29(5):105-107.
[15]清·叶天士.临证指南医案[M].北京:人民卫生出版社,2015:397-400.
[16]邱超,张志强.穴位注射配合针灸治疗神经根型颈椎病的疗效观察[J].陕西中医,2015,16(6):727-729.
[17]中国康复医学会.颈椎病诊治与康复指南2010版[S].北京:中国康复医学会颈椎病专业委员会,2010:1-7.
[18]韩斐,李秋,赵晓东.背部腧穴排列把关治疗颈椎病疗效观察[J].中国全科医学,2012,15(18):2091-2092.
[19]张英杰,徐鸣曙,陈春艳,等.中医刺络放血疗法治疗颈椎病的研究进展及作用机制[J].中医外治杂志,2015,24(5):50-52.
[20]张殿银,刘菲菲.海桐皮汤热敷配合针灸推拿治疗神经根型颈椎病的临床疗效观察[J].山西医药杂志,2016,45(18):2192-2193.
[21]颜学军.针灸治疗神经根型颈椎病的比较分析[J].内蒙古中医药,2015,34(11):127.
[22]柳璇,王琦.《中医体质分类与判定》标准修改建议及分析[J].北京中医药大学学报,2013,36(5):300-304.
[23]阙庆辉,黄守雄.隔姜灸神阙穴对T细胞的影响[J].上海深究杂志,1996,15(3):57.
[24]李杰.隔姜灸对肱骨外上髁炎的临床镇痛效果观察[J].针灸临床杂志,2007,23(4):39-40.
[25]陈妍.对颈椎病患者进行中医护理的效果探析[J].当代医药论丛,2016,14(16):156-157.
[26]商月辉,商亚丽,蔡艳芳,等.八段锦锻炼对颈型颈椎病康复效果的影响[J].护理研究,2017,31(31):4017-4019.