颈椎间盘突出症中医辨证分型研究.docVIP

精品论文 参考文献 颈椎间盘突出症中医辨证分型研究 郑中义1 周刚2 王良1(通讯作者) (1安岳县中医医院 四川安岳 642350；2安岳县疾控中心 四川安岳 642350) 【摘要】目的：研究颈椎间盘突出症的辨证分型，供中医正对性治疗参考。方法：收集60例颈椎间盘突出症患者，参照1990年邓铁涛主编《中医证候规范》，进行辩证分型。结果：29例湿阻中焦，痰瘀内阻；31例肝胆湿热，痰瘀内阻；其中痰瘀内阻有轻重，湿阻中焦有化热和偏寒之分，肝胆湿热有热盛伤阴。结论：颈椎间盘突出症以痰瘀内阻为基本病机，兼湿阻中焦或肝胆湿热两个证型。 【关键词】 颈椎间盘突出症 辨证分型 颈椎病 【中图分类号】R241 【文献标识码】B 【文章编号】2095-1752（2014）18-0348-02 Chinese Medicine and Syndrome Differentiation Research for Herniation of Cervical Disc Zheng Zhongyi，Zhou Gang, Wang Liang (Anyue Traditional Chinese Medicine Hospital,Sichuan Anyue 642350) 【Abstract】Purpose: Research syndromes of herniation of cervical disc in order to provide reference for Chinese medicine targeted treatment. Method: Collected 60 cases of herniation of cervical disc and consulted Deng Tietaorsquo;s lt;lt;Syndromes Specification of Chinese Medicinegt;gt; which published in 1990 for differentiation of symptoms and signs for classification of syndrome. Result: 29 cases of damp blockage of middle energizer, phlegm and blood stasis resistance; 31 cases of hepatochlic hygropyrexia, phlegm and blood stasis resistance. Phlegm and blood stasis resistance has relative importance. Damp blockage of middle energizer has difference between hot and cold. Hepatochlic hygropyrexia has impairment of yin by blood-heat. Conclusion: herniation of cervical disc with phlegm and blood stasis resistance as basic pathogenesis, as well as damp blockage of middle energizer and hepatochlic hygropyrexia. 【Key words】 syndromes of herniation of cervical disc syndrome differentiation type of TCM cervical disease 颈椎间盘突出症(Cervical Intervertebral Disc Herniation，CIDH)是因退变或外伤致椎间盘突出压迫或刺激神经根或脊髓，而出现急慢性颈项痛、上肢麻痹痛或步态不稳等一系列临床症状。随着电脑的普及，发病率有逐年上升趋势及年轻化倾向。目前颈椎间盘突出症的辨证分型归在颈椎病辨证分型内容里，但颈椎间盘突出症和颈椎病是有区别，本课题研究颈椎间盘突出症的辨证分型，供中医正对性治疗参考。 1 临床资料 我院住院部和门诊颈椎间盘突出症的60例，其中男27例，女33例；年龄42～87岁，平均年龄57岁。CT检查证实有颈椎间盘突出，并有