针灸配合推拿手法治疗颈椎病343例

343 cases of Cervical syndrome treated with Acupuncture and Massage

颈椎病临床分型比较细，根据笔者的临床治疗和观察，可分为退变型颈椎病和外伤型颈椎病两种。退变型颈椎病：多发于40至60岁的中老年。主要症状为颈部僵硬、头痛、头晕、胸闷、心慌、耳鸣、失眠、血压不稳，有的伴有上腹部痛或手指麻木。X光片示：颈椎骨质增生，项韧带钙化，椎间隙狭窄。外伤型颈椎病：多发于20至40岁的青壮年，中小学生也时有发生，主要症状为颈部僵硬、头痛、头晕、恶心、呕吐、颈部不适，落枕样感觉，上肢可见串痛。追问病史，大多有外伤史。X光片示：颈项强直，生理曲度消失。我门诊因为条件所限，病人都以行针灸、推拿手法为主，部分病人给予口服中药、西药等治疗，但仍疗效显著，痛苦小，针对性强而倍受广大患者欢迎。

With author＇s clinical observation, cervical syndrome （CS） is classed for two types： cataplasia type and external injury type. Cataplasia type of CS usually attacks middle and elder people from 40 to 60 years old. Cardinal symptoms are stiffness in neck, headache, dizzy, chest distress, flustered, bourdonnement, insomnias and unsteady blood pressure sometimes combined with epigastralgia pain or finger numbness. X-ray shows that hyperosteogeny of C-spine, ligamentum nuchae ossification and stegnosis of intervertebral. External injury type of CS often attacks young from 20 to 40 years old, even school students. Cardinal symptoms are stiffneck, headache, dizzy, nausea, emesia, sense of Luozhen, pain in extremitas superior. They had external injury history. X-ray shows stiffneck and disappearance of physiological curvature. Limited by clinical condition, we gave some patients for acupuncture and massage, some for oral decoction and drug. The curative effects were obvious. It was welcome by patients for its oainlessness.