季卫锋从脾论治交感型颈椎病经验拾菁

Dr.Ji Weifeng’s Clinical Experience on Treating Sympathetic Cervical Spondylosis Symptoms through Tonifying Spleen

季卫锋认为交感型颈椎病主要与外感寒湿热、内生痰瘀及肝肾、气血的亏虚有关,尽管病因病机复杂、证型繁多,论治不外乎从脾入手,选方不外乎半夏泻心汤合天麻钩藤饮化裁。脾气健则痰湿消,兼以散寒、清热之品则外感诸邪皆除;后天健则先天充,兼以补益肝肾之品,则肝肾亏虚得复;中气调则厥阴和,配以滋肾、清肝之品,则上亢之肝阳得降;脾气运则精血化生有源,兼用补益气血之品,则气血得复;脾气盛则血随气行,兼用活血化瘀之品,则瘀血诸证皆除,理法充备,收效颇丰。为进一步探究季卫锋从脾论治交感型颈椎病思想,基于脾燥湿除痰、生精化血之功,分析其健脾一法在寒湿型、湿热型、痰瘀痹阻型、肝肾亏虚型及气血亏虚型交感型颈椎病治疗上的特色,并拮取验案1则加以分析。

Ji Weifeng believes that the patients often suffer sympathetic cervical spondylosis symptoms mainly because of exogenous Cold,Dampness and Heat,endogenous Phlegm and Blood stasis,Liver,Kidney,Qi and Blood deficiency。Although the illness is related to so many kinds of complex mechanisms,the most treatment we often firstly choose is to take measures to strengthen the function of the Spleen.As for the prescriptions,the most efficacious recipe for the disease is nothing more than Banxia Xiexin decoction combined with Tianma Gouteng drink.If Qi of the Spleen is full and the Spleen stays healthy,the Phlegm and Dampness will be eliminated,and the exogenous Evils will be eliminated by the products of dispelling Cold and clearing Heat,the acquired health will be filled with the innate nature,and the deficiency of Liver and Kidney will be recovered by notifying the liver and kidney,and the deficiency of liver and kidney will be recovered by regulating the Qi,nourishing the Kidney and clearing the Liver.The Liver Yang of hyperactivity will be reduced if it is combined with the products of nourishing the Kidney and clearing the Liver.When the Spleen Qi and Blood circulation are active enough,both replenishing Qi and Blood will be produced,and then Qi and Blood be recovered;when the Spleen Qi becomes strong,the Blood in the body will flow with it.So once the prescriptions for promoting Blood circulation by removing Blood stasis are used,all the symptoms caused by Blood stasis syndrome will disappear.The reasons are adequate and has brought plenty of fruitful effects.In order to further explore Dr.Ji’s thoughts of treating sympathetic cervical spondylosis through reinforcing the Spleen Qi,the article analyzes the characteristics of Spleen Dryness,Dampness,Phlegm removal,spermatogenesis and Blood as well as the characteristics of the method of invigorating the Spleen.In this article,we have mainly expounded how to treat cervical spondylosis symptoms including Cold and Dampness type,Dampness-Heat type,Phlegm and Blood stasis obstruction type,Liver and Kidney deficiency type and Qi and Blood deficiency type and the causes of each type.In the article,we have specially selected a typical impactful medical case to do the further analysis.