筋滞骨错理论在退行性腰椎滑脱症上的应用探讨

Application of the concept of theory of“tendon stagnation and bone malfunction”in treatment of degenerative lumbar spine disease

退行性腰椎滑脱症是一种老年患者常见的脊柱退行性疾病。以腰痛、神经根病变以及间歇性跛行为主要症状,严重影响患者的生活质量。筋滞骨错理论建立在对退行性腰椎滑脱症独特的理解上,认为筋骨失衡是退行性腰椎滑脱症的病机,因此治疗上应从筋骨失衡入手,“筋滞骨错,以筋为先”、“以衡为用”是其治疗原则,重在通过柔筋、正骨、功能锻炼等手法的治疗下恢复筋骨平衡。注重整体观念,强调治疗时不仅要注重恢复筋骨平衡,也要注重人体自身平衡。

Degenerative lumbar spine diseases are common spinal diseases in elderly patients.Symptomatic of degenerative lumbar spine diseases often lead to lower-back pain,radiculopathy and neurogenic claudication.For degenerative lumbar spine diseases,theory of“tendon stagnation and bone malfunction”has unique understanding.“Tendon stagnation and bone malfunction”theory believes that the imbalance of tendon and bones is the pathogenesis of degenerative lumbar spine disease.“Taking tendon as the first and balancing as the use”is the treatment principle of degenerative lumbar spine disease under theory of“tendon stagnation and bone malfunction”to rebuild spine balance,through manual muscle relaxation,bone-setting and functional exercise.The theory also pays great attention to the holism,emphasizing that treatment should not only rebuild balance of tendon and bones,but also pay attention to the body homeostasis.