基于“筋骨失衡,以筋为先”理论探讨中医手法治疗椎动脉型颈椎病调衡机制

Theoretical discussion on the mechanism of traditional Chinese medicine manipulation in the treatment of vertebral artery type cervical spondylosis based on“if imbalance between tendons and bones,put tendons first”

椎动脉型颈椎病的发生是“动静力失衡”的结果,并且以动力性失衡为先,这与中医学“筋骨失衡,以筋为先”的观点一致,治疗时应先治筋、后调骨。分析椎动脉型颈椎病的中医病因、病机及生物力学机制,基于“筋骨失衡,以筋为先”理论,探讨中医理筋、整骨手法治疗椎动脉型颈椎病的调衡机制,从而深化手法治疗椎动脉型颈椎病的理论认识,为临床治疗椎动脉型颈椎病提供新思路。

The occurrence of vertebral artery type cervical spondylosis is the result of“kinetic and static imba-lance”and kinetic imbalance comes first,which is consistent with the view of traditional Chinese medicine that“if imbalance between tendons and bones,put tendons first”.To analyze the etiology,pathogenesis of TCM and biomechanical mechanism of vertebral artery type cervical spondylosis,and based on the theory of“if imbalance between tendons and bones,put tendons first”,to explore the balance mechanism of the treatment of cervical spondylosis of vertebral artery type by the manipulation of tendon and bone,so as to deepen the theoretical understanding of the manipulation treatment of cervical spondylosis of vertebral artery type and provide new ideas for clinical treatment of cervical spondylosis of vertebral artery type.