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"颈骶并治"理念治疗神经根型颈椎病施术经验OA

Experience in performing Tuina manipulation for cervical spondylotic radiculopathy based on the concept of"simultaneous treatment of cervical and sacral regions"

中文摘要英文摘要

神经根型颈椎病是骨伤科常见病,临床多以颈项及上肢症状为主.基于海派魏氏伤科学术思想,奚教授突破"颈病治颈"之定式,以《内经》"上病下取"理论,融汇现代筋膜链学说,首创提出以"颈骶并治"理念指导手法治疗神经根型颈椎病.基于这一理论基础,奚教授采取放松颈项的同时调治腰骶的治疗原则,在手法操作中将魏氏伤科"点、线、面"三维施治理念贯穿始终,通过"点"消痛点,"线"通经络,"面"松区域的三维治疗手段,理筋为先、正骨为用,共奏"骨正筋柔、气血以流"之功.本文系统梳理"颈骶并治"理念的理论渊源、操作规范及临证要点,并附验案一则.

Cervical spondylotic radiculopathy is a common condition in orthopedics,primarily manifesting with cervical and upper limb symptoms.Grounded in the academic thoughts of Shanghai-style Wei's Traumatology,Professor Xi Xiaobing has transcended the conventional paradigm of"treating the neck only for neck disorders"and he first put forward the concept of"simultaneous treatment of cervical and sacral regions"to guide manual therapy for cervical spondylotic radiculopathy by integrating the Inner Canon theory of"treating the upper part by managing the lower part"with modern fascial chain theory.Based on this theoretical foundation,Professor Xi adopts the therapeutic principle of simultaneously relaxing the cervical region while regulating the lumbosacral area.Throughout the manual therapy,the Wei's Traumatology three-dimensional treatment concept of"point,line,and surface"is consistently applied:point techniques to alleviate tender spots,line techniques to unblock meridians,and surface techniques to release regional tension.With tendon-regulating as the priority and bone-setting as the application,these methods collectively achieve the classical effect of"when bones are aligned and sinews are supple,Qi and blood flow smoothly."This article systematically elaborates on the theoretical origins,operational standards,and clinical key points of the"simultaneous treatment of cervical and sacral regions"concept,accompanied by a representative case report.

王建芳;黄珮妍;曹贺;奚小冰

上海市杨浦区中医医院,上海 200082上海交通大学附属瑞金医院,上海 200010上海市杨浦区中医医院,上海 200082上海交通大学附属瑞金医院,上海 200010

医药卫生

颈骶并治奚小冰神经根型颈椎病施术经验病案

Simultaneous treatment of cervical and sacral regionsXi XiaobingCervical spondylotic radiculopathyExperience in performing Tuina manipulationCase report

《四川中医》 2026 (7)

6-11,6

"杨浦区好医师建设工程"青年学科骨干(240223)杨浦区卫健委科研课题中医专项面上项目(YPZYM202507).

10.26946/j.cnki.1000-3649.sczy.2601240001

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