通讯作者: 钟远鸣, 2205786591@qq.com

DOI：10.12201/bmr.202512.00028

Based on ‘ Qi Reversal Affecting the Spine’, Discussing the Traditional Chinese Medicine Syndrome Differentiation and Treatment of Cervical Spondylotic Myelopathy

• 摘要：脊髓型颈椎病(CSM)是脊柱疾病领域亟待解决的重要问题之一,归属于中医学之“痹症”、“项痹”、“痿证”、“痉证”范畴,“气逆挟脊”源自《张氏医通》,是中医学脊柱疾病理论体系中的重要组成部分,强调气机失调逆乱,挟持脊背,遂致其病,《灵枢·经筋》云:“循脊内挟膂上至项,结于枕骨”据此分析该理论与CSM的相关性,进而探讨本病的病机关键为气虚致逆；督脉瘀滞,结合临床经验提出“补气行血预固其损,通调督脉以复其用”的治疗理念,由此,笔者基于该理论,为改善患者神经功能,丰富脊髓型颈椎病之临证思路,提供一定的思路及参考。

  关键词： 脊髓型颈椎病; “气逆挟脊”; 中医药; 理论探讨

   

  Abstract: Cervical spondylotic myelopathy (CSM) is one of the important issues that need to be addressed in the field of spinal diseases. It falls under the category of bi syndrome, nape bi, flaccidity syndrome, and spasmodic syndrome in traditional Chinese medicine. The concept of qi rebellion along the spine originated from Zhangs Medical Compendium and is an important part of the theoretical system of spinal diseases in traditional Chinese medicine. It emphasizes that the disorder and chaos of qi movement, along with the spine, lead to the disease. The Ling Shu·Jingjin states: It follows the spine, runs along the lumbodorsal muscles, and ascends to the nape, where it connects to the occipital bone. Based on this analysis of the correlation between this theory and CSM, the key pathogenesis of this disease is identified as qi deficiency leading to rebellion. The obstruction of the governor vessel is also involved. Combining clinical experience, the treatment concept of tonifying qi and promoting blood circulation to repair the damage, and regulating the governor vessel to restore its function is proposed. Therefore, based on this theory, the author aims to provide certain ideas and references for improving the neurological function of patients and enriching the clinical thinking of cervical spondylotic myelopathy.

  Key words: Spinal Type Cervical Spondylosis; ‘Qi Reversal Affecting the Spine’; Traditional Chinese Medicine; 

  提交时间：2025-12-10

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• 序号	提交日期	编号	操作
  1	2025-11-25	10.12201/bmr.202512.00028V1	下载

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