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

Corresponding author: ZHONG Yuan-ming, 2205786591@qq.com

DOI: 10.12201/bmr.202512.00028

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  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; 

  Submit time: 10 December 2025

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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  1	2025-11-25	10.12201/bmr.202512.00028V1	Download

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