頸椎病中英文對照

1、頸頸 椎椎 病病Cervical Spondylosis 頸頸 椎椎 病病 Cervical Spondylosis 1、概念、概念 Concept2、解剖、解剖 Dissect 3、發(fā)病因素、發(fā)病因素 Pathogenicfactors 4、分型、分型 Classification 6、中醫(yī)認識、中醫(yī)認識 The understanding in TCM 7、治療、治療 Treatment概念概念 Concept 頸椎病，又稱為頸椎頸椎病，又稱為頸椎綜合癥，是頸椎及周綜合癥，是頸椎及周圍的軟組織，如椎間圍的軟組織，如椎間盤、黃韌帶、脊髓鞘盤、黃韌帶、脊髓鞘膜等發(fā)生病理改變，膜等發(fā)生病理改變，

2、導致頸神經(jīng)根、頸脊導致頸神經(jīng)根、頸脊髓、椎動脈及交感神髓、椎動脈及交感神經(jīng)受到壓迫或刺激，經(jīng)受到壓迫或刺激，從而產生的各種臨床從而產生的各種臨床癥狀。癥狀。 Cervical spondylosis refers to pathogenic change of the cervical vertebrae and soft tissues surrounding them such as intervertebral disks,yellow ligaments, duramater and so on,resulting in the nerve root,spinal cord,the v

3、ertebral artery and the sympathetic nerve is pressed or provoked, and occuring a series of symptoms. 解剖解剖Dissect解剖解剖Dissect解剖解剖Dissect發(fā)病因素發(fā)病因素 Pathogenicfactors年齡年齡 Age慢性勞損慢性勞損 Overstrain外傷外傷 Trauma職業(yè)職業(yè) Job頸椎病分型頸椎病分型 Classificationn頸型頸型 Neck type cervical spondylosisn神經(jīng)根型神經(jīng)根型Cervical spondylotic rad

4、iculopathyn脊髓型脊髓型 Cervical spondylotic myelopathyn椎動脈型椎動脈型 Vertebral artery type of cervical spondylosisn交感型交感型 Sympathetic cervical spondylosisn混合型混合型 Mixed type of cervical spondylosis頸型頸型 Neck type cervical spondylosis 以頸部酸、痛、麻、僵為主要以頸部酸、痛、麻、僵為主要臨床表現(xiàn)或頸項部壓迫感的頸臨床表現(xiàn)或頸項部壓迫感的頸椎病，癥狀集中在頸部，轉動椎病，癥狀集中在頸部，轉動

5、不靈活。不靈活。 Main clinical manifestations: acid distention、pain、numbness and stiff in the neck.頸椎曲度改變The cervical curvature change髓核突出壓迫頸神經(jīng)髓核突出壓迫頸神經(jīng)根根Compression of the nerve root神經(jīng)根型神經(jīng)根型Cervical spondylotic radiculopathy n1.多見于多見于30歲以上者歲以上者nMore common in people over 30 years oldn2.起病緩慢、病程長，反復起病緩慢、病程長，

6、反復發(fā)作。發(fā)作。nSlow onset, long course of disease, recurrent seizures.n3.頸肩部疼痛，下頸椎病變頸肩部疼痛，下頸椎病變可向前臂放射。可向前臂放射。 Neck and shoulder pain, some can radiate to the forward arm 脊髓型脊髓型Cervical spondylotic myelopathy 以頸脊髓受損為主要臨床表現(xiàn)的以頸脊髓受損為主要臨床表現(xiàn)的頸椎病。主要表現(xiàn)為走路不穩(wěn)、頸椎病。主要表現(xiàn)為走路不穩(wěn)、四肢麻木、大小便困難等。四肢麻木、大小便困難等。 Main clinical man

7、ifestations: Cervical spinal cord injury，such as unsteady walk, numbness of limbs, micturition and defecation difficulties椎動脈型椎動脈型Vertebral artery type of cervical spondylosis 以椎基底動脈供血不足為以椎基底動脈供血不足為主要臨床表現(xiàn)的頸椎病。主要臨床表現(xiàn)的頸椎病。主要表現(xiàn)為頭痛，頭暈，主要表現(xiàn)為頭痛，頭暈，黑朦等癥狀，與頸部旋轉黑朦等癥狀，與頸部旋轉有關。有關。 Main clinical manifestations:

8、vertebral basilar artery insufficiencysuch as headache, dizziness and amaurosis, relate to the neck rotation.交感型交感型sympathetic cervical spondylosis 以頭頸、上肢的交感神經(jīng)功能異常為主要臨床表現(xiàn)的頸椎以頭頸、上肢的交感神經(jīng)功能異常為主要臨床表現(xiàn)的頸椎病。主要病。主要表現(xiàn)為頭暈、眼花、耳鳴、手麻、心動過速、心表現(xiàn)為頭暈、眼花、耳鳴、手麻、心動過速、心前區(qū)疼痛等一系列癥狀前區(qū)疼痛等一系列癥狀。X線片有失穩(wěn)或退變，椎動脈造線片有失穩(wěn)或退變，椎動脈造影陰性。

9、影陰性。 Main clinical manifestations: neck, upper limb sympathetic nervous dysfunction, such as dizziness, tinnitus, numbness of hand, heartbeat tachycardia, precordial pain. X-ray: degeneration of cervical vertebra. Vertebral artery angiography negative.混合型混合型Mixed type of cervical spondylosis 具備以上兩種或

10、兩種以上具備以上兩種或兩種以上的表現(xiàn)者，即可確診。的表現(xiàn)者，即可確診。 With two or more than two kinds of performance above.中醫(yī)認識中醫(yī)認識 The understanding in TCM 本病屬于中醫(yī)的本病屬于中醫(yī)的“痹證痹證”、“項強項強”、“眩暈眩暈”、“頸肩痛頸肩痛”等范疇，等范疇，內經(jīng)內經(jīng)中提到中提到“風、寒、濕風、寒、濕三氣雜至合而為痹也。三氣雜至合而為痹也?！?Cervical Spondylosis belongs to “Arthralgia Disease”、“Stiff neck ”、“Dizziness”、“Nec

11、k and shoulder pain ”in TCM. The Plain Question says:“The combination of three kinds of evils:wind、cold and wet，which lead to arthralgia disease.”治療 Treatment1、針灸、針灸 Acupuncture and moxibustion 2、拔罐、拔罐 Cupping 3、中頻、中頻 Intermediate frequency therapy apparatus 4、超聲、超聲 Ultrasound 5、TDP Specific electro

12、magnetic spectrum 6、牽引、牽引 Traction 針灸Acupuncture and moxibustion處方：處方：以局部取穴為主以局部取穴為主Prescription: Select points on the local as main points主穴：主穴：大椎大椎 天柱天柱 后溪后溪 頸夾脊頸夾脊 阿阿是穴是穴Main points: Jiaji in the neck(EX)、Dazhui（DU-14）、）、Tianzhu(BL- 10)、 Houxi(SI-3)、Ashipoints辯證加減辯證加減 Modification with various sy

13、ndromes風寒痹阻：風寒痹阻：加風門、風府祛風通絡加風門、風府祛風通絡Obstruction by the wind and cold: add Fengmen(BL-12)、Fengfu(DU-16) to dispel wind and remove obstruction in the collaterals勞傷血瘀：勞傷血瘀：膈俞、合谷、太沖活血化瘀、通絡止痛膈俞、合谷、太沖活血化瘀、通絡止痛Overstrain and blood stasis: add Geshu(BL-17)、Hegu(LI-4)、Taichong(LR-3) to promote blood circula

14、tion to remove blood stasis 肝腎虧虛：肝腎虧虛：肝俞、腎俞、足三里補益肝腎、生血養(yǎng)筋肝俞、腎俞、足三里補益肝腎、生血養(yǎng)筋 Deficiency of the liver and kidney: add Ganshu (BL-18) 、Shenshu(BL-23)、Zusanli(ST-36) to invigorate the liver and kidney針刺作用針刺作用The function of Acupuncture1 1、針刺可以改善腰椎間盤局部的血針刺可以改善腰椎間盤局部的血液循環(huán)、促進新陳代謝液循環(huán)、促進新陳代謝; ; Improve local

15、blood circulation of the lumbar intervertebral disc, promote the process of metabolism.2 2、消除神經(jīng)根的炎癥、水腫，松解、消除神經(jīng)根的炎癥、水腫，松解粘連，改善突出物與神經(jīng)根的關粘連，改善突出物與神經(jīng)根的關系。系。 Elimination inflammation、 edema of nerve root , lysis of adhesions, improve the relationship between highlight and nerve root.拔罐Cuppingn作用：疏通氣血，消除瘀

16、滯，作用：疏通氣血，消除瘀滯，溫通經(jīng)絡，祛濕驅風，散寒活溫通經(jīng)絡，祛濕驅風，散寒活血，舒筋止痛血，舒筋止痛nFunction:Promoting blood circulation to remove blood stasis, expelling wind and cold,removing obstruction in the collaterals to relieve pain. 機制機制 Mechanism1、機械性刺激作用、機械性刺激作用：治療時，由于罐內形成負壓，可使局部毛細血管充血，紅細胞破裂形成自身溶血現(xiàn)象，表皮呈現(xiàn)淤血。由于類組胺物質產生，刺激各器官增強其功能活動，提高機體

17、抵抗力。負壓的機械刺激通過反射途徑傳達到中樞神經(jīng)系統(tǒng)，調節(jié)神經(jīng)活動。1、Mechanical stimulation：During the treatment, due to the formation of negative-pressure in the cup, can make local capillary congestion, erythroid burst-forming autoimmune hemolytic phenomenon, the epidermis presents congestion. Due to class of histamine substance

18、produce, stimulation of various organs to strengthen its function, improve the body resistance. Negative pressure mechanical stimulation by reflex pathways to the central nervous system, modulate neural activity. 2、溫熱作用、溫熱作用:使局部血管擴張，促進局部血液循環(huán)，改善新陳代謝和組織營養(yǎng)狀態(tài)，使血管和細胞的通透性增強，加強了網(wǎng)狀內皮系統(tǒng)的吞噬功能，有利于炎癥的吸收。2、Therm

19、al effects：Make the local expansion of blood vessels, promote blood circulation, improve the process of metabolism and tissue nutrition state, so that enhances the permeability of the blood vessels and cells , enhanced the phagocytic function of the reticuloendothelial system, is conducive to the ab

20、sorption of inflammation.中頻Intermediate frequency therapy apparatus Electrical stimulation of the Intermediate frequency to improve the local blood circulation, so that to mitigate edema between the organization of nerve fibres, reduced tissue tension, eliminate or reduce the lesion area of ischemia

21、 and anoxia,eliminate some vasoactive substances such as 5 - serotonin, bradykinin, histamine, substance P which induced pain ,achieve the analgesic effect. 中頻電刺激后改善了局部血中頻電刺激后改善了局部血液循環(huán)，使組織內神經(jīng)纖維間液循環(huán)，使組織內神經(jīng)纖維間水腫減輕，組織張力減低，病水腫減輕，組織張力減低，病灶區(qū)缺血缺氧狀態(tài)消除或減輕，灶區(qū)缺血缺氧狀態(tài)消除或減輕，使體內一些血管活性物質如使體內一些血管活性物質如5羥色胺、緩激肽、組胺、羥色胺

22、、緩激肽、組胺、P物質等致痛物質得以消除，物質等致痛物質得以消除，從而起到了止痛作用。從而起到了止痛作用。超聲 Ultrasound 1、機械作用、機械作用：軟化組織，增強滲透，提高代謝，促進血液循環(huán)，刺激神經(jīng)系統(tǒng)和細胞功能。1、Mechanical stimulation：Soft tissue,enhance penetration,improve metabolism, promote blood circulation, stimulate the nervous system and cell function. 2、溫熱作用、溫熱作用：增強血液循環(huán)、加強代謝、改善局部組織營養(yǎng)、增強

23、酶的活力、降低肌肉和結締組織張力、緩解痙攣、 減輕疼痛，同時又可降低感覺神經(jīng)興奮性，起到鎮(zhèn)痛作用。 2、Thermal effects：Improve blood circulation, strengthen the metabolism, improve local tissue nutrition, enhance enzyme activity, reduced muscle and connective tissue tension, relieve spasm and pain, but also can reduce the sensory nerve excitability,

24、 achieve the analgesic effect.TDP Specific electromagnetic spectrum 1、熱作用、熱作用:紅外線被人體吸收后轉變成熱能，通過熱傳導作用而使深層以至全身加熱 。1、Thermal effects：Infrared absorption by human body is converted into heat energy, through a heat conduction effect and make deep tissue even systemic heating.2、解痙鎮(zhèn)痛、解痙鎮(zhèn)痛：提高痛閾和耐痛閾。2、Antisp

25、asmodic and analgesic：Increased pain threshold and pain tolerance threshold.3、治療關節(jié)攣縮、治療關節(jié)攣縮 ：熱可以提高攣縮關節(jié)及周圍組織的彈性 。3、Treatment of articular contracture：Heat can improve the elasticity of the contracture of the joints and the surrounding tissues.4、免疫作用、免疫作用：紅外線可以擴張血管，改善血液循環(huán)，提高一切自身防御機制的活性，從而有非特異性消炎作用。 4、

26、Immune function：Infrared can dilate blood vessels, improve blood circulation, improve the activity of all defense mechanisms, thus have the nonspecific anti-inflammatory effect.牽引 Traction 1、使椎間隙和椎間孔增大，改變神經(jīng)根與壓使椎間隙和椎間孔增大，改變神經(jīng)根與壓迫物之間的位置關系，減輕或解除神經(jīng)根迫物之間的位置關系，減輕或解除神經(jīng)根等組織的刺激或壓迫。等組織的刺激或壓迫。 Enlarge the vert

27、ebra and intervertebral foramen, changes the position relationship between the nerve root and compression, reduce or relieve the irritation or compression of the nerve root.2、牽開小關節(jié)間隙，解除滑膜嵌頓，糾正椎牽開小關節(jié)間隙，解除滑膜嵌頓，糾正椎體的側傾、旋轉、滑脫及后關節(jié)的錯位。體的側傾、旋轉、滑脫及后關節(jié)的錯位。 Pull the clearance of the small joints, relieving sy

28、novial incarceration, correction rotation, slippage and joint dislocation of the vertebral.3、局部制動，減少活動所造成的刺激和摩擦，有利于神經(jīng)局部制動，減少活動所造成的刺激和摩擦，有利于神經(jīng)根、脊髓、關節(jié)囊、肌肉等的水腫和炎癥的吸收。根、脊髓、關節(jié)囊、肌肉等的水腫和炎癥的吸收。 Local braking, reduced irritation and friction caused by activity, which is conducive to the edema and inflammatory absorption of the nerve root, spinal cord, joint capsule, muscle and so on.4、降低椎間盤內壓或椎間盤內產生的負壓，緩沖椎間盤向降低椎間盤內壓或椎間盤內產生的負壓，緩沖椎間盤向四周的壓力，有利于膨出的髓核還納。四周的壓力，有利于膨出的髓核還納。 Reducing intradiscal pressure or negative pressure generated by