颈椎病中英文对照课件

颈椎病

CervicalSpondylosis

颈椎病CervicalSpondylosis

1、概念Concept2、解剖Dissect3、发病因素Pathogenicfactors4、分型Classification6、中医认识TheunderstandinginTCM7、治疗Treatment概念Concept

颈椎病，又称为颈椎综合症，是颈椎及周围的软组织，如椎间盘、黄韧带、脊髓鞘膜等发生病理改变，导致颈神经根、颈脊髓、椎动脉及交感神经受到压迫或刺激，从而产生的各种临床症状。

Cervicalspondylosisreferstopathogenicchangeofthecervicalvertebraeandsofttissuessurroundingthemsuchasintervertebraldisks,yellowligaments,duramaterandsoon,resultinginthenerveroot,spinalcord,thevertebralarteryandthesympatheticnerveispressedorprovoked,andoccuringaseriesofsymptoms.解剖Dissect解剖Dissect发病因素Pathogenicfactors年龄Age慢性劳损Overstrain外伤Trauma职业Job颈椎病分型

Classification颈型

Necktypecervicalspondylosis神经根型Cervicalspondyloticradiculopathy脊髓型

Cervicalspondyloticmyelopathy椎动脉型

Vertebralarterytypeofcervicalspondylosis交感型

Sympatheticcervicalspondylosis混合型

Mixedtypeofcervicalspondylosis髓核突出压迫颈神经根Compressionofthenerveroot神经根型Cervicalspondyloticradiculopathy

1.多见于30岁以上者Morecommoninpeopleover30yearsold2.起病缓慢、病程长，反复发作。Slowonset,longcourseofdisease,recurrentseizures.3.颈肩部疼痛，下颈椎病变可向前臂放射。

Neckandshoulderpain,somecanradiatetotheforwardarm

椎动脉型Vertebralarterytypeofcervicalspondylosis

以椎基底动脉供血不足为主要临床表现的颈椎病。主要表现为头痛，头晕，黑朦等症状，与颈部旋转有关。

Mainclinicalmanifestations:vertebralbasilararteryinsufficiencysuchasheadache,dizzinessandamaurosis,relatetotheneckrotation.混合型Mixedtypeofcervicalspondylosis

具备以上两种或两种以上的表现者，即可确诊。

Withtwoormorethantwokindsofperformanceabove.中医认识TheunderstandinginTCM

本病属于中医的“痹证”、“项强”、“眩晕”、“颈肩痛”等范畴，《内经》中提到“风、寒、湿三气杂至合而为痹也。”

CervicalSpondylosisbelongsto“ArthralgiaDisease”、“Stiffneck”、“Dizziness”、“Neckandshoulderpain”inTCM.ThePlainQuestionsays:“Thecombinationofthreekindsofevils:wind、coldandwet，whichleadtoarthralgiadisease.”治疗Treatment1、针灸

Acupunctureandmoxibustion

2、拔罐

Cupping3、中频Intermediatefrequencytherapyapparatus

4、超声

Ultrasound5、TDP

Specificelectromagneticspectrum6、牵引

Traction针灸

Acupunctureandmoxibustion处方：以局部取穴为主Prescription:Selectpointsonthelocalasmainpoints主穴：大椎天柱后溪颈夹脊阿是穴Mainpoints:

Jiajiintheneck(EX)、Dazhui（DU-14）、Tianzhu(BL-10)、Houxi(SI-3)、Ashipoints辩证加减

Modificationwithvarioussyndromes风寒痹阻：加风门、风府祛风通络Obstructionbythewindandcold:addFengmen(BL-12)、Fengfu(DU-16)todispelwindandremoveobstructioninthecollaterals劳伤血瘀：膈俞、合谷、太冲活血化瘀、通络止痛Overstrainandbloodstasis:addGeshu(BL-17)、Hegu(LI-4)、Taichong(LR-3)topromotebloodcirculationtoremovebloodstasis

肝肾亏虚：肝俞、肾俞、足三里补益肝肾、生血养筋Deficiencyoftheliverandkidney:addGanshu(BL-18)、Shenshu(BL-23)、Zusanli(ST-36)toinvigoratetheliverandkidney拔罐Cupping作用：疏通气血，消除瘀滞，温通经络，祛湿驱风，散寒活血，舒筋止痛Function:Promotingbloodcirculationtoremovebloodstasis,expellingwindandcold,removingobstructioninthecollateralstorelievepain.

机制Mechanism1、机械性刺激作用：治疗时，由于罐内形成负压，可使局部毛细血管充血，红细胞破裂形成自身溶血现象，表皮呈现淤血。由于类组胺物质产生，刺激各器官增强其功能活动，提高机体抵抗力。负压的机械刺激通过反射途径传达到中枢神经系统，调节神经活动。1、Mechanicalstimulation：Duringthetreatment,duetotheformationofnegative-pressureinthecup,canmakelocalcapillarycongestion,erythroidburst-formingautoimmunehemolyticphenomenon,theepidermispresentscongestion.Duetoclassofhistaminesubstanceproduce,stimulationofvariousorganstostrengthenitsfunction,improvethebodyresistance.Negativepressuremechanicalstimulationbyreflexpathwaystothecentralnervoussystem,modulateneuralactivity.

中频

Intermediatefrequencytherapyapparatus

ElectricalstimulationoftheIntermediatefrequencytoimprovethelocalbloodcirculation,sothattomitigateedemabetweentheorganizationofnervefibres,reducedtissuetension,eliminateorreducethelesionareaofischemiaandanoxia,eliminatesomevasoactivesubstancessuchas5-serotonin,bradykinin,histamine,substancePwhichinducedpain,achievetheanalgesiceffect.

中频电刺激后改善了局部血液循环，使组织内神经纤维间水肿减轻，组织张力减低，病灶区缺血缺氧状态消除或减轻，使体内一些血管活性物质如5—羟色胺、缓激肽、组胺、P物质等致痛物质得以消除，从而起到了止痛作用。超声Ultrasound

1、机械作用：软化组织，增强渗透，提高代谢，促进血液循环，刺激神经系统和细胞功能。1、Mechanicalstimulation：Softtissue,enhancepenetration,improvemetabolism,promotebloodcirculation,stimulatethenervoussystemandcellfunction.2、温热作用：增强血液循环、加强代谢、改善局部组织营养、增强酶的活力、降低肌肉和结缔组织张力、缓解痉挛、减轻疼痛，同时又可降低感觉神经兴奋性，起到镇痛作用。2、Thermaleffects：Improvebloodcirculation,strengthenthemetabolism,improvelocaltissuenutrition,enhanceenzymeactivity,reducedmuscleandconnectivetissuetension,relievespasmandpain,butalsocanreducethesensorynerveexcitability,achievetheanalgesiceffect.3、治疗关节挛缩：热可以提高挛缩关节及周围组织的弹性。3、Treatmentofarticularcontracture：Heatcanimprovetheelasticityofthecontractureofthejointsandthesurroundingtissues.4、免疫作用：红外线可以扩张血管，改善血液循环，提高一切自身防御机制的活性，从而有非特异性消炎作用。

4、Immunefunction：Infraredcandilatebloodvessels,improvebloodcirculation,improvetheactivityofalldefensemechanisms,thushavethenonspecificanti-inflammatoryeffect.牵引Traction

1、使椎间隙和椎间孔增大，改变神经根与压迫物之间的位置关系，减轻或解除神经根等组织的刺激或压迫。

Enlargethevertebraandintervertebralforamen,changesthepositionrelationshipbetweenthenerverootandcompression,reduceorrelievetheirritationorcompressionofthenerveroot.2、牵开小关节间隙，解除滑膜嵌顿，纠正椎体的侧倾、旋转、滑脱及后关节的错位。

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