道家針灸對於頸椎病的治療研究

Study of Taoist Acupuncture in the Treatment of Cervical Spine Disorders

10.6528/CAMS.2015.0008

黃桂全(Kui-Chuan Huang)；廖炎智(Yan-Chih Liao)

手麻 ； 腳麻 ； 頸背部僵硬 ； 截癱 ； 僵直性脊椎關節炎 ； 骨樣增生 ； 椎間盤凸出 ； 針灸治療 ； numbness of the upper extremities ； numbness of the lower extremities ； stiffness of the neck and upper back ； paraplegia ； ankylosing spondylitis (AS) ； bone hyperplasia ； herniated intervertebral disc (HIVD) ； acupuncture and moxibustion therapy

中國鍼灸學雜誌

3卷1期（2015 / 12 / 27）

121 - 127

繁體中文

頸椎病形成的原因非常多，較常見者原因如：頸椎骨折形成創傷性截癱，脊髓腫瘤，頸椎管腔狹窄，黃韌帶肥厚，椎間孔狹窄，頸椎脫位或半脫位，椎間盤破裂，或退化性病變引起的骨樣增生，皮肌炎，僵直性脊椎關節炎，骨質疏鬆症等…。頸椎病較難治療的病症如下，脊髓惡性腫瘤，創傷性高位截癱，僵直性脊椎關節炎。目前臨床上較為常見的病有因長時間低頭滑手機引起的頸背部壓力過大，過度疲乏僵硬形成的頸背痠痛，頭暈、頭痛、手足麻木，肢體感覺障礙，肢體運動功能障礙，自律神經功能紊亂，頸背部疼痛…等。針灸療效之所以迅速，主要在臨床選對穴位，但是對於骨骼關節位置畸形，還需配合正骨手法整復、外敷法、針灸治療和內服中藥物治療，方能使得病情快速痊癒並恢復健康。

There are many causes of cervical spine disorders with the most common as follows: cervical vertebrae fracture resulting in traumatic paraplegia, intramedullary (spinal) tumor, cervical stenosis, hypertrophy of ligamentum flavum (HLF), intervertebral foramen stenosis, cervical dislocation or subluxation, ruptured disc, degenerative inducing bone hyperplasia, dermatomyositis, ankylosing spondylitis (AS), osteoporosis, etc. The most difficult to treat cases involve cervical spondylosis resulting from malignant spinal cord tumors, traumatic high paraplegia, and ankylosing spondylitis (AS).Recently, the most common cause of cervical spine disorder presenting in the clinical setting are ＂smartphone addicts＂ who spend long periods of time with their necks lowered and fingers sliding over the screen causing excessive pressure on the neck and upper back. This condition combined with fatigue often causes stiffness and pain in the neck and upper back, dizziness, headache, numbness of the extremities, sensory and motor disturbances, and autonomic nervous system dysfunction. Acupuncture offers fast and effective treatment as long as the right acupoints are selected. However, for articular deformities and displacement, it is still optimal to combine bone setting and manipulation techniques, topical medicinal pastes, and oral medicinal formulas along with acupuncture treatment. This will ensure a fast and complete recovery Chairman for the patient.

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