中英文的颈椎病.教案.ppt

Category and treatment of Cervical Spondylosis 颈椎病的分型与治疗 Definition 颈椎病的定义 Cervical spondylosis. It is due to cervical disc degeneration, neck injury or mechanics dysequilibrium caused by long-term muscular strain. It also because constrict or irritate cervical nerve root, spinal cord, vertebral artery or sympathetic nerve. These causes will lead neck, shoulder,back and arm pain and numbness, even lead paralysis and so: a series of clinical symptoms. 颈椎病又称颈椎综合症，是由于颈椎间盘退行性改变，颈部损伤或长期劳损造成颈脊柱内外力平衡失调，压迫或刺激颈神经根、脊髓、椎动脉或交感神经，引起颈部及肩背手臂的麻木疼痛，甚至瘫痪等一系列临床症状的综合病症。 This disease is more common in the elderly. Their cervical disc degeneration,cervical osteoarthritis and other pathological changes,leading to constrict and irritate cervical nerve root, spinal cord or vertebral artery,then Cervical spondylosis appears. 本病多见于中老年人，由于颈椎间盘发生退行性改变、颈椎骨质增生等病变，导致颈部神经根、脊髓或椎动脉受到压迫或刺激，出现本病。 Diagnosis and Category 诊断与分型 Cervical spondylosis classify four categories: 1.Cervical spondylotic radiculopathy 2.Cervical spondylotic myelopathy 3.Vertebral artery type of cervical spondylosis 4.Sympathetic cervical spondylosis Because different places of cervical disc herniation, constriction cause different types clinical symptoms. 颈椎病由于颈椎间盘突出，压迫的部位不同而造成不同的临床症状，以此分为神经根型、脊髓型、椎动脉型和交感型颈椎病。 Massage Treatment 推拿治疗 Relieve neck muscle spasm, adjust cervical segmental unusual angular displacement, reduce disc burden; release nerves and vascular mechanical constriction and irritation.Acupoints: occiput posterior, neck, scapular region, chest and back, Fengchi(GB20), ?Cervical Jiaji(EX-B2), Jianjing(GB21)，Tianzhong(SL11), cashi point etc Approach: One finger Zen pushing, pressure manipulation, traction manipulation,pushing manipulation, grasping manipulation, cervical pulling manipulation. 治则:缓解颈肌痉挛，调整颈椎节段异常位移或成角，降低椎间盘负荷；减少，消除神经、血管机械性压迫和刺激。 取穴:枕后部、颈项部、肩胛部、胸背部，风池、颈夹脊、肩井、天宗、阿是穴等。 手法:一指禅推法、按压法、拔伸法、推法、拿法、颈椎扳法等。 1.cervicalspondylotic radiculopathy 神经根型颈椎病 Symptom:neck unilateral pai