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| New idea of traditional Chinese medical comprehensive intervention for moderate and severe degenerative lumbar spinal stenosis |
| AN Yi1 CHEN Hong2 WANG Xiyou2 ZHOU Yanji1 ZHANG Yang2 JIA Shouguo2 LIU Changxin2▲ YU Changhe2▲ |
1.The First Clinical Medical College, Beijing University of Chinese Medicine, Beijing 100700, China;
2.Department of Tuina and Pain Management, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China |
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Abstract Degenerative lumbar spinal stenosis is a disease frequently occurring in the elderly. Conservative treatment of moderate and severe degenerative lumbar spinal stenosis is recommended as the first treatment strategy in the guidelines, but there is no specific high-quality evidence to recommend conservative treatment of Chinese medicine. According to the Chinese medicine theory of “yi jin dai gu” as the treatment principle, a new idea of Chinese medicine comprehensive plan for intervention of moderate and severe lumbar spinal stenosis is explored, that is, a new idea of Chinese medicine conservative treatment plan of “heterozygosity and treatment”. On the basis of the pricking blood treatment and medicine cupping therapy, combined with acupotomology, ointment rubbing, Chinese medicine decoction and other treatment methods as one of the comprehensive therapy. Oral Chinese medicine is used to recuperate the patient’s body and mind, acupotomology is used to increase the intensity of treatment, and ointment rubbing is used to promote tissue repair, forming a four-dimensional integrated therapy of “bamboocuppingas the main therapy, acupotomology as the assist therapy, ointment rubbing as the repair therapy, and Chinese medicine decoction as to improve physical condition”.
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[1] Lurie J，Tomkins-Lane C. Management of lumbar spinal stenosis [J]. BMJ，2016，352：h6234.
[2] Deyo RA，Mirza SK，Martin BI，et al. Trends，major medical complications，and charges associated with surgery for lumbar spinal stenosis in older adults [J]. JAMA，2010，303（13）：1259-1265.
[3] Chad DA. Lumbar spinal stenosis [J]. Neurol Clin，2007，25（2）：407-415.
[4] Ammendolia C，Stuber KJ，Rok E，et al. Nonoperative treatment for lumbar spinal stenosis with neurogenic claudication [J]. Cochrane Database Syst Rev，2013，2013（8）：CD010712.
[5] Zaina F，Tomkins-Lane C，Carragee E，et al. Surgical versus non-surgical treatment for lumbar spinal stenosis [J]. Cochrane Database Syst Rev，2016，2016（1）：CD010264.
[6] Liu K，Liu P，Liu R，et al. Steroid for epidural injection in spinal stenosis：a systematic review and meta-analysis [J]. Drug Des Devel Ther，2015，9：707-716.
[7] Watters WC，Baisden J，Gilbert TJ，et al. Degenerative lumbar spinal stenosis：an evidence-based clinical guideline for the diagnosis and treatment of degenerative lumbar spinal stenosis [J]. Spine J，2008，8（2）：305-310.
[8] Yuan QL，Guo TM，Liu L，et al. Traditional Chinese medicine for neck pain and low back pain：a systematic review and meta-analysis [J]. PLoS One，2015，10（2）：e0117146.
[9] 姜劲挺，马喜凤，宋贵杰.中医五体辨证方法及其在伤科辨证中的应用初探[J].甘肃中医学院学报，2004，21（3）：4-5.
[10] 程肖芳，于长禾，李多多，等.中国式疼痛诊疗模式发展探析[J].中华中医药杂志，2018，33（12）：5485-5489.
[11] 李多多，李哲，杨晓明，等.基于“以筋代骨”理论探讨中国式疼痛治疗模式改善KOA疼痛症状的阶梯化干预方案[J].中华中医药杂志，2017，32（9）：3895-3897.
[12] 王永炎，王燕平，于智敏.移精变气，杂合而治[J].天津中医药，2013，30（9）：513-514.
[13] 唐汉武，林一峰.退行性腰椎管狭窄症的中医病因病机研究综述[J].中国中医骨伤科杂志，2014，22（4）：78-80.
[14] 刘长信，王兴治，王锡友，等.刺血拔罐疗法治疗腰椎管狭窄症临床研究[J].国际中医中药杂志，2018，40（9）：799-804.
[15] 王芳，张懿德，庄礼兴.《黄帝内经》中刺络放血条文浅析[J].内蒙古中医药，2014，33（14）：128-134.
[16] 朱佳玲，李胜.从“五体痹”辨证分型探析推拿治疗颈椎病[J].中国中医基础医学杂志，2017，23（8）：1124-1125.
[17] 金远林，郑景予，周凌云.刺络拔罐疗法治疗膝骨关节炎临床观察[J].上海针灸杂志，2016，35（8）：992-996.
[18] 张英杰，徐鸣曙，陈春艳，等.中医刺络放血疗法治疗颈椎病的研究进展及其作用机制[J].中医外治杂志，2015， 24（5）：50-52.
[19] 曾科，王建伟，洪珏.拔罐疗法的临床应用与研究进展（英文）[J]. J Acupuncture Tuina Sci，2016，14（4）：300- 304.
[20] Kwon CY，Yoon SH，Lee B，et al. Acupotomy for the treatment of lumbar spinal stenosis： A protocol for a systematic review and meta-analysis [J]. Medicine（Baltimore），2019， 98（3）：e14160.
[21] 郭伟平.针刀联合中药治疗腰椎间盘突出伴椎管狭窄症的疗效观察[J].中国社区医师，2018，34（29）：100-101.
[22] 项杉杉，刘福水，游建宇，等.针刀治疗腰椎管狭窄症疗效的Meta分析[J].中医药通报，2020，19（1）：47-52.
[23] 于鹏飞，刘文斌.补肝益肾法治疗腰椎椎管狭窄症的临床研究[J].中国中医药现代远程教育，2017，15（20）：59- 61.
[24] 韩景璐，王强，张耀化，等.以茶树花膏为介质的膏摩法治疗第3腰椎横突综合征效果观察[J].山东医药，2018， 58（18）：88-90.
[25] 李慧英.补阳还五汤治疗腰椎椎管狭窄症理论浅析[J].中国中医药现代远程教育，2017，15（20）：140-142.
[26] 虢舜.身痛逐瘀汤加减拟方治疗腰椎管狭窄症孔镜术后麻木的效果及对VAS评分的影响[J].中国医药科学，2021， 11（5）：84-86.
[27] Cui X，Trinh K，Wang YJ. Chinese herbal medicine for chronic neck pain due to cervical degenerative disc disease [J]. Cochrane Database Syst Rev，2010，2010（1）：CD006556.
[28] 魏小明，李红莲.腰椎管狭窄症的治则分析及用药心得[J].辽宁中医药大学学报，2009，11（2）：11-12. |
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