姜劲挺诊治急性混合型颈椎病验案一则
Case of Diagnosis and Treatment of Acute Mixed Type Cervical Spondylosis by JIANG Jinting
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1.广州中医药大学第四临床医学院,广东 深圳 518000
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郑吉元, 魏来, 姜劲挺. 姜劲挺诊治急性混合型颈椎病验案一则[DB/OL].(2023-04-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36536977&Fpath=home&index=0
ZHENG Jiyuan, WEI Lai, JIANG Jingting. Case of Diagnosis and Treatment of Acute Mixed Type Cervical Spondylosis by JIANG Jinting[DB/OL].(2023-04-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36536977&Fpath=home&index=0
郑吉元, 魏来, 姜劲挺. 姜劲挺诊治急性混合型颈椎病验案一则[DB/OL].(2023-04-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36536977&Fpath=home&index=0 DOI:
ZHENG Jiyuan, WEI Lai, JIANG Jingting. Case of Diagnosis and Treatment of Acute Mixed Type Cervical Spondylosis by JIANG Jinting[DB/OL].(2023-04-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36536977&Fpath=home&index=0 DOI:
病史摘要,2,患者因大量饮酒昏睡后出现双下肢行走无力,走路踩棉花感并眩晕,站则眼黑欲仆地,坐则天旋地转,痛苦不已。2020年8月查颅脑+颈椎MR示:①脑实质未见明显异常,部分空泡蝶鞍,左侧上颌窦炎症、双侧视神经眶内段蛛网膜下腔积液,不排除外颅内高压,请结合临床;②颈椎5-7椎体骨质增生,颈4/5椎间盘突出(中央型);颈5/6椎间盘膨出;颈3/4椎间水平椎管内异常信号,考虑椎间盘纤维环破裂并髓核脱出入椎管内、脊髓明显受压。患者多次就诊于外院,未见明显效果,慕名前来姜劲挺教授门诊就诊。四诊信息:面色晦暗,情绪低沉,心神不宁,颈项疼痛,转侧更甚,双下肢无力,行走时眩晕;舌暗红,舌苔黄厚,边有齿痕,脉濡滑。中医诊断 眩晕(痰浊中阻,清阳不升)西医诊断 混合型颈椎病(急性)干预措施 中医治以益气升阳,化痰和中,予中药疏肝补肾汤加减联合手法及功能锻炼。疗效转归 患者自述已与常人无异,颈项活动已如从前,眩晕症状消失,行走自如,卧立如常,偶有自觉晨起后稍双下肢无力。
Summary of case history, The patient felt weak about the double lower limbs when was walking after drinking a lot and lethargy. It is painful when the patient feeling walking on the cotton and vertigo,standing with blacked out,sitting with dizzying. The MR of craniocerebral and cervical (August 2020) stated: ①No obvious abnormal brain parenchyma, Part of the cavitation sella turcica, On the left side of the maxillary sinus inflammation, Double side nerve orbital period of subarachnoid cavity effusion, Do not rule out the intracranial pressure, Please combined with clinical. ②5-7 vertebral bone hyperplasia of cervical vertebra, 4/5 of cervical intervertebral disc herniation (central);5/6 neck bulging disc; Neck 3/4 intervertebral spinal canal abnormal level, considering annulus fibrosus rupture of the intervertebral disc and nucleus pulposus prolapse into the spinal canal, Spinal cord compression obviously. Multiple visits of other hospitals can not get obvious effects, via internet ,he knew professor Jiang then visited the outpatient service. The fourth condition: Dark complexion, Gloomy mood, Be in a state of restlessness, Neck pain, worse when turn the head, Double lower limbs weakness, vertigo when walking, Dark red tongue, tongue coating yellow and thick, the side with teeth marks, moist and smooth pulse.,TCM diagnosis, Vertigo (lucid Yang failing to rise, the resistance of phlegm turbidity),Western medicine diagnosis, Acute mixed type of cervical spondylosis,Therapeutic methods, Rules of treatment: invigorating the vital energy, eliminate sputum and regulating stomach, gave him traditional Chinese medicine Shugan Bushen decoction combined with manipulation and functional exercise.,clinical outcomes, The patient reported that he has been no different from ordinary people, his neck activities have such as once upon a time, vertigo symptoms disappear, walk freely, lying as usual, double lower limbs weakness slightly after morning rises
混合型颈椎病疏肝补肾中医脊柱相关疾病手法功能锻炼
Mixed type cervical spondylosisSoothing Liver tonifying KidneyTraditional Chinese medicine spine related diseasesMethodsFunctional exercise
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