1.成都中医药大学附属眉山医院·眉山市中医医院，眉山，620010
2.成都中医药大学附属医院，成都 610075
收稿日期：2024-09-12，
录用日期：2025-02-25，
网络出版日期：2025-03-31，
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张洪，黄威，金伟，等.国医大师陈绍宏应用益气活血法治疗创伤性颈部脊髓损伤1例［DB/OL］.（2022-01-01）［2022-03-10］.http：//cccl-tcm.cacm.org.cn/thesisDetails#10.19879/j.cnki.1005-5304.202002478&lang=zh
ZHANG hong,JIN Wei,CHEN Shaohong.Chinese Medicine Master CHEN Shaohong Applied Yiqi Huoxue Method to Treat A Case of Traumatic Cervical Spinal Cord Injury[J].,
张洪，黄威，金伟，等.国医大师陈绍宏应用益气活血法治疗创伤性颈部脊髓损伤1例［DB/OL］.（2022-01-01）［2022-03-10］.http：//cccl-tcm.cacm.org.cn/thesisDetails#10.19879/j.cnki.1005-5304.202002478&lang=zh DOI：
ZHANG hong,JIN Wei,CHEN Shaohong.Chinese Medicine Master CHEN Shaohong Applied Yiqi Huoxue Method to Treat A Case of Traumatic Cervical Spinal Cord Injury[J]., DOI：.
病史摘要
2
患者男性，34岁，2023年10月18日因“车祸致颈部疼痛伴四肢疼痛、活动障碍4小时”于外院就诊，当时查体四肢痛觉过敏，肌张力明显降低，四肢肌力0级，行颈椎MR检查提示C3~4颈椎破坏，脊髓受压明显，诊断为“颈部脊髓损伤”，当天全麻下行“颈椎前路C3~4间盘切除、椎管扩大减压、椎间融合器植骨融合内固定术”，术后住院期间诊断为呼吸衰竭、吸入性肺炎、脑耗盐综合征、肠道菌群紊乱，给予气管切开接呼吸机辅助通气、抗感染、脱水、营养神经、高压氧、中医针刺及手法康复治疗，经治疗至11月24日患者四肢痛温觉减弱，本体感觉正常，四肢肌力0~3级，腱反射部分存在，出院返家康复，不能坐立，卧床休息。11月27日，患者家属为求进一步治疗，遂求诊于陈绍宏教授。经陈绍宏教授诊治1月后患者可坐立，2月后肌力恢复至4~5级，可下地行走。中医诊断 痿证（气虚血瘀证）。西医诊断 1.创伤性颈部脊髓损伤；2.高位截瘫。干预措施 中医从损伤致瘀出发，选择膈下逐瘀汤化裁以益气活血，消肿止痛治疗。疗效转归 服用中药1月后，患者可坐立，2月后肌力恢复至4~5级，可下地行走。
Summary of case history
A 34-year-old male patient was admitted to the other hospital on October 18
2023 due to 'neck pain caused by traffic accident with limb pain and movement disorder for 4 hours '. At that time
the physical examination showed hyperalgesia of limbs
decreased muscle tension
and grade 0 of limb muscle strength. The cervical MR examination showed that the C3~4 cervical spine was destroyed and the spinal cord was compressed obviously
which was diagnosed as ' cervical spinal cord injury '. On the same day
the patient underwent ' anterior cervical C3~4 discectomy
spinal canal decompression
intervertebral fusion cage bone graft and internal fixation ' under general anesthesia. The patient was diagnosed as ' respiratory failure '
' aspiration pneumonia '
' brain salt wasting syndrome '
and ' intestinal flora disorder ' during postoperative hospitalization. The patient was given tracheotomy and ventilator-assisted ventilation
anti-infection
dehydration
nerve nutrition
hyperbaric oxygen
traditional Chinese medicine (TCM)acupuncture and manual rehabilitation. After treatment to November 24
the patient 's limb pain and temperature sensation were weakened
the proprioception was normal
the limb muscle strength was 0~3
and the tendon reflex was partially present. He discharged and go home for rehabilitation. On November 27
in order to seek further treatment
the family members of the patient sought medical advice from professor CHEN Shaohong.
TCM diagnosis
Flaccidity syndrome (Qi deficiency and blood stasis syndrome).
Western medicine diagnosis
Traumatic cervical spinal cord injury; high paraplegia.
Therapeutic methods
The principle of TCM treatment is to benefit Qi and activate blood circulation
detumescence and pain relief. TCM decoction was given modified Gexia Zhuyu decoction.
Clinical outcomes
After taking TCM for 1 month
the patient can sit and stand. After 2 months
the muscle strength returned to 4~5
and the patient can walk on the ground.After taking TCM
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