Western medicine types of cervical spondylosis: cervical type, nerve root type, spinal cord type, vertebral artery type, sympathetic nerve type, and other types.
(1) Wind-cold type: strong pain in the neck and back, poor rotation, evil wind and cold, no sweating, warmth and pressure, light tongue with thin white coating, floating and tight pulse.
Formula: Ge Gen Tang plus or minus: (dispersing wind and cold, relieving pain)
Radix Puerariae 30, Osmanthus 10, Radix Paeoniae 15, Ephedra 10, Gentiana 20, Qiangwu 15, Safflower 15, Glycyrrhiza glabra 10.
(2) Qi and blood stagnation type neck and shoulder pain, pain like cone, fixed and immovable, unfavorable rotation; dark tongue or stasis, sunken string or astringent pulse.
Radix: Peach and Red Four Animals Tang plus or minus: (invigorating blood circulation, regulating qi and relieving pain.)
Radix Angelicae Sinensis 15, Rhizoma Ligustici Chuanxiong 10, Radix Paeoniae Alba 15, Radix Paeoniae Lactiflora 15, Radix et Rhizoma Glycyrrhiza Glabra 20, Rhizoma Sumac 15, Radix Mulberry 15, Radix Myrrh 10, Radix Rehmanniae 15, Radix Glycyrrhiza 10.
2. Nerve root type: Numbness and pain in the head, shoulder, arm and hand are the main features of this disease.
Experienced formula: Neck and shoulder pain drink
Astragalus membranaceus 15-30 grams, Radix Angelicae Sinensis 15 grams, Radix Rehmanniae Sinensis 25 grams to tonify the Qi and invigorate the Blood, especially reusing Astragalus membranaceus as the key medicine for Qi. With its first as the driving force, with Chuanxiong 15 grams, red peony 15 grams, turmeric 15 grams, invigorate blood circulation to remove blood stasis in order to benefit the power of opening the ligaments. The combination of 10 grams of Radix Aconiti, 15 grams of Qiangwu, 10 grams of Fangfeng, 15 grams of Gui Zhi to warm the meridians and disperse cold, and 30 grams of Pueraria Mirifica, although cool, used with Qiangwu, Fangfeng and Gui Zhi, its ascending yang and relieving muscle, stopping spasm and pain, and managing strong back pain is very effective. Use 10 grams of orange peel to regulate qi and 10 grams of licorice to relieve pain. 3 slices of ginger and 5 jujubes are used to harmonize Ying and Wei. The combination of the above herbs can warm Yang, disperse cold, benefit Qi, promote circulation, regulate Qi, relieve spasm and relieve pain.
If it is combined with Qi stagnation and blood stasis or dampness and phlegm stagnation, it can be added with blood activator and blood stasis remover, such as Dan Shen and Ze Lan; for phlegm stagnation, it can be added with Panax quinquefolium, Bacopa monniera and Fructus cereus; if the liver and kidney are not in the middle, it can be added with Xian Ling Spleen, Bacopa monniera and Cistanches. The heat is reduced by the sophora, and the yin deficiency is increased by the dogwood; the hand is hemp, mulberry, poria; shoulder pain is increased by the asparagus; sweating is increased by the white peony; the tongue is red and greasy with yellow coating is increased by the atractylodes, cypress.
3, spinal cord type: (heavy weakness of both lower limbs, such as a feeling of stepping on cotton, clumsy gait, trembling, easy to fall; numbness of both lower limbs, gradually developing upward, with a feeling of girdling in the chest and abdomen; gradually appearing spastic paralysis of the limbs or triple paralysis, monoplegia, hemiplegia soft and crossed paralysis; cold limbs, swelling, frequent urination, urinary urgency, difficulty urinating, urinary retention, weakness of the bowels, constipation or incontinence, etc.)
(1) Insufficient positive qi and mutual obstruction of phlegm and stasis type: constricted tendons and veins in the lower limbs, difficulty walking, easy to fall, accompanied by tremor, or numbness, pain and unfavorable movement in the upper limbs. Neck stiffness, limited lateral rotation. The tongue is dark, the coating is folded, and the pulse is sunken, thin and astringent or smooth and weak.
〈Therapy〉 Expel phlegm, resolve blood stasis, benefit Qi and promote circulation (tonifying Yang and returning the five plus reduction)
Astragalus membranaceus 60 grams, chicken blood vine 30 grams, Pueraria lobata 20 grams, Danshen 30 grams, Angelica sinensis 20 grams, Dilong 15 grams, white mustard seed 10 grams, Chuanxiong 10 grams, peach kernel 15 grams, safflower 10 grams, biliary nancellus 10 grams, poria 30 grams, aromatic herb 10 grams, whole worm 5 grams, cow knee 15 grams.
(2) Deficiency of liver and kidney, benefitting the essence and filling the marrow: heavy and weak limbs, unfavorable flexion and extension, tendons and tigers, shaking of the head and body, staggering gait, muscle atrophy, accompanied by fatigue, lumbar and back soreness, dizziness, or impotence and spermatorrhea, incontinence of urination, unfavorable language. The tongue is light red, and the pulse is sunken and weak.
Treatment: Warming the liver and kidney, benefiting the essence and filling the marrow.
Deer horn gum 20g, Angelica sinensis 20g, Radix Rehmanniae 20g, Astragalus membranaceus 30g, Xian Ling Spleen 20g, Cistanches sp. 20g, Boneset 30g, Niubizi 20g, Yuan Zhi 15g, Tian Ma 15g, Bai Shao 20g, Ge Ge Gen 20g, Di Long 20g, Licorice 10g.
3, vertebral artery type (characterized by episodic vertigo, vertigo can be triggered or aggravated by neck rotation with nausea and vomiting; mostly accompanied by headache and tinnitus; may have insomnia and dreaminess, easy to be frightened and other symptoms of neurasthenia; mostly have a history of sudden collapse, that is, the patient suddenly feels weakness of the limbs and falls to the ground, but the consciousness is clear and he can get up immediately. Most of the patients can recall the head-turning-related symptoms; they can be accompanied by radicular symptoms such as shoulder and arm numbness and pain; they have stiffness, pain, and limitation of movement in the neck; they have fixed pressure points on the 4-7 spine or both sides of the spine; the head-turning test is positive; the X-ray film shows physiological curvature degeneration, hook joint hyperplasia, narrowing of the vertebral space, and small joint disorder, etc. The TCD examination mostly reveals the systolic peak velocity and mean flow velocity of the vertebral artery. The TCD examination shows that the systolic peak velocity and mean flow velocity of the vertebral artery are reduced, the pulsatility index is high, and the waveform is changed; the flow velocity of the basilar artery is faster, and the internal carotid artery system is not significantly changed.
(1) Phlegm obstructing the meridians: vertigo, nausea, vomiting, heavy head, tinnitus, stuffiness in the chest and epigastrium, white or thick slippery tongue coating, smooth or moist pulse. In severe cases, fainting and sudden collapse may occur.
Treatment: Tonifying the kidney and draining the liver, resolving phlegm and clearing the channels.
Remedy: Neck dizziness soup
Ginger Xia 15 grams, Poria 30 grams, White Peony 30 grams, White Mustard Seed 10 grams, Bile Nanxing 10 grams, Shu Di 15 grams, Xiang Shen 10 grams, Xian Ling Spleen 15 grams, Gunnera 10 grams, Chuan Xiong 10 grams, Ge Gen 30 grams, Licorice 10 grams.
For those with phlegm stagnation and heat, add Chai Hu 10 grams and Yu Jin 10 grams; for those with frequent vicious cycle of heart vomiting, add Ocimum sanctum and Bamboo Roo 10 grams of spineflower 10 grams; for those with insomnia and dreaminess, add Nightshade 20 grams and Yuan Zhi 10 grams.
(1) Liver and kidney deficiency type: dizziness and tinnitus, mental depression, forgetfulness and deafness, weakness of the waist and knees. In case of Yang deficiency, the limbs are not warm, the tongue is light and the pulse is sunken; in case of Yin deficiency, the five hearts are hot and bothered, and the tongue and pulse are fine.
Treatment: Tonify the liver and kidney, benefit the essence and fix the dizziness.
Remedies: Bone marrow soup
Radix Rehmanniae 30g, Radix Rehmanniae 20g, Radix Boneset 20g, Herba Cistanches 20g, Radix Deer Cnidium 20g, Radix Glycyrrhiza Uralensis 20g, Radix Glycyrrhiza Uralensis 15g, Radix Rehmanniae 15g, Radix Broussonetiae 15g.
For Yang deficiency, add 20 grams of deer antler cream and 10 grams of cinnamon; for Yin deficiency, add 10 grams of Zhi Mu, 10 grams of Huang Bai and 20 grams of Bai Shao.
Classic formula: Clear dizziness and relieve neck
The formula uses asparagus, hooked vine, stone cassia to calm the liver and calm the wind as the main medicine, with danshen, zelenium to open the meridians and activate the blood, geranium, half ansia, poria, stiff silkworm, whole worm to resolve phlegm and antispasmodic, combined with orange peel, spineflower, bamboo rhizome to heal the stomach to lower the rebellion and stop vomiting, with tianzhu huang to clear heat and expel phlegm, peony, licorice of nourishing yin to control hyperactivity and antispasmodic. More because of its head swelling is not relieved, chest tightness is still, is to add chrysanthemum to clear the head and eyes, eliminate swelling, perilla stems to broaden the chest and diaphragm. Therefore, if all the medicines are combined with each other, with increase and decrease, the liver will be filled with resting marrow, yin and yang will be harmonized, dizziness will be stopped, headache will be cleared, chest will be broadened and stomach will be settled.
Symptoms: migraine, neck and pillow pain, occasional dizziness, nausea and vomiting, insomnia and dreaminess; eye swelling and pain, dryness, eye urgent paralysis and long spear: zhoumi be careful to take R sand squid cup Pioneer ridge (9) table┐螅豢捎醒屎聿驶黃黃 slugs burnt curium school short step to recover Chen traveler orphaned Penang Jing falcon Pei write the title of electron Xie oyster Zha Zha Zha Zha stands paralyzed planting ke no land file stop sub-killing # cheerful waking up the Cisalpinia fat stand rein pay (19) The symptoms may be limited to the head, neck, hands, feet or one limb, or may appear in the half of the body; during an acute attack, there may be frequent, urgent or incomplete urination, and the symptoms disappear after the attack. It is different from the persistent urinary disorder caused by spinal cord type cervical spondylosis.
(1) Heart and spleen qi deficiency type: dizziness, headache, blurred vision, painful and dry eyes, numbness in the limbs, strong collar, palpitation, insomnia, no color in the face.
(1) Heart and spleen qi deficiency type: dizziness, headache, blurred vision, painful and dry eyes, numbness in the limbs, strong neck, palpitations, insomnia, no color, shortage of breath and lazy speech. Pale tongue, thin white fur, sunken and feeble pulse.
Treatment: Tonifying the heart and nourishing the spleen, calming the mind, relaxing the tendons and activating the collaterals.
Recipe: Guei Spleen Tang with reduction: Astragalus membranaceus 30g, Angelica sinensis 15g, Chuanxiong rhizome 15g, Paeonia lactiflora 15g, Fu Shen 20g, Shijiazhuang 20g, Tianma 15g, Crocus sativus 15g, Ginseng 15g, Pueraria lobata 15g, Fried date palm 15g, Longan flesh 15g, Nightshade 30g, Licorice 7g.
(2) Liver and kidney deficiency type: dizziness, tinnitus, deafness, insomnia and dreaminess, painful and dry eyes, numbness in the limbs, soreness and weakness of the waist and knees, feverishness in the five hearts, hot flashes and pilfering B, etc. Red tongue, white greasy coating and fine pulse.
Treatment: Nourishing Yin, tonifying the kidney, benefiting Blood, nourishing the liver, activating Blood circulation.
Remedy: Six-flavored Dihuang Pill plus flavor: Shu Di 30 grams, Chicken Blood Vine 20 grams, Jujube Peel 15 grams, Yam 15 grams, Salt Ze Di 15 grams, White Poria 15 grams, Dan Pi 15 grams, Danshen 15 grams, Angelica Sinensis 15 grams, Shi Cao Ming 25 grams, Tian Ma 15 grams, Du Zhong 15 grams, Night Crossing Vine 30 grams.
(3) Liver stagnation type: dizziness, belching, swallowing discomfort, chest distension and pain, dullness, vomiting malignant cycle, etc. Pulse sunken string or sunken astringent, tongue coating thin white root greasy.
Treatment: Diversifying liver and Qi, relieving depression and phlegm, and relieving pain.
Formula: Rationalizing Qi and relieving pain soup; Chai Hu 15g, Yuan Hu 15g, Dan Shen 15g, Mu Xiang 8g, Xiang Shen 15g, Qing Pi 25g, Yu Jin 15g, Han Xia 15g, Hou Pu 15g, Almond 15g, Zhu Ru 15g, Sha Ren 8g, Jiuxiang Worm 10g.
(4) Phlegm-dampness blocking type: dizziness, headache, tinnitus, deafness, stuffiness, nausea and vomiting, numbness of the limbs, tiredness and fatigue. The pulse is sluggish or moistened, and the tongue coating is thin and white and greasy.
Treatment: Eliminate phlegm and dampness, regulate the spleen and clear the liver, and relieve pain.
Atractylodes macrocephala 20g, Poria 20g, Chen Pi 15g, Citrus aurantium 15g, Ginger Semen 15g, Bamboo Roo 15g, Rhizoma Polygonatum 15g, Yu Jin 15g, Eucommia 15g, Sequoia 15g, Geranium 15g.
6, mixed type: swallowing difficulties, especially obvious when the master sand, and even can not swallow hard food; neck pain, cervical muscle tension, mildly restricted movement; mostly accompanied by other types of cervical spondylosis, especially sympathetic cervical spondylosis symptoms are more common; X-ray radiography, visible cervical vertebrae in front of the formation of bone superfluous (such as bird beak-like bone spurs); barium meal fluoroscopy can show that the esophagus can be narrowed due to the protrusion of bone superfluous compression, if necessary, available If necessary, esophagoscopy can be used to exclude esophageal cancer, esophageal diverticulosis and other disorders.
(1) Yin deficiency and phlegm obstruction type: neck pain, neck muscle tension, difficulty swallowing, obstruction of hard objects in the pharynx, pharyngeal failure, coughing, throat dryness and stinging pain, posterior sternal swelling and pain, dizziness, tinnitus, theft B, five heartburn and other symptoms. The pulse is thin and crossed. Treatment is to nurture Yin and clear heat, resolve phlegm and disperse nodules.
Treatment: The evidence is due to Yin deficiency and fire, with interlocking phlegm directions. Treatment is to nourish Yin and clear heat, resolve phlegm and disperse nodules.
Remedy: Nourishing Yin and resolving phlegm.
Radix Rehmanniae 30g, Radix Salviae Sinensis 15g, Radix et Rhizoma Ginseng 15g, Radix Psidium Guajava 15g, Radix et Rhizoma Ulmoides 15g, Radix Wei Lingxian 20g, Radix Oyster 30g, Radix Ciliophora spp. 15g, Radix Sibiricae Sinensis 15g, Radix Artemisiae Sinensis 15g, Radix et Rhizoma Tulipiferae 15g, Radix Dangpi 15g, Radix Chonglou 15g, Radix Orange 15g.
(2) Qi stagnation and depression type: neck stiffness and discomfort, obstruction of hard objects in the throat, difficulty in swallowing, distension and fullness in the stomach, pain in the chest and hypochondrium, depression and discomfort, accompanied by belching and nausea.
Treatment: Relieve liver stagnation, harmonize the stomach and subdue rebelliousness, soften hardness and disperse knots.
Herbs: 20 grams of Wei Ling Xian, 20 grams of orange red, 15 grams of mountain cichlid mushroom, 15 grams of trigon, 15 grams of curcuma longa, 15 grams of gunnera, 15 grams of saponaria spinosae, 15 grams of tulip worm, 15 grams of danshen, 15 grams of yujin, 15 grams of thick park, 15 grams of ginger summer, 15 grams of sedge.
Main symptoms: lower back pain and radiating pain of lower limbs. Mostly, lower back pain appears first and then leg pain, but there are also those who present at the same time. Femoral neuralgia may be present in lumbar 1-4 disc herniation and sciatica in lumbar 4 bottom 1 disc herniation. There are statistics: 50% of people have low back pain first and then leg pain, 20% of people have leg pain first and then low back pain, 9% of people have it at the same time, 15% of people have only leg pain and 3% of people have only low back pain. Leg pain is aggravated when coughing, sneezing and straining to defecate, and in heavy cases, it is difficult to turn over and cannot walk, and numbness in the saddle area, urinary and fecal disorders and bilateral foot paralysis can also occur to caudal nerve symptoms.
Treatment: principle of tonifying the kidney and activating the blood, dispelling evil and opening the ligaments
1. Qi and blood stagnation type: severe pain in the lumbar region, restricted movement, spinal column convexity to the affected side, obvious pressure pain in the lumbar region, and radiation to the lower limbs, aggravated by coughing. In the long run, numbness and even muscle atrophy and weakness of the lower limbs can be seen. The tongue is purple and dark, and the pulse is astringent or stringy.
Treatment: Promote blood circulation, remove blood stasis and relieve pain, and tonify the liver and kidney.
Remedy: Expelling blood stasis and relieving pain
Radix Salviae Miltiorrhiza 20g, Radix Angelicae Sinensis 20g, Radix Achyranthes Bidentatae 15g, Citrus Aurantium 10g, Radix Panax Ginseng 3g (punch), Radix Safflower 15g, Radix Myrrh 15g, Radix Wulin 10g, Rhubarb 15g, Rhizoma Bone 30g, Rhizoma Chuanshuang 20g, Radix Yuanhu 15g, Rhizoma Polygonati 15g.
2, wind-cold-damp type: pain in the lower back and legs, gradually aggravated by unfavorable rotation, especially in rainy days. The tongue is light, the coating is white and greasy, and the pulse is sunken and astringent.
Treatment: dispel wind, disperse cold and dampness, tonify the kidney and invigorate blood.
Formula: Duluxiaosheng Tang
Douhuo sends 30 grams, 25 grams of Douhuo, 20 grams of Gentiana macrophylla, 15 grams of Fangfeng, 10 grams of cinnamon, 3 grams of Hossein, 15 grams of Poria, 15 grams of Zeilan, 20 grams of dog’s back, 15 grams of Eucommia, 10 grams of Ephedra, 15 grams of Niu Knee, 15 grams of Papaya, 15 grams of Wujia Pi.
3, kidney deficiency type: back and leg pain, soreness and weakness, sometimes light and sometimes heavy, the course of the disease is lingering, pale, short of breath and weakness. For those who favor kidney yang deficiency, accompanied by fear of cold limbs, after urination, even incontinence, asthma, light tongue, sunken pulse; for those who favor kidney yin deficiency, accompanied by dizziness and dizziness. Tinnitus and deafness, facial flushing, dry mouth and throat, irritable heat in the five hearts, light red tongue, sunken and fine pulse.
Treatment: Nourish the liver and kidney, comforting the tendons and opening the channels, strengthening the muscles and bones.
Remedy: Du Zhong San plus reduction
Radix Rehmanniae 20g, Fructus Lycii 30g, Fructus Lycii 20g, Fructus Gaozi 20g, Fructus Boneset 15g, Fructus Eucommiae 10g, Fructus Boneset 15g, Fructus Angelicae 15g, Fructus Chicken 30g, Fructus Astragali 15g, Fructus Salviae 30g.
For kidney yang deficiency, add cinnamon and deer horn cream; for kidney yin deficiency, add tortoise plate, Zhi Mu and Huang Bai.
Recipe: Duzhong Tang for Low Back Pain is based on the principle of tonifying the waist and kidney, benefiting the essence, activating blood circulation and promoting menstruation. In this formula, Eucommia tastes sweet and is warm in nature. It belongs to the liver and kidney meridians and is an important medicine to nourish the liver and benefit the kidney to treat lumbago. The liver is full, the pan is healthy, and the kidney is full, the bone is strong. The combination of golden hair dog’s spine, immortal spleen and deer horn cream enhances the power of tonifying the kidney and strengthening the pan. Radix Rehmanniae Praeparata, Radix Bonesetter and Radix Chicken Blood Vine not only nourish the bones and tendons, but also harmonize the blood and nourish it. With Danshen, Radix Achyranthes Bidentata and Radix Rehmanniae to invigorate blood circulation and promote menstruation, Gui Zhi and Dou Wu to warm the menstruation and disperse cold and promote paralysis, Yuan Hu to relieve pain, and Chen Pi to regulate the middle and stomach. It is effective in tonifying the liver and kidney, resolving stagnation, clearing the meridians, strengthening the spleen and stomach, and relieving pain.