Research and development in spine-related diseases at home and abroad

     To reveal the nature of disease to explore the laws of disease development, it is necessary to study and understand the causes and conditions of disease. The most active and effective method of prevention and treatment is to address the cause of the disease. This is the direction of our medical workers’ joint efforts. Pathogenic factors and the body’s ability to resist disease are the two important causes of disease. The disease causing factor is the external cause, which is the evil qi in Chinese medicine, while the body’s ability to resist disease is the internal cause, which is the righteous qi in Chinese medicine. Ancestral medicine believes that if the righteousness exists within the body, the evil will not be able to dry it out, and where the evil comes together, its energy will be weak. However, the modern medical system is still premised on the well-known structural principle, which mainly divides the human body into several systems according to the structural similarity and physiological functions of organs and tissues, such as: neurological, respiratory, digestive, circulatory, urinary, endocrine, immune, reproductive, hematopoietic, motor and other systems. People are used to studying human physiological functions and pathological changes according to each system, and consequently, our concept of diseases is also inevitably based on the structure of each system, such as: circulatory system diseases, digestive system diseases, respiratory system diseases…etc. Diagnosis and treatment are mostly focused on each system and organ, and medical institutions are also set up according to organs and systems into internal, external, gynecological, pediatric, oral, eye, ear, nose and throat, skin… Although this way of thinking and approach has many advantages and has led to the rapid development of modern medicine, making human understanding of many diseases more and more in-depth and facilitating patients to seek medical treatment, there are also shortcomings, especially Today, with the increasingly detailed subspecialties of modern medicine, it tends to limit the thinking of physicians, and because there is less communication between disciplines, it causes our overall understanding of disease and diagnosis and treatment to weaken, and there are many diseases, even common diseases, that have been in a state of unclear causes and unknown mechanisms for a long time. The emergence of spine medicine and its theory of spine-related diseases has given us new insights in etiology, breaking the boundaries of previous subspecialties and revealing from a new perspective the pathogenesis of many common and difficult diseases and the rules of diagnosis and treatment.  Although it has been officially named only 21 years ago, it has revealed the etiology and pathogenesis of many common and difficult diseases, and the clinical treatment is effective and practical, and most of the treatments belong to the category of natural or green therapy, which is easily accepted by patients. easy to accept. Therefore, it has received more and more attention from the medical community at home and abroad. The emergence of this discipline has a far-reaching historical and practical basis, which is the inevitable development of medicine and a new understanding of the pathogenesis of many common diseases. Initially, it originated from clinical practice, many clinicians, in the treatment of spinal diseases, accidentally cured many internal diseases seemingly unrelated to the spine, in thousands of years of medical practice, accumulated a large number of clinical experience, but only fewer people with modern scientific means of systematic research. Traditional Chinese medicine in the Governor’s vein and the foot sun bladder meridian points and many of the limbs of the Yu points and visceral organs have a functional connection, and in clinical practice using chiropractic and acupuncture, acupuncture and other therapies, treatment of pediatric diarrhea, indigestion, gastric disease, dysmenorrhea, etc., have received good clinical results, the traditional medicine of the internal organs meridian theory has been systematically discussed, because it is a summary of experience, more abstract, for a long time, and The theory of internal organs and meridians in traditional medicine has been discussed systematically, but because it is a summary of experience and relatively abstract, it has not attracted the attention of modern medicine for a long time.  In modern medicine, since 1927, 1929 and 1958, foreign scholars have reported articles on cervical angina, and when they used manipulation to treat cervical spondylosis, they unexpectedly found that the patient’s angina symptoms were significantly improved. In 1966 a foreign physician, through a series of electrocardiographic examinations, exercise tests, blood enzymatic measurements and the application of vasodilators, confirmed that cervical precordial pain did exist. At that time, the overall role of spinal stress abnormalities was not realized, and only the factor of cervical hyperplasia stimulating the paravertebral sympathetic node was considered and not taken seriously. Since the 1970s, a few scholars in China have been systematically engaged in research work in this area. The first national symposium on spine-related diseases was held in China in 1984, and the first international symposium on spine-related diseases was held in 1991. A large number of clinical and basic studies have confirmed that the onset of many common and difficult diseases is related to spinal stress abnormalities.  The medical community in some developed countries, which has paid great attention to this field, has done a lot of work in basic research. It has been found that the etiology of many chronic diseases of the internal organs is related to spinal stress abnormalities, and it has been suggested and called for that the health effects of stress abnormalities in the muscles and bones, which account for 60% of the body weight, can no longer be ignored. The diagnosis and treatment of disease cannot be limited to the internal organs. Orthopedic spine treatment and health care, in some developed countries, has become more popular. Although not many people in our modern medical community are engaged in research in this area, it was carried out earlier, mostly in clinical research, and not many medical schools carry out basic research work. But it is very gratifying: the results of modern medical research and practice: the impact of abnormal stress on the internal organs of different segments of the spine, and the distribution of many points of the foot solar bladder meridian theory of traditional medicine in China is coincidental (such as: heart Yu, lung Yu, gall bladder Yu, stomach Yu, kidney Yu …), this is not by chance. There are many therapeutic methods and schools of Tui-Na and massage in China, with a history of thousands of years and a solid foundation of clinical practice and experience. This is also an important way to modernize the theory of meridians in Chinese medicine.  The pain, numbness, and movement disorders of the limbs caused by spinal nerve injury due to abnormal spinal stress are easily recognized and accepted on an objective basis through modern medical investigations and auxiliary examinations, while the same is true for visceral nerve injury caused by abnormal spinal stress leading to visceral dysfunction, which is not easily recognized due to the lack of more objective means of examination and quantitative indicators, although a large number of clinical practices have confirmed its existence. It is not easily recognized due to the lack of more objective tests and quantitative indicators.  Literature statistics: spine-related diseases, as an emerging fringe discipline, have attracted more and more clinicians’ attention, attention and exploration, and related clinical reports are increasing year by year. The literature covers more than 70 diseases of the neurological, circulatory, digestive, respiratory, urological, reproductive, endocrine and other systems, with a wide range, which provides new ideas and methods for the diagnosis and treatment of many chronic and difficult diseases in the traditional sense; From the perspective of treatment, most of the treatment is based on Tui Na chiropractic manipulation reset, with acupuncture pressure, acupuncture, traction, acupoint injection, Chinese medicine applied internally and externally; from the perspective of efficacy assessment, in addition to the patient’s symptoms, signs and other soft indicators, some doctors have begun to use modern specialized examination methods such as electronic gastroscopy results to assess the clinical efficacy of peptic ulcer of spinal origin, these are These are promising developments. Of course, there are still some shortcomings in clinical studies, such as most of the clinical literature is still only a descriptive report, without a valid control group comparison or only before and after treatment; in terms of clinical diagnosis and assessment criteria, many studies have failed to adopt the current internationally and nationally accepted standards in the relevant disciplines, which affects the accuracy and reliability of the results reported, and these shortcomings will be hoped for in These deficiencies are expected to be improved and perfected in future clinical studies.  In summary, although experimental studies of spine-related disorders have been less frequently reported in relation to treatment, and have mostly focused on spine-related cardiovascular and endocrine disorders, there have been many encouraging advances and results that provide a reliable and objective basis for clinical studies of spine-related disorders.  Research on spine-related diseases has flourished in recent years, with studies gradually moving toward deeper and deeper, creating new avenues of prevention and treatment for many chronic and difficult diseases in the traditional sense. As an emerging fringe discipline, there is still a long way to go to improve and mature it, and the author believes that future research efforts should focus on the following aspects: first, spine-related diseases originate from the clinic, so it must be clinically oriented, and constantly explore the discovery and summary in the clinic to expand the scope of spine-related diseases; second, in clinical research, physicians should strengthen the awareness of scientific research and actively absorb the latest research results of related disciplines. Secondly, in clinical research, physicians should strengthen their awareness of scientific research and actively learn from the latest research results of related disciplines in order to improve their own research level; again, spine-related diseases involve multiple disciplines, so we should strengthen coordination, communication, cooperation and learning with physicians from different disciplines to complement their own shortcomings with the strengths of others and promote their own development; finally, we should emphasize and strengthen experimental research to provide a reliable objective basis and theoretical foundation for the clinical aspects of spine-related diseases, as an emerging discipline. As an emerging discipline, without sound basic research, it is difficult to be convincing enough to stand in the forest of modern medicine. We are convinced that with the continuous progress of clinical and basic research, this young and promising discipline of spine-related disorders will usher in a leap forward.