1. Where do people age first? Where do people age first? Some say that the first old from the teeth; some say that the first old from the legs and feet, and some say that the first old from the eyes. In fact, the old man is the first from the spine. Nearly a hundred years of medical research has found that when the development of the intervertebral discs is completed, degenerative changes begin, in other words, human aging begins, which is the consensus of the medical profession. The spine is the backbone of the human body. It supports the body weight and dominates the physiological activities of the trunk – including extension and flexion, lateral flexion and rotation. Under normal circumstances, the spine is the part of the body most susceptible to chronic strain. If acute trauma occurs, the injured spine will advance or accelerate the degeneration. 1980, our research institute conducted a cervical spine X-ray photo analysis study on 100 normal people (who had not suffered from cervical spondylosis as confirmed by medical history and clinical examination), divided into five age groups (13-19 years old, 20-29 years old, 30-39 years old, 40-49 years old, 50-68 years old), with 20 people in each group, and each person was photographed according to the same method of cervical vertebral orthostasis, lateral spine, and lateral spine. In each group of 20, 5 films of cervical spine were taken with the same method, such as orthostatic, lateral, left-right oblique and open-mouth positions. It was found that the older the age, the more people had cervical spondylolisthesis. The number of cases increased with age, with 29 out of 100 cases having cervical osteophytes, including 16 cases in the >50-year-old group, 5 cases in the 40-year-old group, 4 cases in the 30-year-old group, 2 cases in the 20-year-old group, and 2 cases in the <19-year-old group, with similar proportions of intervertebral disc degeneration and ligamentous calcification. From these cases, we learned that when osteophytes did not injure nerves and blood vessels, patients would not have symptoms (could not be called cervical spondylosis); osteophytes were also found in young people and adolescents, which indicated that spinal degeneration was not exclusive to the elderly. Tip: acute injury and chronic strain of the spine can lead to its localized early or accelerated degenerative changes (proving the non-uniformity of spinal degeneration). Degeneration of the intervertebral disc in normal people can lead to narrowing of the intervertebral space, and its intervertebral foramina gradually become round from oval shape, because the nerve root is not damaged, so there are no symptoms occurring, which is the healthy old people. 1976 anatomical study made by our research institute confirms that: the intervertebral foramina is deformed due to the misalignment of cervical spine joints, and when the transverse diameter is <1/3, it can partially stimulate the nerve root, and when it is <1 2 = "" x = "" >1/3, it can still be due to compensation and no symptoms; <1/1/3 can still be due to compensation; and <1/3 is not a symptom. When <1/3, the nerve root can be partially irritated; when <1 2="" x="">1/3, it can still be compensated and asymptomatic; when <1/3, it is symptomatic with the change of position; when <1/2, the symptom is serious. Tip: ① As long as the spine remains in a normal or compensable position, degenerative changes in the spine will not cause disease. ② The size of the compensatory range of each person is related to the congenital conditions. Clinically thick spine, the spinal canal and intervertebral foramina wide people, vertebral joints dislocation is light when more asymptomatic; slender people, spinal instability and weak muscle, dislocation is light will also occur symptoms. ③ osteophytes, calcification of the posterior longitudinal ligament and disc bulging can occupy a certain space in the spinal canal, but if it is still within the compensatory range, it will not cause the onset of the disease, if intervertebral instability occurs, or even misalignment, the ligamentum flavum can be formed folds, or so that the upper and lower vertebral body is misaligned and the formation of osseous stenosis, at this time, due to the compensatory range of the smaller than normal, therefore, in the same degree of subluxation, the clinical symptoms will be more serious. It can be seen, pay attention to the care of the spine, can prevent early or accelerate the occurrence of degenerative changes in the spine, thereby preventing the occurrence of many related diseases, so that will make the young and strong people energetic, middle-aged and old people healthy and happy! 2, spinal etiology is the source of all diseases "spinal etiology" is an emerging discipline, which studies the spinal cord, peripheral nerves, blood vessels and visceral nerves due to spinal damage and a series of diseases. The use of chiropractic care to treat these conditions can be effective. Cervical, thoracic, lumbar and sacral vertebrae of bones, joints, intervertebral discs and soft tissues around the vertebrae suffered acute injury, vertebral joint dislocation and soft tissue damage occurs at the same time, while chronic strain or degenerative changes in the spine occurs at a certain age and under the long-term effect of certain pathological factors. By the time intervertebral instability occurs, if the body can still compensate, there may be occasional clinical intolerance or mild pain. At this time, the symptoms will disappear with self-movement, change of position or acupuncture and physiotherapy, which is called the period of spinal joint dysfunction (the early stage of instability). This period must pay attention to self-protection and appropriate treatment, otherwise, let the spinal instability to continue to exist, development, under certain triggers, will occur intervertebral joints (displacement), disc bulging (herniation), ligament calcification and osteophytes, these lesions will be directly or indirectly on the nerve roots, intervertebral arteries (static) veins, the spinal cord and the sympathetic nerves (preganglionic fibers, paraspinal ganglion) produce irritation or compression, leading to a variety of clinical disorders. Spondylosis does not include spinal fracture, dislocation, tuberculosis, tumor, rheumatoid or eosinophilic granuloma. Spondylosis usually refers to the orthopedic category of neck, shoulder, low back and leg pain, clinically cervical spondylosis (cervical spine syndrome), thoracic spondylosis (including back pain, hypertrophic spondylitis, costal coercion, intercostal neuralgia, etc.), and lumbar spondylosis (including lumbar disc herniation, hypertrophic lumbar vertebral spondylitis, third lumbar vertebral transverse process syndrome, lumbar vertebral slipped, lumbar strain and other acute and chronic lumbar leg pain). Research has proved that the etiology of many unexplained chronic and difficult clinical conditions originates from the spine, such as neurosis (insomnia, irritability, excessive sweating, anorexia, fatigue, etc.), dizziness, headache, vertigo (cerebral dysfunction caused by insufficient blood supply of vertebral basilar arteries), migraines, trigeminal neuralgia, upper extremity joint and muscle pain, periarthritis, and unexplained chest tightness, palpitations (supraventricular tachycardia), and intractable Upset, etc. are associated with cervical spine syndrome. Thoracic spondylosis (thoracic spine syndrome) has a much broader scope. The sympathetic low-level center is in the lateral horn of the thoracic medulla, and its preganglionic fibers are damaged by misalignment of the intervertebral joints as they pass through the intervertebral foramina. The damage varies with the segment and leads to corresponding visceral dysfunction. For example, T1~5 intervertebral subluxation can occur frequent premature beats (ventricular, atrial, multiorganic), atrioventricular block, coronary artery spasm (our research institute has proved by the results of four groups of animal experiments with different designs that T1~5 thoracic vertebrae artificially subluxed can make the electrocardiogram of the normal experimental animals, the occurrence of the development of coronary heart disease animal model, and ultimately can be developed to sudden death of myocardial infarction, so we believe that spinal etiology is also one of the etiologies of Therefore, we believe that spinal etiology is also one of the causes of coronary heart disease and one of the triggers of angina pectoris in people with existing coronary heart disease. For early stage patients, the application of chiropractic therapy has good efficacy. General survey of a group of gastric, duodenal ulcer patients, 94.11% in the T5 ~ 8 thoracic intervertebral signs of subluxation, chiropractic treatment of this disease has a good therapeutic effect. Lumbosacral intervertebral subluxation, in addition to lumbar and leg pain, can also lead to intestinal spasm, intestinal paralysis, intestinal dysfunction, habitual constipation, urinary dysfunction, impotence and dysmenorrhea. It can be seen that caring for health and taking care of the spine can not only greatly reduce the incidence of neck, shoulder, waist and leg pain, but also reduce the occurrence of spine-related diseases. Under the guidance of the theory of spine etiology, we have carried out chiropractic treatment, and so far we have summarized more than 60 kinds of indications and achieved good results. We have found that spinal etiology has become the source of all diseases. The theory of spinal etiology provides a new explanation for plant nerve dysfunction. The theory of spinal aetiology provides a new explanation for vegetative nerve dysfunction and a new understanding of geriatric multi-system diseases. With the gradual improvement of spine etiology, it will improve the effectiveness of prevention and treatment of geriatric diseases. In summary, spine etiology has been developed from the orthopedic category of neck, shoulder, waist and leg pain into a new etiology, which covers many visceral diseases related to spinal diseases. 3, how to take care of the spine 3.1, take care of the spine, should start from a young age: at present, there are many scholars recognize that spinal disease is not just a common disease of middle-aged and elderly people. Someone published an article on the cervical spondylosis of youth, caused by modern life factors. In fact, young people suffering from spinal disease has existed for a long time. In the past 20 years, due to the development of medical science, the improvement of medical diagnosis and treatment technology, and the popularization of medical knowledge, people have realized the objective existence of non-elderly spondylosis. 1971, I summarized the "cervical vertebral syndrome 123 case report", mentioned a typical case: two and a half years old boy, right upper limb paralysis after high fever convulsions, was misdiagnosed as polio, more than two years of diagnosis and treatment is ineffective, after we After more than two years of ineffective diagnosis and treatment, the boy was diagnosed with C3~5 vertebral joint misalignment, which was improved by one reset and discharged from the hospital after three treatments. In order to draw the attention of the industry to the misdiagnosis and mismanagement of brachial plexus damage caused by pediatric cervical spondylolisthesis injury, I was returned from the journal because I did not agree to delete this typical case that "did not meet the diagnostic criteria of cervical spondylosis", and I had no choice but to submit it to a provincial journal for publication instead. Most of the pediatric spine patients we treat are caused by trauma, and a few are triggered by inflammation of the throat or high fever and convulsions. For example, infantile cervical strabismus, mostly caused by birth injuries, dizziness and headache, shoulder and back discomfort, head shaking and blinking, nausea and anorexia, hyperactivity disorder, etc., mostly due to sports trauma, sitting and lying in a poor posture, resulting in the relevant intervertebral joints are misaligned, damage to the nerves, blood vessels and the onset of the disease. Acute trauma in sports and labor, poor posture in life and labor, or overwork, etc., will trigger chronic strain injury of the spine, which will also develop into spondylosis. Therefore, for the sake of health, we should pay attention to the care of the spine from adolescence. 3.2, before the disease early prevention: common cloud: "love static immobility, deafness, moderate static movement, no disease, no pain," which is the middle-aged and older people "anti-aging" aphorisms; and cloud: "life is in motion! ", although the movement can train physical fitness, but also due to improper movement and trauma. Young adults in fitness exercise should pay attention to prevent sports trauma. Study and work (including physical and mental labor), to pay attention to the prevention of chronic strain injury. How to prevent it? ① Strengthen the protection of the spine, to overcome the bad posture in life and work, to avoid chronic strain injury to the soft tissues around the vertebrae caused by long-term poor posture, resulting in intervertebral joint instability. For example, people who have the habit of lying down can make the cervical vertebrae twisted greatly during sleep and damage the ligaments and joint capsules of the neck, which becomes the cause of cervical intervertebral instability. When encountering mild sprains and contusions or overwork and other triggers, the cervical joints will be misaligned and develop into cervical spondylosis. For those who have to work for a long time in poor postures, it should be recommended that they do postural balance exercises between work or in their spare time. For example, for long-time workers, it is recommended that they hold their heads high, turn their necks from side to side, and lift their chests 1~3 times every hour. Another example of modern life enjoyment, many people like to watch TV or read books in bed or sofa semi-recumbent position, the neck and chest back against the bed rail, so that they are in a strong flexion or twisting posture, so may damage the cervicothoracic intervertebral soft tissue. Once triggered misalignment, damage to the sympathetic nerves, clinical symptoms such as chest tightness and palpitations, dizziness and insomnia, back pain and hand numbness, excessive sweating and fatigue. Hospitals are often difficult to diagnose why the disease, over time, so that it is in a sub-healthy state. Improper configuration of the height of the desk and sitting chair of students and clerks is also one of the causes of spinal strain. Athletes and manual laborers are also prone to acute mild sprain and contusion injuries of the spine, which often go untreated for three or two days. These repetitive minor injuries often trigger the rupture of the intervertebral hyaline cartilage plate, which becomes the cause of degenerative disc changes and will also develop from spinal instability to spondylosis. Avoiding overload injuries, paying attention to warm-up exercises before strenuous exercise, and paying attention to labor postures can effectively prevent spondylolisthesis from occurring and developing. Accidentally injured, not only to treat the surface trauma, but also to correct the spinal subluxation caused by physical trauma, so as to better prevent spondylosis. ② avoid triggers that cause spondylosis, such as too long a bad position, pillow, cold, bumps, excessive fatigue and so on. (iii) Pay attention to the diagnosis and treatment of early and minor damage to the spine (for example, hunchback and mild deformation of the spine in adolescents and young people with scoliosis, although no symptoms at this time, is an early stage of the disease), so as not to accelerate the degenerative changes of the spine, so that the development of spinal disorders. 3.3 Early treatment. With chiropractic treatment of spinal disease, can make the spine push disease early recovery. These methods include: ① osteopathic massage therapy, traction therapy or surgical therapy, to eliminate or reduce the main cause of disease - bony compression; ② Chinese and Western medicine or physical therapy, acupuncture and other methods to eliminate sterile inflammation, and pain. Accelerate the functional rehabilitation of the spine; ③ Hydroacupuncture or small needle therapy is used to treat the soft tissue injuries related to the unstable vertebrae and promote the rehabilitation of the instability. This method of treatment and prevention of recurrence has significant efficacy; ④ health pillows, sleep in a hard bed, choose health care physical exercise (such as health care in bed, taijiquan sword, single and double bar hanging method, Guo Lin qigong therapy, cycling, swimming, climbing, jogging and brisk walking, etc.) and so on, have a very good prevention of spinal disorders occurring role.