林远方基于经筋理论运用整脊调曲法治疗颈源性眩晕经验介绍

Introduction to LIN Yuanfang's Experience in Treating Cervicogenic Vertigo Using Spinal Adjustment and Curve Correction Based on the Sinew Channel Theory

摘要:

介绍林远方教授基于经筋理论运用整脊调曲法治疗颈源性眩晕的临床经验。林远方教授提出，脊柱与经筋作为人体的两大系统，相互依存、相互制约，共同维持人体的正常生理功能，而颈源性眩晕的主要病机为筋结缠缚、筋骨失衡、气血失和。强调运用“经筋-脊柱整体观”进行辨证施治，从整体上调整脊柱与经筋的“体相”，确保形态与功能的统一，故临证以理筋、正骨调曲、练功为整脊调曲法的治疗总则，通过推拿手法和针刺松解肌肉等软组织粘连，恢复力学平衡；正骨手法纠正脊柱应力紊乱，利用治疗仪牵引改善椎曲；并指导患者进行功能性的锻炼，整体调治脊柱以达到良效。

Abstract:

Abstract： This article introduces Professor LIN Yuanfang's clinical experience in treating cervicogenic vertigo using spinal adjustment and curve correction based on the sinew channel theory. Professor LIN proposes that the spine and sinew channels，as two major systems of the human body，are interdependent and mutually constraining，jointly maintaining normal physiological functions. The main pathogenesis of cervicogenic vertigo involves sinew knots and adhesions，imbalance between sinews and bones，and disharmony of qi and blood. He emphasizes the application of the "holistic perspective of sinew channels-spine" for syndrome differentiation and treatment， adjusting the "form and structure" of the spine and sinew channels as a whole to ensure the unity of morphology and function. Therefore， the general principles of spinal adjustment and curve correction in clinical practice include releasing sinews，setting bone and adjusting curves， and functional exercises. These are achieved through manual manipulation and acupuncture to release soft tissue adhesions and restore mechanical balance；bone-setting techniques to correct spinal stress disorders； traction with therapeutic devices to improve spinal curves； and guiding patients in functional exercises to achieve holistic adjustment of the spine for favorable outcomes.