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Journal of Chinese Integrative Medicine ›› 2003, Vol. 1 ›› Issue (4): 255-258.doi: 10.3736/jcim20030406

Special Issue: Massages

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Pathogenic factors of blood circulation disturbance in lumbar intervertebral disc herniation and mechanism of Tuina manipulation in promoting circulation

Shi-rong Huang(), Yin-yu Shi, Guan-tong Shi   

  1. Department of Traumatology,Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200021, China
  • Received:2003-09-23 Online:2003-12-20 Published:2003-12-20

Tuina manipulation has long been used in the treatment of lumbar intervertebral disc herniation, although its therapeutic mechanisms remain uncertain. The specific characteristic syndrome of this disease is lumbocrural pain in varying degrees, which is due to mechanical compression, aseptic inflammation, blood circulation disturbance and dystrophy. These factors can act on the involved nerve roots and give rise to nerve conduction disturbance. Since the blood circulation disturbance and nerve roots dystrophy are the most important pathogenic aspects of this disease, the therapeutic effect of Tuina manipulation on lumbar intervertebral disc herniation is related to them directly or indirectly.

Key words: lumbar vertebrae, intervertebral disk displacement, manipulation, spinal, blood circulation, nutrition disorders

CLC Number: 

  • R681.533.1
[1] 费季翔 . 推拿对血浆及尿中单胺类物质含量改变的探讨[J]. 中国骨伤, 1994,( 增刊下):91
[2] 刘志诚, 孙东, 陈全珠 , 等. 推拿牵引镇痛调整作用与5-羟色胺等含量变化的研究[J]. 中西医结合杂志, 1985,5(10):615
[3] 张建华, 李业甫, 刘冰怀 . 推拿牵引治疗腰椎间盘突出症疗效观察及血单胺类物质含量变化分析[J]. 中医正骨, 1992,4(3):11-12
[4] 姜宏, 奚桂芬, 周恩元 , 等. 腰腿痛患者血浆β-EP的观察与致痛机理探讨[J]. 中国中医骨伤科杂志, 1990,6(3):6-8
[5] 吴效普, 刘建国 . 神经弹拨术对腰椎间盘突出症患者血液流变学的影响[J]. 湖北民族学院学报·医学版, 2002,19(1):37-39
[6] 龚正丰, 姜宏, 陈益群 , 等. 镇痛牵引下脊柱推拿手法对腰椎间盘突出症血液流变学的影响[J]. 中医正骨, 1997,9(3):15-16
[7] 姜宏 . 中医正骨手法对骨内压的影响[J]. 中医正骨, 1990,2(2):44
[8] 陆珍千, 费季翔, 刘志诚 , 等. 从血浆与尿中儿茶酚胺和它的代谢产物含量说明推拿的镇痛作用[J]. 颈腰痛杂志, 1994,15(4):199-200
[9] 侯筱魁, 董凡, 戴克戎 , 等. 斜板时腰椎后部结构的动态观察和生物力学分析[J]. 中华骨科杂志, 1993,13(1):51-54
[10] 杨梅香, 瞿长安, 陈燕平 , 等. 点穴疗法对犬血液流变学的影响[J]. 中国骨伤, 1988,1(2):17
doi: doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
[11] 刘志诚 . 按摩对损伤家兔外周多巴胺去甲肾上腺素的调节作用[J]. 中国中医骨伤科, 1990,6(3):6
[12] 汤艺, 邹光荣, 王桂君 , 等. 按摩治疗的生物力学效应及血流动力学改变[J]. 颈腰痛杂志, 1997,18(4):223-225
[13] Yoshizawa H, Kobayashi S, Morita T . Chronic nerve root compression. Pathophysiologic mechanism of nerve root dysfunction[J]. Spine, 1995,20(4):397-407
doi: 10.1097/00007632-199502001-00001
[14] 郑效文, 侯筱魁, 王毓兴 , 等. 腰椎间盘后突症的推拿适应证与机制探讨[J]. 上海中医药杂志, 1981,( 4):21
[15] 候筱魁, 董凡, 赵文成 . 斜扳时完整腰椎三维立体运动的研究[J]. 中国骨伤, 1996,9(4):5-7
doi: doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
[16] 岳寿伟, 刘树伟 . 屈曲旋转腰椎牵引对人腰神经通道的影响[J]. 中国骨伤, 2000,13(10):583-584
doi: 10.3969/j.issn.1003-0034.2000.10.003
[17] 金辽沙, 王坤正, 陈君长 , 等. 非手术疗法治疗腰椎间盘突出症临床研究[J]. 中国骨伤, 1996,9(4):3-5
doi: 10.3969/j.issn.1003-0034.yyyy.nn.zzz
[18] Saal JA . Natural history and nonoperative treatment of lumbar disc herniation[J]. Spine, 1996,21(24 suppl):2s-9s
doi: 10.1097/00007632-199612151-00002 pmid: 9112320
[19] 姜为民, 唐天驷, 杨惠林 . 退变腰椎间盘组织的血管浸润现象及意义[J]. 中华骨科杂志, 1998,18(9):535-537
[20] Yasuma T, Arai K, Yamanchi Y . The histology of lumbar intervertebral disc herniation. The significance of small blood vessels in the extruded tissue[J]. Spine, 1993,18(13):1761-1765
doi: 10.1097/00007632-199310000-00008
[21] Rydevik B, Brown MD, Lundorg G . Pathoanatomy and pathophysiology of nerve root compression[J]. Spine, 1984,9(1):7-15
doi: 10.1097/00007632-198401000-00004 pmid: 6372124
[22] Hoyland JA, Freemont AJ, Jayson MI . Intervertebral foramen venous obstruction. A cause of periradicular fibrosis[J]. Spine, 1989,14(6):558-568
doi: 10.1097/00007632-198906000-00002
[23] Parke WW, Watanabe R . The intrinsic vasculature of the lumbosacral spinal nerve roots[J]. Spine, 1985,10(6):508-515
doi: 10.1097/00007632-198507000-00004
[24] Olmarker K, Rydevik B . Pathophysiology of sciatica[J]. Orthop Clin North Am, 1991,22(2):223-234
[25] Yabuki S, Igarashi T, Kikuchi S . Application of nucleus pulposus to the nerve root simultaneously reduces blood flow in dorsal root ganglion and corresponding hindpaw in the rat[J]. Spine, 2000,25(12):1471-1476
doi: 10.1097/00007632-200006150-00004
[26] 谢利民, 于银, 魏书仁 . 牵引推拿治疗腰椎间突出症的机理研究进展[J]. 中医正骨, 1994,6(2):38-39
doi: 10.3969/j.issn.1007-2349.2004.01.046
[27] 钱宇, 范顺武, 方向前 . 腰椎间孔内神经根卡压的相关研究进展[J]. 中华骨科杂志, 2002,22(10):634-637
[28] 陈玺, 李吉平, 王佩志 , 等. 以推拿法为主治疗腰椎间盘突出症的机理探讨[J]. 按摩与导引, 2000,16(2):36-38
[29] 吴华军, 叶树良, 沈景允 , 等. 手法对腰椎间盘突出症周围神经传导速度及H反射的影响[J]. 中医正骨, 2000,12(3):15-16
[30] 童培建, 沈景允 . 腰椎间盘突出大小与腰腿痛症状关系[J]. 中国中医骨伤科, 1993,1(3):20-23
[31] 章莹, 汪青春, 张显崧 , 等. 手法治疗腰椎间盘突出的生物力学研究[J]. 中国骨伤, 1992,5(2):7-8
doi: doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
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