頸椎病
頸椎(zhui)病是一種常見(jian)并多發病，嚴重者可(ke)導致癱瘓(huan)。筆(bi)者在多年的推拿臨床(chuang)實踐中體(ti)會到，頸椎(zhui)病在手法治療(liao)的同時，對(dui)患者進行中醫(yi)辨證分型(xing)論治，可(ke)以提高療(liao)效，縮(suo)短療(liao)程，減輕患者的痛苦。現將臨床(chuang)常見(jian)的中醫(yi)辨證類型(xing)及經驗處(chu)方介紹如下。
寒濕(shi)阻絡型（本型常見于(yu)頸(jing)椎(zhui)病頸(jing)型和神經根型）：頭痛或后(hou)枕部疼(teng)痛，頸(jing)僵，轉側不(bu)利(li)，一側或兩(liang)側肩臂及手指酸(suan)脹(zhang)痛麻；或頭疼(teng)牽(qian)涉至上背痛，肌(ji)膚(fu)冷濕(shi)，畏寒喜熱，頸(jing)椎(zhui)旁可觸及軟組織(zhi)腫脹(zhang)結節。舌淡紅，苔薄白，脈細弦(xian)。治以溫經活血，祛寒除濕(shi)，通(tong)絡止痛。
方藥：川桂枝、羌活、威靈仙、秦艽、川芎、當歸尾、葛根、天麻(ma)、炮甲珠(zhu)、炒神曲、赤(chi)芍。
方中羌活、靈(ling)仙、天麻(ma)、秦艽，祛(qu)寒除(chu)濕(shi)止痛；川芎、天麻(ma)療(liao)頭痛。桂枝(zhi)、川芎、歸尾、赤芍(shao)、炮甲珠溫(wen)經(jing)活血，通絡；葛根(gen)解痙(jing)，神(shen)曲健脾和胃(wei)，甘草調和諸藥。
氣血兩虛夾瘀(yu)型（本型常見(jian)于椎(zhui)動脈(mo)型頸(jing)椎(zhui)病）：頭昏，眩暈，視物(wu)(wu)模(mo)糊或(huo)視物(wu)(wu)目痛，身軟乏(fa)力(li)，納差，頸(jing)部酸痛，或(huo)雙肩(jian)疼(teng)痛。舌淡(dan)紅或(huo)淡(dan)胖(pang)，邊有齒痕。苔(tai)薄白而潤。脈(mo)沉細無力(li)。治以(yi)益氣養(yang)血，醒(xing)腦寧神，活血通絡。
方藥：天麻、炙黃芪(qi)、炙甘草、潞黨參、炒白術、熟地(di)、砂仁、當歸、白芍(shao)、雞血藤。
方中炙黃芪、炙甘(gan)草、潞黨參(can)、炒白(bai)(bai)術補氣(qi)；熟地、川芎、白(bai)(bai)芍、當(dang)歸養血；天(tian)麻、川芎、雞血藤安神健腦，活血通(tong)絡，砂(sha)仁理氣(qi)和(he)胃導滯。
氣(qi)陰兩虛夾(jia)瘀型(xing)(xing)（本型(xing)(xing)常見(jian)于椎動(dong)脈(mo)型(xing)(xing)和(he)交感神經型(xing)(xing)頸椎病）：眩暈(yun)反(fan)復發(fa)作，甚者(zhe)一日數十次，即使臥(wo)床亦視物旋(xuan)轉，伴惡心，嘔吐，身軟乏力，行走(zou)失穩，或心悸，氣(qi)短，煩躁易怒，咽干(gan)口苦(ku)，眠差(cha)多夢等。舌(she)紅、苔薄(bo)白或微黃而干(gan)，或舌(she)面光剝無苔，舌(she)下(xia)靜(jing)脈(mo)脹大。脈(mo)沉細(xi)而數，或弦數。治以益氣(qi)養陰、安神醒腦，調和(he)氣(qi)血。
方(fang)藥：天(tian)麻、川芎、杭菊花、枸杞子(zi)、沙(sha)參(can)、炙(zhi)甘草(cao)、炒(chao)棗仁(ren)、炒(chao)柏子(zi)仁(ren)、炙(zhi)遠志、白(bai)芍、丹參(can)、地(di)龍、夜交藤。
方中(zhong)炙甘草、沙參、白芍(shao)、枸杞子益(yi)氣滋陰；天麻、杭菊(ju)花、炒棗仁、炒柏子仁、炙遠志、夜交藤醒腦益(yi)智，養心(xin)安神(shen)；川芎、丹參、地龍活(huo)血通絡止痛。
脾腎陽虛(xu)夾瘀型(xing)（本型(xing)常見于脊髓型(xing)頸(jing)椎病手術后(hou)遺癥或久治(zhi)不愈者(zhe)）；四肢不完全癱(tan)（硬癱(tan)或軟(ruan)癱(tan)），大小便失禁，畏寒(han)喜(xi)暖，飲食(shi)正常或納差。舌(she)淡紅，苔(tai)薄白(bai)或微(wei)膩，脈沉細(xi)弦，或沉細(xi)弱。治(zhi)以補腎健脾，溫經和(he)陽，強筋健骨。
方(fang)藥(yao)：熟地、棗皮(pi)、炮干姜(jiang)、龜板膠、鹿(lu)角膠、炮甲珠、白芥子、炒杜仲、牛膝、淮山藥(yao)、炒神曲(qu)、白芍、川桂枝(zhi)、肉(rou)桂、炙甘草。
方中熟地、炒杜仲(zhong)、牛膝補(bu)(bu)腎(shen)養血(xue)；鹿角膠、龜(gui)板膠填(tian)精益(yi)髓，強筋健骨；棗皮補(bu)(bu)肝腎(shen)，收澀止遺；川桂枝、肉桂溫(wen)(wen)經和(he)陽(yang)；炮(pao)干姜、淮山藥、炙甘草、炒神(shen)曲(qu)健脾和(he)胃，溫(wen)(wen)陽(yang)益(yi)氣(qi)；白芥子(zi)祛痰散結(jie)；炮(pao)甲珠(zhu)軟堅散結(jie)，通經活絡(luo)。
頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)病(bing)(bing)(bing)(bing)(bing)(bing)是指因(yin)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)退(tui)行(xing)性(xing)(xing)變(bian)(bian)引起(qi)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)管或(huo)(huo)(huo)椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)間(jian)孔變(bian)(bian)形、狹(xia)窄，刺激(ji)、壓迫(po)(po)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)部(bu)(bu)脊(ji)(ji)髓(sui)、神(shen)(shen)經(jing)根，并引起(qi)相(xiang)(xiang)應臨(lin)床(chuang)癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)的(de)疾(ji)病(bing)(bing)(bing)(bing)(bing)(bing)，此病(bing)(bing)(bing)(bing)(bing)(bing)多(duo)(duo)(duo)見(jian)(jian)于(yu)40歲以上患(huan)者。頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)病(bing)(bing)(bing)(bing)(bing)(bing)的(de)癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)多(duo)(duo)(duo)樣而(er)復(fu)(fu)雜，多(duo)(duo)(duo)數患(huan)者開始癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)較(jiao)(jiao)(jiao)輕(qing)，在以后(hou)逐漸(jian)加重(zhong)，也有部(bu)(bu)分癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)較(jiao)(jiao)(jiao)重(zhong)者。這是與(yu)(yu)所(suo)患(huan)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)病(bing)(bing)(bing)(bing)(bing)(bing)的(de)類(lei)(lei)型(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)有關(guan)，但(dan)往往單純的(de)類(lei)(lei)型(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)少(shao)，以一(yi)(yi)個類(lei)(lei)型(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)為主合并有一(yi)(yi)個到(dao)幾個類(lei)(lei)型(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)混(hun)合在一(yi)(yi)起(qi)，稱為混(hun)合型(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)病(bing)(bing)(bing)(bing)(bing)(bing)。頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)病(bing)(bing)(bing)(bing)(bing)(bing)分型(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)如下： 1.神(shen)(shen)經(jing)根型(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)病(bing)(bing)(bing)(bing)(bing)(bing)：因(yin)退(tui)變(bian)(bian)的(de)椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)間(jian)小關(guan)節(jie)、鉤狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)關(guan)節(jie)增(zeng)生(sheng)或(huo)(huo)(huo)椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)間(jian)盤(pan)的(de)突出，壓迫(po)(po)了頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)神(shen)(shen)經(jing)根，引起(qi)較(jiao)(jiao)(jiao)典(dian)型(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)的(de)根性(xing)(xing)癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(麻(ma)木(mu)(mu)、疼(teng)(teng)(teng)(teng)痛(tong)(tong)(tong))，且范圍與(yu)(yu)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)脊(ji)(ji)神(shen)(shen)經(jing)所(suo)支配的(de)區域相(xiang)(xiang)一(yi)(yi)致，常(chang)(chang)(chang)常(chang)(chang)(chang)表(biao)(biao)現(xian)為頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)部(bu)(bu)、肩(jian)(jian)部(bu)(bu)和一(yi)(yi)側(ce)(ce)上肢(zhi)(zhi)疼(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)，頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)部(bu)(bu)僵硬、活(huo)動受限，有明(ming)確的(de)壓痛(tong)(tong)(tong)點伴放射性(xing)(xing)疼(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)，上肢(zhi)(zhi)的(de)感(gan)(gan)覺(jue)，運(yun)動功(gong)能障(zhang)(zhang)(zhang)礙(ai)(ai)，因(yin)其受壓神(shen)(shen)經(jing)不(bu)同(tong)(tong)臨(lin)床(chuang)表(biao)(biao)現(xian)亦(yi)不(bu)同(tong)(tong)。 2.脊(ji)(ji)髓(sui)型(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)病(bing)(bing)(bing)(bing)(bing)(bing)：因(yin)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)體(ti)后(hou)緣骨(gu)質(zhi)增(zeng)生(sheng)，后(hou)側(ce)(ce)韌帶鈣(gai)化，椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)間(jian)盤(pan)突出，椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)板或(huo)(huo)(huo)黃(huang)韌帶肥厚而(er)壓迫(po)(po)脊(ji)(ji)髓(sui)，引起(qi)脊(ji)(ji)髓(sui)損害癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)。又(you)分為中(zhong)央(yang)型(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)和中(zhong)央(yang)旁(pang)型(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)。中(zhong)央(yang)型(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)表(biao)(biao)現(xian)為步態不(bu)穩，四肢(zhi)(zhi)麻(ma)木(mu)(mu)無力(li)，肌張(zhang)力(li)高，痙攣甚至強(qiang)直（多(duo)(duo)(duo)見(jian)(jian)于(yu)伸肌和內(nei)收肌群(qun)），腱反射亢進，多(duo)(duo)(duo)無頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)部(bu)(bu)疼(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)和感(gan)(gan)覺(jue)障(zhang)(zhang)(zhang)礙(ai)(ai)。中(zhong)央(yang)旁(pang)型(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)表(biao)(biao)現(xian)為同(tong)(tong)側(ce)(ce)運(yun)動和對側(ce)(ce)感(gan)(gan)覺(jue)功(gong)能障(zhang)(zhang)(zhang)礙(ai)(ai)，即感(gan)(gan)覺(jue)運(yun)動分離，同(tong)(tong)時(shi)伴有同(tong)(tong)側(ce)(ce)上肢(zhi)(zhi)神(shen)(shen)經(jing)癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)，與(yu)(yu)神(shen)(shen)經(jing)根型(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)病(bing)(bing)(bing)(bing)(bing)(bing)表(biao)(biao)現(xian)相(xiang)(xiang)同(tong)(tong)。 3.交(jiao)感(gan)(gan)型(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)病(bing)(bing)(bing)(bing)(bing)(bing)：增(zeng)生(sheng)或(huo)(huo)(huo)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)間(jian)盤(pan)突出在椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)間(jian)孔或(huo)(huo)(huo)橫突孔處，壓迫(po)(po)交(jiao)感(gan)(gan)神(shen)(shen)經(jing)，引起(qi)一(yi)(yi)系列(lie)交(jiao)感(gan)(gan)神(shen)(shen)經(jing)癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)，其表(biao)(biao)現(xian)，如眼部(bu)(bu)、眼瞼無力(li)、視(shi)物(wu)模糊、瞳孔散(san)大、眼球后(hou)疼(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)、流淚等(deng)(deng)。頭(tou)部(bu)(bu)：頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)性(xing)(xing)頭(tou)暈、惡心(xin)(xin)嘔吐(tu)、頭(tou)枕(zhen)部(bu)(bu)疼(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)。心(xin)(xin)臟癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)：心(xin)(xin)跳加快或(huo)(huo)(huo)減慢，心(xin)(xin)前(qian)(qian)區疼(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)，常(chang)(chang)(chang)被(bei)誤(wu)認為冠心(xin)(xin)病(bing)(bing)(bing)(bing)(bing)(bing)發(fa)作(zuo)。發(fa)汗(han)障(zhang)(zhang)(zhang)礙(ai)(ai)：一(yi)(yi)側(ce)(ce)頭(tou)面、頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)手(shou)足多(duo)(duo)(duo)汗(han)或(huo)(huo)(huo)少(shao)汗(han)。另外常(chang)(chang)(chang)伴有耳(er)鳴(ming)、耳(er)聾、平(ping)衡(heng)失調等(deng)(deng)癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)。 4.椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)動脈型(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)病(bing)(bing)(bing)(bing)(bing)(bing)：因(yin)增(zeng)生(sheng)或(huo)(huo)(huo)突出物(wu)刺激(ji)，致椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)動脈痙攣或(huo)(huo)(huo)被(bei)機械壓迫(po)(po)造成供應腦組織(zhi)的(de)血(xue)循環減少(shao)引起(qi)一(yi)(yi)系列(lie)癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)，其表(biao)(biao)現(xian)為頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)性(xing)(xing)眩(xuan)暈、惡心(xin)(xin)、耳(er)鳴(ming)、耳(er)聾、視(shi)物(wu)不(bu)清、頭(tou)痛(tong)(tong)(tong)、一(yi)(yi)時(shi)性(xing)(xing)意識障(zhang)(zhang)(zhang)礙(ai)(ai)甚至猝(cu)倒。以上癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)多(duo)(duo)(duo)在頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)部(bu)(bu)活(huo)動到(dao)某一(yi)(yi)位置(zhi)時(shi)誘(you)發(fa)。 5.食道型(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)病(bing)(bing)(bing)(bing)(bing)(bing)：臨(lin)床(chuang)較(jiao)(jiao)(jiao)少(shao)見(jian)(jian)，主要(yao)(yao)是椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)體(ti)前(qian)(qian)緣出現(xian)骨(gu)刺，頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)體(ti)前(qian)(qian)緣烏嘴樣骨(gu)質(zhi)增(zeng)生(sheng)壓迫(po)(po)食管引起(qi)病(bing)(bing)(bing)(bing)(bing)(bing)人(ren)(ren)吞咽困難的(de)臨(lin)床(chuang)癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)；或(huo)(huo)(huo)者刺激(ji)或(huo)(huo)(huo)壓迫(po)(po)膈(ge)神(shen)(shen)經(jing)出現(xian)呼吸困難，或(huo)(huo)(huo)者刺激(ji)或(huo)(huo)(huo)壓迫(po)(po)喉(hou)(hou)返神(shen)(shen)經(jing)引起(qi)聲(sheng)音(yin)嘶啞(ya)等(deng)(deng)，并出現(xian)其他相(xiang)(xiang)應的(de)臨(lin)床(chuang)表(biao)(biao)現(xian)。表(biao)(biao)現(xian)為咽喉(hou)(hou)干澀、咽喉(hou)(hou)部(bu)(bu)疼(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)、明(ming)顯(xian)異(yi)物(wu)、吞咽困難、音(yin)啞(ya)等(deng)(deng)咽喉(hou)(hou)、食道癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)。 6.頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)型(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)病(bing)(bing)(bing)(bing)(bing)(bing)：臨(lin)床(chuang)上極為常(chang)(chang)(chang)見(jian)(jian)，是其他各型(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)病(bing)(bing)(bing)(bing)(bing)(bing)共同(tong)(tong)的(de)早期表(biao)(biao)現(xian)。以頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)部(bu)(bu)癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)為主，故又(you)稱局部(bu)(bu)型(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)。由于(yu)癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)較(jiao)(jiao)(jiao)輕(qing)，往往重(zhong)視(shi)不(bu)夠，以致反復(fu)(fu)發(fa)作(zuo)而(er)使病(bing)(bing)(bing)(bing)(bing)(bing)加重(zhong)。該型(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)病(bing)(bing)(bing)(bing)(bing)(bing)由于(yu)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)較(jiao)(jiao)(jiao)長時(shi)間(jian)彎曲(qu)，一(yi)(yi)部(bu)(bu)分椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)間(jian)盤(pan)組織(zhi)逐漸(jian)移向伸側(ce)(ce)，刺激(ji)神(shen)(shen)經(jing)根，而(er)引起(qi)頭(tou)、頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)、肩(jian)(jian)疼(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)等(deng)(deng)異(yi)常(chang)(chang)(chang)感(gan)(gan)覺(jue)，并伴有相(xiang)(xiang)應的(de)壓痛(tong)(tong)(tong)點。約半(ban)數以病(bing)(bing)(bing)(bing)(bing)(bing)人(ren)(ren)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)部(bu)(bu)活(huo)動受限或(huo)(huo)(huo)強(qiang)迫(po)(po)體(ti)位，個別病(bing)(bing)(bing)(bing)(bing)(bing)人(ren)(ren)上肢(zhi)(zhi)可有短暫的(de)感(gan)(gan)覺(jue)異(yi)常(chang)(chang)(chang)。活(huo)動時(shi)疼(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)加劇，休息可以緩解。 以上是頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)病(bing)(bing)(bing)(bing)(bing)(bing)的(de)常(chang)(chang)(chang)見(jian)(jian)分型(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)，希望患(huan)者不(bu)要(yao)(yao)因(yin)為缺乏相(xiang)(xiang)關(guan)知(zhi)識，發(fa)現(xian)后(hou)沒有及(ji)(ji)時(shi)到(dao)醫院就診，錯過(guo)治(zhi)療的(de)最佳時(shi)機。頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)椎(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)(zhui)病(bing)(bing)(bing)(bing)(bing)(bing)患(huan)者要(yao)(yao)注(zhu)意保養(yang)，防止任何誘(you)發(fa)因(yin)素，如絕對戒(jie)煙、戒(jie)酒， 防止激(ji)動或(huo)(huo)(huo)生(sheng)氣以及(ji)(ji)疲勞(lao)過(guo)度等(deng)(deng)。
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