基于“肝肾同源”理论探讨交感神经型颈椎病“神水将枯”证的临床针灸诊疗思路

Exploring Clinical Acupuncture and Moxibustion Diagnosis and Treatment Strategies for the “Shenshui Jiangku” Pattern of Sympathetic Cervical Spondylosis Based on the Theory of “Liver and Kidney Sharing the Same Origin”

摘要: 电子产品普及与生活方式改变致使交感神经型颈椎病发病率持续上升，其复杂的病情和症状对患者的身心健康造成严重影响。该病常表现为头晕、眼花、心悸、烦躁、肢体麻木、口干眼涩等一系列“神水将枯”之象，其与中医学“肝肾同源”理论存在密切关联。本文通过系统阐释“肝肾同源”理论的核心内涵，结合现代医学对交感神经型颈椎病发病机制的认识，理论探讨肝肾精血亏虚、津液耗伤致“神水将枯”的病因病机。本病中肝肾亏虚、精血同耗为本，虚阳上扰、津枯络瘀为标，临床诊疗应遵循“颈目同治、调和藏泄”的核心法则，以滋补肝肾、填精养血固其本，充分发挥针灸外治法直达病所、疏通经络、整体调节的治疗优势。为临床运用针灸治疗交感神经型颈椎病伴“神水将枯”证提供清晰的思路与方案参考，充分发挥针灸疗法多靶点、整体调节的治疗特色与优势。

Abstract: The popularization of electronic products and changes in lifestyle have led to a continuous increase in the incidence of sympathetic cervical spondylosis. Its complex condition and symptoms have severely affected patients’ physical and mental health. The disease often presents with a series of manifestations of “Shenshui Jiangku” (impending depletion of the spirit water), such as dizziness, blurred vision, palpitations, restlessness, limb numbness, dry mouth, and dry eyes, and is closely associated with the theory of “liver and kidney sharing the same origin” in traditional Chinese medicine (TCM). By systematically elucidating the core connotations of the theory of “liver and kidney sharing the same origin” and integrating modern medicine’s understanding of the pathogenesis of sympathetic cervical spondylosis, this paper theoretically explores the etiology and pathogenesis of “Shenshui Jiangku” caused by deficiency of liver-kidney essence and blood and depletion of body fluids. In this disease, liver-kidney deficiency and simultaneous consumption of essence and blood are the root, whereas upward disturbance of deficient yang and fluid depletion with collateral stasis are the branch. Clinical diagnosis and treatment should follow the core principle of “simultaneous treatment of the neck and eyes and harmonizing storage and discharge,” nourishing the liver and kidney and replenishing essence and blood to consolidate the root, and fully leveraging the therapeutic advantages of acupuncture as an external therapy in directly reaching the affected site, dredging meridians and collaterals, and providing holistic regulation. This provides clear ideas and protocol references for the clinical application of acupuncture in treating sympathetic cervical spondylosis accompanied by the “Shenshui Jiangku” pattern, and fully exploits the multi-target and holistic regulatory characteristics and advantages of acupuncture therapy.