Liu Yangang's Instructor's Experience In The Treatment Of Lumbar Intervertebral Disc Herniation With Three-step Massage Of "Song, Zheng, And Li"

Lumbar disc herniation is caused by degeneration or external forces caused by the rupture of lumbar disc fibrous ring,prominent nucleus pulposus,resulting in nerve root,spinal cord,cauda equina nerve compression,resulting in low back pain and lower limb radiation pain as the main clinical manifestations.Belonging to the category of"low back pain" in traditional Chinese medicine.Lumbar intervertebral disc herniation is a large protrusion of the posterior side of the intervertebral disc.In addition to causing spinal instability and muscle strain,the posterior side herniation can directly stimulate and compress the spinal nerve root and cause spinal neurological symptoms,thus forming the clinical characteristics of "both low back pain and radicular neuralgia".Lumbar intervertebral disc herniation is the dominant disease of massage therapy.A large number of studies have shown that massage is effective and safe without side effects.In the course of clinical follow-up,the author pays special attention to the experience and understanding of the instructor in the treatment of lumbar disc herniation.In order to better use massage techniques to alleviate the pain of patients with lumbar disc herniation,this paper explores the disease,and summarizes the instructor’s understanding of lumbar disc herniation and the thinking and experience of massage treatment.This paper has searched the relevant literature of lumbar intervertebral disc herniation,and has a basic understanding of the current research situation of this disease in China.On this basis,it has discussed the general situation of the research of Chinese and Western medicine literature.It has summarized in detail the mentor’s understanding of lumbar intervertebral disc herniation and the experience of using massage to treat lumbar intervertebral disc herniation.The specific content is discussed in the following aspects:1.Professor Liu Yangang’s understanding of the manipulative treatment of tendons and osteopathy;tendons have the functions of support,maintenance,liaison,exercise and protection.Relaxation of tendons,when muscles and soft tissues are subjected to injurious stimuli,when pain signals are sent out,protective muscle contraction,tension and even spasm will occur.Morphological changes,such as tendons and strings,will develop into contracture over time.Massage has obvious relaxing effect.Adjusting joint:,the effect of massage on regulating bone joints includes the effect of "Bone setting" to correct the abnormal anatomical position of bone and joint,and the function of"advantageous joint"to restore the normal activity of joint.Massage can treat joint dislocation,bone suture malfunction and functional imbalance.Tightening tendons,tightening tendons and restoring tendons are the characteristics of massage treatment of tendons.Injurious external forces caused by tendon breakage,tendon walking,tendon turnover,tendon rotation,etc.are tendons out of the normal position,belonging to the"tendon out of trough".Tendon slippage or other abnormal changes in tendon position can be corrected by massage of elastic tendons,pulling tendons and properly moving joints.2.Professor Liu Yangang’s understanding of the pathological and clinical manifestations of lumbar disc herniation:Professor Liu Yangang believes that lumbar disc herniation is a modern medical diagnosis.The diagnosis of lumbar disc herniation should have the characteristics of traditional Chinese medicine(TCM)massage,and its manipulation treatment should be based on this understanding,diagnosis and evaluation.Modern medicine believes that lumbar disc herniation is a clinical disease characterized by lumbar and leg pain,which is caused by lumbar disc herniation and compression of nerve roots or even dural sac.Lumbar disc herniation is different from radiological lumbar disc herniation.The clinical manifestations of patients should be consistent with radiological manifestations.More attention is paid to the compression and stimulation of the corresponding nerve roots by the segmental disc herniation.3.Liu Yangang’s ideas and principles for staging treatment of lumbar disc herniation:Liu Yangang believes that lumbar disc herniation can be divided into three stages:acute inflammatory edema stage,remission stage and recovery stage.In acute stage,"Song" is mainly treated by rolling,kneading,pressing,pushing and dotting at the key points of Du Meridian and Bladder Meridian,such as Shenshu,waist Jiaji,Mingmen,Yaoyangguan and Yaoshu,to achieve the purpose of Warming Yang and tonifying the kidney,warming meridians,dispelling cold,dredging collaterals and relieving pain,and the treatment should be based on"treating both symptoms and symptoms" or "treating symptoms with urgency";in remission stage,"Zheng"is the main treatment.That is to say,to rectify the dislocation.By means of pulling,flexion and extension,pulling and stretching,shaking and other sports techniques,the meridian qi and blood can run smoothly,and the relative position relationship between intervertebral disc and spinal nerve can be regulated,so as to alleviate or eliminate root stimulation and compression,warming and dispelling cold,tidying tendons and relieving pain;during recovery period,the tendons can be managed mainly by"Li"treatment,and the purpose of tightening tendons can be achieved by means of manipulation combined with functional exercises."Reasoning",or tendon rearrangement,achieves a new relative balance by adjusting the strength of the muscles around the spine.The realization of this goal requires not only the support of manipulation,but also the patient’s own strengthening of the waist muscles.4.Typical cases about the treatment of lumbar intervertebral disc herniation by three-step massage of"Song,Zheng and Li".5.Discuss the holistic concept and staging treatment of lumbar intervertebral disc herniation treated by massage with three steps of"Song,Zheng and Li".Liu Yangang teancher,through more than 30 years of clinical accumulation,put forward the three-step method of"Song,Zheng and Li" to treat lumbar intervertebral disc h erniation by massage.The curative effect is remarkable,but this method is still at the theoretical level,lacking of evidence-based evidence for clinical observation to verify its curative effect.Conservative treatment of traditional Chinese medicine massage has satisfactory curative effect,no trauma,low cost,stable and reliable curative effect,which is accepted by the majority of patients and worth summarizing and popularizing.