Analysis of Pathogenesis and Treatment Principles of Adolescent Idiopathic Scoliosis Based on Theory of

Chen Liu; Shao Chen; Luwei Xiao

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Analysis of Pathogenesis and Treatment Principles of Adolescent Idiopathic Scoliosis Based on Theory of"Five Viscera Devia-tion"

VernacularTitle:基于"五脏偏倾"理论探析青少年特发性脊柱侧弯中医病机与治则
Author: Chen LIU ¹ ; Shao CHEN ; Luwei XIAO
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1. 浙江中医药大学附属第一医院(浙江省中医院) 杭州 310003
Keywords: adolescent idiopathic scoliosis; symptoms; etiology; pathogenesis; principle of treatment; method of treatment; five viscera deviation
From: Journal of Zhejiang Chinese Medical University 2024;48(6):674-679
CountryChina
Language:Chinese
Abstract: [Objective]To analyze the pathogenesis and treatment of adolescent idiopathic scoliosis(AIS)in traditional Chinese medicine based on the theory of"five viscera deviation",and develop the idea of its diagnosis and treatment in traditional Chinese medicine.[Methods]By reviewing the ancient Chinese medicine literature related to AIS,and based on the theory of"five viscera deviation"in Huangdi Neijing,this research summarized the etiology,pathogenesis and therapeutic rules of Chinese medicine in AIS through the literature study,and explored the guiding role of Chinese medicine theory of"five viscera deviation"for the treatment and regimen of AIS.[Results]Literature research has found that the performance of the"five viscera deviation"in Huangdi Neijing is highly consistent with the lesion site and symptom characteristics of AIS.Based on the academic connotation of the theory of"five viscera deviation"in Chinese medicine,the etiology of AIS is based on endowment insufficiency,with dietary disorders and injuries caused by fatigue as the triggers,and the mechanism of the disease is based on the disorders of the spleen and kidney and the five viscera deviation,with the tendons out of the grooves and the bones out of joints as the symptoms,and the treatment should be based on the principle of adjusting the spleen and kidney,rectifying the five viscera,and emphasizing on both the tendons and the bones and the combination of internal and external treatments.The treatment should be a combination of internal medicine,external treatment,guiding and dietary therapy.[Conclusion]AIS is highly related to"five viscera deviation".Based on the theory of"five viscera deviation",it discusses the disease mechanism and treatment rules of AIS,which can provide Chinese medicine ideas for the clinical diagnosis and treatment of AIS,and worthy of attention,further exploration and clinical application.