赵永刚基于“肝主筋，肾主骨”辨治神经根型颈椎病经验介绍

[中图分类号]R249；R681.5 [文献标志码］A [文章编号]0256-7415（2026）04-0166-06

DOI： 10.13457/j.cnki.jncm.2026.04.028

Introduction of ZHAO Yonggang's Experience in Treating Cervical Spondylotic Radiculopathy Based on the Theory of "Liver Governs the Sinews， Kidney Governs the Bones"

CHEN Xiao1，GE Xiaolei²，SUN Chenchen³，WANG Ziqi4， WANG Liuqing？ Instructor： ZHAO Yonggang5

1.InstituteofChineseMedicalLiteratureandCulture，ShandongUniversityofTraditionalChineseMedicine，JinanShandong50355， China；2.WangjingHospital，ChinaAcademyofChineseMedicalSciences，Beijing10ol02，China；3.ChinaInstituteforHistoryof Medicineand MedicalLiterature，China AcademyofChinese Medical Sciences，Beijing10O7oo，China；4.UWEColegeof Hainan MedicalUniversty，HaikouHainan571199，China；5.AcupunctureandMoxibustionHospital，China AcademyofChinese Medical Sciences，Beijing 100700，China

Abstract：This paper introduces Professor ZHAO Yonggang's clinical experience in treating cervical spondylotic radiculopathy guided bythe traditional Chinese medicinetheoryof "liver governs the sinews，kidneygoverns the bones." Professor ZHAO holds that thecorepathogenesisofcervical spondyloticradiculopathyis fundamentallrooted in the deficiency of liver-kidney qi and blood，while the symptoms are manifested through the invasion of wind，cold，and dampness pathogens，qi stagnation and blood stasis，trauma，and chronic strain.The treatment is staged according to the clinical manifestations.During the acute phase，the treatment principleis to tonify the liver and kidney and expel external pathogens.The seleted medications often have the effcts ofrelaxing sinews and alleviating urgency，activating blood circulation toremove blood stasis，dispelling windand eliminating dampness，and nourishing the liverand kidney.During theremission phase，the treatment principle is toreplenishtheqiand bloodof theliverand kidneyand to strengthenthesinewsandbones.Theselected medicationsoftenhavetheefectsofnourishingtheqiandbloodof the liverand kidney.Inaddition，acupuncture and moxibustion treatment isused in combination to consolidate the therapeuticeffect.Aftertheconditionisstable，aherbal pasteformulathatreplenishestheqiand bloodoftheliverand kidney is selected to tonify the deficiency，reinforce healthy qi，and prevent recurrence.

Keywords：Cervical spondylotic radiculopathy；Liver governs the sinews；Kidney governs the bones；ZHAO Yonggang

赵永刚为主任医师，中华医学会疼痛学会会员，全国高级推拿进修班讲师，原中国中医科学院骨伤科研究所奠基人之一，第七批全国老中医药专家学术经验继承工作指导老师，从事中医骨伤科临床与教学工作40余年。（剩余8412字）