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Modern medicine has made a summary of the causes of cauda equina injury:
The first type of developmental lumbar spinal stenosis patients, mainly cartilage insufficiency, lumbar vertebral plate or ligamentum flavum hypertrophy caused by neurological compression syndrome and sympathetic saphenous fossa stenosis caused by the compression of the nerve.
The second type is compulsory spondylitis, which is more common within the lumbar spondylosis series. Early and mid-stage patients usually have few neurologic comorbidities, but in the advanced stage they are prone to combined cauda equina injury.
The third type is lumbar degenerative subluxation or burst fracture of the lumbar spine, this type of patient is also by far the most accidental patients, but also the most likely to make the condition directly serious part of the patient:
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① lumbar degenerative slippage can cause stenosis of the spinal canal, and the lower edge of the vertebral plate attached to the lax vertebral plate of the yellow ligament of the thickening. It is around the dural sac, the tissue in the lateral saphenous fossa will compress the cauda equina, resulting in many symptoms;
② Some patients are frequent massage, massage can also cause vertebral body slippage leading to cauda equina compression or lumbar degenerative dislocation and lumbar spine fracture, these accidents can trigger the appearance of cauda equina injury;
③ vertebral body or accessory fracture, fracture block can be pass through the intradural causing direct injury to the cauda equina, hemorrhage, scarring, or even injury to the deeper spinal cone or spinal cord injury. Vertebral compression fracture constitutes the soft tissue of the vertebral canal to the vertebral canal folds, the vertebral canal is extremely narrow, will produce very serious or irreversible cauda equina injury;
4 accidental injury caused by firearms, this kind of firearms injuries is direct or indirect violence caused by the injury situation, most often seen in the bullets or bullet fragments ingested into the vertebral canal or the vertebral pons, in a certain period of time to occur A series of inflammatory reaction, fibrous tissue proliferation, followed by scar formation, for a long time will accumulate the cauda equina, resulting in gradually aggravated secondary damage;
⑤ internal bleeding, such as traces of compression of the dural sac and vertebral canal occupancy, angiography found that the occupancy of the active hemorrhage, hematoma compression of the cauda equina nerve caused cauda equina nerve injury;
⑥ the use of anesthetics
The use of anesthetics can cause damage to the cauda equina by the use of epidural anesthesia needles, which enter the subarachnoid space and cause direct damage to the cauda equina causing oedema or adhesions, or by the use of needles to injure the epidural choroid plexus and form epidural hematomas that compress the cauda equina, or by the use of anesthetics that damage the nerve directly.
There is no "nerve", "cauda equina", "nerve injury", "peripheral nerve injury" in ancient Chinese medicine.
In ancient Chinese medicine, there is no such name as "nerve", "cauda equina", "nerve injury", "peripheral nerve injury", but the various manifestations of the disease according to the damage to the cauda equina nerve have been described and recorded in Chinese medical texts. In terms of function, the nerve called in Western medicine is similar to the "meridian" in the category of Chinese medicine, and the symptoms of its damage and Chinese medicine, "tendon injury", "paralysis", The symptoms of damage are similar to those of Chinese medicine, such as "tendon injury", "paralysis", and "impotence".
In Chinese medicine, the liver is the main tendon, liver blood is full, the tendon can be moistened, the liver and kidney is the same source, tendon attached to the bone. So when the liver and kidney loss, marrow withered tendon impotence also often lead to the occurrence and development of tendon injury disease. And the cauda equina injury and liver and kidney dysfunction also has a certain connection. Classical medicine and recorded "long illness," said that the disease is mostly due to the lack of positive qi, cold and dampness of the evil attack, resulting in poor qi and blood flow, meridian paralysis and obstruction of the hair. Some of the lesions caused by peripheral neuropathy long course, delayed and difficult to cure, the collateral stasis in the occurrence and development of its lesions play an important role.
The Chinese medicine believes that on the basis of the pathology, because of the root cause of the disease, the use of nourishing the liver and kidney, warming the yang and eliminating blood stasis, benefiting the qi and blood, dredging the meridians and channels to promote the recovery of this disease treatment. Following the principle of "treating impotence by taking Yangming alone" put forward by the "Neijing", the spleen and stomach are taken into account at every stage of the treatment of cauda equina injury.
Only when the spleen and stomach are healthy, the diet can be increased, the stomach and fluids can be restored, the qi and blood functions of the internal organs will be vigorous, and the tendons and veins can be moistened and nourished more easily. The first is to nourish the liver and kidneys, from the body within the nourishment so that the meridian tendons to get the drug nourishing nutrition to promote the regeneration of the speed of the nerve factor, accelerate the recovery; Secondly, for the numbness of the limbs, pain, coldness of the body for the method of warming the yang to remove the stasis of the use of safflower, Gui Zhi, fine Xin, hyssop, astragalus, etc. mainly warm through the activation of the blood of the drug addition and subtraction formula, with the human body itself to the movement of metabolism to restore the condition, the efficacy of the treatment is accurate. Finally, the method of benefiting qi and activating blood, dredging meridians and channels to dredge the entire meridian loop, stabilizing the patient's condition. (The above medication is for your reference only)
And the meridians get unblocked, the blood circulates normally, the moistening function is normal, it will make the patient's overall nerve damaged cells to repair, so that the necrotic nerve factor toxins are discharged from the body, and regeneration of nerve factors will be renewed by itself, repairing and replacing the nerve cells before the damage, so that the nerve cell function can be stabilized for a long period of time, with a long-term stable therapeutic effect, and it is also possible to use the traditional medication, physical therapy, and other physical therapies to treat the disease. It can completely change the disadvantages of traditional drugs, physical therapy, surgical correction, etc., which can't repair the neurons from the root (nerve cells), and avoid re-traumatization of the patients due to surgery.
What does TCM do?
Chinese medicine is a pure Chinese medicine treatment plan summarized by combining the clinical treatment experience of patients with cauda equina injury. Although there is no nerve injury in the motherland medicine, but in terms of the disease, it has been there for a long time. Chinese medicine talks about meridians, meridians are invisible, nerves are tangible. Chinese medicine treats diseases by emphasizing that the human body itself is a large medical reservoir. Stimulation with Chinese medicine to open up the meridians, Chinese medicine taken internally to benefit the qi and blood, through the meridians and menstruation, to achieve the purpose of curing the disease and saving the lives of people.
Nerve damage can make the blood and qi in the damaged area not smooth, which leads to the meridians are not easy to recover, the meridians are blocked, and the muscle skin is gradually losing nutrients, and the patient's illnesses will appear one after another. Traditional Chinese medicine can relieve the tendons and collaterals, benefit the qi and blood, to create the conditions for the nerve to recover. For the two unfavorable patients can enhance the bladder contraction, promote gastrointestinal peristalsis, and then with the meridian dredging feeling recovery, the two sides of the combination to promote the recovery of the two at the same time, the sphincter innervation ability to gradually rise, male sexual dysfunction will also be elevated to restore the feeling of innervation.