title: [Pathogenic factors of blood circulation disturbance in lumbar intervertebral disc herniation and mechanism of Tuina manipulation in promoting circulation].
abstract: Tuina manipulation has long been used in the treatment of lumbar intervertebral disc herniation, although its therapeutic mechanisms remain uncertain. The specific characteristic syndrome of this disease is lumbocrural pain in varying degrees, which is due to mechanical compression, aseptic inflammation, blood circulation disturbance and dystrophy. These factors can act on the involved nerve roots and give rise to nerve conduction disturbance. Since the blood circulation disturbance and nerve roots dystrophy are the most important pathogenic aspects of this disease, the therapeutic effect of Tuina manipulation on lumbar intervertebral disc herniation is related to them directly or indirectly.
authors.affiliation: Department of Traumatology, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200021, China. huangshirong3268@sina.com
authors.forename: Shi-Rong
authors.initials: SR
authors.lastname: Huang
authors.forename: Yin-Yu
authors.initials: YY
authors.lastname: Shi
authors.forename: Guan-Tong
authors.initials: GT
authors.lastname: Shi
mesh_terms: D019299:Decompression, Surgical; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000503:physiopathology / Q000628:therapy*; D008159:Lumbar Vertebrae / Q000098:blood supply; D020393:Manipulation, Spinal / Q000379:methods*; D012039:Regional Blood Flow