中医不懂怎样治疗脊柱侧弯
中医的御用记者刘燕玲又在帮中医找出路。中医一年前慌慌张张成立了整脊学会，因为美国正规现代医疗体系之外有一个辅助学科，整脊学科chiropractic. 美国的整脊学科对于今天的中医来说像是诺亚方舟，万一有一天中医全面垮了，这个整脊学科兴许能救出几个人。所以刘燕玲在帮中医整脊学科打广告，欺骗国人。
昨天的健康报网有一篇刘燕玲的报道，“脊柱侧弯，早期治疗中医有作为”。(附录) 介绍了中华中医药学会整脊分会主任委员韦以宗教授的“中医早期治疗脊柱侧弯”的经验。韦以宗教授说：“由于这种病变是随着年龄和身高发育而不断扩大脊柱侧弯的，因此，及早发现、及早调治，有效控制其发展，是最好的办法“。韦教授介绍了有关的治疗方法：一旦发现孩子脊柱侧弯，可找整脊医师行四维整脊矫正，配合针灸、推拿治疗，即可有效控制并改善侧弯度；每天早上或晚上给孩子捏脊：让孩子俯卧，用拇指和食指从第七颈椎一个一个椎体往下捏椎体两旁，反复10次至20次；指导孩子每天坚持做跨步压腿、扩胸运动和俯卧撑锻炼。“这些方法的主要目的都是恢复脊柱两侧肌力的平衡。总而言之，防治青少年脊柱侧弯症，关键要早。”韦教授再次重申。
, 百拇医药
本文介绍两篇英文(中译)文章，一篇是纽约的Oheneba Boachie-Adjei 阿加以医生谈原发性脊柱侧弯的非手术治疗，另一篇是美国一个叫Samuel Homola豪莫拉的整脊师给一个病孩的父亲写的回信。信中说整脊师的手法治疗对原发性脊柱侧弯无效。
第一篇
在美国，脊柱侧弯scoliosis的治疗目前有两种：
一.非手术治疗
二.手术治疗(略)
非手术治疗中，分为两类：1。矫正支具。2。其它方法。所谓的其它方法包括了韦以宗教授的“中医早期治疗脊柱侧弯”的那一套：整脊，推拿，捏脊，针灸，锻炼，治疗性运动，物理治疗(电疗，超声治疗，手疗，等)，手疗等。
对于矫正支具，美国现代医学和美国整脊师中大部分人认为可以减慢脊柱侧弯的进程，而一小部分人认为作用不大。至少目前因为道理上说得过去，又对病儿没有伤害，同时对病儿的父母心理上有很大安慰，“我们为孩子的病作了事”。所以，矫正支具作为非手术治疗脊柱侧弯的手段在美国非常普遍。我个人同意矫正支具对青少年脊柱侧弯有效。它是用三点顶住侧弯，三点原理的力学原理说得通。问题在于小小孩不会穿，且因为身体小三点距离太短，缺少力学优势。矫正支具其实对青少年病人最合适，1。骨头还在发育可以矫正。2。身体大而三点距离宽，能发挥力学优势。3。比较能够管住自己，强迫自己穿。困难的是很多青少年病人不愿意长时间穿这种硬塑料做的“胸甲”，很不舒服，很不好看。理想化的要求是这种胸甲每天应当穿24小时，因为青少年的脊柱每小时都在成长。但是这是根本做不到的事。
, 百拇医药
对于其它方法包括整脊，推拿，捏脊，针灸，锻炼，物理治疗等，以及中医说的各种方法，美国现代医学和美国整脊学认为完全没有用。
In most cases spinal manipulation, exercise, physiotherapy, and electric stimulation have not shown to be effective treatments. However, an orthopedic brace can be used to prevent the curve from worsening and does not limit physical activity.
网上找到的这篇文章写得很好，请大家读一读：
《美国现代医学骨科阿加以医生Dr. Oheneba Boachie-Adjei 谈原发性脊柱侧弯的非手术治疗》
, http://www.100md.com
Idiopathic Scoliosis
An interview with Dr. Oheneba Boachie-Adjei
题目：原发性脊柱侧弯的非手术治疗
Non-Surgical Treatment
尽管年龄不是唯一的治疗考虑的因素，但是不同的年龄有不同的非手术治疗的内容。
While age is certainly not the only consideration involved, the age-based diagnostic categories of idiopathic scoliosis may provide the easiest key to understanding non-surgical treatment.
, 百拇医药
一.小小孩，1岁到3岁。
3岁以内的被诊断为原发性脊柱侧弯的孩子80%都能自愈。对于所有的小小孩，如果侧弯度数小于30度，只需要定期随访。
Infantile idiopathic scoliosis: For many families in which a child has been diagnosed with infantile idiopathic scoliosis, the news is good. About 80% of all cases resolve on their own. For all young children with a curve that is less than 30 degrees, the orthopaedist will observe the patient and examine him or her at regular intervals.
, http://www.100md.com
如果发现侧弯度加大，应使用矫正支具。人们想要用它减慢或停止脊柱进一步弯曲，但是，事实上(对小小孩)作不到。另外，小小孩用这种支具有很多困难之处。孩子和家长也不喜欢支具的不舒服的应用。
If the curve continues to progress, the infant or toddler will be fitted with a brace. These external devices are designed to slow or arrest the progression of the curve. Unfortunately, they can not correct the problem. Moreover, use of braces can be difficult in these patients due to their small size-it is harder for the orthopaedist to achieve the correct alignment with the brace. The discomfort and restriction of wearing a brace also presents a challenge for patient and parent.
, http://www.100md.com
对于弯度有进展的孩子，所有的非手术治疗都是为了拖延到孩子大了再作手术。
For these children, the goal of non-surgical treatment is to control the curve so that surgical treatment does not become necessary until the child has achieved most, if not all, of his or her growth.
二。少年，4岁到10岁
对于这个年龄组的孩子，主要是随访，必要时用矫正支具。约60%的这个年龄组的病儿用矫正支具有效，无需进一步治疗。其余的用矫正支具无法控制的也要想办法拖延到青春生长期以后再作手术。
Juvenile idiopathic scoliosis: As with younger patients, observation, followed by the use of a brace if the curve progresses, are the only available non-surgical treatment. Braces work to arrest the curve permanently in about 60% of juvenile patients, and no further treatment is needed. In the remaining group of patients, as with cases of infantile idiopathic scoliosis, the goal is to control the curve well enough so that surgery can be delayed until after the adolescent growth spurt has been reached.
, 百拇医药
个别人因为弯的太列害造成肺功能损伤也不得不及时手术。
Unfortunately, complications of scoliosis can occur that mandate the need for surgery before that time. These include pulmonary compromise, in which the curvature of the spine prevents the lungs from fully forming and functioning normally. As a result, heart disease may also develop.
三.青少年，11岁到19岁
发现侧弯度在增加就要用矫正支具。约75-80%有效。如果弯度小于40度，也没有并发症，病人不需要治疗。相反，病人可考虑手术治疗。
, 百拇医药
Adolescent idiopathic scoliosis: Patients whose curves remain stable undergo regular physical examinations to confirm their status. Use of a brace is initiated for progressive curves. The result of this treatment is quite good with 75-80% of curves controlled in this fashion. If the curve can be controlled at less than 40 degrees, the patient may never require additional treatment. However, if the curve reaches 50 degrees, it can be expected to worsen, even after full growth is achieved, and to eventually require surgical treatment.
, 百拇医药
四.成年，20岁以上
这个年龄组的病人需要不需要手术依赖于临床症状有多么严重。对于疼痛的病人用止痛药，对于运动受限的病人做物理治疗(手疗和治疗性运动)。这个年龄组的病人用矫正支具基本无效，因为骨头已经长死了。
Adult idiopathic scoliosis: Non-surgical treatment for adult patients is generally based on symptoms. For patients experiencing pain and restrictions on mobility, pain medication and physical therapy are prescribed. The use of braces offers little benefit, and is reserved for short term pain relief in a minority of patients. As with younger patients, the decision to proceed to surgical treatment is guided by progression of the curve and related symptoms.
, 百拇医药
和阿加以医生的联系方法：
Chief of Scoliosis Service 脊柱侧弯诊疗部主任
Department of Orthopedic Surgery 骨科
Hospital for Special Surgery 专门外科医院
Dr. Oheneba Boachie-Adjei 阿加以医生办公室地址
East River Professional Building
523 East 72nd Street
New York, NY 10021 纽约市
, 百拇医药
Tel: 212.606.1948 电话
Mailing Address 寄信地址
Hospital for Special Surgery
535 East 70th Street
New York, New York 10021 纽约市
Dr. Oheneba Boachie-Adjei阿加以医生电邮地址
Email Addressboachie@hss.edu
第二篇
我在网上发现的另一篇文章很有意思。美国有一个叫Samuel Homola豪莫拉的整脊医生，他发现美国整脊学科中有不科学的地方，于是，他就专门写书来揭露整脊学科骗人的地方。我在美国的行医过程中，极偶然和整脊师打个照面。对整脊学科在美国的情况并不了解。从我观察美国现代医学对整脊学科的看法，有一点像中国大陆医生对正规推拿师的看法。此外，还有几点不同。1。美国对物理治疗和整脊学科的需求量很大。2。美国的整脊学科的整脊师不是法定的医生，因为他们没有学习过内外妇儿精神病五大学科。
, 百拇医药
直到两三年前，加州的一个大学想要新开办一所正式整脊学院(college)。此事引起了全美国现代医学医生极大的愤慨，我才从新闻报道中读到“不科学” 的字样。我买了一本美国整脊学的教科书，浏览了一下，我的感觉美国整脊学已经是非常科学了。就脊柱和其周边的解剖部位及其疾病的解释和治疗，说得很详尽了。我认为说整脊学科“不科学”主要是因为它的治疗是“模糊治疗”。模糊治疗是指“治疗和效果之间”没有剂量关系，比如针灸和推拿。所以对疾病的原理就无法确定，只是猜想。我建议韦以宗教授买一本美国整脊学教科书读一读。我相信韦以宗教授如果能把这本书读完读懂，他一定有脱胎换骨的感觉。中医那一套应当全部扔到垃圾箱里去。
下面是豪莫拉整脊师回答有关整脊学科治疗儿童脊柱侧弯的问题
Answers to Questions about Chiropractic:
Should Chiropractors Treat Scoliosis in Children?
, http://www.100md.com
Samuel Homola, D.C.
先介绍豪莫拉整脊师
豪莫拉整脊师是他家的第二代整脊师。他致力于分辨什么是正确的整脊治疗，什么是不科学的治疗。并以此教育民众和整脊学界。(王澄注：这是美国整脊学科向着现代科学的方向自我完善的过程。当然是历史的必然。否则就会被社会抛弃。)1999年他出版了一本书，名叫《整脊科求医须知》，指导病人正确使用整脊学科的服务。作为整脊师工作了43年后，豪莫拉整脊师已经退休，现住在佛罗里达州。
Dr. Homola is a second-generation chiropractor who has dedicated himself to defining the proper limits on chiropractic and to educating consumers and professionals about the field. His 1963 book Bonesetting, Chiropractic, and Cultism supported the appropriate use of spinal manipulation but renounced chiropractic dogma. His 1999 book Inside Chiropractic: A Patient's Guide provides an incisive look at chiropractic's history, benefits, and shortcomings. Now retired after 43 years of practice, he lives in Panama City, Florida.
, 百拇医药
Question一个病儿的父亲问：
我的12岁的女儿和她妈妈(我的前妻)住在一起。我女儿接受了一位整脊师的治疗已近两年。她被治疗了6个月的时候我才知道。我完全不知道整脊学是干什么的，我就问了我的家人和朋友，他们有人说有用有人说没用。然而，即使说有用的人也不同意没完没了的治疗。
My daughter, who is 12 and lives with her mother, has been receiving treatment from a chiropractor for nearly two years. I first learned that she was being taken to a chiropractor in about six months after she began going. I had had no personal experience with chiropractic care so I asked family and friends for advice. I received positive and negative feedback. However, the positive feedback, without exception, included warnings that open-ended care should be avoided.
, http://www.100md.com
我的前妻和给我女儿治疗的整脊师曾说过整个治疗计划一年，可是已经快两年了还在治疗。这件事情开始于这个整脊师说我女儿有早期脊柱侧弯。可女儿的儿科医生并不同意这个诊断。我的前妻因为害怕女儿不得不穿矫正胸甲，所以就决定请这个整脊师治愈这个病。
My ex-wife and the chiropractor promised that treatment would end after a year, but I've recently found out that it is still going on. The treatment began because the chiropractor alleged that my daughter has an early case of scoliosis. Her medical doctor did not agree with this diagnosis, but my ex-wife was so afraid that our daughter would have to wear a brace that she decided to "cure" the scoliosis with chiropractic.
, http://www.100md.com
我女儿目前的状况让我很担心。她曾说如果不让她去看那个整脊师她就没法起床。最近我又发现她和其他孩子疯闹了以后她就说她的脊柱侧弯又恢复原状。她认为两个月的治疗白费了，所有她又回到那个整脊师那儿重新治疗。
My daughter has made alarming comments. I first found out she was visiting a chiropractor when she said she could hardly get out of bed unless she sees her chiropractor. My recent discovery of her continued visits came when, during some horse-play, she said that she had just "ruined what her chiropractor had spent two months working out."
, http://www.100md.com
我为此非常担忧。我担心我女儿自己会要求治疗一辈子。她妈妈对她的身体锻炼和健康饮食帮不上什么忙。请豪莫拉整脊师告诉我该怎么办，十分感谢。
I am so disturbed by this. It looks like she is set up for a lifetime of chiropractic treatment. Her mother does very little to ensure that she exercises or eats healthfully. Anything you can do, including pointing me in the right direction for more information, will be greatly appreciated.
豪莫拉整脊师答：
Answer
, 百拇医药
我认为你女儿接受的治疗是错误的。如果她真有脊柱侧弯，整脊师的手法治疗帮不上任何忙。既不能治愈这个病，也不能阻止进一步弯曲。有些整脊师说能给孩子治疗脊柱侧弯，可其实孩子的脊柱没有问题。你女儿的脊柱有没有侧弯，一定要找(西医)骨科医生看一看。
I believe that your daughter is being treated improperly. If she has scoliosis, there is nothing a chiropractic can do to cure it or stop its progression. But because some chiropractors who treat children diagnose abnormal curvatures that don't actually exist, you should have your daughter checked by an orthopedist.
, 百拇医药
如果她真有脊柱侧弯，你应该听骨科医生的话。对于儿童脊柱侧弯这个病，大多数病人只需要不断随访，盯着看弯曲的脊柱是否弯得更厉害。如果骨科医生说你的女儿没有脊柱侧弯，你要马上通知你的前妻，要她再别让女儿去治疗了。另外，你要告诉你女儿身体锻炼对她有益。身体锻炼不会引起椎骨滑脱。
If she has scoliosis, you should follow that doctor's advice. In most cases, the only thing needed is monitoring to see that the abnormal curvature does not progress too far. If your daughter does not have scoliosis, you should inform your ex-wife of this and request that your daughter's relationship with the chiropractor is terminated. Regardless, you should reassure your daughter that exercise is good for her and will not make her vertebrae slip out of place.
, 百拇医药
因为(那个整脊师)说脊柱侧弯可以引起椎骨滑脱，这种说法给你女儿带来了恐惧，因此害怕参加正常活动。那个整脊师的“洗脑”的椎骨滑脱之说已经给你女儿造成心理依赖，使她永远离不开整脊治疗。
Your daughter has been unnecessarily frightened by the suggestion that her vertebrae are slipping out of place, making her fearful of normal activities. Even if she has scoliosis, there is no valid reason for her to avoid normal recreational activities. Chiropractic brainwashing can create "vertebral cripples" who become psychologically addicted to unnecessary, lifelong chiropractic care.
, 百拇医药
我在我的《整脊科求医须知》书中详尽地介绍了有些不良整脊师的伎俩。如果你买一本送给你的前妻，一定会有帮助。如果你前妻一点也听不进去，到了最糟糕的那一步，你就只好寻求法律帮助来保护你女儿。
My book, "Inside Chiropractic," describes inappropriate chiropractic treatment in detail. It might be helpful to supply your ex-wife with a copy. However, if she has formed an unshakable belief that your daughter requires frequent chiropractic visits, legal action may be necessary to protect your daughter's physical and mental health.
, 百拇医药 2004年1月13日
This article was posted on January 13, 2004.
读了上面两篇文章，大家就明白了。千万不要听刘燕玲的宣传，刘燕玲是在帮快失业的中医整脊科找出路，道听途说，完全没有最基本的科学素养。对于脊柱侧弯，中华中医药学会整脊分会主任委员韦以宗教授说得那一套没有任何用处。我不知道什么是中医的“四维整脊矫正”？如果韦以宗教授说的“四维整脊矫正”就是现代医学的矫正支具，刘燕玲又何必说是“中医有作为”？矫正支具胸甲是现代医学矫正用具专科中很简单的一种，不需要用“四维整脊矫正”那么玄乎的名字。即使有侧弯加上脊柱旋转，也是三维畸形。
中医从来就没有作为，全是刘燕玲和健康报的谎话有作为。中医不是新学的测量脊柱弯曲度用Cobb法吗？刘燕玲帮助北京中医整脊学科利用健康报网出“虚假广告”，误导全国民众，应当受到处罚。
, 百拇医药
我劝刘燕玲走出健康报中医编假部，到大马路上转一转。马路上那些卖假药的人因为目睹了我们反中医之战，都改了自己的吆喝。以前他们说他们的药好使，因为是“祖传秘方”，现在说是“科学配方”。为什么刘燕玲没有任何转变，还在继续“毁”人不倦。
(完)
附录：
脊柱侧弯，早期治疗中医有作为
2007.07.11 2版 综合新闻 编辑：时骏
作者:刘燕玲
最近，一位家长带着宝贝女儿找到中华中医药学会整脊分会主任委员韦以宗教授求助，要求不用开刀就能治好女儿的脊柱侧弯。
原来，女孩初三升高中体检时发现右肩高，右胸突起，脊柱侧弯45度。家长十分焦急，带孩子找了多家医院都说要开刀进行手术矫正。家长非常着急：要做的可是大手术啊!切开几根肋骨不说，还得上钢板，宝贝女儿搞不好就残疾了。
, 百拇医药
其实，在现实生活中，像这位女孩的情况并不少见。她患的是青少年脊柱侧弯，医学上称为特发性脊柱侧弯症，或侧凸症。在我国，曾有一项调查显示，在被调查的8165名6岁至15岁学生中，有10度以上侧弯的占2.4%，男孩、女孩都有发生。但在8岁以前，男女之比为1∶1；8岁以后则为1∶23。也就是说，8岁以后的青少年脊柱侧弯多发生于女孩子。现代医学研究已经证明，发生脊柱侧弯原因是神经肌肉因素，可能是下丘脑的松果体发育障碍，导致内分泌功能紊乱。用中医的话说，是肾气失衡，肾不主骨。至于为何女孩多发于男孩，尚无法解释，且还无特效药物。
韦以宗教授介绍，孩子上小学的年龄，也是脊柱侧弯症最易发病的年龄。这时候，家长要经常注意孩子腰背的发育。他介绍了一些家庭即可开展的简单检查方法：让孩子端坐，手下垂，两目平视，家长察看腰背两侧肌肉是否对称。有侧弯的孩子，往往右侧腰肌瘦小。一旦发现问题，应到医院照X线片，找有经验的骨科医生进一步诊断，千万不要掉以轻心。当女孩子月经初潮时，要注意观察孩子的脊柱，因脊柱侧弯度加大，往往是在月经初潮以后。检查方法：让孩子端坐，用拇指食指从第7颈椎(颈背最高处)夹住脊柱往下摸触，至腰骶部，看是否是一直线。另一方法：让孩子站立，两手合拢，慢慢往前弯曲脊柱，弯至90度。察看腰两旁，胸两旁是否一样平坦，如发现一侧高，一侧低，需到医院照X线片，找有经验的骨科医生诊断。
, http://www.100md.com
“根据我的临床经验，脊柱侧弯在20度以内一般不影响功能和外观。但超过25度以上，可导致胸廓高低不对称，肩胛骨也高低不对称；超过40度，可影响心肺功能。”韦教授还强调，由于这种病变是随着年龄和身高发育而不断扩大脊柱侧弯的，因此，及早发现、及早调治，有效控制其发展，是最好的办法。
韦教授介绍了有关的治疗方法：一旦发现孩子脊柱侧弯，可找整脊医师行四维整脊矫正，配合针灸、推拿治疗，即可有效控制并改善侧弯度；每天早上或晚上给孩子捏脊：让孩子俯卧，用拇指和食指从第七颈椎一个一个椎体往下捏椎体两旁，反复10次至20次；指导孩子每天坚持做跨步压腿、扩胸运动和俯卧撑锻炼。
“这些方法的主要目的都是恢复脊柱两侧肌力的平衡。总而言之，防治青少年脊柱侧弯症，关键要早。”韦教授再次重申。, 百拇医药
昨天的健康报网有一篇刘燕玲的报道，“脊柱侧弯，早期治疗中医有作为”。(附录) 介绍了中华中医药学会整脊分会主任委员韦以宗教授的“中医早期治疗脊柱侧弯”的经验。韦以宗教授说：“由于这种病变是随着年龄和身高发育而不断扩大脊柱侧弯的，因此，及早发现、及早调治，有效控制其发展，是最好的办法“。韦教授介绍了有关的治疗方法：一旦发现孩子脊柱侧弯，可找整脊医师行四维整脊矫正，配合针灸、推拿治疗，即可有效控制并改善侧弯度；每天早上或晚上给孩子捏脊：让孩子俯卧，用拇指和食指从第七颈椎一个一个椎体往下捏椎体两旁，反复10次至20次；指导孩子每天坚持做跨步压腿、扩胸运动和俯卧撑锻炼。“这些方法的主要目的都是恢复脊柱两侧肌力的平衡。总而言之，防治青少年脊柱侧弯症，关键要早。”韦教授再次重申。
, 百拇医药
本文介绍两篇英文(中译)文章，一篇是纽约的Oheneba Boachie-Adjei 阿加以医生谈原发性脊柱侧弯的非手术治疗，另一篇是美国一个叫Samuel Homola豪莫拉的整脊师给一个病孩的父亲写的回信。信中说整脊师的手法治疗对原发性脊柱侧弯无效。
第一篇
在美国，脊柱侧弯scoliosis的治疗目前有两种：
一.非手术治疗
二.手术治疗(略)
非手术治疗中，分为两类：1。矫正支具。2。其它方法。所谓的其它方法包括了韦以宗教授的“中医早期治疗脊柱侧弯”的那一套：整脊，推拿，捏脊，针灸，锻炼，治疗性运动，物理治疗(电疗，超声治疗，手疗，等)，手疗等。
对于矫正支具，美国现代医学和美国整脊师中大部分人认为可以减慢脊柱侧弯的进程，而一小部分人认为作用不大。至少目前因为道理上说得过去，又对病儿没有伤害，同时对病儿的父母心理上有很大安慰，“我们为孩子的病作了事”。所以，矫正支具作为非手术治疗脊柱侧弯的手段在美国非常普遍。我个人同意矫正支具对青少年脊柱侧弯有效。它是用三点顶住侧弯，三点原理的力学原理说得通。问题在于小小孩不会穿，且因为身体小三点距离太短，缺少力学优势。矫正支具其实对青少年病人最合适，1。骨头还在发育可以矫正。2。身体大而三点距离宽，能发挥力学优势。3。比较能够管住自己，强迫自己穿。困难的是很多青少年病人不愿意长时间穿这种硬塑料做的“胸甲”，很不舒服，很不好看。理想化的要求是这种胸甲每天应当穿24小时，因为青少年的脊柱每小时都在成长。但是这是根本做不到的事。
, 百拇医药
对于其它方法包括整脊，推拿，捏脊，针灸，锻炼，物理治疗等，以及中医说的各种方法，美国现代医学和美国整脊学认为完全没有用。
In most cases spinal manipulation, exercise, physiotherapy, and electric stimulation have not shown to be effective treatments. However, an orthopedic brace can be used to prevent the curve from worsening and does not limit physical activity.
网上找到的这篇文章写得很好，请大家读一读：
《美国现代医学骨科阿加以医生Dr. Oheneba Boachie-Adjei 谈原发性脊柱侧弯的非手术治疗》
, http://www.100md.com
Idiopathic Scoliosis
An interview with Dr. Oheneba Boachie-Adjei
题目：原发性脊柱侧弯的非手术治疗
Non-Surgical Treatment
尽管年龄不是唯一的治疗考虑的因素，但是不同的年龄有不同的非手术治疗的内容。
While age is certainly not the only consideration involved, the age-based diagnostic categories of idiopathic scoliosis may provide the easiest key to understanding non-surgical treatment.
, 百拇医药
一.小小孩，1岁到3岁。
3岁以内的被诊断为原发性脊柱侧弯的孩子80%都能自愈。对于所有的小小孩，如果侧弯度数小于30度，只需要定期随访。
Infantile idiopathic scoliosis: For many families in which a child has been diagnosed with infantile idiopathic scoliosis, the news is good. About 80% of all cases resolve on their own. For all young children with a curve that is less than 30 degrees, the orthopaedist will observe the patient and examine him or her at regular intervals.
, http://www.100md.com
如果发现侧弯度加大，应使用矫正支具。人们想要用它减慢或停止脊柱进一步弯曲，但是，事实上(对小小孩)作不到。另外，小小孩用这种支具有很多困难之处。孩子和家长也不喜欢支具的不舒服的应用。
If the curve continues to progress, the infant or toddler will be fitted with a brace. These external devices are designed to slow or arrest the progression of the curve. Unfortunately, they can not correct the problem. Moreover, use of braces can be difficult in these patients due to their small size-it is harder for the orthopaedist to achieve the correct alignment with the brace. The discomfort and restriction of wearing a brace also presents a challenge for patient and parent.
, http://www.100md.com
对于弯度有进展的孩子，所有的非手术治疗都是为了拖延到孩子大了再作手术。
For these children, the goal of non-surgical treatment is to control the curve so that surgical treatment does not become necessary until the child has achieved most, if not all, of his or her growth.
二。少年，4岁到10岁
对于这个年龄组的孩子，主要是随访，必要时用矫正支具。约60%的这个年龄组的病儿用矫正支具有效，无需进一步治疗。其余的用矫正支具无法控制的也要想办法拖延到青春生长期以后再作手术。
Juvenile idiopathic scoliosis: As with younger patients, observation, followed by the use of a brace if the curve progresses, are the only available non-surgical treatment. Braces work to arrest the curve permanently in about 60% of juvenile patients, and no further treatment is needed. In the remaining group of patients, as with cases of infantile idiopathic scoliosis, the goal is to control the curve well enough so that surgery can be delayed until after the adolescent growth spurt has been reached.
, 百拇医药
个别人因为弯的太列害造成肺功能损伤也不得不及时手术。
Unfortunately, complications of scoliosis can occur that mandate the need for surgery before that time. These include pulmonary compromise, in which the curvature of the spine prevents the lungs from fully forming and functioning normally. As a result, heart disease may also develop.
三.青少年，11岁到19岁
发现侧弯度在增加就要用矫正支具。约75-80%有效。如果弯度小于40度，也没有并发症，病人不需要治疗。相反，病人可考虑手术治疗。
, 百拇医药
Adolescent idiopathic scoliosis: Patients whose curves remain stable undergo regular physical examinations to confirm their status. Use of a brace is initiated for progressive curves. The result of this treatment is quite good with 75-80% of curves controlled in this fashion. If the curve can be controlled at less than 40 degrees, the patient may never require additional treatment. However, if the curve reaches 50 degrees, it can be expected to worsen, even after full growth is achieved, and to eventually require surgical treatment.
, 百拇医药
四.成年，20岁以上
这个年龄组的病人需要不需要手术依赖于临床症状有多么严重。对于疼痛的病人用止痛药，对于运动受限的病人做物理治疗(手疗和治疗性运动)。这个年龄组的病人用矫正支具基本无效，因为骨头已经长死了。
Adult idiopathic scoliosis: Non-surgical treatment for adult patients is generally based on symptoms. For patients experiencing pain and restrictions on mobility, pain medication and physical therapy are prescribed. The use of braces offers little benefit, and is reserved for short term pain relief in a minority of patients. As with younger patients, the decision to proceed to surgical treatment is guided by progression of the curve and related symptoms.
, 百拇医药
和阿加以医生的联系方法：
Chief of Scoliosis Service 脊柱侧弯诊疗部主任
Department of Orthopedic Surgery 骨科
Hospital for Special Surgery 专门外科医院
Dr. Oheneba Boachie-Adjei 阿加以医生办公室地址
East River Professional Building
523 East 72nd Street
New York, NY 10021 纽约市
, 百拇医药
Tel: 212.606.1948 电话
Mailing Address 寄信地址
Hospital for Special Surgery
535 East 70th Street
New York, New York 10021 纽约市
Dr. Oheneba Boachie-Adjei阿加以医生电邮地址
Email Addressboachie@hss.edu
第二篇
我在网上发现的另一篇文章很有意思。美国有一个叫Samuel Homola豪莫拉的整脊医生，他发现美国整脊学科中有不科学的地方，于是，他就专门写书来揭露整脊学科骗人的地方。我在美国的行医过程中，极偶然和整脊师打个照面。对整脊学科在美国的情况并不了解。从我观察美国现代医学对整脊学科的看法，有一点像中国大陆医生对正规推拿师的看法。此外，还有几点不同。1。美国对物理治疗和整脊学科的需求量很大。2。美国的整脊学科的整脊师不是法定的医生，因为他们没有学习过内外妇儿精神病五大学科。
, 百拇医药
直到两三年前，加州的一个大学想要新开办一所正式整脊学院(college)。此事引起了全美国现代医学医生极大的愤慨，我才从新闻报道中读到“不科学” 的字样。我买了一本美国整脊学的教科书，浏览了一下，我的感觉美国整脊学已经是非常科学了。就脊柱和其周边的解剖部位及其疾病的解释和治疗，说得很详尽了。我认为说整脊学科“不科学”主要是因为它的治疗是“模糊治疗”。模糊治疗是指“治疗和效果之间”没有剂量关系，比如针灸和推拿。所以对疾病的原理就无法确定，只是猜想。我建议韦以宗教授买一本美国整脊学教科书读一读。我相信韦以宗教授如果能把这本书读完读懂，他一定有脱胎换骨的感觉。中医那一套应当全部扔到垃圾箱里去。
下面是豪莫拉整脊师回答有关整脊学科治疗儿童脊柱侧弯的问题
Answers to Questions about Chiropractic:
Should Chiropractors Treat Scoliosis in Children?
, http://www.100md.com
Samuel Homola, D.C.
先介绍豪莫拉整脊师
豪莫拉整脊师是他家的第二代整脊师。他致力于分辨什么是正确的整脊治疗，什么是不科学的治疗。并以此教育民众和整脊学界。(王澄注：这是美国整脊学科向着现代科学的方向自我完善的过程。当然是历史的必然。否则就会被社会抛弃。)1999年他出版了一本书，名叫《整脊科求医须知》，指导病人正确使用整脊学科的服务。作为整脊师工作了43年后，豪莫拉整脊师已经退休，现住在佛罗里达州。
Dr. Homola is a second-generation chiropractor who has dedicated himself to defining the proper limits on chiropractic and to educating consumers and professionals about the field. His 1963 book Bonesetting, Chiropractic, and Cultism supported the appropriate use of spinal manipulation but renounced chiropractic dogma. His 1999 book Inside Chiropractic: A Patient's Guide provides an incisive look at chiropractic's history, benefits, and shortcomings. Now retired after 43 years of practice, he lives in Panama City, Florida.
, 百拇医药
Question一个病儿的父亲问：
我的12岁的女儿和她妈妈(我的前妻)住在一起。我女儿接受了一位整脊师的治疗已近两年。她被治疗了6个月的时候我才知道。我完全不知道整脊学是干什么的，我就问了我的家人和朋友，他们有人说有用有人说没用。然而，即使说有用的人也不同意没完没了的治疗。
My daughter, who is 12 and lives with her mother, has been receiving treatment from a chiropractor for nearly two years. I first learned that she was being taken to a chiropractor in about six months after she began going. I had had no personal experience with chiropractic care so I asked family and friends for advice. I received positive and negative feedback. However, the positive feedback, without exception, included warnings that open-ended care should be avoided.
, http://www.100md.com
我的前妻和给我女儿治疗的整脊师曾说过整个治疗计划一年，可是已经快两年了还在治疗。这件事情开始于这个整脊师说我女儿有早期脊柱侧弯。可女儿的儿科医生并不同意这个诊断。我的前妻因为害怕女儿不得不穿矫正胸甲，所以就决定请这个整脊师治愈这个病。
My ex-wife and the chiropractor promised that treatment would end after a year, but I've recently found out that it is still going on. The treatment began because the chiropractor alleged that my daughter has an early case of scoliosis. Her medical doctor did not agree with this diagnosis, but my ex-wife was so afraid that our daughter would have to wear a brace that she decided to "cure" the scoliosis with chiropractic.
, http://www.100md.com
我女儿目前的状况让我很担心。她曾说如果不让她去看那个整脊师她就没法起床。最近我又发现她和其他孩子疯闹了以后她就说她的脊柱侧弯又恢复原状。她认为两个月的治疗白费了，所有她又回到那个整脊师那儿重新治疗。
My daughter has made alarming comments. I first found out she was visiting a chiropractor when she said she could hardly get out of bed unless she sees her chiropractor. My recent discovery of her continued visits came when, during some horse-play, she said that she had just "ruined what her chiropractor had spent two months working out."
, http://www.100md.com
我为此非常担忧。我担心我女儿自己会要求治疗一辈子。她妈妈对她的身体锻炼和健康饮食帮不上什么忙。请豪莫拉整脊师告诉我该怎么办，十分感谢。
I am so disturbed by this. It looks like she is set up for a lifetime of chiropractic treatment. Her mother does very little to ensure that she exercises or eats healthfully. Anything you can do, including pointing me in the right direction for more information, will be greatly appreciated.
豪莫拉整脊师答：
Answer
, 百拇医药
我认为你女儿接受的治疗是错误的。如果她真有脊柱侧弯，整脊师的手法治疗帮不上任何忙。既不能治愈这个病，也不能阻止进一步弯曲。有些整脊师说能给孩子治疗脊柱侧弯，可其实孩子的脊柱没有问题。你女儿的脊柱有没有侧弯，一定要找(西医)骨科医生看一看。
I believe that your daughter is being treated improperly. If she has scoliosis, there is nothing a chiropractic can do to cure it or stop its progression. But because some chiropractors who treat children diagnose abnormal curvatures that don't actually exist, you should have your daughter checked by an orthopedist.
, 百拇医药
如果她真有脊柱侧弯，你应该听骨科医生的话。对于儿童脊柱侧弯这个病，大多数病人只需要不断随访，盯着看弯曲的脊柱是否弯得更厉害。如果骨科医生说你的女儿没有脊柱侧弯，你要马上通知你的前妻，要她再别让女儿去治疗了。另外，你要告诉你女儿身体锻炼对她有益。身体锻炼不会引起椎骨滑脱。
If she has scoliosis, you should follow that doctor's advice. In most cases, the only thing needed is monitoring to see that the abnormal curvature does not progress too far. If your daughter does not have scoliosis, you should inform your ex-wife of this and request that your daughter's relationship with the chiropractor is terminated. Regardless, you should reassure your daughter that exercise is good for her and will not make her vertebrae slip out of place.
, 百拇医药
因为(那个整脊师)说脊柱侧弯可以引起椎骨滑脱，这种说法给你女儿带来了恐惧，因此害怕参加正常活动。那个整脊师的“洗脑”的椎骨滑脱之说已经给你女儿造成心理依赖，使她永远离不开整脊治疗。
Your daughter has been unnecessarily frightened by the suggestion that her vertebrae are slipping out of place, making her fearful of normal activities. Even if she has scoliosis, there is no valid reason for her to avoid normal recreational activities. Chiropractic brainwashing can create "vertebral cripples" who become psychologically addicted to unnecessary, lifelong chiropractic care.
, 百拇医药
我在我的《整脊科求医须知》书中详尽地介绍了有些不良整脊师的伎俩。如果你买一本送给你的前妻，一定会有帮助。如果你前妻一点也听不进去，到了最糟糕的那一步，你就只好寻求法律帮助来保护你女儿。
My book, "Inside Chiropractic," describes inappropriate chiropractic treatment in detail. It might be helpful to supply your ex-wife with a copy. However, if she has formed an unshakable belief that your daughter requires frequent chiropractic visits, legal action may be necessary to protect your daughter's physical and mental health.
, 百拇医药 2004年1月13日
This article was posted on January 13, 2004.
读了上面两篇文章，大家就明白了。千万不要听刘燕玲的宣传，刘燕玲是在帮快失业的中医整脊科找出路，道听途说，完全没有最基本的科学素养。对于脊柱侧弯，中华中医药学会整脊分会主任委员韦以宗教授说得那一套没有任何用处。我不知道什么是中医的“四维整脊矫正”？如果韦以宗教授说的“四维整脊矫正”就是现代医学的矫正支具，刘燕玲又何必说是“中医有作为”？矫正支具胸甲是现代医学矫正用具专科中很简单的一种，不需要用“四维整脊矫正”那么玄乎的名字。即使有侧弯加上脊柱旋转，也是三维畸形。
中医从来就没有作为，全是刘燕玲和健康报的谎话有作为。中医不是新学的测量脊柱弯曲度用Cobb法吗？刘燕玲帮助北京中医整脊学科利用健康报网出“虚假广告”，误导全国民众，应当受到处罚。
, 百拇医药
我劝刘燕玲走出健康报中医编假部，到大马路上转一转。马路上那些卖假药的人因为目睹了我们反中医之战，都改了自己的吆喝。以前他们说他们的药好使，因为是“祖传秘方”，现在说是“科学配方”。为什么刘燕玲没有任何转变，还在继续“毁”人不倦。
(完)
附录：
脊柱侧弯，早期治疗中医有作为
2007.07.11 2版 综合新闻 编辑：时骏
作者:刘燕玲
最近，一位家长带着宝贝女儿找到中华中医药学会整脊分会主任委员韦以宗教授求助，要求不用开刀就能治好女儿的脊柱侧弯。
原来，女孩初三升高中体检时发现右肩高，右胸突起，脊柱侧弯45度。家长十分焦急，带孩子找了多家医院都说要开刀进行手术矫正。家长非常着急：要做的可是大手术啊!切开几根肋骨不说，还得上钢板，宝贝女儿搞不好就残疾了。
, 百拇医药
其实，在现实生活中，像这位女孩的情况并不少见。她患的是青少年脊柱侧弯，医学上称为特发性脊柱侧弯症，或侧凸症。在我国，曾有一项调查显示，在被调查的8165名6岁至15岁学生中，有10度以上侧弯的占2.4%，男孩、女孩都有发生。但在8岁以前，男女之比为1∶1；8岁以后则为1∶23。也就是说，8岁以后的青少年脊柱侧弯多发生于女孩子。现代医学研究已经证明，发生脊柱侧弯原因是神经肌肉因素，可能是下丘脑的松果体发育障碍，导致内分泌功能紊乱。用中医的话说，是肾气失衡，肾不主骨。至于为何女孩多发于男孩，尚无法解释，且还无特效药物。
韦以宗教授介绍，孩子上小学的年龄，也是脊柱侧弯症最易发病的年龄。这时候，家长要经常注意孩子腰背的发育。他介绍了一些家庭即可开展的简单检查方法：让孩子端坐，手下垂，两目平视，家长察看腰背两侧肌肉是否对称。有侧弯的孩子，往往右侧腰肌瘦小。一旦发现问题，应到医院照X线片，找有经验的骨科医生进一步诊断，千万不要掉以轻心。当女孩子月经初潮时，要注意观察孩子的脊柱，因脊柱侧弯度加大，往往是在月经初潮以后。检查方法：让孩子端坐，用拇指食指从第7颈椎(颈背最高处)夹住脊柱往下摸触，至腰骶部，看是否是一直线。另一方法：让孩子站立，两手合拢，慢慢往前弯曲脊柱，弯至90度。察看腰两旁，胸两旁是否一样平坦，如发现一侧高，一侧低，需到医院照X线片，找有经验的骨科医生诊断。
, http://www.100md.com
“根据我的临床经验，脊柱侧弯在20度以内一般不影响功能和外观。但超过25度以上，可导致胸廓高低不对称，肩胛骨也高低不对称；超过40度，可影响心肺功能。”韦教授还强调，由于这种病变是随着年龄和身高发育而不断扩大脊柱侧弯的，因此，及早发现、及早调治，有效控制其发展，是最好的办法。
韦教授介绍了有关的治疗方法：一旦发现孩子脊柱侧弯，可找整脊医师行四维整脊矫正，配合针灸、推拿治疗，即可有效控制并改善侧弯度；每天早上或晚上给孩子捏脊：让孩子俯卧，用拇指和食指从第七颈椎一个一个椎体往下捏椎体两旁，反复10次至20次；指导孩子每天坚持做跨步压腿、扩胸运动和俯卧撑锻炼。
“这些方法的主要目的都是恢复脊柱两侧肌力的平衡。总而言之，防治青少年脊柱侧弯症，关键要早。”韦教授再次重申。, 百拇医药