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Article(id=1319291778700787789, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1319291472856338924, articleNumber=null, orderNo=null, doi=10.13193/j.issn.1673-7717.2026.07.044, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=null, receivedDateStr=null, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1792473271298, onlineDateStr=2026-10-20, pubDate=1783612800000, pubDateStr=2026-07-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1792473271298, onlineIssueDateStr=2026-10-20, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1792473271298, creator=13701087609, updateTime=1792473271298, updator=13701087609, issue=Issue{id=1319291472856338924, tenantId=1146029695717560320, journalId=1255847919539208197, year='2026', volume='44', issue='7', pageStart='1', pageEnd='258', issueExtLink='null', onlineDate='null', pubDate='1783612800000', pubDateStr='2026-07-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1792473198379, creator='13701087609', updateTime=1792473406504, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1319292345858773669, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1319291472856338924, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1319292345858773670, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1319291472856338924, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=242, endPage=246, ext={EN=ArticleExt(id=1319291778914697294, articleId=1319291778700787789, tenantId=1146029695717560320, journalId=1255847919539208197, language=EN, title=Clinical Research on Treatment of Cervical Spondylosis of Wind-Cold-Dampness Type by Modified Guizhi Jia Gegen Tang (桂枝加葛根汤) Combined with Fuzi Tang (附子汤), columnId=1256183365644968140, journalTitle=Chinese Archives of Traditional Chinese Medicine, columnName=Platform of Provincial Project, runingTitle=null, highlight=null, articleAbstract=
Objective

To observe the clinical efficacy of Modified Guizhi Jia Gegen Tang (桂枝加葛根汤) Combined with Fuzi Tang (附子汤) in the treatment of cervical spondylosis of neck of wind-cold-dampness type.

Methods

Sixty patients with cervical spondylosis of neck of wind-cold-dampness type who visited the outpatient department of the Rehabilitation Medicine Department of the First Affiliated Hospital of Guangxi University of Chinese Medicine from June 2022 to March 2023 were divided into two groups by the random number table method, with 30 cases in each group. The patients in the control group were treated with celecoxib capsules according to the conventional Western medicine treatment plan, while those in the observation group were treated with the Modified Guizhi Jia Gegen Tang combined with Fuzi Tang by oral administration. Both groups were treated once a day, and 5 treatments constituted one course of treatment, with a total of two courses of treatment. Then, follow-up visits were carried out before treatment, after one and two courses of treatment, and one month later. Scale scores were conducted at these four time points to judge the improvement degree of the patients' symptoms and signs and the excellent and good rate of the clinical efficacy, etc.

Results

After one and two courses of treatment, the range of motion (ROM) of cervical joints, short-form McGill pain questionnaire (SF-MPQ) scores, neck disability index (NDI), and cervical spondylosis clinical assessment scale (CASCS) scores of the patients in both groups were lower than those before treatment. Compared with those in the control group, the scores in the observation group decreased significantly, and the differences were statistically significant (P<0.05). The average scores of the Tanaka-Yoshihisa Cervical Spondylosis Symptom Scale of the patients in both groups were higher than those before treatment, and the increase in the observation group was more significant than that in the control group, and the differences were statistically significant (P<0.05). After two courses of treatment, the total clinical effective rate of the observation group was 100%, which was better than 90.00% of the control group. Moreover, it was found after follow-up that there were no significant changes in the results of the McGill pain scale, the 20-point method of the Tanaka-Yoshihisa Cervical Spondylosis Symptom Scale, NDI and CASCS scores of the observation group compared with those after the second course of treatment, and the differences were statistically significant (P<0.05).

Conclusion

Modified Guizhi Jia Gegen Tang combined with Fuzi Tang and the Western medicine celecoxib capsules can effectively relieve the symptoms and signs of cervical spondylosis of neck. Modified Guizhi Jia Gegen Tang combined with Fuzi Tang has a more significant treatment effect and advantages in relieving pain and improving dysfunction, and has a long-lasting curative effect.

, authors=Gui LI1, Yuanyuan SUN2, Chunyan LING3, Yingtong MENG1, Hao DENG1, lan LAN1, Minhui SONG1, Xiaoyan TANG1, Nengwang QIU1, Guanghui CHEN3, authorsList=Gui LI, Yuanyuan SUN, Chunyan LING, Yingtong MENG, Hao DENG, lan LAN, Minhui SONG, Xiaoyan TANG, Nengwang QIU, Guanghui CHEN, authorCompany=null, correspAuthors=Guanghui CHEN, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1319291779342516303, articleId=1319291778700787789, tenantId=1146029695717560320, journalId=1255847919539208197, language=CN, title=桂枝加葛根汤合附子汤加减治疗风寒湿型颈型颈椎病临床研究, columnId=1256183369033965799, journalTitle=中华中医药学刊, columnName=省级项目平台, runingTitle=null, highlight=null, articleAbstract=
目的

观察桂枝加葛根汤合附子汤加减治疗风寒湿型颈型颈椎病的临床疗效。

方法

采用随机数字表法将于2022年6月—2023年3月在广西中医药大学第一附属医院康复医学科门诊的60例风寒湿型颈型颈椎病患者分为两组，每组30例。对照组按照常规西医治疗方案，给予患者塞来昔布胶囊治疗，观察组则口服桂枝加葛根汤合附子汤加减方治疗；两组均每日治疗1次，5次为1个疗程，共治疗2个疗程。然后分别于治疗前、1个疗程后、2个疗程后、1个月后随访，4个时间点进行量表评分以判断患者症状体征改善程度及临床疗效愈显率等情况。

结果

治疗1、2个疗程后两组患者颈椎关节活动度（range of motion，ROM）、简式McGill疼痛量表（short-form McGill pain questionnaire，SF-MPQ）评分、颈椎功能障碍指数（neck disability index，NDI）、颈椎病临床评价量表评定（cervical spondylosis clinical assessment scale，CASCS）评分各时间段比较均较治疗前降低，与对照组比较，评分均下降明显，差异均有统计学意义（P<0.05）；两组田中靖久颈椎病症状量表评分均值均较治疗前升高，观察组较对照组升高明显，差异均有统计学意义（P<0.05）。治疗2个疗程后观察组临床总有效率为100%，优于对照组的90.00%。且随访后发现：观察组在McGill疼痛量表、田中靖久颈椎病症状量表20分法（CSR20）、NDI、CASCS的评分结果与第2个疗程治疗后相比，均未见明显的变化，差异均有统计学意义（P<0.05）。

结论

桂枝加葛根汤合附子汤加减方与西药塞来昔布胶囊均能有效缓解颈型颈椎病症状与体征。桂枝加葛根汤合附子汤加减方治疗效果更显著，在减轻疼痛、改善功能障碍等方面具有优势，且疗效维持时间长。

, authors=李贵1, 孙园园2, 凌春燕3, 蒙映彤1, 邓豪1, 蓝蓝1, 宋敏慧1, 唐小燕1, 邱能望1, 陈广辉3, authorsList=李贵, 孙园园, 凌春燕, 蒙映彤, 邓豪, 蓝蓝, 宋敏慧, 唐小燕, 邱能望, 陈广辉, authorCompany=null, correspAuthors=陈广辉, authorNote=

李贵（1988-），男，安徽淮北人，硕士在读，研究方向：骨骼肌疼痛中西医结合康复。

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陈广辉（1982-），男，广东茂名人，副主任医师，硕士研究生导师，硕士，研究方向：骨骼肌疼痛中西医结合康复。E-mail：。
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李贵（1988-），男，安徽淮北人，硕士在读，研究方向：骨骼肌疼痛中西医结合康复。

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李贵（1988-），男，安徽淮北人，硕士在读，研究方向：骨骼肌疼痛中西医结合康复。

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桂枝加葛根汤合附子汤加减治疗风寒湿型颈型颈椎病临床研究
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李贵 1 , 孙园园 2 , 凌春燕 3 , 蒙映彤 1 , 邓豪 1 , 蓝蓝 1 , 宋敏慧 1 , 唐小燕 1 , 邱能望 1 , 陈广辉 3
中华中医药学刊 | 省级项目平台 2026,44(7): 242-246
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中华中医药学刊 |省级项目平台 2026 , 44 (7) : 242 -246
桂枝加葛根汤合附子汤加减治疗风寒湿型颈型颈椎病临床研究
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李贵（1988-），男，安徽淮北人，硕士在读，研究方向：骨骼肌疼痛中西医结合康复。

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李贵（1988-），男，安徽淮北人，硕士在读，研究方向：骨骼肌疼痛中西医结合康复。

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李贵1, 孙园园2, 凌春燕3, 蒙映彤1, 邓豪1, 蓝蓝1, 宋敏慧1, 唐小燕1, 邱能望1, 陈广辉3
作者信息
  • 1.广西中医药大学，广西　南宁　530001
  • 2.广西幼儿师范高等专科学校，广西　南宁　530023
  • 3.广西中医药大学第一附属医院，广西　南宁　530023
通讯作者:
陈广辉（1982-），男，广东茂名人，副主任医师，硕士研究生导师，硕士，研究方向：骨骼肌疼痛中西医结合康复。E-mail：。
作者简介:

李贵（1988-），男，安徽淮北人，硕士在读，研究方向：骨骼肌疼痛中西医结合康复。

Clinical Research on Treatment of Cervical Spondylosis of Wind-Cold-Dampness Type by Modified Guizhi Jia Gegen Tang (桂枝加葛根汤) Combined with Fuzi Tang (附子汤)
Gui LI1, Yuanyuan SUN2, Chunyan LING3, Yingtong MENG1, Hao DENG1, lan LAN1, Minhui SONG1, Xiaoyan TANG1, Nengwang QIU1, Guanghui CHEN3
Affiliations
  • 1.Guangxi University of Chinese Medicine, Nanning 530001, Guangxi, China
  • 2.Guangxi Preschool Teachers College, Nanning 530023, Guangxi, China
  • 3.The First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning 530023, Guangxi, China
出版时间: 2026-07-10 doi: 10.13193/j.issn.1673-7717.2026.07.044
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摘要
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目的

观察桂枝加葛根汤合附子汤加减治疗风寒湿型颈型颈椎病的临床疗效。

方法

采用随机数字表法将于2022年6月—2023年3月在广西中医药大学第一附属医院康复医学科门诊的60例风寒湿型颈型颈椎病患者分为两组，每组30例。对照组按照常规西医治疗方案，给予患者塞来昔布胶囊治疗，观察组则口服桂枝加葛根汤合附子汤加减方治疗；两组均每日治疗1次，5次为1个疗程，共治疗2个疗程。然后分别于治疗前、1个疗程后、2个疗程后、1个月后随访，4个时间点进行量表评分以判断患者症状体征改善程度及临床疗效愈显率等情况。

结果

治疗1、2个疗程后两组患者颈椎关节活动度（range of motion，ROM）、简式McGill疼痛量表（short-form McGill pain questionnaire，SF-MPQ）评分、颈椎功能障碍指数（neck disability index，NDI）、颈椎病临床评价量表评定（cervical spondylosis clinical assessment scale，CASCS）评分各时间段比较均较治疗前降低，与对照组比较，评分均下降明显，差异均有统计学意义（P<0.05）；两组田中靖久颈椎病症状量表评分均值均较治疗前升高，观察组较对照组升高明显，差异均有统计学意义（P<0.05）。治疗2个疗程后观察组临床总有效率为100%，优于对照组的90.00%。且随访后发现：观察组在McGill疼痛量表、田中靖久颈椎病症状量表20分法（CSR20）、NDI、CASCS的评分结果与第2个疗程治疗后相比，均未见明显的变化，差异均有统计学意义（P<0.05）。

结论

桂枝加葛根汤合附子汤加减方与西药塞来昔布胶囊均能有效缓解颈型颈椎病症状与体征。桂枝加葛根汤合附子汤加减方治疗效果更显著，在减轻疼痛、改善功能障碍等方面具有优势，且疗效维持时间长。

桂枝加葛根汤合附子汤加减方  /  颈型颈椎病  /  风寒湿型  /  塞来昔布胶囊
Objective

To observe the clinical efficacy of Modified Guizhi Jia Gegen Tang (桂枝加葛根汤) Combined with Fuzi Tang (附子汤) in the treatment of cervical spondylosis of neck of wind-cold-dampness type.

Methods

Sixty patients with cervical spondylosis of neck of wind-cold-dampness type who visited the outpatient department of the Rehabilitation Medicine Department of the First Affiliated Hospital of Guangxi University of Chinese Medicine from June 2022 to March 2023 were divided into two groups by the random number table method, with 30 cases in each group. The patients in the control group were treated with celecoxib capsules according to the conventional Western medicine treatment plan, while those in the observation group were treated with the Modified Guizhi Jia Gegen Tang combined with Fuzi Tang by oral administration. Both groups were treated once a day, and 5 treatments constituted one course of treatment, with a total of two courses of treatment. Then, follow-up visits were carried out before treatment, after one and two courses of treatment, and one month later. Scale scores were conducted at these four time points to judge the improvement degree of the patients' symptoms and signs and the excellent and good rate of the clinical efficacy, etc.

Results

After one and two courses of treatment, the range of motion (ROM) of cervical joints, short-form McGill pain questionnaire (SF-MPQ) scores, neck disability index (NDI), and cervical spondylosis clinical assessment scale (CASCS) scores of the patients in both groups were lower than those before treatment. Compared with those in the control group, the scores in the observation group decreased significantly, and the differences were statistically significant (P<0.05). The average scores of the Tanaka-Yoshihisa Cervical Spondylosis Symptom Scale of the patients in both groups were higher than those before treatment, and the increase in the observation group was more significant than that in the control group, and the differences were statistically significant (P<0.05). After two courses of treatment, the total clinical effective rate of the observation group was 100%, which was better than 90.00% of the control group. Moreover, it was found after follow-up that there were no significant changes in the results of the McGill pain scale, the 20-point method of the Tanaka-Yoshihisa Cervical Spondylosis Symptom Scale, NDI and CASCS scores of the observation group compared with those after the second course of treatment, and the differences were statistically significant (P<0.05).

Conclusion

Modified Guizhi Jia Gegen Tang combined with Fuzi Tang and the Western medicine celecoxib capsules can effectively relieve the symptoms and signs of cervical spondylosis of neck. Modified Guizhi Jia Gegen Tang combined with Fuzi Tang has a more significant treatment effect and advantages in relieving pain and improving dysfunction, and has a long-lasting curative effect.

Modified Guizhi Jia Gegen Tang (桂枝加葛根汤) combined with Fuzi Tang (附子汤)  /  cervical spondylosis of neck type  /  wind-cold-dampness type  /  celecoxib capsules
李贵, 孙园园, 凌春燕, 蒙映彤, 邓豪, 蓝蓝, 宋敏慧, 唐小燕, 邱能望, 陈广辉. 桂枝加葛根汤合附子汤加减治疗风寒湿型颈型颈椎病临床研究. 中华中医药学刊, 2026 , 44 (7) : 242 -246 . DOI: 10.13193/j.issn.1673-7717.2026.07.044
Gui LI, Yuanyuan SUN, Chunyan LING, Yingtong MENG, Hao DENG, lan LAN, Minhui SONG, Xiaoyan TANG, Nengwang QIU, Guanghui CHEN. Clinical Research on Treatment of Cervical Spondylosis of Wind-Cold-Dampness Type by Modified Guizhi Jia Gegen Tang (桂枝加葛根汤) Combined with Fuzi Tang (附子汤)[J]. Chinese Archives of Traditional Chinese Medicine, 2026 , 44 (7) : 242 -246 . DOI: 10.13193/j.issn.1673-7717.2026.07.044
基金
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  • 广西科技计划项目(桂科AB20159026)
  • 广西中医药适宜技术开发与推广项目(GZSY21-13)
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doi: 10.13193/j.issn.1673-7717.2026.07.044
  • 首发时间：2026-10-20
  • 出版时间：2026-07-10
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出版历史
基金
广西科技计划项目(桂科AB20159026)
广西中医药适宜技术开发与推广项目(GZSY21-13)
作者信息
    1.广西中医药大学，广西　南宁　530001
    2.广西幼儿师范高等专科学校，广西　南宁　530023
    3.广西中医药大学第一附属医院，广西　南宁　530023

通讯作者:

陈广辉（1982-），男，广东茂名人，副主任医师，硕士研究生导师，硕士，研究方向：骨骼肌疼痛中西医结合康复。E-mail：。
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https://castjournals.cast.org.cn/joweb/zhzyyxk/CN/10.13193/j.issn.1673-7717.2026.07.044
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2种不同金属材料的力学参数
科
Family		 属数
Number of
genus		 种数
Number of
species		 占总种数比例
Percentage of
total species (%)		 属
Genus		 种数
Number of
species		 占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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