〔摘要〕 退行性腰椎病变主要是由于长期慢性劳损、不良姿势、退变致腰部筋伤，进一步发展累及于骨，导致腰椎失衡。“以筋为先，以衡为用”是平乐正骨“筋滞骨错”理论下筋骨病的治疗原则，旨在通过手法松筋、正骨、功能锻炼颐养筋骨等重建脊柱平衡，达到防治退行性腰椎病变的目的。

    〔关键词〕 退行性腰椎病;平乐正骨;以筋为先;以衡为用;筋滞骨错

    〔中图分类号〕R274.34 〔文献标志码〕A 〔文章编号〕doi：10.3969/j.issn.1674-070X.2019.05.010

    〔Abstract〕 Degenerative lumbar spine diseases are mainly caused by chronic strain， bad posture and degenerative lumbar tendon injuries， further development can involve bone and lead to lumbar spine imbalance ......