Overall, the critique of Dr Clarence Nicodemus demonstrates a nuanced understanding of the multifactorial nature of CLBP and underscores the importance of biomechanical, lifestyle, and structural considerations. It emphasizes that addressing CLBP effectively requires a comprehensive, individualized approach that goes beyond structural degeneration to include muscular stability, biomechanics, and lifestyle factors:

Hope this helps you to advance your research Huabin Chen

Which came first, the chicken or the egg? The spine arch and core strength, the core strength with a spine arch, and the core strength without a spine arch. The former refers to the traditional Eastern spine and agricultural strength, while the latter refers to the Western spine and Western sports. The two are completely different. It's very simple and easy to understand. It can be explained in just a few sentences. Hope to have the opportunity to explain it face to face.（真传一句话,假传万卷书）A true saying is worth more than a thousand books of false teachings.If you have the chance to visit China, please don't hesitate to contact me.@Stephen i.ternyik

Huabin Chen I write a lot about the nature of causality and the relationship between causes and effects. From this perspective, the question of which came first, the chicken or the egg, is a classic example of a dilemma that arises from our limited understanding of the natural world.

If we assume that the chicken and the egg are interdependent, with the chicken laying the egg and the egg hatching into a chicken, then we are faced with a paradox. Which one could have existed without the other? The answer, my friend, lies not in the physical world, but in the realm of metaphysics.

Perhaps, the question itself is flawed, and we should not think in terms of "which came first." Instead, we should consider the underlying principles and laws that govern the natural world. In this sense, the chicken and the egg are both manifestations of a higher reality, a reality that transcends the linear progression of cause and effect.

Now, regarding your comments on the spine arch and core strength, I must say that I find the distinction between Eastern and Western approaches fascinating. As a scientist, I have always emphasized the importance of maintaining good posture and core strength for overall health and well-being.

The traditional Eastern approach, with its emphasis on the spine arch and core strength, resonates with my own understanding of the importance of balance and harmony in the human body. The Western approach, on the other hand, often prioritizes individual muscle groups over overall core strength, which can lead to imbalances and injuries.

In my medical texts, I have written about the importance of holistic health and the interconnectedness of the body's systems. I believe that a true understanding of the human body and its functions can only be achieved by considering the complex relationships between different systems and structures.

As you so eloquently put it, "A true saying is worth more than a thousand books of false teachings." I couldn't agree more, my friend. In the pursuit of knowledge and understanding, we must always strive to uncover the underlying truths and principles that govern our world.

Best, stephen

PS/

祝您事业蒸蒸日上，并保持密切联系，共同探讨研究与生活。

Stephen I. Ternyik Now, regarding your comments on the spine arch and core strength, I must say that I find the distinction between Eastern and Western approaches fascinating. As a scientist, I have always emphasized the importance of maintaining good posture and core strength for overall health and well-being.

中国谚语：三岁看大，七岁看老。This spinal arch is cultivated from a young age. The cultivation of life habits during the ages of 3 and 7 is of great significance.In the traditional Chinese agricultural people's habits of life and work from birth to death, there was never a reverse arch movement. Because once spine arch is disrupted, it cannot be restored, and the ability to work will be lost, and back pain will also occur. The Western form of exercise is the reverse arch exercise, which disrupts the stability of the spine and has been practiced since childhood. In modern China, with the reform and opening up, the country has become Westernized. No one engages in agricultural work anymore, and as a result, a large number of patients with lumbar spondylosis have emerged. I am the last witness of China's agricultural society. I am an orthopedic expert and also a person with a traditional spine.

逻辑推理：做一样生活，换一样骨头。开始，东方人有东方的生活活动方式，有东方人脊柱。西方人有西方的生活活动方式，有西方脊柱。两者有本质上不同。进入现代社会，现在东方已经西化，东方人的脊柱换成西方人脊柱，两者一样。西方脊柱是s型脊柱实则是畸形的，故进入现代社会,东西方腰椎病大流行。

Thank you for sharing your perspective. Your insights highlight the importance of early habits and traditional practices in maintaining spinal health, especially within the context of China's cultural and historical background. It’s true that the cultivation of proper spinal posture and habits during childhood can have lasting effects, and disruptions—whether through Western exercise methods or lifestyle changes—may contribute to spinal issues like lumbar spondylosis.

Your experience as both an orthopedic expert and a witness to China's transition from traditional agricultural life to modernization provides valuable insight into how shifts in lifestyle impact spinal health. Emphasizing the importance of preserving traditional practices that support spinal stability could be beneficial in addressing modern spinal ailments.

Critical reflection:

While the argument emphasizes the influence of lifestyle on spinal health, it's important to consider that genetic factors, ergonomics, and healthcare practices also play vital roles. Furthermore, the characterization of the S-shaped spine as a deformity may be oversimplified, as the spinal curvature is also a natural and necessary feature for movement and shock absorption.

In summary: Your Huabin Chen reasoning suggests that cultural lifestyles shape physical anatomy, and modernization has led to a universal pattern that predisposes people worldwide to spinal conditions like lumbar spondylosis.

Stephen I. Ternyik While the argument emphasizes the influence of lifestyle on spinal health, it's important to consider that genetic factors, ergonomics, and healthcare practices also play vital roles. Furthermore, the characterization of the S-shaped spine as a deformity may be oversimplified, as the spinal curvature is also a natural and necessary feature for movement and shock absorption.社会发展了，劳作模式的转变，势必会使人们丧失一些对健康、体能有益的技能，弱化了机体功能。我这里体检中心可以体检到肩挑过的脊柱与非肩挑过的脊柱，十万多例，我也可以感受到自己的肩挑脊柱。如果将脊柱看成一棍子，蛇是贴着地的是0度角，狗、马等爬行动物是弓形的，有整体性的弓形弹性，有弧度的，猴子、猩猩等半直立与半爬行动物是脊柱与地面成60度角，有弓弹性，有弧度的，有整体弓，而肩挑民族的脊柱被重物压着，看上去s型，其实一辈子面朝黄土、背朝蓝天，与地面成89度左右，也有弓弹性，有弧度的，腰椎活动度差。到了现代s形脊柱，因为生活与活动的改变，与原来相反，面朝蓝天，背朝黄土，拼命站直挺直，这个弓被破坏了，颈胸椎向后在腰凹（命门）的地方与地面成91度角，腰椎活动度强，而腰骶椎向前成与地面成89度角，两头翘，中间凹，古代称塌腰，绵腰，一头是颈大包，颈椎病，另一头是屁股翘，骨盆前倾，中间凹，是上半身在凹点形杠杆原理，自身重力作用，越来越凹（脊柱后面没有任何支撑），重心后移，并导致膝关节超伸，这是都是畸形的吗？所以这种状态下s型脊柱是畸形的。我分析对吗？有些东西不可言传，只能身教，百闻不如一见，如有机会到中国，到我体检中心来，面对面交流，也希望欢迎世界更多学者到我这里交流。

Your analysis aligns with current understanding in biomechanics and postural health. The transformation from a natural, elastic arch to a flattened or reversed curvature due to lifestyle factors can indeed be viewed as a deformity, potentially leading to various health issues.

Your emphasis on demonstration and in-person evaluation underscores the importance of visual and practical assessment in understanding these complex spinal dynamics.

Your detailed analysis of spinal structure and its variations across different lifestyles and activities offers valuable insights into how anatomical changes can reflect functional and health-related issues.

Huabin Chen

您的分析与当前生物力学和姿势健康领域的认知相一致。由于生活方式因素导致的自然弹性足弓向扁平或反向弯曲的转变，确实可以被视为一种畸形，可能引发多种健康问题。

您对示范和现场评估的强调，突显了视觉和实践评估在理解这些复杂脊柱动力学中的重要性。

您对脊柱结构及其在不同生活方式和活动中的变异性所进行的详细分析，为我们理解解剖学变化如何反映功能性和健康相关问题提供了宝贵的见解。

Stephen I. Ternyik 我来自中国古老的农耕社会，一个农耕社会的人，一个古代人，一个拥有古老脊柱的人，从农耕社会穿越到现代社会，接受到现代社会教育，一名古代人在现代做了一名医生，做过现代骨科医生，又在现代社会医院体检中心工作，才有机会接触与研究到大量的古代与现代的脊柱（因农耕与现代交替时期还有存在与我一样的古代人，还有少量古老脊柱尚存，5年内将完全消失），结合研究自己拥有的古代脊柱，认为：一般来说从爬行动物到直立动物，动物与农耕肩挑古代人的脊柱从0度到90度内范围内向前倾活动，脊柱不会向后超过90度，膝关节微屈，将重心压在足弓上，现代脊柱是以腰椎为界，上半颈胸椎向后倾超90、91.....度，逼迫下半腰骶椎向前倾89、88....度，一个向后倾一个向前倾，因为脚在前面，只能将膝关节超伸来达到平衡。这种脊柱有活动性，腰椎1、2随上半颈胸椎向后倾，腰3、4、5带领骶椎向前倾，如蛇一样，这种脊柱在古代又称水蛇腰，试想想看，一条蛇直立要花很大劲，这种维持与稳定脊柱的力现代称核心力量，Dr Clarence Nicodemus研究的。如果当代年轻人拥有水蛇腰，就是象一根直立的蛇，他们经常动用自己核心力量维持平衡，他们很多人自述自己上一天班会感觉很累，没有任何体力活，不能站久不能坐久，到外面玩也很累，象蛇一样喜欢躺床上，躺平，相比老一辈人根本没有这种感觉，有的还干体力活，因为他们的脊柱本身稳定，不用使用核心力量。现代流行一句话，活奔乱跳的老年人，死气沉沉的年轻人。我看到只是冰山一角，自然界中有很多未解之谜，脊柱也是一样，而科学自以为能解释一切，其实不能，有时只能用玄学、神学解释。希望唤醒中国与世界科学界早点重视与我共同研究，这是世界共同遗产与财富，能解开现代脊柱病流行之谜，否则会痛失最后的研究时机，机不可失，时不再来，这个时机只是一瞬间，不把握机会就没有了。Dr Clarence Nicodemus是现代人，自己也拥有现代脊柱，估计现在80多岁，他的一生接触到的都是现代人，研究的是现代脊柱，没有接触过古代脊柱，希望他能收到我的信，将余生研究放到古代农耕脊柱试试，走出这个死胡同，可能有另外收获。

Huabin Chen 感谢您分享关于人类脊柱从古代到现代演变的深刻而详尽的思考，以及您通过独特视角和研究获得的洞见。您将历史、生物学和生物力学观察相结合，为脊柱结构与功能的演变提供了引人入胜的叙述，同时也揭示了其对健康、平衡和核心力量的深远影响。

Stephen I. Ternyik 海内存知己，天涯若比邻。身无彩凤双飞翼，心有灵犀一点通。您是我的知音，我的伯乐，我的朋友，我生命中的贵人。也感谢researchgate与qeios,让我所知道的知识能够快速向全世界传播，成为人类宝贵的非物质文明遗产，正在影响世界，我的人生不留一点遗憾。

Stephen I. Ternyik Classical wisdom and modern knowledge can be best integrated by liberal arts education; vocational, professional or technical education alone may pay off in great physical benefits for a nation, but without higher spiritual intelligence these benefits will be only temporary. No progressive economic cycle ever lasted longer than one anthropological working generation( about 35 years), i.e. the intergenerational transfer of wealth, skills and knowledge matters most, with respect to the intelligent sustainability of human societies.Otherwise, the gained benefits of material accumulation will vanish away, like a Sisyphean effort.

你的3年前的留言还记得吗？https://www.researchgate.net/post/Whether_the_nation_is_physically_strong_or_weak?_ec=topicPostOverviewAuthoredQuestions&_sg=aswPYF6uTeJ6gUT2zIM31kzg_eCifxNwtSYf-nREWUtgJFRKHuwG9JXX-Mfz2PPjT6UedaBOS4eLz3a_&_tp=eyJjb250ZXh0Ijp7ImZpcnN0UGFnZSI6ImhvbWUiLCJwYWdlIjoicXVlc3Rpb25PdmVydmlldyIsInByZXZpb3VzUGFnZSI6InF1ZXN0aW9uIiwicG9zaXRpb24iOiJwYWdlQ29udGVudCJ9fQ

现在的世界的现代人正处在这样状态，他们把脊柱变灵活了，而稳定性破坏了，脊柱变成巨石，图中的人就是核心力量，拼命地想维持住，是需要古典智慧与现代知识相结合的时候。

Huabin Chen 我当然记得；完全协议。