[1]李 吉,杨 进,白小军,等.名中医李彦民治疗腰椎间盘突出症经验[J].陕西中医,2023,(8):1129-1132.[doi:DOI:10.3969/j.issn.1000-7369.2023.08.031]
 LI Ji,YANG Jin,BAI Xiaojun,et al.Li Yanmin's experience in treating lumbar intervertebral disc herniation[J].,2023,(8):1129-1132.[doi:DOI:10.3969/j.issn.1000-7369.2023.08.031]
点击复制

名中医李彦民治疗腰椎间盘突出症经验
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2023年8期
页码:
1129-1132
栏目:
名中医经验
出版日期:
2023-08-05

文章信息/Info

Title:
Li Yanmin's experience in treating lumbar intervertebral disc herniation
作者:
李 吉1杨 进2白小军1FRANCOIS Pan1(加拿大)杨 锋12
(1.陕西中医药大学,陕西 咸阳 712046; 2.陕西中医药大学附属医院,陕西 咸阳 712000)
Author(s):
LI JiYANG JinBAI XiaojunFRANCOIS PanYANG Feng
(Shaanxi University of Traditional Chinese Medicine,Xianyang 712046,China)
关键词:
腰椎间盘突出症 通络除痹 黄牛白龙汤 舒筋活络方 络脉痹阻 李彦民
Keywords:
Lumbar intervertebral disc herniation Tongluo Chubi Huangniu Bailong decoction Shujin Huoluo recipe Ligament paralysis Li Yanmin
分类号:
R 681.53
DOI:
DOI:10.3969/j.issn.1000-7369.2023.08.031
文献标志码:
A
摘要:
腰椎间盘突出症是骨科常见病、多发病,病程较久,严重影响患者生活质量。李彦民主任医师认为络脉痹阻是腰椎间盘突出症的总病机,临床可运用“通络除痹法”治疗腰椎间盘突出症,在选方用药中多添加藤类药、虫类药和辛香通络药,自拟黄牛白龙汤和舒筋活络方内外结合治疗,疗效显著。在服用药物治疗的同时,李彦民主任医师强调整体调摄,筋骨并重,自创了五步理筋手法。文章通过系统整理李彦民主任医师对腰椎间盘突出症病因病机、辨证论治、理法方药、典型病例等方面的临证资料,归纳分析其运用“通络除痹法”治疗腰椎间盘突出症特色诊疗思路和学术观点。
Abstract:
Lumbar intervertebral disc herniation is a common and frequent disease in orthopedics,with a long course,which seriously affects the quality of life of middle-aged and elderly people.Chief physician Li Yanmin believes that the paralysis of the ligaments is the general pathogenesis of lumbar intervertebral disc herniation,and treats lumbar intervertebral disc herniation with the “Tongluo Chubi method”,adding vine,worm and pungent aromatic herbs to the prescriptions.Chief physician Li Yanmin selected self-designed Huangniu Bailong decoction and Shujin Huoluo prescription for the treatment of lumbar intervertebral disc herniation,and the internal and external combined treatment has remarkable effect.While taking medication,Dr.Li Yanmin emphasizes the overall regulation and pay equal attention to bone and flesh,and has created five-step tendon manipulation.In this article,through systematically collating the clinical data of Dr.Li Yanmin on the etiology and pathogenesis of lumbar intervertebral disc herniation,diagnosis and treatment,methods and prescriptions,and typical cases,the article summarizes and analyzes his characteristic treatment ideas and academic views on the treatment of lumbar intervertebral disc herniation with the “Tongluo Chubi method”.

参考文献/References:

[1] 中华医学会疼痛学分会脊柱源性疼痛学组.腰椎间盘突出症诊疗中国疼痛专家共识[J].中国疼痛医学杂志,2020,26(1):2-6.
[2] 崔学军,梁倩倩.腰椎间盘突出症中西医结合诊疗专家共识[J].世界中医药,2023,18(7):945-952.
[3] 孔 博,颜 威,刘素君,等.腰椎间盘突出症非药物保守治疗的研究进展[J].上海中医药杂志,2022,56(4):97-101.
[4] 李俊龙,周 景,刘斯文,等.中医外治法在腰椎间盘突出症急性期的应用进展[J].陕西中医,2019,40(8):1145-1147,1152.
[5] 吴 午,谢宝强,曹 卓,等.经皮内镜治疗腰椎间盘突出症临床疗效[J].陕西医学杂志,2022,51(1):33-36,47.
[6] 方锋助,牒 军,李展奇,等.经皮椎间孔镜椎间盘切除术治疗腰椎间盘突出症复发情况及影响因素分析[J].陕西医学杂志,2021,50(3):297-300.
[7] 李慧辉,鲁光钱.加减五福饮辅治腰椎间盘突出症术后残留腰腿疼临床疗效[J].浙江中西医结合杂志,2022,32(8):730-731.
[8] 张冲锋,李现林,彭卫兵,等.中药、针刺、灸法和推拿等中医疗法治疗血瘀型腰椎间盘突出症的网状Meta分析[J].中国组织工程研究,2021,25(17):2781-2788.
[9] 刘艳平,李引刚,王彦辉,等.四生通络贴膏治疗寒凝血瘀型腰椎间盘突出症60例[J].陕西中医,2018,39(9):1263-1265.
[10] 李满意,娄玉钤.偏痹的源流及历史文献复习[J].风湿病与关节炎,2017,6(11):55-57.
[11] 吴以岭.络病学[M].2版.北京:中国中医药出版社,2017:8.
[12] 李孝刚.叶天士络病新议[J].中国中医基础医学杂志,2002,8(7):72-74.
[13] 吴以岭.气络学说论——《气络论》序[J].疑难病杂志,2018,17(2),184-186.
[14] 陈志芬,韦成玉,陈广辉,等.中药内服治疗腰椎间盘突出症常用方的选择策略[J].临床医学研究与实践,2022,7(14):188-190.
[15] 郑洪新,杨 柱.中医基础理论[M].11版.北京:中国中医药出版社,2021:150-155.
[16] 孙智平,张 妮,李彦民.名中医李彦民治疗腰椎间盘突出症专方“黄牛白龙汤”组方研究[J].陕西中医药大学学报,2018,41(6):39-41.
[17] 杨 锋,李文雄,杨 进,等.名中医李彦民教授运用通络法治疗慢性筋骨病的经验[J].中国中医骨伤科杂志,2020,28(10):83-84.
[18] 黄委委,杨 锋,李彦民.李彦民治疗强直性脊柱炎经验浅谈[J].中国中医骨伤科杂志,2019,27(7):78-80.
[19] 赵文勇,雷雨欣,孙智平,等.李彦民治疗膝骨关节炎经验撷萃[J].陕西中医,2022,43(12):1784-1786.
[20] 陈斐斐,李亚楠,韩小康,等.李彦民教授诊治跟痛症临床经验[J].风湿病与关节炎,2022,11(9):36-39.
[21] 关健斌,杨利学.舒筋活络洗剂熏洗配合刺络放血法治疗网球肘44例[J].实用妇科内分泌杂志:电子版,2017,4(35):167-168.
[22] 马志伟,王佩瑶,张 伟.强肾通督针法联合腰腹肌运动疗法治疗腰椎间盘突出症43例[J].湖南中医杂志,2023,39(6):79-81,110.
[23] 倪 蒙,张建涛,谢婉洁,等.腰背肌康复训练联合脊柱微调手法对腰椎间盘突出症患者功能康复、血液流变学和生活质量的影响[J].现代生物医学进展,2023,23(10):1866-1870.(收稿:2023-04-21)

相似文献/References:

[1]王权亮,高根建,杨 勇.搓飞针刺手法治疗急性腰椎间盘突出症疗效评价及机制研究*[J].陕西中医,2019,(1):116.
[2]肖 伟,龚明发,向文海,等.肌筋膜松弛术结合针灸治疗腰椎间盘突出症临床研究*[J].陕西中医,2019,(7):902.
[3]李道通,毛书歌.手法整骨复位结合中医定向透药疗法治疗腰椎间盘突出症疗效研究*[J].陕西中医,2019,(8):1077.
 LI Daotong,MAO Shuge..Therapeutic effect of manual orthopedic reduction combined with traditional Chinese medicine directed drug therapy for lumbar disc herniation[J].,2019,(8):1077.
[4]陈天良,练子荣,陈博来△,等.针灸治疗经皮椎间孔镜治疗腰椎间盘突出症术后残余症状临床研究[J].陕西中医,2019,(8):1138.
[5]李俊龙,周 景,刘斯文,等.中医外治法在腰椎间盘突出症急性期的应用进展*[J].陕西中医,2019,(8):1145.
 LI Junlong,ZHOU Jing,LIU Siwen,et al.Clinical research progress of external therapy of TCM for acute lumbar disc herniation[J].,2019,(8):1145.
[6]王 雷,郭运岭,王 壮,等.“柔筋调脊”针法治疗腰椎间盘突出症所致慢性腰腿痛疗效研究*[J].陕西中医,2019,(10):1464.
 WANG Lei,GUO Yunling,WANG Zhuang,et al.Observation of the clinical effects on chronic lumbar and leg pain caused by lumbar disc herniation treated with soft muscle and adjust spine acupuncture[J].,2019,(8):1464.
[7]周锡奎,高璟△,徐东华.针刺联合麻黄附子细辛汤加味治疗腰椎间盘突出症临床研究[J].陕西中医,2019,(11):1627.
 ZHOU Xikui,GAO Jing,XU Donghua..Clinical study on treatment of lumbar intervertebral disc herniation with acupuncture combined with Mahuang Fuzi Xixin decoction[J].,2019,(8):1627.
[8]王智群,刘汝专△,张 磊,等.桃红四物汤联合经皮椎间孔镜治疗腰椎间盘突出症疗效研究*[J].陕西中医,2019,(12):1676.
 WANG Zhiqun,LIU Ruzhuan,ZHANG Lei,et al.Clinical study on the treatment of lumbar disc herniation with Taohong Siwu decoction combined with percutaneous endoscopic transluminal discectomy[J].,2019,(8):1676.
[9]刘晶晶,许晓爽,赵 婧,等.独活续断汤辅助治疗老年腰椎间盘突出症疗效〖JZ〗及对患者血清代谢组学的影响*[J].陕西中医,2020,(1):76.
[10]王远庆,吴耀持.超微针刀网点状松解法对腰椎间盘突出症患者VAS评分和JOA腰椎疾患评分的影响[J].陕西中医,2020,(4):541.
 WANG Yuanqing,WU Yaochi..The effect of ultra fine needle knife on VAS score and JOA lumbar disease score in patients with lumbar disc herniation[J].,2020,(8):541.

备注/Memo

备注/Memo:
基金项目:陕西省科技厅社会发展领域一般项目(2023-YBSF-210); 陕西省教育厅重点科研计划项目(22JZ034)
更新日期/Last Update: 2023-08-10