传统中医“骨歪”认识溯源及其对非特异性腰痛潜在发病原因启示  

A Review of“Guwai”in Chinese Medicine and An Exploration of Its Association with Non-specific Lower Back Pain as A Potential Cause

作　　者：高明月 朱立国[1] 荣光 朱波 GAO Mingyue;ZHU Liguo;RONG Guang;ZHU Bo(Wangjing Hospital of Chinese Academy of Science,Beijing 100102,China;Beijing City University,Beijing 100083,China;Mingyue Tang Medical Research Institute,Beijing 101516,China)

机构地区：[1]中国中医科学院望京医院,北京100102 [2]北京城市学院,北京100083 [3]明月堂医学研究院,北京101516

出　　处：《辽宁中医药大学学报》2018年第10期130-133,共4页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(81674005);国家中医药管理局中医药行业科研专项项目(201107004)

摘　　要：该文首先梳理传统中医伤科对＂骨歪＂的认识,通过对＂骨歪＂之病名出处、含义、与之相关的伤科用语及治疗方法进行理论溯源,得出中医＂骨歪＂是一个复杂的综合体,具有前、后、左、右、旋等更立体的内涵,并结合现代医学对非特异性腰痛的研究现状,进而分析得出中医＂骨歪＂与非特异性腰痛之间具有潜在的相关性。但现代医学对非特异性腰痛和中医＂骨歪＂理论的研究尚存在诸多不足之处,故文末提出未来中医＂骨歪＂致病因素的临床研究思路,为进一步开展非特异性腰痛传统中医治疗方案的制定与临床研究奠定了坚实的理论基础,具有一定的指导意义。In this paper,the theory of traditional Chinese traumatology was systematically reviewed. On this basis,the concept＂Guwai＂was made clear with respect to its origin,connotation,relevant terminologies and treatment. One important conclusion is Guwai,as a complicated whole,may involve either forwards,backwards,leftwards or rightwards,or even several or all of them. This idea,referring to modern medicine＇s present knowledge of non-specific lower back pain（NSLBP）,points to the potential association between Guwai and NSLBP. However,the insufficiently studied NSLBP and Guwai still leaves some unsolved postulations that hinders establishing of the association. To make up it,we proposed a series of approaches and ideas in designing clinical studies focusing on inspecting Guwai as a risk factor of NSLBP,hoping this may contribute to a set of clinically proven traditional Chinese therapy guidelines in dealing with NSLBP.

关 键 词：非特异性腰痛 中医 骨歪 致病因素 

分 类 号：R681.55[医药卫生—骨科学]