基于肝肾理论探讨腰椎间盘突出症  

A discussion of the treatment of lumbar intervertebral disc prolapse based on the theory of liver and kidney

作　　者：郝小刚[1] 周国徽 闫宏旭 张鹏飞 李向欣[1] 李跃飞[1] HAO Xiaogang;ZHOU Guohui;YAN Hongxu;ZHANG Pengfei;LI Xiangxin;LI Yuefei(The Affi liated Hospital of Changchun University of Chinese Medicine,Changchun 130021,China)

机构地区：[1]长春中医药大学附属医院,长春130021

出　　处：《吉林中医药》2021年第11期1412-1415,共4页Jilin Journal of Chinese Medicine

基　　金：吉林省中医药管理局中医药科技项目(2019024)。

摘　　要：中医学认为肝肾的功能正常与否在腰椎肌肉关节的屈伸活动、转侧运动及持久力的保持中起着关键的作用。肝藏血,在体合筋,肝正常贮存血液,肝血才能滋养筋膜,保证人体肌肉关节运动有力;肾藏精,主骨生髓,只有保证肾精充足,使骨髓发育正常,才能供给骨骼生长所需的能量。肝主筋,肝与筋有关,腰与筋也有关,因此腰痛与肝密切相关。腰痛的发病与肝气血是否衰少、筋脉能否正常濡养有着重要的关系。肾之府在腰,说明腰与肾关系密切,腰椎是否发病与肾有直接关系。因此,腰痛病位虽在腰部筋骨,根本却源于肝肾,在治疗上从补肝肾入手,合理辨证论治,把握整体观念,“补肝肾、强筋骨”治则贯穿于腰痛的治疗。In traditional Chinese medicine,it is considered that the normal function of liver and kidney plays a key role in the flexion and extension activity,lateral movement and maintenance of endurance of lumbar muscles and joints.The liver stores blood and dominates the fascia in the body.Only when the liver normally stores blood can the liver blood nourish the fascia to ensure the muscles and joints to move with strength.The kidney stores essence and dominates bones to generate marrow.Only by ensuring that the kidney essence is suffi cient and the bone marrow develops normally can the energy required for bone growth be supplied.The liver governs the tendons,and both the liver and the waist are related to the tendons.Therefore,the occurrence of the lumbago is primarily due to the decreased level of liver qi and blood and the insuffi cient nourishment for fascia.It can be seen from the waist is the house of the kidney that the waist is closely related to the kidney and the lumbar disease is directly related to the kidney.Therefore,although the disease location of low back pain is in the waist muscles and bones,its root cause lies in the malfunction of the liver and kidney.As a consequence,based on syndrome diff erentiation and the concept of holism,the treatment of lumbago should start with tonifying the liver and kidney and stick to the principle of“tonifying the liver and kidney,strengthening the muscles and bones”.

关 键 词：肝肾 肝主筋 肾主骨 腰痛 腰椎间盘突出症 

分 类 号：R274.9[医药卫生—中西医结合]