高景华运用引火汤加减治疗退行性腰椎疾病临床经验  

GAO Jing-hua's Clinical Experience in Treating Degenerative Lumbar Disease with Yinhuo Decoction

作　　者：柳博文 王宝剑 杨克新[2] 高春雨[2] 唐广君 高景华[2] LIU Bo-wen;WANG Bao-jian;YANG Ke-xin;GAO Chun-yu;TANG Guang-jun;GAO Jing-hua(Beijing University of Chinese Medicine,Beijing 100029,China;Wangjing hospital,China Academy of Chinese medical Sciences,Beijing 100102,China)

机构地区：[1]北京中医药大学,北京100029 [2]中国中医科学院望京医院,北京100102

出　　处：《中国中医基础医学杂志》2022年第3期478-481,共4页JOURNAL OF BASIC CHINESE MEDICINE

基　　金：北京市中医药科技发展资金项目(JJ-2020-72)-基于“阳化气”理论评价转腰汤治疗退行性腰椎管狭窄症的临床疗效。

摘　　要：高景华教授擅长应用中药、手法等多种疗法治疗退行性腰椎疾病。退行性腰椎疾病属于中医慢性筋骨病范畴,包括腰椎间盘突出症、退行性腰椎管狭窄症、退行性脊柱侧凸症等,多见于中老年患者。在治疗该病的过程中,高景华教授发现部分患者具有“肝肾亏虚、虚火上炎”的证候特点。文章通过阐述该类患者的主症和兼症并分析其病机,即肝肾阴阳皆亏,阴虚为重,致相火不能内守,浮越于外,结合病机确定滋补肝肾、引火归原的治法,明确组方思路,滋阴壮水的同时引火归元兼顾阳气不足、厚土以敛火,主张运用《辨证录》中的引火汤加减治疗此证,通过几则临床医案拟对其临证经验进行总结,以期为中医药治疗退行性腰椎疾病提供新的思路。Professor GAO Jing-hua is good at using traditional Chinese medicine,manipulation and other therapies to treat degenerative lumbar diseases.Degenerative lumbar disease belongs to the category of chronic skeletal disease of traditional Chinese medicine,which is more common in middle-aged and elderly patients,including lumbar disc herniation,degenerative lumbar spinal stenosis,degenerative scoliosis,etc.In the process of treatment of the disease,Professor GAO Jing-hua found that some patients have the characteristics of"deficiency of liver and kidney,deficiency of fire on inflammation".This paper expounds the main symptoms and concurrent symptoms of this kind of patients,and analyzes their pathogenesis,that is,the Yin and Yang of liver and kidney are deficient,but the Yin deficiency is more serious,causing ministerial fire can not be kept inside,but floating outside.Combined with pathogenesis,the treatment is to nourish the liver and kidney and guide fire to original.The prescription ideas include:adding warm Yang medicine to nourish Yin medicine,taking into account the fire failure of Mingmen,thick earth and astringent fire.Professor GAO advocated using“Yinhuo Decoction”,which was created in Bian Zheng Lu.This article intends to summarize Professor GAO Jing-hua's clinical experience in order to provide a new idea for the treatment of degenerative lumbar disease with traditional Chinese medicine.

关 键 词：退行性腰椎疾病 临床经验 引火汤 

分 类 号：R274.34[医药卫生—中医骨伤科学]