运用傣医经筋理论诊治腰痛经验  

Experience in Diagnosis and Treatment of Low Back Pain by using Meridian and Sinew Theory of Dai Medicine

作　　者：金羽 李长瑾 蔡碧波[2] 王雪梅 JIN Yu;LI Chang-jin;CAI Bi-bo;WANG Xue-mei(Basic Medical College,Yunnan University of Chinese Medicine,Kunming Yunnan 650500,China;The First People's Hospital of Yunnan Province,Kunming Yunnan 650034,China)

机构地区：[1]云南中医药大学基础医学院,云南昆明650500 [2]云南省第一人民医院,云南昆明650034

出　　处：《中医药导报》2022年第4期32-34,共3页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：云南省科技厅科技计划-中医联合面上项目[2018FF001(-027)]。

摘　　要：结合具体临床案例,分析梳理傣医经筋理论及其指导下的腰痛病机、治疗思路。傣医学将腰痛分为风湿性腰痛,腰椎骨质增生、腰椎间盘突出性腰痛,跌打损伤性腰痛,以及慢性腰痛四类,认为腰痛的发病责之“经筋痹阻不通”和“经筋空虚失养”,治疗以清解为先。基于傣医经筋理论,针对不通与失养的情况,分别施以温通气血、调补四塔之法,治疗腰痛效果明显。Combined with specific clinical cases,this paper analyzed and combed the meridian sinew theory of Dai medicine and its pathogenesis and treatment ideas of low back pain under the guidance of Dai medicine.Dai medicine divided low back pain into four categories:rheumatic low back pain,lumbar hyperosteogeny,lumbar disc herniation low back pain,traumatic low back pain,and chronic low back pain.It believed that the pathogenesis of low back pain was due to"obstruction of meridians and sinews"and"deficiency and lack of nourishment of meridians and sinews",and the treatment should based on clearing and resolving frist.Based on the meridian sinew theory of Dai medicine,aiming at the situation of impassability and loss of nourishment,the methods of warming Qi and blood,regulating and supplementing the four tower were applied respectively to treat low back pain with obvious effect.

关 键 词：腰痛 经筋理论 傣医学 腰椎骨质增生 腰椎间盘突出症 跌打损伤 病机 治疗思路 

分 类 号：R291.180.4[医药卫生—民族医学]