邓运明教授治疗腰痛经验撷菁  

Experience of Professor Deng Yunming in the Treatment of Low Back Pain

作　　者：程凌 熊伟[2] 李华南 邓昌茂 邵子晨 邓运明 CHENG Ling;XIONG Wei;LI Hua’nan;DENG Changmao;SHAO Zichen;DENG Yunming(Clinical Medicine School,Jiangxi University of Chinese Medicine,Jiangxi Province,Nanchang 330006,China;Department of Rehabilitation Medicine,Nanchang Hongdu Hospital of Traditional Chinese Medicine,Jiangxi Province,Nanchang 330000,China;Department of Orthopedics,Affiliated Hospital of Jiangxi University of Chinese Medicine,Jiangxi Province,Nanchang 330006,China)

机构地区：[1]江西中医药大学临床医学院,江西南昌330006 [2]南昌市洪都中医院康复医学科,江西南昌330000 [3]江西省中医药大学附属医院骨科,江西南昌330006

出　　处：《中国中医药现代远程教育》2024年第4期64-66,117,共4页Chinese Medicine Modern Distance Education of China

基　　金：江西省中医药管理局第二届国医名师邓运明名医工作室建设项目【No.赣中医药综合字[2021]12号】;国家中医药管理局第四批全国中医(临床、基础)优秀人才研修项目【No.国中医药人教发[2017]24号】;江西省卫生健康委科技计划项目【No.202130567】;江西省中医药管理局科技计划项目【No.2020B0333】;国家中医药管理局全国名老中医药专家传承工作室项目【No.国中医药人教函[2012]149号】;国家级大学生创新创业训练计划项目【No.CXTD22011】。

摘　　要：腰痛是现代社会最常见的慢性病,病程长,反复发作,给患者工作生活造成很大影响。邓运明教授是当代旴江骨伤名家,诊治腰痛独具一格。他认为当代腰痛之人,虚实异于古人,为中道失衡,谓之“失中”;诊断腰痛之时,应辨证寻因,避免被虚实表象所迷惑,当剖析疾病虚实之本质,以恢复中道为治疗要点,使患者中正平和、阴阳平衡、正气周流。邓教授提出“内治肝脾肾,外治筋骨肌,内外同治,法求致中”的腰痛治疗原则,拟定补肾健脾汤,主要调理肝脾肾三脏,以求内脏致中;改良“字门”伤科推拿术,以字门穴位为推拿点按要点,强调经络调和、筋骨致中;创新字门功法,以字门桩法、拧腰转胯等练功之法固本培元;将用药、手法、练功相结合,以恢复腰痛患者的中正平和为治疗目标。Low back pain is the most common chronic disease in modern society,with a long course of disease and repeated attacks,which has a great impact on the work and life of patients.Professor Deng Yunming is a contemporary bone injury prestigious doctor,and has a unique style in the diagnosis and treatment of lumbago.Professor Deng Yunming thinks that the contemporary people with low back pain are different from the ancients in their deficiency and reality.When diagnosing low back pain,it should look for the cause of syndrome differentiation,avoid being confused by the appearance of deficiency and reality,analyze the essence of disease deficiency and reality,and restore the middle way as the treatment point,so that the patient is mild,yin and yang balance,and healthy qi flow around.Professor Deng put forward the principle of low back pain treatment of“internal treatment of liver,spleen and kidney,external treatment of muscles and bones,internal and external treatment,the method to achieve the middle”,and formulated Bushen Jianpi decoction,mainly regulating the three viscera of liver,spleen and kidney,in order to achieve the middle of internal organs,improved“Zimen”traumatology massage,with Zimen acupoints as massage points according to the key points,emphasizing the meridians harmonization,tendons and bones in the middle,innovative word gate exercise method,with Zimen method,twisting waist and turning hip practice method to consolidate the body resistance.The goal of treatment is to restore the mild of patients with low back pain by combining medication,manipulation and exercise.

关 键 词：腰痛 补肾健脾汤 字门拳 名医经验 旴江医学流派 邓运明 骨伤科 

分 类 号：R249[医药卫生—中医临床基础] R274.9[医药卫生—中医学]