浅论五脏皆能令人腰痛,非独肾也  

Discussion on "Five zang-organs all can lead to low back pain, not only the kidney"

作　　者：耿晓萱 陈晟[1] GENG Xiaoxuan;CHEN Sheng(Department of Acupuncture and Moxibustion,Dongzhimen Hospital of Beijing University of CM,Beijing 100700,China)

机构地区：[1]北京中医药大学东直门医院针灸科,北京100700

出　　处：《中国针灸》2024年第2期204-208,共5页Chinese Acupuncture & Moxibustion

摘　　要：腰痛作为针灸科常见病,临床多以肾虚论治。笔者基于临床实践观察并结合古典医籍文献提出五脏均可导致内伤腰痛,并结合典型病例阐述五脏所致腰痛各自的疼痛性质和鉴别要点。发于肝之腰痛,多以酸痛、胀痛为主,可伴腰部俯仰受限;起于心、肺之腰痛,以空痛为主,局部有乏力、空虚感;源于脾之腰痛,以肌肉痛为主,患处沉重酸困,触诊局部僵硬;本于肾之腰痛,以隐痛为主,病位较深,多位于腰骶附近。Low back pain(LBP) is the common disease in the department of acupuncture and moxibustion in hospital and is treated basically in terms of kidney deficiency. Through clinical observation and in association with classic literature,the authors proposes that the five zang-organs all can lead to LBP relevant to internal injury. Based on the analysis of typical cases, the authors expounds the nature of pain caused by each zang-organ and clarified the keys of the differentiation. LBP related to the liver is manifested mainly as lumbar soreness and distending pain, accompanied by the limited forward and backward extension of the lumbar vertebra. When the dysfunction of the heart and lung are involved, the hollow pain is dominant, combined with the weakness and emptiness feeling in the lumbar region. When LBP is caused by the dysfunction of the spleen, muscular pain is the chief complaint, combined with heaviness and soreness in the local, and the stiffness on palpation. When rooted at the kidney, LBP is manifested chiefly by dull pain, with deep location of illness, mostly around the lumbar sacral region.

关 键 词：腰痛 针刺 五脏 肝 心 肺 脾 肾 

分 类 号：R274[医药卫生—中医骨伤科学]