王宏坤治疗腰椎间盘突出症经验药对  

Wang Hongkun′s Experience in Treating Lumbar Disc Herniation with Empirical Paired Drugs

作　　者：刘光华[1] 王子华[2] 傅文[2] 任博文[3] 史兰 史栋梁[3] LIU Guanghua;WANG Zihua;FU Wen;REN Bowen;SHI Lan;SHI Dongliang(Henan University of Chinese Medicine,Zhengzhou Henan China 450046;The First Affiliated Hospital to Henan University of Chinese Medicine,Zhengzhou Henan China 450000;The Second Affiliated Hospital to Henan University of Chinese Medicine/Henan Province Hospital of Chinese Medicine,Zhengzhou Henan China 450002)

机构地区：[1]河南中医药大学,河南郑州450046 [2]河南中医药大学第一附属医院,河南郑州450000 [3]河南中医药大学第二附属医院/河南省中医院,河南郑州450002

出　　处：《中医学报》2024年第7期1503-1508,共6页Acta Chinese Medicine

基　　金：河南省卫生健康委员会国家中医临床研究基地科研专项项目(2021JDZX2096,2022JDZX105);河南省中医药科学研究专项课题项目(2022ZY2029,2023ZY2065)。

摘　　要：腰椎间盘突出症的病因病机可概括为肝肾亏虚、感受外邪、瘀血阻滞,治以补益肝肾、强壮筋骨、活血化瘀、疏通经络、行气止痛为重,兼顾健脾燥湿。王宏坤教授基于本病的病因病机特点标本兼治,内外并调,巧用药对:牛膝-补骨脂、杜仲-桑寄生补肝肾、强筋骨;香附-丹参活血行气;羌活-独活祛风除湿止痛;茯苓-白术健脾燥湿行气;桃仁-红花活血化瘀、通经止痛。The etiology and pathogenesis of lumbar disc herniation(LDH)can be summarized as Liver and Kidney deficiency,external pathogenic factor intrusion,as well as blood stasis obstruction and stagnation.The disease can be treated with TCM methods mainly including enriching and tonifying the Liver and Kidney,strengthening sinews and invigorating bones,activating blood and resolving stasis,unblocking meridians regulating Qi to stop pain as well as fortifying the Spleen to drying Dampness.Based on the etiology and pathogenesis,Professor Wang Hongkun simultaneously treats the tip and root of the disease,considering the internal and external cause,and uses the following paired drugs:Niuxi(Achyranthis Bidentatae Radix)-Buguzhi(Psoraleae Fructus)and Duzhong(Eucommiae Cortex)-Sangjisheng(Taxilli Herba)enriching and tonifying the Liver and Kidney,strengthening sinews and invigorating bones,Xiangfu(Cyperi Rhizoma)-Danshen(Salviae Miltiorrhizae Radix et Rhizoma)activating Blood and regulating Qi,Qianghuo(Notopterygii Rhizoma et Radix)-Duhuo(Angelicae Pubescentis Radix)dispelling Wind and Dampness to stop pain,Fuling(Poria)-Baizhu(Atractylodis Macrocephalae Rhizoma)fortifying the Spleen to drying Dampness and regulating Qi,Taoren(Persicae Semen)-Honghua(Carthami Flos)activating blood and resolving stasis as well as unblocking meridians to stop the pain.

关 键 词：腰椎间盘突出症 药对 王宏坤 

分 类 号：R249.27[医药卫生—中医临床基础]