陈渭良基于脾虚伏瘀理论治疗老年性腰椎间盘突出症的临床经验  

Summary of Chen Weiliang's clinical experience in the treatment of senile lumbar intervertebral disc herniation based on the theory of volatile stasis based on spleen deficiency

作　　者：陈科 何沛聪 林梅[1] 陈逊文[1] 谢学文[1] CHEN Ke;HE Peicong;LIN Mei(Foshan Hospital of Traditional Chinese Medicine,Guangzhou University of Traditional Chinese Medicine,Foshan,Guangdong 528000,China)

机构地区：[1]广州中医药大学附属第八临床医学院/佛山市中医院,广东佛山528000

出　　处：《四川中医》2025年第2期32-35,共4页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：总结陈渭良教授基于脾虚伏瘀理论治疗老年性腰椎间盘突出症的临床经验。根据老年性疾病的发病特点,认为脾虚伏瘀为主要病机,以其久病之后脏腑、经络皆可受邪而导致腰腿痛等症状出现,陈渭良教授在长期临证经验及参考《脾胃论》的辨证思路,提出老年性腰椎间盘突出症应当以健脾和胃、起瘀透邪、疏通经络为主要治法,以全身气血阴阳平衡为核心,兼以补肝肾、温阳、滋阴等,以期补益通络止痛。To summarise the clinical experience of Professor Chen Weiliang in the treatment of geriatric lumbar intervertebral disc herniation based on the theory of spleen deficiency and blood stasis.According to the characteristics of geriatric diseases,it is believed that spleen deficiency and stasis is the main pathogenesis,and the organs and meridians can be subjected to evils after prolonged illnesses,leading to lumbar and leg pain and other symptoms,Professor Chen Weiliang,based on his long-term experience in clinical diagnosis and reference to the“Treatise on the Spleen and Stomach”,proposes that geriatric lumbar intervertebral disc herniation should be treated by strengthening the spleen and stomach,activating stasis and transmitting evils,and dredging the meridians and channels.The main treatment should be tonifying the liver and kidney,warming the yang and nourishing the yin,with a view to tonifying the collaterals and relieving pain.

关 键 词：脾虚伏瘀 老年性 腰椎间盘突出症 

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