金中梁辨证论治脊柱疾病的临证经验  

Clinical Experience of Jin Zhongliang's Syndrome Differentiation and Treatment of Spinal Diseases

作　　者：朱学鑫 韩铝洲 ZHU Xuexin;HAN Lüzhou(Yuyao Hospital of Traditional Chinese Medicine,Yuyao 315400,Zhejiang China)

机构地区：[1]余姚市中医医院,浙江余姚315400

出　　处：《中国中医骨伤科杂志》2025年第2期91-93,共3页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：浙江省中医药科技计划项目(2020ZB237,2024ZF138)。

摘　　要：名老中医金中梁先生在治疗脊柱疾病中基于部位辨证理论,将常见脊柱疾病分为上部(颈)、中部(胸)、下部(腰骶尾)进行辨证论治;上部易受风邪侵袭,风为阳邪,易袭阳位,表现为颈肩部游走性疼痛,痛无定处,治则以活血祛风、温补肝肾、通络止痛为主;中部发病与情志密切相关,多因情志不畅导致气郁,气郁日久而化火,常表现为胸背、胸胁胀痛不舒,症状会随情志变化而增减,治则以疏肝行气、温补肾阳、活血止痛为主;下部易被寒湿之邪所伤,表现为腰骶部重着酸痛,病程绵长,反复发作,症状得温可缓,遇寒加重,治则以散寒除湿止痛、温经通络、滋补肝肾为主。Jin Zhongliang,a well-known practitioner of traditional Chinese medicine,utilizes the theory of differentiation based on location to address spinal diseases.He classifies these conditions into three categories:upper(cervical),middle(thoracic),and lower(lumbar,sacral,and coccygeal)regions for both diagnosis and treatment.The upper region is particularly susceptible to wind pathogens,which are Yang pathogens that tend to target Yang areas,resulting in wandering pain in the neck and shoulders that lacks a fixed location.The treatment approach here aims to invigorate blood circulation,dispel wind,warm and tonify the liver and kidneys,and unblock channels to alleviate pain.The middle region's issues are often linked to emotional factors,where emotional stagnation can lead to Qi stagnation that eventually transforms into heat.Patients typically experience discomfort and pain in the chest and back,with symptoms fluctuating according to their emotional state.The treatment strategy focuses on soothing the liver,promoting the flow of Qi,warming and tonifying kidney Yang,and invigorating blood to relieve pain.In the lower region,cold and damp pathogens can easily cause harm,leading to heavy,aching pain in the lumbar and sacral areas,often with a prolonged course and recurrent episodes.Symptoms may improve with warmth but tend to worsen in cold conditions.The treatment principle for this area emphasizes dispelling cold,eliminating dampness,relieving pain,warming the meridians,and nourishing the liver and kidneys.

关 键 词：金中梁 部位辨证 脊柱疾病 经验总结 

分 类 号：R681.5[医药卫生—骨科学]