基于伏邪理论探讨顽固性腰痛的病因病机及治疗  

To Explore the Etiology,Pathogenesis and Treatment of Intractable Lumbago Based on Latent Evil Theory

作　　者：唐嫄 贺立娟[1] 高阳 王嘉麟[1] 王耀华 孙冉冉 李悦 王祁 张文 李湛 张东 TANG Yuan;HE Lijuan;GAO Yang;WANG Jialin;WANG Yaohua;SUN Ranran;LI Yue;WANG Qi;ZHANG Wen;LI Zhan;ZHANG Dong(Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China)

机构地区：[1]北京中医药大学东方医院,北京100078

出　　处：《中国中医骨伤科杂志》2025年第3期93-96,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：中国中医药研究促进会项目([2022]30号)。

摘　　要：顽固性腰痛是一类反复发作、缠绵难愈的腰痛疾患,其发病与伏邪致病相似。本文从伏邪的角度阐述了该病的发病特点、病因病机及治疗,认为本病因肾虚致外邪内伏或伏邪内生,在外感邪气的逗引下,内外之邪相合,痹阻筋脉,使腰痛发作。治疗上以扶正补虚、祛邪通络为法,强调祛邪要因势利导,分而治之,并重视透邪治疗,以期为临床治疗提供新思路。Intractable lumbago is a kind of recurrent,lingering and difficult to cure lumbago,its onset is similar to latent pathogenic disease.In this paper,the characteristics,etiology,pathogenesis and treatment of the disease are described from the perspective of latent evil.It is believed that the cause of the kidney deficiency causes the external evil inside or inside evil producing.Under the enticement of the external evil,the internal and external evil combine,blocking the muscles and veins,causing the attack of low back pain.In terms of treatment,Fuzheng tonifying deficiency,removing evil and clearing collaterals are the methods,emphasizing that removing evil should be guided by the situation,divided and treated,and paying attention to the treatment of pathogenic agents,in order to provide new ideas for clinical treatment.

关 键 词：顽固性腰痛 伏邪理论 病因病机 透邪 

分 类 号：R681.5[医药卫生—骨科学]