该文总结苏培基教授临床辨治腰腿痛的经验。苏培基教授认为，腰腿痛病变脏腑涉及肝、肾两脏，属本虚标实之证， 以肝肾亏虚、精血不足为本，风寒湿邪外侵、经络瘀阻为标；病理因素主要包含风、寒、湿、瘀、虚。临证运用祛邪与扶 正法治疗腰腿痛时，需根据邪正之盛衰，主张以补肝肾为要，以祛风寒湿、舒经活络为辅；引入络病理论，认为络病虚实 与腰腿痛的发病密切相关。治疗用药自拟舒脊方为基础方（由桑寄生、牛膝、防己、独活、威灵仙、川乌、千斤拔、牛大 力、茯苓、当归、白芍、川芎、鸡血藤、宽筋藤、炙甘草组成），根据风、寒、湿、瘀、虚的偏盛，酌情加减用药，以达到 补肝肾、强筋骨、祛风散寒除湿、舒筋活络之效。

This study summarized Professor Su Peiji’s clinical experience in differenting and treating lumbago and leg pain. He contends that the disease involves the liver and kidney，manifesting as a syndrome of deficiency in origin and excess in superficiality，with liver-kidney deficiency and insufficiency of essence and blood as the root cause， and exogenous wind， cold， and dampness invading the meridians and then causing obstruction as the superficial manifestation. The principal pathological factors include wind，cold，dampness，blood stasis，and deficiency. In clinical practice，he follows the therapeutic principle of expelling pathogens and supporting healthy qi in accordance with the abundance or deficiency of pathogens and healthy qi，takes the therapy of tonifying the liver and kidney as the primary approach， and applies the adjuvant therapies of dispelling wind， cold， and dampness as well as relaxing tendons and activating collaterals. By incorporating the theory of collateral diseases， Professor Su Peiji proposes that the deficiency-excess of collateral diseases is closely related to the onset of lumbago and leg pain. His therapeutic approach centers around Shuji Formula，a self-formulated formula which is composed of Taxilli Herba，Achyranthis Bidentatae Radix，Stephaniae Tetrandrae Radix，Angelicae Pubescentis Radix，Clematidis Radix et Rhizoma，Aconiti Radix Cocta，Flemingiae Radix et Caulis，Millettiae Speciosae Radix， Poria， Angelicae Sinensis Radix， Paeoniae Radix Alba， Chuanxiong Rhizoma， Spatholobi Caulis， Tinosporae sinensis Caulis，and Glycyrrhizae Radix et Rhizoma Praeparata cum Melle. Modified use of herbs was performed according to the predominance of wind，cold，dampness，blood stasis，or deficiency，so as to achieve the effects of tonifying the liver and kidney， strengthening bones and tendons， dispelling wind， cold and dampness，and relaxing tendons and activating collaterals.

R274.9

国家中医药传承创新示范点项目（中府函[2023]95号，中山办学[2023]39号）；国家中医药管理局全国名老中医药专家传承工作室 建设项目（国中医药人教函[2018]134号）