[关键词]
[摘要]
慢性非特异性腰痛主要临床表现为肋缘以下、臀横纹以上、两侧腋中线之间部位的疼痛,且病情持续12周以上,该 病归属于中医学“腰痛”的范畴。林创坚教授根据多年的临床经验,认为岭南地区慢性非特异性腰痛的病机特点多为风湿 痹阻兼肝肾亏虚,临床运用针刺疗法结合经验方“补肾蠲痹方”(由独活、桑寄生、杜仲、牛膝、当归、白芍、木瓜、威灵 仙、白芷、秦艽组成)随证加减,配合指导患者加强核心肌群的功能锻炼,可防治统一,达到更好的临床疗效。
[Key word]
[Abstract]
Chronic nonspecific low back pain (NLBP) is clinically characterized by pain in the area below the costal margin,above the gluteal fold,and between the midaxillary lines,persisting for more than 12 weeks. This condition falls under the category of "low back pain" in traditional Chinese medicine. Based on years of clinical experience,Professor Lin Chuangjian posits that the pathogenesis of chronic non-specific low back pain in the Lingnan region is predominantly characterized by obstruction due to wind-dampness complicated by depletion of the liver and kidney. In clinical practice,he employs acupuncture therapy combined with the empirical formula “Bushen Juanbi Formula”(composed of Angelicae Pubescentis Radix, Taxilli Herba, Eucommiae Cortex, Achyranthis Bidentatae Radix, Angelicae Sinensis Radix, Paeoniae Radix Alba, Chaenomelis Fructus, Clematidis Radix et Rhizoma,Angelicae Dahuricae Radix,Gentianae Macrophyllae Radix),with modifications based on syndrome differentiation. This is combined with instructing patients to strengthen functional exercise of the core muscle groups,thereby integrating prevention with treatment to achieve better clinical efficacy.
[中图分类号]
R246.9
[基金项目]
国家中医药管理局第七批全国老中医药专家学术经验继承工作资助项目(编号:国中医药人教函〔2022〕76号);广东省中医药局 医疗卫生健康事业发展资助项目(粤中医办函 〔2018〕5号)