| 田雨,吕智桢,陈龙豪,等.从肾督气脉论探讨腰椎间盘突出症的诊疗思路[J].浙江中医药大学学报,2024,48(9):1126-1130. |
| 从肾督气脉论探讨腰椎间盘突出症的诊疗思路 |
| Discussing the Diagnosis and Treatment Ideas of Lumbar Disc Herniation from the Theory of Kidney Governor Qi Pulse |
| DOI：10.16466/j.issn1005-5509.2024.09.009 |
| 中文关键词: 肾 督脉 肾督气脉论 腰椎间盘突出症 肾虚督滞 益肾通督 腰痛 名医经验 |
| 英文关键词: kidney Governing Vessel the theory of kidney governor Qi pulse lumbar disc herniation deficiency of the kidney and stagnation of Governing Vessel benefiting the kidney and passing the Governing Vessel low back pain experience of famous doctors |
| 基金项目:浙江省“尖兵”“领雁”重大研发攻关项目(2022C03123)；国家自然科学基金项目(81774442、82274672)； 浙江省吕立江名老中医专家传承工作室建设项目(GZS2021026)；国家中医药管理局高水平中医药重点学科项目(GJXK2023-85) |
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| 中文摘要: |
| [目的] 从吕立江教授创立的肾督气脉论，探讨腰椎间盘突出症的诊疗思路。[方法] 先分析肾、督脉和脊柱的关系，明确肾和督脉对脊柱的作用，了解肾督气脉论的理论基础；然后基于肾督气脉论分析腰椎间盘突出症的病因病机；最后从不同治疗方法来分析腰椎间盘突出症的治疗原则。[结果] 肾-督脉-脊柱三者之间联系紧密，腰椎间盘突出症的根本病机是肾虚督滞，肾虚则督脉空虚，督滞则督脉阴阳升降失职，气血精津输布不畅，筋骨失养，气脉不通。治则是益肾通督、补益肾气，填充肾精，则督脉充盈，督阳上升，督阴下降，精髓化生，气血精津转输调畅。如此则腰椎稳健，腰肌强壮，经筋通调，气脉顺畅。[结论] 肾督气脉论可以指导腰椎间盘突出症的临床诊疗，益肾通督是治疗腰椎间盘突出症的重要原则，应全程贯穿于腰椎间盘突出症的治疗过程中。 |
| 英文摘要: |
| [Objective] To discuss the diagnosis and treatment of lumbar disc herniation from the theory of kidney governor Qi pulse founded by Professor LYU Lijiang. [Methods] Firstly， analyze the relationship among the kidneys， the Governing Vessel and the spine， clarify the roles of the kidneys and the Governing Vessel on the spine， and understand the theoretical basis of the theory of kidney governor Qi pulse. Then the etiology and pathogenesis of lumbar disc herniation were analyzed based on the theory of kidney governor Qi pulse. Finally， the treatment principles of lumbar disc herniation were analyzed from different treatment methods. [Results] The three elements of kidney-Governing Vessel-spine are closely related to each other. The fundamental pathogenesis of lumbar disc herniation lies in the deficiency of the kidney and stagnation of Governing Vessel. Deficiency of the kidney results in emptiness of Governing Vessel， while Governing Vessel stagnation leads to a dysfunction in the ascending and descending of Yin and Yang in Governing Vessel. This disruption causes an inadequate circulation of Qi， blood， essence and body fluids， leading to a lack of nourishment for the tendons and bones and an obstruction in the flow of Qi and vessels. The treatment principle is to benefit the kidney and pass the Governing Vessel. By supplementing and tonifying the kidney Qi and replenishing the kidney essence， the Governing Vessel becomes filled， allowing the ascent of Governing Vessel Yang Qi and the descent of Governing Vessel Yin Qi. This facilitates the transformation of essence and marrow， promoting the smooth circulation of Qi， blood， essence and body fluids. Consequently， the lumbar vertebrae becomes stable， the lumbar muscles strengthen， the meridians and collaterals regulate properly， and the flow of Qi and vessels becomes unobstructed. [Conclusion] The theory of kidney governor Qi pulse can guide the clinical diagnosis and treatment of lumbar disc herniation， benefiting the kidney and passing the Governing Vessel is an important principle of treating lumbar disc herniation， and it can be carried through the whole process of treating lumbar disc herniation. |
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