摘要
腰椎间盘突出症(lumbar disc herniation,LDH)是常见的退行性腰部疾病,其发病机制与腰椎间盘退变、变形、纤维环破裂和髓核组织改变存在密切关系,同时与刺激神经有关。临床表现为活动受限、腰腿疼痛、下肢麻木或伴有放射性痛。中医认为LDH属于“腰痛”范畴,发病内因主要为肝肾不足,导致脏腑功能失调、筋络失养为主;而外因为腰部受慢性劳损或暴力所伤,气血阻滞,不通则痛,加之复感风寒湿邪,凝滞经络,经络痹阻而导致本病发生,临床中寒湿痹阻型LDH患者较常见。中医药治疗寒湿痹阻型LDH十分广泛,具有积极意义。本文查阅近年相关文献,旨在对寒湿痹阻型LDH的中医药治疗研究进展进行总结归纳,做一综述。
Lumbar disc herniation(LDH)is a common degenerative lumbar disease,and its pathogenesis is closely related to lumbar disc degeneration,deformation,rupture of annulus fibrosus and changes in nucleus pulposus,as well as irritation nerves.Clinical manifestations are limited activity,lumbar and leg pain,lower limb numbness or accompanied by radiating pain.Traditional Chinese medicine believes that LDH belongs to the category of"lumbago",the internal cause of disease is mainly due to the insufficiency of liver and kidney,resulting in dysfunction of internal organs,tendons and collaterals dystrophy;and the externally cause of disease is mainly the lumbar region is injured by chronic strains or violence,qi and blood stagnation,and the pain is caused by not passing,coupled with the resurgence of wind,cold,dampness,and condensation of meridians and channels,meridians and channels paralysis and blockade and lead to the occurrence of disease,LDH with cold-damp paralysis type is more common in clinical.Traditional Chinese medicine in the treatment of LDH with cold-damp paralysis type is very extensive and has positive significance.This article reviewed the relevant literature in recent years,aiming to summarize the research progress of traditional Chinese medicine in the treatment of LDH with cold-damp paralysis type.
作者
阿依尼格尔·吐尔迪
伍镝
Ayinige’er Tu’erdi;WU Di(The Fourth Clinical Medical College of Xinjiang Medical University,Urumqi 830000,China;不详)
出处
《中外医学研究》
2025年第5期156-159,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
寒湿痹阻型
腰椎间盘突出症
腰痛
中医药
Cold-damp paralysis type
Lumbar disc herniation
Lumbago
Traditional Chinese medicine
