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褚立希论治腰椎间盘突出症学术经验撷菁OA

Chu Lixi's experience in treatment of lumbar disc herniation

中文摘要英文摘要

介绍褚立希教授治疗腰椎间盘突出症的临床经验.褚教授提出本病的病因可归于外伤、劳损、风寒湿邪等外因和脏腑气血失调、脊柱失衡的内因;核心病机为内外因协同作用下的瘀、湿、虚等造成的经络痹阻、气血运行不畅;治疗本病主张衷中参西、病证结合的理念,通过把握核心病机,采用"脏腑为基"与"气血为重"的治则,灵活辨证用药改善脏腑与气血的功能,再通过整体观下的手法、功能锻炼改善脊柱失衡;创新性提出"一方三用"的特色疗法,提高内外合治的临床疗效.并附验案1则.

This paper introduces Professor Chu Lixi's clinical experience in treating lumbar disc herniation.Professor Chu believes that the etiology can be attributed to external factors such as trauma,overstrain,wind-cold-dampness pathogens,internal factors including disharmony of visceral qi and blood,and spinal imbalance.The core pathogenesis is the obstruction of meridians and impaired circulation of qi and blood caused by stasis,dampness and deficiency under the effect of internal and external factors.In treating this disease,he advocates the concept of integrating Chinese and Western medicine,combining disease diagnosis with syndrome differentiation.By grasping the core pathogenesis,he adopts the treatment principles of"taking the zang-fu organs as the foundation"and"prioritizing qi and blood",flexibly using syndrome-specific herbs.Additionally,he employs manual therapy and functional exercises from the holistic view to correct spinal imbalance.The unique therapy of"one formula for three uses"has been innovatively proposed to enhance the clinical efficacy of the integrated internal and external treatment.And one proven case is presented.

殷磊;张建坡;张小晋;黄正;褚立希

上海中医药大学附属第七人民医院骨伤科(上海 200137)上海中医药大学附属光华医院脊柱外科(上海 200052)上海中医药大学附属第七人民医院针灸科(上海 200137)上海中医药大学附属光华医院脊柱外科(上海 200052)上海中医药大学康复医学院(上海 201203)

腰椎间盘突出症病因病机中医药疗法临床经验

lumbar disc herniationetiology and pathogenesistherapy of traditional Chinese medicineclinical experience

《上海中医药杂志》 2026 (4)

58-62,5

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项目(国中医药人教函[2022]76号)上海市卫健委进一步加快中医药传承创新发展三年行动计划(2025年-2027年)(ZY[2025-2027]-3-2-1-10)上海市浦东新区卫健委"国家中医药发展综合改革试验区建设项目"中医高级师承人才培养项目(PDZY-2024-1209,PDZY-2025-1007)上海市浦东新区卫健委名中医继承人培养项目(PDZY-2025-0936)

10.16305/j.1007-1334.2026.z20250527003

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