首页|期刊导航|光明中医|顾植山教授运用大剂量白术治疗腰痛效方治验

顾植山教授运用大剂量白术治疗腰痛效方治验OA

Professor Gu Zhishan's Effective Prescription and Clinical Experience in Treating Lumbago with High-Dose Rhizoma Atractylodis Macrocephalae

中文摘要英文摘要

腰痛是临床常见病和多发病,且易反复发作.顾植山教授认为腰为肾之府,腰痛多责于肾,而肾为水之下源,极易感受寒湿之邪,水湿侵入肾宫致腰脐不利,腰脐不利而腰痛.从五运六气角度考虑,太阳寒水、太阴湿土运气局势与腰痛的发病密切相关.因此治疗腰痛需治病求本,升阳补土以祛肾中湿邪,湿去则腰脐自利,腰脐通则腰不痛.大剂量白术具有利腰脐之气,散腰间死血功效,治疗腰痛效专力宏.顾师临床善以大剂量白术为君药治疗各类腰痛疾病,以通为用,屡获良效.

Lumbago is a common and frequently occurring clinical disease with a tendency to recur repeatedly.Professor Gu Zhishan held that the waist is the mansion of the kidney,and lumbago is mostly attributed to the kidney.As the lower source of water,the kidney is highly susceptible to cold-dampness pathogens.Invasion of water-dampness into the kidney leads to dysfunction of the waist and umbilicus region,which in turn causes lumbago.From the perspective of five evolutive phases and six climatic factors,Taiyang cold-water and Taiyin damp-earth are closely related to the onset of lumbago.Therefore,the treatment of lumbago should seek the following root cause:elevating yang and tonifying earth to eliminate dampness pathogen in the kidney.Once dampness is removed,the waist and umbilicus region will recover function,and lumbago will be relieved.High-dose Rhizoma Atractylodis Macrocephalae has the effects of regulating qi in the waist and umbilicus region and dissipating static blood in the waist,exerting a potent and specific therapeutic effect on lumbago.In clinical practice,Professor Gu is adept at using high-dose Rhizoma Atractylodis Macrocephalae as the sovereign drug to treat various types of lumbago,with the therapeutic principle of"regulating through unobstruction",and has achieved consistent good efficacy.

任义德;吴贞;张方琴;郑似楠

无锡市惠山区中医医院治未病科,江苏 无锡 214177无锡市惠山区中医医院治未病科,江苏 无锡 214177无锡市惠山区中医医院治未病科,江苏 无锡 214177无锡市惠山区中医医院治未病科,江苏 无锡 214177

医药卫生

顾植山腰痛五运六气白术利腰脐

Gu Zhishanlumbagofive evolutive phases and six climatic factorsRhizoma Atractylodis Macrocephalaebenefiting the lumbar and umbilical region

《光明中医》 2026 (4)

27-30,4

国家中医药管理局全国中医学术流派传承工作室第二轮建设项目(No.国中医人教函[2019]62号)江苏省中医药学会科研项目(No.XYLD2024009)

10.70976/j.issn.1003-8914.2026.04.007

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