姚共和教授辨治腰椎间盘突出症经验OA

Lumbar disc herniation is a common disease in orthopedics and one of the common causes of lumbago and leg pain.Professor Yao Gonghe believes that the core pathogenesis of lumbar disc herniation can be summarized as deficiency of the liver,spleen,and kidney;wind-cold-dampness as the precipitating factor,and blood stasis obstruction as the key link.The three interact with each other to form a dynamic vicious circle of"feeling evil due to deficiency→deficiency evil causing blood stasis → evil bruising and positive".Clinical evidence emphasizes strengthening body resistance and elimina-ting evil,removing blood stasis and dredging collaterals simultaneously,and accurately grasps the primary and secondary contradictions of"deficiency","evil"and"blood stasis".Lumbar disc herniation is divided into basic syndrome types with different emphasis on evil excess,blood stasis and positive deficiency,and flexibly applies empirical prescriptions such as Sanhan Chushi decoction,Quyu Ketong decoction,Tongbi Dingtong decoction,Tongdu Huoxue decoction,Duhuo Xianling decoction and Bushen Qiangjin decoction.