身痛逐瘀汤加味治疗坐骨神经痛临床观察

Clinical Observation on the Addition of Shentong Zhuyu Decoction in Treating Sciatica

目的:探讨以身痛逐瘀汤治疗坐骨神经痛(瘀血阻滞经络证)的临床疗效。方法:所有78例坐骨神经痛患者均口服身痛逐瘀汤加味(方药组成:秦艽9 g,川芎12 g,桃仁15 g,红花12 g,羌活9 g,独活9 g,炒没药9 g,炒乳香9 g,当归12 g,地龙15g,牛膝15 g,五灵脂10 g,香附6 g,鸡血藤30 g,炙甘草6 g)治疗,每天1剂,分早、中、晚3次服用,10剂为1个疗程。连续服用2～5个疗程。结果:78例患者治愈58例,好转17例,无效3例,治愈率为74.36%,有效率为96.15%。结论:身痛逐瘀汤加味治疗坐骨神经痛(瘀血阻滞经络证)疗效显著。

Objective： To discuss the clinical curative effects of Shentong Zhuyu Decoction in treating sciatica（syndrome of blood stasis blocking meridian and collateral channels）.Methods： 78 cases of sciatica patients were orally taken addition of Shentong Zhuyu Decoction（composition： Gentiana macrophylla Pall 9 g,Ligusticum chuanxiong Hort 12 g,Amygdalus persica 15 g,Carthamus tinctorius 12 g,notopterygium root 9 g,Angelica biserrata 9 g,Commiphora myrrha Engl 9 g,Boswellia carterii Birdw 9 g,Angelica sinensis 12 g,Pheretima aspergillum 15 g,Achyranthes bidentata Bl 15 g,Trogopterus xanthipes Milne-Edwards 10 g,Cyperus rotundus 6 g,Spatholobus suberectus Dunn 30 g,Radix Glycyrrhizae Preparata 6 g）,one dosage with taking at morning,noon and evening three times respectively per day,ten dosages were one course of treatment,with continuously taking 2-5 courses.Results： During 78 cases of patients,58 cases were cured,17 had better curative effects,3 had no curative effects.The cured rate was 74.35%,effective rate was 96.15%.Conclusion： Addition of Shentong Zhuyu Decoction has satisfied curative effects in treating sciatica（syndrome of blood stasis blocking meridian and collateral channels）.