椎间盘源性腰痛中医辨证分型研究

Differential Diagnosis and Classification of Discogenic Back Pain in Traditional Chinese Medicine

目的:研究椎间盘源性腰痛的中医辨证分型。方法:确立诊断标准,进行MRI检查,通过病例收集法和文献查询法,对收集到的275例患者进行发病原因、症状、体征分析,按照"多数"原则确立证型。以症状为主,辅以舌脉象分析。结果:椎间盘源性腰痛可分为脾肾阳虚、肝肾亏虚、气血不足、寒湿痹阻、气滞血瘀五个基本证型。结果表明:本次观察证型呈现虚实夹杂,以虚证为主的特征,具体分布为寒湿痹阻型为36.36%,气滞血瘀型为20.36%,脾肾阳虚型为18.18%,气血不足型为16.00%,肝肾亏虚型为9.09%。

Objective To study the differential diagnosis and classification of discogenic back pain in traditional Chinese medicine （TCM）. Methods The causes, signs and symptoms of 275 patients with discogenic back pain diagnosed by MRI were analyzed and classified as various types of CTM in accordance to the priority principle ,tongue observation and pulse taking, and literature inquires. Results The discogenic back pain could be divided into five basic types of CTM,including the asthenia of spleen and kidney Yang（18.18%）, deficiency of liver and kidney （9.09%）, deficiency of vital energy and blood （16.00%）, stagnation of cold-wetness （36.36%）, and energy-stagnation and blood stasis （20.36%）. Conclusion Results showed that the discogenic back pain expressed in TCM mainly as deficiency symptom complex and syndrome of intermingled deficiencv and excess.