腰椎间盘突出症证型分析

Analysis of the Type of Syndrome of Lumber Disc Herniation

目的 :探讨腰椎间盘突出症的证型特点 ,并反推其病机特点。方法 :对 1 2 83例腰椎间盘突出症住院患者的证型进行分类整理与统计分析。结果 :基本证型和复合证型各有 1 5种 ;30种证型中占比例较高的前 5种依次是 :气滞血瘀证、肝肾亏虚证、肝肾亏虚并寒湿阻络证、寒湿阻络证、气滞血瘀并肝肾亏虚证。所统计的4种证类按占比例高低排列依次是 :肝肾亏虚证类、气滞血瘀证类、风寒湿热证类、气血亏虚证类。结论 :气滞血瘀证 (或证类 )与肝肾亏虚证 (或证类 )是腰椎间盘突出症的两种最常见的证型 (或证类 )。腰椎间盘突出症的病机是肝肾亏虚、气滞血瘀以及风寒湿热阻络 。

Objective: To explore the type of syndrome of lumber disc Herniation(LDH) and guess the pathogenesis of LDH conversely.Methods:Types of syndromes of 1283 cases of LDH were classified and counted.Results:There were 15 basic types of syndromes and 15 complex types of syndromes.In all 30 types of syndromes 5 types of syndromes in higher proportion were :syndrome of stagnation of qi and stasis of blood(33.44%),syndrome of deficiency of the liver and kidney (28,92%),syndrome of deficiency of the liver and kidney and cold-damp blocking in the meridians(7.64%),syndrome of cold-damp blocking in the meridians(6.24%),and syndrome of stagnation of qi and stasis of blood and deficiency of the liver and kidney(6.16%).The order of 4 categories of syndromes was:category of syndromes of deficiency of the liver and kidney(49.26%),category of syndromes stagnation of qi and stasis of blood(45.44%),category of syndromes of wind-cold and damp or heat (29.62%),category of syndromes of deficiency of qi and blood(1.40%).Conclusion:Syndrome of stagnation of qi and stasis of blood and syndrome of deficiency of the liver and kidney are the most frequent syndrome of LDH.The pathogenesis of LDH is mainly:deficiency of the liver and kidney,stagnation of qi and stasis of blood,and wind-cold and damp or heat blocking in the meridians.The kernel of the pathogenesis of LDH is the meridian qi in abnormal condition.