郭永红辨治寒湿腰痛验案举隅

Professor Guo Yonghong’s Clinical Experience in Treating Cold-dampness Lumbago by Bupleurum and Cinnamon Decoction

由于生活方式、地理位置及气候变化等原因,外感风寒湿邪导致腰痛或腰痛加剧的患者屡见不鲜。郭永红教授在临床治疗该类患者加入发汗解表、行气解郁的中药疗效较好,在综合考虑寒湿腰痛病因病机的前提下,因时因地制宜,从“太阳少阳合病”的角度分析,结合临床实践,运用经方柴胡桂枝汤治疗寒湿腰痛,旨在解表散寒、调和营卫,强调“发汗和解”在治疗腰痛中的重要性。该法在腰痛的临床治疗上疗效显著。

For some reasons as lifestyle,geographical location and climate change,etc,exogenous wind,cold and dampness cause lumbago or patients who had a lumbago have been intensified.My tutor found that better treatment effect obtained by joining in some herbs can stimulate secretion of sweat,warm innards or promote the flow of qi.Whereupon,Taking into account the etiology and pathogenesisthe of cold-dampness lumbago,to suit the measures to different conditions in terms of locality and time,considering from the Angle of"Taiyang and Shaoyang combination of disease"and combining with clinical practice,my tutor used classic prescription Bupleurum and Cinnamon Decoction to treat cold-dampness lumbago,aimed to keep Ying and Wei in balance,that obtained a remarkable therapeutic efficacy and emphasized the importance of sweating and relieving in the treatment of lumbago.