李应存运用敦煌固表调气血法治疗腰背肌筋膜炎验案举隅

Examples of Professor LI Yingcun’s Experience on Treating Lumbar and Dorsal Myofascitis with Dunhuang Consolidating Surface and Regulating Qi and Blood Method

腰背肌筋膜炎是临床上常见的疑难病症,极易反复发作。随着社会的发展,生活方式以及办公环境的改变,长期保持一种姿势使得腰背部肌肉无法得到放松而出现肌肉痉挛、小血管缺血,从而导致无菌性炎症及软组织黏连,进一步地加重了腰背部的疼痛不适、肌肉僵硬等症状,故近年来该病的发病率逐渐攀升,探讨腰背肌筋膜炎的临床治疗具有重大意义。李应存教授为中国科学院中医学博士后、研究生导师,是我国著名敦煌医学专家,敦煌医派代表人物之一,20多年来一直从事敦煌医学的文献发掘、整理以及临床应用的研究,已出版《实用敦煌医学》等多部专著,发表与交流学术论文100余篇尤善于运用世界文化遗产敦煌古医方治疗内、儿、妇科常见病、疑难病。李教授认为腰背肌筋膜炎辨证总属本虚标实,此为虚实相兼的病变,而正虚表不固正是该病发生、发展的关键环节,根据该病的发病规律及特点,灵活化裁敦煌医学卷子(法国编号P.3930)疗风虚瘦弱方并合用玉屏风散,主张从固表调气血为主,兼以攻邪相结合之法治疗腰背肌筋膜炎,获得了满意的临床疗效。文章特以验案形式总结李应存教授灵活化裁敦煌古医方,从固表调气血论治腰背肌筋膜炎的临床经验,望可为同道提供有益参考,同时亦为敦煌古医方之今用开拓新的途径。

Ubar and dorsal myofascitis is a common and difficult clinical disease,which is easy to recur.With the development of society,changes in lifestyle and office environment,maintaining a posture for a long time makes the muscles of waist and back unable to relax,resulting in muscle spasm and small vessel ischemia,leading to aseptic inflammation and soft tissue adhesion,which further aggravates the symptoms of pain,discomfort and muscle stiffness in the waist and back.Therefore,in recent years,the incidence of the disease has gradually increased.The clinical treatment of myofascitis is of great significance.Professor LI Yingcun is a postdoctoral and postgraduate tutor of traditional Chinese medicine of the Chinese Academy of Sciences.He is a famous Dunhuang medical expert and one of the representatives of Dunhuang medical school.He has been engaged in the research of literature excavation,collation and clinical application of Dunhuang medicine for more than 20 years.He has published many monographs,such as Practical Dunhuang Medicine,and has published and exchanged more than 100 academic papers,especially in the use of the world cultural relics.Professor LI believes that the syndrome differentiation of lumbar dorsal myofascitis is always based on the deficiency of the original and the excess pathological products.The deficiency of the vital Qi and deficiency of the surface is the key link in the occurrence and development of the disease.According to the pathogenesis and characteristics of the disease,Dunhuang Medical Record(France No.P.3930)is flexibly tailored to treat wind deficiency and weakness,and Yupingfeng Powder is used in combination.He advocates the method of regulating Qi and blood from consolidating the surface and combating pathogenic factors.The treatment of lumbar and dorsal myofascitis has achieved satisfactory clinical efficacy.The article summarized Professor LI Yingcun’s clinical experience in flexibly tailoring Dunhuang ancient medical prescriptions to treat lumbar and dorsal myofascitis by regulating Qi and blood on the basis of consolidating the surface,hoping to provide useful reference for colleagues,and at the same time to open up new ways for the present use of Dunhuang ancient medical prescriptions.