腰痛宁胶囊治疗腰椎间盘突出症组方机制探析

Analysis on mechanism of Yaotongning Capsule in treatment of lumbarintervertebral disc herniation

腰痛病是常见的病症,主要表现为腰脊或脊旁部位的急性或慢性疼痛,临床上多以腰椎间盘突出为代表。腰痛宁胶囊由马钱子粉、土鳖虫、川牛膝、甘草、麻黄、乳香及没药(醋制)、全蝎、僵蚕(麸炒)、麸炒苍术制备而成,临床上对腰痛病取得满意的疗效。现通过中医学分析腰椎间盘突出证的病因病机,从方剂学的思维角度下探析腰痛宁胶囊治疗腰椎间盘突出症的组方机制,为临床应用腰痛宁胶囊提供理论依据。

Lumbago disease is a common disease,which mainly manifested as acute or chronic pain in the lumbar spine or paraspinal region,mainly represented by lumbar disc herniation in clinical practice.The new drug,Yaotongning Capsule with better efficacy for lumbago in clinic,is made of Strychni Semen Pulveratum,Eupolyphaga Steleophaga,Cyathulae Radix,Glycyrrhizae Radix et Rhizoma,Ephedrae Herba,Olibanum and Myrrh(prepared with vinegar),scorpion,Bombyx Batryticatus(bran fried),and Atractylodis Rhizoma(bran fried).This paper analyzes the etiology and pathogenesis of lumbar intervertebral disc herniation through traditional Chinese medicine,and explores the mechanism of treating lumbar intervertebral disc herniation with Yaotongning Capsule from the perspective of prescription theory,so as to provide theoretical basis for clinical application of Yaotongning Capsule.