戴致波运用自拟补肾除湿汤治疗跟痛症经验

Professor DAI Zhibo’s experience in treating heel pain with the Bushen Chushi decoction

跟痛症主要是指跟骨跖面由于慢性劳损引起的以疼痛、行走困难为主的病证,常伴有跟骨结节部前缘骨质增生。导师戴致波认为跟痛症的病因多与患者年老,肝肾亏虚,筋骨失养而致气虚、血瘀等有关,治疗上除补肝肾、强筋骨外,还应注重祛湿通络,佐以舒筋活络之品。导师临床将当归、山药、茯苓、肉桂、杜仲、木瓜等具有祛湿、活血、通络、止痛功效的中药配伍应用,疗效显著,值得推广。

Heel pain mainly refers to the symptoms of pain and difficulty walking mainly caused by chronic strain on the calcaneal plantar surface,often accompanied by bone hyperplasia at the anterior edge of the calcaneal tubercle.The tutor DAI Zhibo believes that the cause of heel pain is mostly related to the patient’old age,deficiency of the liver and kidney,and Qi(气)deficiency and blood stasis which was caused by malnutrition of muscles and bones,etc..In addition to invigorating the liver and kidney,and strengthening muscles and bones,the treatment should also focus on dispelling dampness and dredging collaterals,supplemented by traditional Chinese medicines that can relax the tendons and activate the collateral.Traditional Chinese medicines such as Danggui(angelica),Shanyao(yam),Fuling(tuckahoe),Rougui(cinnamon),Duzhong(eucommia),Mugua(papaya),etc.,which have the effects of removing dampness,promoting blood circulation,dredging collateral,and relieving pain,have been applied compatibly in clinical practice by the tutor.The therapy shows remarkable effects,and is worthy of promotion.