王轩教授治疗腰痛经验

Professor WANG Xuan’s experience in treating lumbago

中医腰痛是指因外感、内伤或跌仆闪挫导致腰部气血阻滞,运行不畅,或失于濡养而引起的腰脊或脊旁两侧部位疼痛为主要临床表现的病证。中医腰痛概念涵盖了西医学中的腰椎间盘突出症、腰扭伤、腰肌劳损等疾病。山西中医药大学王轩教授主张方药与理筋正骨手法相结合,内调外理,标本兼治。他认为腰痛外感不外乎风、寒、湿三邪致病,又因为腰为肾之府,其病必本于肾,常因肾气亏虚,肾精不足,腰部失于濡养致病,另或因跌仆、闪挫外伤导致腰部筋肉损伤,常以血瘀为主。因此王轩教授认为治疗腰痛首当辨其虚实,审证求因,对症治疗,对于肾虚腰痛的患者,治当补肾益气,填精生髓,固其本则其痛自愈。对于外邪侵袭,跌仆闪挫所致腰痛者,治当祛风、除湿、散寒;活血化瘀,舒筋通络,柔其筋,活其骨,止其痛。其临床用方以傅山治腰痛方及青蛾丸加减为主,前方祛风祛湿,散寒通络;后方补肾强腰。同时运用骨伤优势手法以构建新的平衡结构。文章结合案例,介绍王轩教授治疗腰痛成功经验,以供临床参考。

In TCM,lumbago refers to the main clinical symptoms of pain on both sides of the spine caused by external influence,internal injury or sprain,which leads to the blockage of Qi(气)and blood in the waist,poor operation,or loss of nourishing.The concept of low back pain in TCM covers such diseases as lumbar disc herniation,lumbar sprain and lumbar muscle strain in western medicine.Professor WANG Xuan of Shanxi University of Traditional Chinese Medicine advocates that prescriptions should be combined with the manipulation of regulating tendons and bones,regulating the internal and external functions,and treating both the symptoms and the root causes.He thinks that the external infection of lumbago is nothing more than wind,cold and dampness,and because the waist is the home of the kidney,the disease must be rooted in the kidney,often due to kidney Qi deficiency,kidney essence deficiency,and the waist is lost in nourishing.In addition,due to falls,flash trauma,resulting in muscle and flesh injuries in the waist,often with blood stasis.Therefore,Professor WANG Xuan believes that the treatment of low back pain should first distinguish between the false and the real,examine the cause,and treat the symptoms,and for patients with kidney deficiency and low back pain,the treatment should replenish the kidney and Qi,fill in the essence,and fix its essence and self-heal the pain.For those with low back pain caused by external evil invasion and stumbling,treat wind,dehumidification,and disperse cold.Activate blood stasis,relax muscles and circulation,soften its tendons,activate its bones,and relieve its pain.He often uses FU Shan's prescription for treating lumbago and Qing’e pills(青蛾丸).The first prescription is to dispel wind and dampness,dispel cold and dredge collaterals.The second prescription is for tonifying the kidney and strengthening the waist.At the same time,the bone injury advantage technique is used to build a new balanced structure.This paper combines the case to introduce Professor WANG Xuan's successful experience in the treatment of lumbago for clinical reference.