手法联合独活寄生汤加减治疗腰椎管狭窄症验案一则
A Case of Lumbar Spinal Stenosis Treated by Chiropractic Combined with DuhuoJisheng Decoction
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1.上海市上海中医药大学附属曙光医院石氏伤科医学中心,上海 201203
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任我行, 詹红生. 手法联合独活寄生汤加减治疗腰椎管狭窄症验案一则[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29636938&Fpath=home&index=0
REN Woxing, ZHAN Hongsheng. A Case of Lumbar Spinal Stenosis Treated by Chiropractic Combined with DuhuoJisheng Decoction[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29636938&Fpath=home&index=0
任我行, 詹红生. 手法联合独活寄生汤加减治疗腰椎管狭窄症验案一则[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29636938&Fpath=home&index=0 DOI:
REN Woxing, ZHAN Hongsheng. A Case of Lumbar Spinal Stenosis Treated by Chiropractic Combined with DuhuoJisheng Decoction[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29636938&Fpath=home&index=0 DOI:
病史摘要,2,患者郑某某,女,61岁,反复腰痛5年余,因休息后缓解未予重视,3月前受凉后复发腰痛伴右臀部及右下肢酸痛,腰椎MRI示:L5-S1椎间盘向后突出。经针灸、封闭、口服营养神经药物(具体不详)后无明显减轻,生活无法自理,无法久坐,平卧可。2022年6月14日由轮椅推入诊室,詹红生教授辩本案为肝肾亏虚、络脉痹阻之证,治以局部与整体共调,补肝肾强筋骨与散寒祛湿通络并举,予整骨手法联合独活寄生汤加减治疗,疗效显著。四诊信息 腰部、右臀部及右下肢酸胀疼痛,无法久坐,平卧可,纳可,寐差,二便调,舌质红,苔白,舌下脉络曲张,脉弦。中医诊断 筋出槽;肝肾亏虚,络脉痹阻证。中医治法 补益肝肾,散寒祛湿,化瘀通络。西医诊断 腰椎管狭窄症。干预措施 石氏伤科整骨手法联合独活寄生汤加减。疗效转归 疼痛已去大半,日常起居基本如常。
Summary of case history, Patient Zheng Moumou, female, 61 years old, had recurrent low back pain for more than 5 years, which was not taken seriously as it was relieved after rest. 3 months ago, she had recurrent low back pain with soreness in the right hip and right lower limb after getting cold. On 14 June 2022, she was wheeled into the clinic. Prof. Zhan Hongsheng identified the case as a deficiency of liver and kidney and paralysis of the ligaments. The treatment was effective.,Symptoms and signs ,Pain and soreness in the lower back, right buttock, and right lower limb, inability to sit for long periods, lying down is possible, nausea is acceptable, sleep is poor, diaphoresis is regulated, the tongue is red, fur is white, veins under the tongue are varicose, and taut pulse.,TCM diagnosis, tendon deviating from groove (deficiency of liver and kidney, paralysis of the ligaments and veins).,Western medicine diagnosis, lumbar spinal stenosis.,Therapeutic methods, Chiropractic Combined with DuhuoJisheng Decoction,Clinical outcomes, the pain was mostly relieved and daily life was basically as usual.
腰椎管狭窄症腰痛筋出槽手法独活寄生汤加减
lumbar spinal stenosislow Back Paintendon deviating from groovechiropracticduhuoJisheng decoction.
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