《金匮要略》杂病辨证思维治疗腰椎间盘突出1例
A Case of Lumbar Disc Herniation Treated by Syndrome Differentiation Thinking of Miscellaneous Diseases in
Synopsis of the Golden Chamber
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1.济宁市中医院康复科,山东 济宁 272000
2.济宁市中医院疼痛科,山东 济宁 272000
3.济宁市中医院内分泌科,山东 济宁 272000
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陈凤菲, 岳文超, 祝俊香. 《金匮要略》杂病辨证思维治疗腰椎间盘突出1例[DB/OL].(2023-04-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36536927&Fpath=home&index=0
CHEN Fengfei, YUE Wenchao, ZHU Junxiang. A Case of Lumbar Disc Herniation Treated by Syndrome Differentiation Thinking of Miscellaneous Diseases in
陈凤菲, 岳文超, 祝俊香. 《金匮要略》杂病辨证思维治疗腰椎间盘突出1例[DB/OL].(2023-04-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36536927&Fpath=home&index=0 DOI:
CHEN Fengfei, YUE Wenchao, ZHU Junxiang. A Case of Lumbar Disc Herniation Treated by Syndrome Differentiation Thinking of Miscellaneous Diseases in
病史摘要,2,患者因“腰痛5年,加重伴左下肢疼痛麻木1个月”来门诊就诊。1个月前于济宁市第一人民医院行腰椎CT示:腰椎退行性病变,腰椎间盘突出。患者拒绝手术,为求中医治疗来门诊就诊。现症:腰痛伴左下肢放射性疼痛麻木,久坐加重,难以平卧,无明显怕冷、怕热,无口干、口苦,无乏力倦怠,平素睡眠可,最近因腰痛夜间辗转难眠,纳食可,二便调。舌略红,苔薄白,左右脉均沉弱无力。中医诊断 腰痛病(肝阴亏虚、筋脉失养证)西医诊断 腰椎间盘突出;腰肌劳损干预措施 中药汤剂5剂,水煎服。方选芍药钩藤木耳汤以养阴润燥、柔肝缓痉,合麻黄细辛附子汤以通经止痛。疗效转归 症状明显减轻,原方继续服用。随访1年余未复发。
Summary of case history, The patient came to the outpatient clinic because of "low back pain for 5 years, aggravation and numbness of left lower limb pain for 1 month". At the First People's Hospital of Jining City, lumbar spine CT showed: lumbar degenerative disease, lumbar disc herniation. The patient refused the operation and came to the clinic for treatment with traditional Chinese medicine. Current symptoms: low back pain accompanied by radiation pain and numbness in the left lower limb, aggravated by sitting for a long time, difficult to lie down, no obvious fear of cold and heat, no dry mouth and bitter mouth, no fatigue and tiredness, normal sleep was good, recently because of low back pain, it was difficult to sleep at night, eat well, and then adjust. His tongue was slightly red and the coating was thin and white, and the left and right veins were weak.,TCM diagnosis, Lumbago(Deficiency of liver yin and loss of nourishment of muscles and veins),Western medicine diagnosis, Lumbar disc herniation; Lumbar muscle strain,Therapeutic methods, 5 days of Chinese medicine decoction, decocted in water. The treatment plan is peony, gouteng and fungus decoction to nourish yin and moisten dryness, soften liver and relieve convulsion, and ephedra, asarum and aconite decoction to relieve pain and relieve menstruation.,Clinical outcomes, The symptoms are obviously relieved, and the original prescription should be continued. There was no recurrence after 1 year follow-up.
杂病辨证腰椎间盘突出《金匮要略》
Syndrome differentiation of miscellaneous diseasesLumbar disc protrusionSynopsis of the Golden Chamber
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