江钢辉运用清、通、温三法分期辨治腰椎间盘突出症经验介绍
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R681.5+3;R249

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杨文辉广东省名中医传承工作室(粤中医办函[2019]5号)


Experience Introduction of JIANG Ganghui Treating Lumbar Intervertebral Disc Prolapse by Stages Using Clearing , Unblocking and Warming Methods
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    摘要:

    介绍江钢辉运用清、通、温三法分期辨治腰椎间盘突出症的经验。明确腰椎间盘突出症的分期与治法。在分期上,将其分为急性期、中期及后期。在治则上:急性期以清为主,以通为辅;中期以通为主,若偏早期,辅以清法,偏后期,辅以温法;后期以温为主,以通为辅。其中,通法是贯穿整个疗程的重要治疗原则。在治法上:急性期清热利湿为主,中期活血通络为主,后期温阳补肾为主。治疗手段多样:急性期有刺络放血疗法、中药汤剂四妙散;中期有电针疗法、三才单式针法结合导气法、中药汤剂身痛逐瘀汤;后期有灸法、中药独活寄生汤。

    Abstract:

    Abstract: This paper introduces JIANG Ganghui's experience in treating lumbar intervertebral disc prolapse by stages using clearing, unblocking and warming methods. The staging and treatment of lumbar intervertebral disc prolapse are clarified. In terms of staging,it can be divided into acute stage,middle stage and late stage. On the principles of treatment: in the acute stage, clearing is the main method, and unblocking is the auxiliary one; middle stage, the main method is unblocking, if it is closer to the early stage, it is supplemented by clearing method, and if closer to the late stage, it is supplemented by the warming method;in the late stage,it is mainly warming,supplemented by unblocking. Among them, unblocking method is an important treatment principle throughout the whole course of treatment. In the light of treatment methods,the main treatment is clearing heat and draining dampness in the acute stage,invigorating blood and unblocking the collaterals in the middle stage,and warming yang and tonifying kidney in the late stage. The treatments are various:in the acute stage, there are collateral bloodletting and Simiao powder; in the middle stage, there are electroacupuncture, three elements single acupuncture method combined with qi-guiding method,and Shentong Zhuyu tang;late stage,there are moxibustion and Duhuo Jisheng tang.

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吴佳倩,江钢辉,林彦廷,蒋东丽.江钢辉运用清、通、温三法分期辨治腰椎间盘突出症经验介绍[J].新中医,2021,53(14):201-204

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  • 在线发布日期: 2021-07-24
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