中医正骨、理筋疗法治疗腰痛伴膝反射亢进、跟腱反射亢进及踝阵挛阳性1例

A Case of Low Back Pain Accompanied by Hyperactive Knee Reflex, Hyperactive Achilles Tendon Reflex and Positive Ankle Clonus Treated by Traditional Chinese Orthopedic Manipulation and Meridian Therapy

摘要: 腰痛又称“腰脊痛”，为现代社会生活中常见的骨骼肌肉疼痛病症之一，多因感受风寒湿热等外邪、内伤肾精亏虚或闪扭挫伤导致腰部气血运行不畅或失于温养，进而发为本病。基本病机为不通则痛或不荣则痛。而腰痛伴腱反射亢进且影像学检查无异常者临床较少见，现报道我科近期使用中医正骨、理筋疗法治疗1例腰痛伴双侧膝反射亢进、跟腱反射亢进及踝阵挛阳性病例，并对其治疗机制进行深入分析，以期为临床诊治此类合并症提供思路。

Abstract: Low back pain, also known as “lumbar spine pain”, is one of the common musculoskeletal pain disorders in modern society. It is often caused by exposure to external pathogenic factors such as wind, cold, dampness, and heat, deficiency of kidney essence, or sprains and strains, leading to poor circulation of qi and blood in the waist or lack of nourishment, which in turn causes this disease. The basic pathogenesis is either pain due to obstruction or pain due to deficiency. However, cases of low back pain accompanied by hyperactive tendon reflexes and no abnormalities in imaging examinations are relatively rare in clinical practice. This paper reports a case treated in our department recently with traditional Chinese orthopedic and meridian therapy for low back pain accompanied by hyperactive bilateral knee reflexes, hyperactive Achilles tendon reflexes, and positive ankle clonus, and conducts an in-depth analysis of the treatment mechanism, with the aim of providing ideas for the clinical diagnosis and treatment of such combined conditions.