杜仲强腰汤加减治疗慢性腰痛的临床经验

Clinical Experience in the Treatment of Chronic Low Back Pain with the Addition and Subtraction of Du Zhong Qiang Yao Tang

摘要: 慢性腰痛是临床常见的一种疾病，以反复腰部一侧或两侧出现疼痛不适为主。中医认为慢性腰痛主要病因分内因及外因，内因多由肾精亏虚，腰部经脉不得濡养，亦或是肾气不足，腰部不得肾阳温煦；其外因多由风寒湿热邪气痹阻经脉，气血运行不畅，不通则痛所导致。慢性腰痛病机为筋脉痹阻，腰部失养，其治则主以祛除外邪，补肾养内，标本兼治。笔者临床以杜仲强腰汤加减(杜仲，续断，牛膝，延胡索，当归，川芎，鸡血藤，伸筋草，威灵仙，五加皮，徐长卿，千年健)治疗慢性腰痛，颇有心得，为临床治疗慢性腰痛提供参考。

Abstract: Chronic low back pain is a common clinical disease, which is characterized by recurrent pain and discomfort on one or both sides of the waist. Traditional Chinese medicine believes that the main causes of chronic lumbar pain are divided into internal and external causes, the internal causes are mostly due to kidney essence deficiency, lumbar meridians cannot be moistened, or insufficient kidney qi, lumbar not to the warmth of kidney yang; external causes are mostly due to the wind, cold, dampness and heat of the evil paralytic obstruction of the meridians, the qi and blood run poorly, do not pass the pain is caused by. Chronic lumbago pathology for the paralytic obstruction of the tendons and veins, lumbar loss of nourishment, the main treatment to get rid of the external evil, tonifying the kidney to support the internal, both symptomatic and curative. The author’s clin-ical treatment of chronic lumbago with the addition and subtraction of Duzhong Strong Waist Tong (Duzhong, Hengjiuan, Niuxiao, Yanhuoso, Danggui, Chuanxiuan Xiong, Jiangxiaodong, Xinshengchen, Wu Jiaope, XU Changqing, Millennium Jiangshian) is a good idea, and it will be useful for the refer-ence of the treatment of chronic lumbago.