基于肝脾相关理论探析慢性腰痛的治疗
Jiangsu Journal of Traditional Chinese Medicine（2023）
Abstract
慢性腰痛(CLBP)是临床常见的疼痛病症,其主要病因为肝郁气滞导致的腰部不通则痛,以及脾虚失荣导致的腰部不荣则痛,基本病机以正虚为本,气滞、血瘀、痰湿等邪实为标,虚实夹杂,痿证和痹证共存,本痿标痹.基于肝脾相关理论,本病治则可归纳为:补脾健运,祛湿止痛;调肝理气,通畅情志;疏肝健脾,除痹起痿.培脾舒肝汤出自《医学衷中参西录》,功效为疏肝健脾、升清降浊,恰合慢性腰痛肝郁脾虚之病机,临床用其化裁治疗本病,获效满意.附验案1则以佐证.
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