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基于"筋出槽,骨错缝"探析退行性腰椎滑脱症的辨治策略

朱紫墨 仲东生 汪利合 麻蒙凡

中华中医药杂志2025,Vol.40Issue(2):501-504,4.
中华中医药杂志2025,Vol.40Issue(2):501-504,4.

基于"筋出槽,骨错缝"探析退行性腰椎滑脱症的辨治策略

Analyzing the diagnosis and treatment strategy of degenerative lumbar spondylolisthesis based on the principle of'tendon out of groove,bone misalignment'

朱紫墨 1仲东生 2汪利合 3麻蒙凡1

作者信息

  • 1. 河南中医药大学,郑州 450046
  • 2. 北京急救中心,北京 100031
  • 3. 河南中医药大学第一附属医院,郑州 450003
  • 折叠

摘要

Abstract

Degenerative lumbar spondylolisthesis,as a common orthopedic disease,has a high incidence rate,is prone to recurrence,and is difficult to be completely cured in clinical treatment.The spine is the most common site of'tendon out of groove,bone misalignment'.Combined with the characteristics and clinical manifestations of degenerative lumbar spondylolisthesis,it is believed that'tendon out of groove,bone misalignment'is the pathological state of its onset,and that loss of harmony between tendon and bone,deficiency of liver and kidney,and stagnation of meridians and veins are the basic pathogenesis of the disease.Combined with the clinical experience,we initially propose the three methods of'harmony,nourishing,and dredging'for the treatment of degenerative lumbar spondylolisthesis,in which'harmony'is to harmonize the qi and blood,and the muscles and bones,and'nourishing'is to replenish the liver and kidneys,and cultivate the essence,and the'dredging'is to activate the meridians and collaterals,and to restore the shape.From the three methods of'harmony,nourishing,and dredging',we can recognize'tendon out of groove,bone misalignment'and guide the comprehensive treatment of degenerative lumbar spondylolisthesis,which provides the basis for the clinical diagnosis and treatment of degenerative lumbar spondylolisthesis.

关键词

筋出槽/骨错缝/退行性腰椎滑脱症/和法/补法/通法

Key words

Tendon out of groove/Bone misalignment/Degenerative lumbar spondylolisthesis(DLS)/Harmony method/Nourishing method/Dredging method

引用本文复制引用

朱紫墨,仲东生,汪利合,麻蒙凡..基于"筋出槽,骨错缝"探析退行性腰椎滑脱症的辨治策略[J].中华中医药杂志,2025,40(2):501-504,4.

基金项目

河南省中医药拔尖人才培养项目(No.豫中医科教[2018]35号) (No.豫中医科教[2018]35号)

中华中医药杂志

OA北大核心

1673-1727

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