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褚立希论治腰椎间盘突出症学术经验撷菁

殷磊 张建坡 张小晋 黄正 褚立希

上海中医药杂志2026,Vol.60Issue(4):58-62,5.
上海中医药杂志2026,Vol.60Issue(4):58-62,5.DOI:10.16305/j.1007-1334.2026.z20250527003

褚立希论治腰椎间盘突出症学术经验撷菁

Chu Lixi's experience in treatment of lumbar disc herniation

殷磊 1张建坡 2张小晋 3黄正 2褚立希4

作者信息

  • 1. 上海中医药大学附属第七人民医院骨伤科(上海 200137)
  • 2. 上海中医药大学附属光华医院脊柱外科(上海 200052)
  • 3. 上海中医药大学附属第七人民医院针灸科(上海 200137)
  • 4. 上海中医药大学康复医学院(上海 201203)
  • 折叠

摘要

Abstract

This paper introduces Professor Chu Lixi's clinical experience in treating lumbar disc herniation.Professor Chu believes that the etiology can be attributed to external factors such as trauma,overstrain,wind-cold-dampness pathogens,internal factors including disharmony of visceral qi and blood,and spinal imbalance.The core pathogenesis is the obstruction of meridians and impaired circulation of qi and blood caused by stasis,dampness and deficiency under the effect of internal and external factors.In treating this disease,he advocates the concept of integrating Chinese and Western medicine,combining disease diagnosis with syndrome differentiation.By grasping the core pathogenesis,he adopts the treatment principles of"taking the zang-fu organs as the foundation"and"prioritizing qi and blood",flexibly using syndrome-specific herbs.Additionally,he employs manual therapy and functional exercises from the holistic view to correct spinal imbalance.The unique therapy of"one formula for three uses"has been innovatively proposed to enhance the clinical efficacy of the integrated internal and external treatment.And one proven case is presented.

关键词

腰椎间盘突出症/病因病机/中医药疗法/临床经验

Key words

lumbar disc herniation/etiology and pathogenesis/therapy of traditional Chinese medicine/clinical experience

引用本文复制引用

殷磊,张建坡,张小晋,黄正,褚立希..褚立希论治腰椎间盘突出症学术经验撷菁[J].上海中医药杂志,2026,60(4):58-62,5.

基金项目

国家中医药管理局第七批全国老中医药专家学术经验继承工作项目(国中医药人教函[2022]76号) (国中医药人教函[2022]76号)

上海市卫健委进一步加快中医药传承创新发展三年行动计划(2025年-2027年)(ZY[2025-2027]-3-2-1-10) (2025年-2027年)

上海市浦东新区卫健委"国家中医药发展综合改革试验区建设项目"中医高级师承人才培养项目(PDZY-2024-1209,PDZY-2025-1007) (PDZY-2024-1209,PDZY-2025-1007)

上海市浦东新区卫健委名中医继承人培养项目(PDZY-2025-0936) (PDZY-2025-0936)

上海中医药杂志

1007-1334

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