從“陽化氣，陰成形”及“扶陽通督”理論論治腰椎間盤突出癥

【中圖分類號】R274.9 【文獻標志碼】A 【文章編號】1007－8517（2025）10－0001-06

DOI：10.3969/j. issn.1007 -8517. 2025.10. zgmzmjyyzz202510001

Treatment of Lumbar Disc Herniation From the Theory of“Yang Transforming Qi， Yin Forming” and“Strengthening Yang and Unblocking the Governor Vessel”

WANG Kai1 LIU Ruzhuan2 * LI Xueqing1 DENG Yang1 LE Siwei LIU Jintao'

1.Guangxi University of Traditional Chinese Medicine，Nanning 53Oooo，China;

2.Ruikang HospitalAffiliatedtoGuangxi Universityof Traditional Chinese Medicine，Nanning 53Oo11，China

Abstract：Lumbarintervertebraldischeriationisacommondiseaseinspinaldegenerativediseases.Alldiseasesareinyinand yang.Thepathogenesisof yinandyangisthat“yangtransformingqi”is notasgoodas“yinforming”，phlegmdampnessand blood stasisandotheryinevilsremaininthegoveorvesel，andtheyangdeficiencyofthegovemorvesel.Thispaperanalyzsthepatho logicalmehanismoflumbardischeriationbasedonththeoryof“yangtransfomingqi，yinforming”and“strengtheningyangand unblocking thegoverorvesel"，andputsforwardthegeneraltreatment principlesof“warmingyangandtransformingqitoretreat yin”and“strengtheningyangandunblockingthegoverorvesseltoeliminateyin”.Whenidentifingtheetiologyandpathogeesisin clinicalpractice，“yangtransformingqi”shouldnotbetreatedwithwarming yangandtransformingqi.Whenthe“yinformation”is overflourishing，itshouldbebasedonthetree methodsofremovingdampness，resolvingphlegmandactivating bloodcirculationto unblockthegoverorvesel，andcarrouttheyang-strengtheningandgoverorvessel-unblockingthrouhout，oastoachivethe balanceofyinandyang.Atthesametime，wesouldpayatentiontoprotecting yangqi，strengthening musclesandbonesilifeto prevent and treat lumbar disc herniation.

KeyWords：LumbarDisc Herniation；YangGivingLiving ThingsFunctionalActivities；ShadowForming；Govemor Vessel

腰椎間盤突出癥（lumbardischerniation，LDH）是一種脊柱退行性疾病，又名腰椎間盤纖維環(huán)破裂癥，是由于腰椎間盤的退變，加以外力影響所引起纖維環(huán)部分或全部破裂，最終導致髓核突出，神經根及馬尾神經受壓，從而表現出一系列疼痛、麻木等癥狀的一種臨床綜合征，據國外流行病學研究，LDH終生患病率為 70% ，男性多于女性，并逐漸趨于年輕化[2]。（剩余8776字）