聂颖 卢敏 杨雷 马露 张晓 刘鑫

    〔摘要〕 介绍卢敏教授基于“虚、瘀”和筋骨失衡理论，采用独活寄生汤和功能锻炼治疗腰椎间突出症的经验。卢教授认为腰椎间盘突出症的病因病机，在内主因是肾脏本虚，风、寒、湿、瘀血等病邪瘀滞不通，不荣与不通并存;在外是“筋出槽”“骨错缝”引起的筋骨失衡。针对病机，遵循“肢体损于外，则气血伤于内，营卫有所不贯，脏腑由之不和”思想，治疗需脏腑气血并调，内外兼治，筋骨并重，力求恢复人体脏腑气血调和、骨正筋柔状态。

    〔关键词〕 腰椎间盘突出症;独活寄生汤;阴平阳秘;筋骨失衡;卢敏

    〔中图分类号〕R249;R274.9? ? ? ? 〔文献标志码〕B? ? ? ?〔文章编号〕doi：10.3969/j.issn.1674-070X.2021.06.016

    Lu Min's Experience in the Treatment of Lumbar Disc Herniation Based on the Theory of “Deficiency， Blood Stasis” and Muscle-bone Imbalance

    NIE Ying1， LU Min1*， YANG Lei2， MA Lu2， ZHANG Xiao1， LIU Xin1

    (1. The First Affiliated Hospital of Hunan University of Chinese Medicine， Changsha， Hunan 410007， China; 2. Hunan University of Chinese Medicine， Changsha， Hunan 410208， China)

    〔Abstract〕 This paper introduces professor Lu Min's experience in using Duhuo Jisheng Decoction and functional exercise to treat lumbar disc herniation based on the theory of "deficiency， blood stasis" and muscle-bone imbalance. Lu believes that the etiology and pathogenesis of lumbar disc herniation are mainly caused by kidney deficiency. Wind ......