基于痹证自拟痹痛散热透皮技术治疗颈椎病 腰椎间盘突出症镇痛效应

颈椎病和腰椎间盘突出症的发病机制、病变部位有所不同,但其中医学病因病机多为风寒湿邪侵袭、跌扑劳损所致的风寒湿滞、痰湿互结、血瘀气滞。人至中年后肝肾日渐亏虚、气血生化不足也是其另一种致病机制,甚至是其根本的病理基础。风、寒、湿、瘀、虚导致筋脉痹阻、失养,气血运行不畅,经气不通,不通则痛。依据中医"异病同治"理论,二者均属"痹证"范畴。四川省名中医李绍军总结20余年的临床经验,自拟痹痛散结合热透皮技术治疗颈椎病、腰椎间盘突出症临床疗效显著,具有镇痛疗效强,操作简单,舒适性高的特点,是一种安全、有效,值得推广的新方法。此文拟从痹证论分析自拟痹痛散热透皮技术治疗颈椎病、腰椎间盘突出症的镇痛效应。

Discussion on the Analgesic Effect of Self-made Bitong Powder Radiating and Transdermal Technique in Treating Cervical Spondylosis and Lumbar Intervertebral Disc Herniation from Arthromyodynia

The pathogenesis and lesion location of cervical spondylosis and lumbar intervertebral disc herniation are different,but the medical etiology and pathogenesis are mainly wind-cold dampness stagnation,phlegm-dampness mutual knot,blood stasis and qi stagnation caused by wind-cold dampness invasion and falling strain.The deficiency of liver and kidney in middle-aged and the deficiency of qi and blood biochemistry are another pathogenic mechanism and even the underlying pathologic basis,wind,cold,wet,blood stasis and deficiency lead to blockages of tendon and vessel,malnutrition,qi and blood movement is not free.The bullishness of impassability,general clauses pain,according to the traditional Chinese medicine theory of“homotherapy for heteropathy”both belongs to the category of arthromyodynia.According to the clinical experience of over 20 years,Li Shaojun,a famous traditional Chinese medicine practitioner in Sichuan Province,has concludes that it has a significant clinical effect in the treatment of cervical spondylosis and lumbar intervertebral disc herniation combined with hot transdermic technology.It is characterized by strong analgesic effect,simple operation and high comfort.It is a safe,effective and new method worthy of promotion.This paper aims to analyze the analgesic effect of self-made Bitong powder radiating and transdermal technique in the treatment of cervical spondylosis and lumbar intervertebral disc herniation based on arthralgia theory.