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首播

重播

  腰椎间盘突出症是骨伤科难治性疾病之一,属中医学腰痛、骨痹范畴。症见腰膝酸软无力,腰部冷痛沉重,下肢麻木。笔者认为,该病为诸邪所致,劳损于肾,筋脉失养,经脉瘀滞,故以补肾壮督,活血通络为大法,自拟壮督通络汤方,验之临床,效果显著。

  组成 巴戟天12克,熟地15克,骨碎补15克,炒杜仲15克,怀牛膝15克,秦艽12克,地鳖虫6克,乳香12克,没药12克,当归15克,白芍15克,威灵仙12克,寻骨风15克,鸡血藤20克,甘草10克。

  用法 水煎服,日1剂。

  加减 腰以下冷痛身重,加独活15克,辛热之川乌9克,搜风定痛,通经络,利关节;腰痛拘急或连脊背,加桂枝12克,防风10克,羌活12克;腰痛而热,小便热赤,咽喉红肿,减骨碎补、巴戟天,加入柴胡12克,羌活12克,黄芩15克,发散内蓄风热;临证虚实、寒热错杂,痰瘀互结,留伏经隧,腰际剧痛难已,加白芥子12克,僵蚕9克。如痰瘀胶固,可加入虫蚁搜剔穿透之水蛭3克,研末冲服,可破瘀开结;蜈蚣走窜之力最速,内而脏腑,外而经络,凡气血凝集之处,皆能开之,可用1条。

  对上述各证,疼痛缓解不明显者,均可使用外敷中药,提高疗效。

  组成 炙川乌10克,红花30克,补骨脂20克,乳香、没药各20克,透骨草40克,细辛10克,桂枝10克,仙灵脾10克,延胡索30克,伸筋草30克,秦艽15克,苍术15克,甘草15克等。

  功能 透穴温阳通痹,舒筋活血止痛。

  用法 上药装入布袋,用醋浸湿诸药,放入蒸锅蒸40分钟,然后置于腰部热敷,每日2次。

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