苏培基运用舒脊方治疗腰腿痛的临床经验

关键词：腰腿痛；肝肾亏虚；风寒湿瘀；补肝肾；祛风寒湿；舒经活络；舒脊方；苏培基 中图分类号：R274.9 文献标志码：A 文章编号：1007-3213（2025）11-2851-05 DOI：10. 13359/j. cnki. gzxbtcm.2025.11.032

Abstract：This study summarized Profesor Su Peiji's clinical experience indiffrenting and treating lumbago and leg pain.He contends that thedisease involves the liver and kidney，manifesting as a syndrome of deficiency in originand excess insuperficiality，with liver-kidney deficiencyand insuficiency of essence and bloodas the root cause，and exogenous wind，cold，and dampness invading the meridians and then causing obstruction as the superficial manifestation.The principal pathological factors include wind，cold，dampness，blood stasis，and deficiency.In clinical practice，he follows the therapeutic principle of expelling pathogens and supporting healthy （204 qi in accordance with the abundance or deficiency of pathogens and healthy qi ，takes the therapy of tonifying the liver and kidney as the primary approach，and applies the adjuvant therapies of dispelling wind，cold，and dampness as wellas relaxing tendons and activating collaterals.By incorporatingthe theoryofcollateral diseases， Professor Su Peiji proposes that the deficiency-excess ofcollateral diseases iscloselyrelated to theonsetof lumbagoand leg pain.His therapeutic approach centers around Shuji Formula，aself-formulated formula which is composed of Taxili Herba，Achyranthis Bidentatae Radix，Stephaniae Tetrandrae Radix，Angelicae Pubescentis Radix，Clematidis Radix et Rhizoma，Aconiti Radix Cocta，Flemingiae Radix et Caulis，Milettie Speciosae Radix，Poria，Angelicae Sinensis Radix，Paeoniae Radix Alba，Chuanxiong Rhizoma，Spatholobi Caulis， Tinosporae sinensis Caulis，and Glycyrrhizae Radix et Rhizoma Praeparata cum Melle.Modified use of herbs was performedaccordingto the predominance of wind，cold，dampness，blood stasis，or deficiency，so as to achieve theeffcts of tonifying the liver and kidney，strengthening bones and tendons，dispelling wind，cold and dampness，and relaxing tendons and activating collaterals.

Keywords：lumbago and leg pain；liverand kidney deficiency；wind，cold，dampness，and blood stasis; tonifying liverand kidney；dispeling wind，coldand dampness；relaxing tendons andactivating collaterals; Shuji Formula；Su Peiji

腰腿痛为临床常见症状，是多种因素影响下而出现的以腰部、臀部、髋部及下肢疼痛为主要症状的炎症反应性病变。（剩余5476字）