从“阳化气，阴成形”及“扶阳通督”理论论治腰椎间盘突出症

【中图分类号】R274.9 【文献标志码】A 【文章编号】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

腰椎间盘突出症（lumbardischerniation，LDH）是一种脊柱退行性疾病，又名腰椎间盘纤维环破裂症，是由于腰椎间盘的退变，加以外力影响所引起纤维环部分或全部破裂，最终导致髓核突出，神经根及马尾神经受压，从而表现出一系列疼痛、麻木等症状的一种临床综合征，据国外流行病学研究，LDH终生患病率为 70% ，男性多于女性，并逐渐趋于年轻化[2]。（剩余8776字）