[1]朱学鑫△,韩铝洲.金中梁辨证论治脊柱疾病的临证经验[J].中国中医骨伤科杂志,2025,33(02):91-93.[doi:10.20085/j.cnki.issn1005-0205.250218]
　ZHU Xuexin,HAN Lzhou.Clinical Experience of Jin Zhongliang's Syndrome Differentiation and Treatment of Spinal Diseases[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(02):91-93.[doi:10.20085/j.cnki.issn1005-0205.250218]
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金中梁辨证论治脊柱疾病的临证经验()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年02期
页码:
91-93
栏目:
经验交流
出版日期:
2025-02-15

文章信息/Info

Title:
Clinical Experience of Jin Zhongliang's Syndrome Differentiation and Treatment of Spinal Diseases
文章编号:
1005-0205(2025)02-0091-03
作者:
朱学鑫1△; 韩铝洲1
1余姚市中医医院(浙江 余姚,315400)
Author(s):
ZHU Xuexin1△; HAN Lüzhou1
1Yuyao Hospital of Traditional Chinese Medicine,Yuyao 315400,Zhejiang China.
关键词:
金中梁;  部位辨证;  脊柱疾病;  经验总结
Keywords:
Jin Zhongliang;  location-based syndrome differentiation;  spinal diseases;  summarize experience
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.250218
文献标志码:
A
摘要:
名老中医金中梁先生在治疗脊柱疾病中基于部位辨证理论,将常见脊柱疾病分为上部(颈)、中部(胸)、下部(腰骶尾)进行辨证论治; 上部易受风邪侵袭,风为阳邪,易袭阳位,表现为颈肩部游走性疼痛,痛无定处,治则以活血祛风、温补肝肾、通络止痛为主; 中部发病与情志密切相关,多因情志不畅导致气郁,气郁日久而化火,常表现为胸背、胸胁胀痛不舒,症状会随情志变化而增减,治则以疏肝行气、温补肾阳、活血止痛为主; 下部易被寒湿之邪所伤,表现为腰骶部重着酸痛,病程绵长,反复发作,症状得温可缓,遇寒加重,治则以散寒除湿止痛、温经通络、滋补肝肾为主。
Abstract:
Jin Zhongliang,a well-known practitioner of traditional Chinese medicine,utilizes the theory of differentiation based on location to address spinal diseases.He classifies these conditions into three categories: upper(cervical),middle(thoracic),and lower(lumbar,sacral,and coccygeal)regions for both diagnosis and treatment.The upper region is particularly susceptible to wind pathogens,which are Yang pathogens that tend to target Yang areas,resulting in wandering pain in the neck and shoulders that lacks a fixed location.The treatment approach here aims to invigorate blood circulation,dispel wind,warm and tonify the liver and kidneys,and unblock channels to alleviate pain.The middle region's issues are often linked to emotional factors,where emotional stagnation can lead to Qi stagnation that eventually transforms into heat.Patients typically experience discomfort and pain in the chest and back,with symptoms fluctuating according to their emotional state.The treatment strategy focuses on soothing the liver,promoting the flow of Qi,warming and tonifying kidney Yang,and invigorating blood to relieve pain.In the lower region,cold and damp pathogens can easily cause harm,leading to heavy,aching pain in the lumbar and sacral areas,often with a prolonged course and recurrent episodes.Symptoms may improve with warmth but tend to worsen in cold conditions.The treatment principle for this area emphasizes dispelling cold,eliminating dampness,relieving pain,warming the meridians,and nourishing the liver and kidneys.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目:浙江省中医药科技计划项目(2020ZB237,2024ZF138)
△通信作者 E-mail:13666600557@163.com
更新日期/Last Update: 2025-02-15