[1]伏敏睿,温海宝,刘代远,等.辛丑年运用备化汤治疗退行性腰椎管狭窄症的经验与理论探微[J].中国中医骨伤科杂志,2026,34(04):102-105.[doi:10.20085/j.cnki.issn1005-0205.260417]
 FU Minrui,WEN Haibao,LIU Daiyuan,et al.Clinical Experience and Theoretical Insights on Treating Degenerative Lumbar Spinal Stenosis with the Beihua Decoction,the Yunqi Prescription for the Year of Xinchou[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2026,34(04):102-105.[doi:10.20085/j.cnki.issn1005-0205.260417]
点击复制

辛丑年运用备化汤治疗退行性腰椎管狭窄症的经验与理论探微()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第34卷
期数:
2026年04期
页码:
102-105
栏目:
经验交流
出版日期:
2026-04-10

文章信息/Info

Title:
Clinical Experience and Theoretical Insights on Treating Degenerative Lumbar Spinal Stenosis with the Beihua Decoction,the Yunqi Prescription for the Year of Xinchou
文章编号:
1005-0205(2026)04-0102-04
作者:
伏敏睿12温海宝12刘代远12朱立国12冯敏山12冯蓬12李建国12李路广12高景华12高春雨12△
1中国中医科学院望京医院(北京,100102)
2数智中医防治骨与关节退行性疾病北京市重点实验室
Author(s):
FU Minrui12WEN Haibao12LIU Daiyuan12ZHU Liguo12FENG Minshan12FENG Peng12LI Jianguo12LI Luguang12GAO Jinghua12GAO Chunyu12△
1Wangjing Hospital of China Academy of Chinese Medical Sciences,Beijing 100102,China; 2Beijing Key Laboratory of Digital Intelligence TCM for Prevention and Treatment of Osteoarthritic Degenerative Diseases,Beijing 100102,China.
关键词:
五运六气 备化汤 退行性骨关节病 退行性腰椎管狭窄症 辛丑年
Keywords:
five evolutionary phases and six climatic factors theory Beihua decoction degenerative osteoarthropathy lumbar spinal stenosis the year of Xinchou
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.260417
文献标志码:
A
摘要:
基于《黄帝内经》对五运六气的阐述,并结合中西医研究进展,提出“寒湿时邪”是辛丑年退行性腰椎管狭窄症发生的重要致病因素。通过分析寒、湿邪气所致病理状态,阐释自然界过盛的邪气与机体本身脾肾阳虚的发生常同时伴存的客观情况,认为其与退行性腰椎管狭窄症的发生密切相关。运气方备化汤在辛丑年治疗寒湿型退行性腰椎管狭窄症颇有疗效,临证应用的同时,也应注重重用甘药而不伤阴,同时配合经方化裁,以期尽快缓解症状,减少病情反复发作。
Abstract:
Based on the elaboration of the Five Circuits of Qi and Six Qi Stages in the Huangdi Neijing(Yellow Emperor's Internal Classic)and combined with research advances in both traditional Chinese and Western medicine,this paper proposes that “cold-damp seasonal pathogens” are important pathogenic factors in the development of degenerative lumbar spinal stenosis(DLSS)in the Xinchou Year.By analyzing the pathological states induced by cold-damp pathogens,it explains the objective fact that the excessive cold-damp pathogens factors in nature often coincide with the development of spleen-kidney Yang deficiency in the body itself,and posits that this correlation is closely associated with the pathogenesis of DLSS.The Yunqi(Five Circuits of Qi and Six Qi Stages)formula Beihua decoction has achieved remarkable curative effect in the treatment of cold-damp type DLSS in the Xinchou Year.In clinical application,attention should also be paid to reusing sweet-tasting herbs without damaging Yin,and combined with the modification of classical prescriptions,so as to relieve symptoms as soon as possible and reduce the recurrence of the disease.

参考文献/References:

[1] KATZ J N,ZIMMERMAN Z E,MASS H,et al.Diagnosis and management of lumbar spinal stenosis:a review[J].JAMA,2022,327(17):1688-1699.
[2] ZHU L L,SUN Y J,KANG J,et al.Effect of acupuncture on neurogenic claudication among patients with degenerative lumbar spinal stenosis:a randomized clinical trial[J].Annals of Internal Medicine,2024,177(8):1048-1057.
[3] 于凌佳,杨雍,刘雨泉,等.退行性腰椎管狭窄症的手术治疗研究进展[J].中华骨与关节外科杂志,2025,18(10):943-949.
[4] 魏戌,徐卫国,李路广,等.腰椎管狭窄症中西医结合诊疗指南(2023年)[J].中国全科医学,2024,27(25):3076-3082.
[5] 高景华,刘代远,李路广,等.《腰椎管狭窄症中西医结合诊疗指南(2023年)》解读[J].中国中医骨伤科杂志,2025,33(1):84-87.
[6] 王宝剑,高景华,孙武,等.退行性腰椎管狭窄症:NASS循证医学指南解读[J].天津中医药大学学报,2020,39(4):398-402.
[7] 贾思涵,连妍洁,尚菊菊,等.基于血浊理论探讨氧化应激与心肌纤维化的关系及中医辨治[J].北京中医药大学学报,2024,47(6):741-746.
[8] 纪丽芝,蒋梅.肠癌罹患与运气禀赋相关性研究[J].广州中医药大学学报,2021,38(12):2552-2558.
[9] 董子君,王鑫,刘莉莉,等.基于时间节律防治变应性鼻炎初探[J].北京中医药,2024,43(8):935-937.
[10] 谢燊.基于大数据的五运六气与罹患高血压病的相关性研究[D].济南:山东中医药大学,2023.
[11] 田合禄,田峰.五气经天的天文背景考释[J].中华中医药杂志,2021,36(11):6352-6363.
[12] 徐婧,杨洁,SHULL P.新加黄龙汤对老年腰椎间盘突出合并椎管狭窄手术预后的影响[J].陕西中医,2020,41(9):1248-1250.
[13] 安易,陈红,王锡友,等.中医综合方案干预中重度腰椎管狭窄症的新思路[J].中国医药导报,2022,19(32):130-132.
[14] 郑卫丛,豆昌先,吴晓翔,等.“筋骨平衡” 理论在退行性腰椎滑脱症中的运用探讨[J].陕西中医,2021,42(6):757-760.
[15] 王雯雯,赵恒立.基于“阳化气,阴成形”理论治疗痛风性关节炎研究进展[J].陕西中医,2022,43(9):1319-1320.
[16] 陈海峰,闫坤,张瑞坤,等.姚新苗教授运用备化汤治疗寒湿型腰痛病经验介绍[J].中国中医骨伤科杂志,2022,30(6):81-83.
[17] 何圣,廖常英,黎昕.论《黄帝内经》五运六气光变时空结构[J].辽宁中医药大学学报,2022,24(7):9-13.
[18] 李双庆,毛鑫羽,邢永发,等.古今附子临床安全性用药研究进展[J].天津中医药大学学报,2025,44(6):565-570.
[19] 侯佑柱,周计春,张小琴.《伤寒论》附子炮制方法及用量应用探析[J].中国中医急症,2024,33(10):1828-1830.
[20] 何敬爽,刘琴,老膺荣.五运六气临床观察性研究中的研究要素设计的文献分析[J].广州中医药大学学报,2021,38(12):2790-2796.
[21] 孔令豪,陶国水,陆曙,等.基于五运六气理论的无锡地区手足口病发病与 “六气” 相关性研究[J].中华中医药杂志,2021,36(11):6782-6785.
[22] 苏雪,李晶,陈雅琼.辛丑年(2021年)运气推演及疾病防治探微[J].中华针灸电子杂志,2021,10(2):45-46.
[23] 王骐,孙语男.从“温经开郁通痹”论治肢体麻木[J].江苏中医药,2022,54(11):44-46.
[24] 申金贤,张秀芳,宁南义,等.基于运气理论的针刺联合五味子汤、备化汤加减并用治疗腰椎间盘突出症腰痛急性加重临床观察[J].湖北中医药大学学报,2022,24(4):106-109.
[25] 孙晓芳,庞敏.庞敏教授从五运六气合补肾益气活血法治冠状动脉粥样硬化性心脏病[J].中医临床研究,2021,13(29):59-62.
[26] 尹思源,高原,张洋洋,等.南京地区814例急性心肌梗死患者生辰及发病日期五运六气分析[J/OL].辽宁中医杂志,1-12[2025-11-27].https://link.cnki.net/urlid/21.1128.R.20251027.0944.019.
[27] 昝忠成,霍丽平.应用五运六气化裁乌梅丸治厥阴不寐验案[J].世界中西医结合杂志,2021,16(11):2144-2146.
(收稿日期:2025-04-11)

备注/Memo

备注/Memo:
基金项目:北京市中医药科技发展资金项目(JJ-2020-72)
通信作者 E-mail:gaochunyu8526@sina.com
更新日期/Last Update: 2026-04-15