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基于“骨错缝，筋出槽”理论探讨独活寄生汤对慢性非特异性腰痛的影响
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Abstract:
慢性非特异性腰痛(chronic non-specific low back pain, CNSLBP)是一种在临床上较为棘手的疾病，它极大地影响了患者的日常生活质量。中医理论中的“骨错缝，筋出槽”概念为CNLBP的治疗提供了独特的视角。独活寄生汤作为中医经典方剂，在治疗CNLBP方面显示出潜在的疗效。本文综述了“骨错缝，筋出槽”理论的现代理解，独活寄生汤的药理作用，以及其在CNLBP治疗中的应用和效果。
Chronic non-specific low back pain (CNSLBP) is a challenging clinical condition that significantly affects the daily quality of life of patients. The concept of “bone misalignment and sinew displacement” in Traditional Chinese Medicine (TCM) provides a unique perspective for the treatment of CNSLBP. Duhuo Jisheng Decoction, as a classic TCM formula, has shown potential efficacy in treating CNSLBP. This article reviews the modern interpretation of the “bone misalignment and sinew displacement” theory, the pharmacological effects of Duhuo Jisheng Decoction, and its application and efficacy in the treatment of CNSLBP.
| [1] | Itz, C.J., Geurts, J.W., van Kleef, M. and Nelemans, P. (2012) Clinical Course of Non‐Specific Low Back Pain: A Systematic Review of Prospective Cohort Studies Set in Primary Care. European Journal of Pain, 17, 5-15. https://doi.org/10.1002/j.1532-2149.2012.00170.x |
| [2] | Masaki, M., Aoyama, T., Murakami, T., Yanase, K., Ji, X., Tateuchi, H., et al. (2017) Association of Low Back Pain with Muscle Stiffness and Muscle Mass of the Lumbar Back Muscles, and Sagittal Spinal Alignment in Young and Middle-Aged Medical Workers. Clinical Biomechanics, 49, 128-133. https://doi.org/10.1016/j.clinbiomech.2017.09.008 |
| [3] | Bergmark, A. (1989) Stability of the Lumbar Spine. Acta Orthopaedica Scandinavica, 60, 1-54. https://doi.org/10.3109/17453678909154177 |
| [4] | Schleip, R., Gabbiani, G., Wilke, J., Naylor, I., Hinz, B., Zorn, A., et al. (2019) Fascia Is Able to Actively Contract and May Thereby Influence Musculoskeletal Dynamics: A Histochemical and Mechanographic Investigation. Frontiers in Physiology, 10, Article 336. https://doi.org/10.3389/fphys.2019.00336 |
| [5] | Alahmari, K.A., Rengaramanujam, K., Reddy, R.S., Samuel, P.S., Tedla, J.S., Kakaraparthi, V.N., et al. (2020) The Immediate and Short-Term Effects of Dynamic Taping on Pain, Endurance, Disability, Mobility and Kinesiophobia in Individuals with Chronic Non-Specific Low Back Pain: A Randomized Controlled Trial. PLOS ONE, 15, e0239505. https://doi.org/10.1371/journal.pone.0239505 |
| [6] | 莫灼锚, 张人文, 唐树杰. 脊柱“骨错缝, 筋出槽”理论的研究进展[J]. 中医正骨, 2017, 29(5): 16-19. |
| [7] | 殷杰, 何晨, 艾田梅, 等. 独活寄生汤结合按摩治疗非特异性下腰痛临床观察[J]. 光明中医, 2022, 37(6): 1022-1024 |
| [8] | 聂颖, 卢敏, 杨雷, 等. 卢敏基于“虚、瘀”和筋骨失衡理论论治腰椎间盘突出症的经验[J]. 湖南中医药大学学报, 2021, 41(6): 907-910. |
| [9] | 刘强, 李君, 张军. “筋出槽、骨错缝”理论在脊柱源性疾病中的认识[J]. 中国中医骨伤科杂志, 2012, 20(10): 72-73. |
| [10] | 范志勇, 郭汝松, 李振宝, 等. 基于“骨错缝、筋出槽”理论探讨林氏正骨推拿治疗腰椎间盘突出症的核心技术规范[J]. 上海中医药杂志, 2016, 50(9): 11-14. |
