通讯作者: 叶勇祥, 849657809@qq.com

DOI：10.12201/bmr.202504.00047

Discussion on the TCM Diagnosis and Treatment Approach of Lumbar Disc Herniation with Sciatica Based on the Theory of Collaterals

• 摘要：腰椎间盘突出症(Lumbar Disc Herniation, LDH)伴坐骨神经痛是临床常见的慢性病之一,发病率逐年升高,其发病机制复杂,涉及骨骼、神经及软组织损伤等多方面因素,严重影响患者的生活质量和工作能力。中医学认为,本病属于“痹症”“腰腿痛”等范畴,病机核心在于气滞血瘀、经络阻滞,在中医理论体系中,络脉理论对该疾病的阐释具有重要意义。本文结合络脉理论,从中医病因病机、辨证论治及临床诊疗特色出发,探讨其在腰椎间盘突出症伴坐骨神经痛诊疗中的指导价值。通过系统梳理现代研究进展与传统中医理论,进一步阐明络脉理论在该病中的临床应用优势,为中西医结合治疗该病提供新思路。

  关键词： 腰椎间盘突出症; 坐骨神经痛; 络脉理论; 中医诊疗; 辨证论治

   

  Abstract: Lumbar Disc Herniation (LDH) with Sciatica is one of the common chronic conditions in clinical practice, with its incidence steadily increasing year by year. The pathogenesis of this disease is complex, involving factors such as skeletal, neurological, and soft tissue injuries, which significantly impact the patients quality of life and work capacity. Traditional Chinese Medicine (TCM) regards this condition as part of the categories Bi Syndrome and Lumbago and Leg Pain, with the core pathological mechanism being Qi stagnation, blood stasis, and obstruction of the meridians. In the TCM theoretical framework, the theory of collaterals plays a crucial role in explaining this disease. This paper explores the guiding value of this theory in the diagnosis and treatment of lumbar disc herniation with sciatica, from the perspectives of TCM etiology and pathogenesis, syndrome differentiation, treatment, and clinical features. By systematically reviewing modern research developments and traditional TCM theories, this paper further elucidates the clinical application advantages of the theory of collaterals in the management of this disease, providing new ideas for integrated Chinese and Western medicine treatment.

  Key words: Lumbar Disc Herniation; Sciatica; Theory of Collaterals; TCM Diagnosis and Treatment; Syndrome Differentiation and Treatment

  提交时间：2025-04-16

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  1	2025-02-23	10.12201/bmr.202504.00047V1	下载

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