通讯作者: 田君明, 2844579135@qq.com

DOI：10.12201/bmr.202512.00019

Professor Wei Guikang, a national medical master, utilizes the theory of muscles protruding from their grooves and bones misaligned to apply a triple therapy approach in the diagnosis and treatment of degenerative lumbar instability

• 摘要：退行性腰椎失稳（DLI）是中老年高发脊柱退行性疾病，近年发病率上升且呈低龄化，以腰背痛、下肢放射痛等为表现，严重影响生活质量。中医将其归为腰痛范畴，核心病理状态为“筋出槽，骨错缝”，基本病机是肝肾不足、气血不调、筋骨失养。国医大师韦贵康基于此提出韦氏三联疗法，以“整体调理、筋骨同调”为原则，通过“理筋”（放松肌肉、疏通筋脉）、“调骨”（精准整复关节）、“对症”（穴位刺激与功能训练）三步，纠正病理状态、重建腰椎力学平衡。临床病案证实该疗法可有效缓解症状、改善腰椎滑移，为DLI防治提供了兼具理论特色与实用性的方案，值得推广。

  关键词： 退行性腰椎失稳; 筋出槽，骨错缝; 韦氏三联疗法; 

   

  Abstract: Degenerative Lumbar Instability (DLI) is a common spinal degenerative disease among the elderly, with an increasing incidence rate in recent years and a trend towards younger patients. It manifests as low back pain and radiating pain in the lower limbs, severely affecting quality of life. In traditional Chinese medicine, it is classified under the category of lumbago, with the core pathological state being muscles out of their groove and bones misaligned, and the basic pathogenesis being deficiency of the liver and kidney, imbalance of qi and blood, and malnutrition of muscles and bones. Based on this, the national medical master Wei Guikang proposed the Weis triple therapy, which adheres to the principle of holistic conditioning and simultaneous adjustment of muscles and bones. Through three steps: muscle conditioning (relaxing muscles and dredging meridians), bone adjustment (precise reduction of joints), and symptomatic treatment (acupoint stimulation and functional training), the therapy corrects pathological states and restores mechanical balance in the lumbar spine. Clinical case studies have confirmed that this therapy can effectively alleviate symptoms and improve lumbar spondylolisthesis, providing a theoretically distinctive and practical solution for the prevention and treatment of DLI, which is worthy of promotion.

  Key words: degenerative lumbar instability; muscle deviation and bone malposition; Websters three-part technique; musculoskeletal coordination

  提交时间：2025-12-08

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2025-11-04	10.12201/bmr.202512.00019V1	下载

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