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

Corresponding author: yeyongxiang, 849657809@qq.com

DOI: 10.12201/bmr.202504.00047

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  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

  Submit time: 16 April 2025

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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