腰椎间盘突出症(Lumbar Disc Herniation, LDH)是常见的临床骨科疾病,经皮椎间孔镜椎间盘切除术(percutaneous endoscopic lumbar discectomy, PELD)是治疗LDH的最主要微创手术方式,优势明显,但目前临床上PELD术后存在残留腰腿疼痛、麻木等症状,严重影响患者手术满意率。对于该疾病,西医治疗虽有疗效,但具有不良反应多、病情易反复、远期疗效差、治疗费用高等缺点和不足。而中医对于该疾病的病因病机认识深刻,治疗方法众多,包括中药内服,针刺治疗,外治法等丰富的手段,具有不良反应少、便捷高效等独特的优势。本文通过查阅近几年相关文献并进行总结,现将中医药在治疗LDH患者PELD术后残留症状的治疗进展进行归纳总结,旨在为该疾病临床治疗方案的选择提供参考依据。Lumbar Disc Herniation (LDH) is a common clinical orthopedic disease. Percutaneous endoscopic lumbar discectomy (PELD) is the most important minimally invasive surgical method for the treatment of LDH, with obvious advantages. However, there are residual symptoms such as low back and leg pain and numbness after PELD, which seriously affects the satisfaction rate of patients. For the disease, although Western medicine treatment has curative effect, it has many disadvantages and deficiencies, such as many adverse reactions, easy recurrence of the disease, poor long-term efficacy, and high treatment costs. Traditional Chinese medicine has a profound understanding of the etiology and pathogenesis of the disease, and there are many treatment methods, including oral administration of traditional Chinese medicine, acupuncture treatment, external treatment and other rich means, which have unique advantages such as less adverse reactions, convenience and high efficiency. This article reviews and summarizes the relevant literature in recent years, and now summarizes the treatment progress of traditional Chinese medicine in the treatment of residual symptoms after PELD in LDH patients, aiming to provide a reference for the selection of clinical treatment options for this disease.
膝骨关节炎(KOA)是一种以关节软骨退行性病变、滑膜炎症及骨赘形成为特征的慢性退行性关节疾病。中医认为在KOA的发生发展过程中,正气亏虚,肝肾不足,风寒湿邪乘虚侵入是导致本病的重要原因。基于筋骨并重理论运用二乌汤薰洗方治疗寒湿痹阻型KOA患者一例,探讨二乌汤在KOA治疗中的应用。Knee osteoarthritis (KOA) is a chronic degenerative joint disease characterized by degenerative changes in articular cartilage, synovitis, and osteophyte formation. Traditional Chinese medicine believes that in the occurrence and development of KOA, deficiency of positive qi, insufficient liver and kidney, and invasion of wind, cold, and dampness pathogens are important causes of this disease. Based on the theory of emphasizing both sinew and bone, a case of KOA with cold-damp bi syndrome was treated using a fumigation and washing formula derived from the Erwu decoction, to explore the application of Erwu Decoction in the treatment of KOA.
暂无评论