腰椎间盘突出症
Alias腰腿痛
Traditional Chinese Medicine Definition
Lumbar Intervertebral Disc Herniation (Lumbago and Leg Pain)
In traditional Chinese medicine, lumbar intervertebral disc herniation is referred to as "Lumbago and Leg Pain," which falls under the category of bone injury diseases. According to classical texts in traditional Chinese internal medicine, the disease is often caused by deficiencies in the liver and kidney, malnutrition of the tendons and bones, and external factors such as overexertion, falls, and sprains, leading to obstructed circulation of Qi and blood in the lumbar meridians. This obstruction results in pain and stiffness, which further manifests as symptoms such as lumbago and leg pain, limited mobility, and so on.
In clinical practice of traditional Chinese medicine, the core pathogenesis of lumbar intervertebral disc herniation is attributed to deficiencies in the liver and kidney, malnutrition of the tendons and bones, and Qi stagnation and blood stasis. Common precipitating factors include long-term standing, incorrect posture, heavy physical labor, and lumbar trauma. During differentiation of symptoms, it is important to differentiate between cold and heat, deficiency and excess, such as Qi stagnation and blood stasis manifesting as sharp pain in the lower back with fixed tender points that worsen with movement; wind-cold-dampness bi syndrome presenting with cold and heavy pain in the lower back and legs, exacerbated by rainy and cloudy weather; and liver and kidney deficiency presenting with soreness and tenderness in the lower back that worsens with fatigue and improves with rest. The overall direction of treatment suggests focusing on promoting blood circulation and removing blood stasis, regulating Qi and alleviating pain, dispelling wind and cold, removing dampness and unblocking the meridians, nourishing the liver and kidney, and strengthening the tendons and bones. In clinical practice, the treatment of lumbar intervertebral disc herniation should be tailored to the specific condition of the patient, employing comprehensive treatment methods to achieve the goal of alleviating symptoms and improving function.
Common Syndrome Types and Key Points of Differentiation
气滞血瘀证
Main Manifestations：腰痛如针刺,痛点固定,活动加重
Management Approach：活血化瘀,理气止痛
风寒湿痹证
Main Manifestations：腰腿冷痛沉重,遇阴雨天加重
Management Approach：祛风散寒,除湿通络
肝肾亏虚证
Main Manifestations：腰部酸软疼痛,劳累加重,休息减轻
Management Approach：补益肝肾,强筋壮骨
The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.
Physician's Clinical Insights
For patients with lumbar intervertebral disc herniation and pronounced lumbago and leg pain, the symptoms are often related to kidney deficiency, dampness, and blood stasis. The direction of treatment is to warm the kidneys, strengthen the bones, and remove dampness to unblock the meridians.
— 李明久 中医执业医师
Related Popular Articles
Guidance for Nearby Treatment
大关西一苑、申瑞社区、橡树园等周边居民可就近到正规中医医疗机构就诊，具体地址、电话及营业时间请查看关于我们。
This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.
参考文献：《中医内科学》（十三五规划教材）、《中医病证诊断疗效标准》(ZY/T001.1-94)、《中医病证分类与代码》(GB/T 15657-2021)