李业甫“病证合参，筋骨并举”学术思想治疗腰椎间盘突出症

刘存斌 李韬 李业甫

[摘要] 腰椎间盘突出症临床较为常见，发病率日益增高，起病年龄愈发年轻化。推拿是中医学的重要组成部分，推拿治疗腰椎间盘突出症具有确切疗效。李业甫教授早年师从朱春霆、王松山、钱福卿等名家学习推拿手法，其手法又自成一体，独树一帜，首创牵引复位法治疗腰推间盘突出症。李业甫教授认为，腰椎间盘突出症的基本病因是脊柱及周圍软组织退行性改变，腰部筋骨失衡是腰椎间盘突出症之重要病机，推拿临证应病症合参、筋骨并举，方可取效。

[关键词] 腰椎间盘突出症;李业甫;推拿;病证合参;筋骨并举

[中图分类号] R244.1          [文献标识码] B          [文章编号] 1673-9701（2021）30-0136-04

[Abstract] Lumbar intervertebral disc herniation is a common disease with increasing incidence and younger onset age. Massage is an important part of traditional Chinese medicine， which has a definite effect on the treatment of lumbar intervertebral disc herniation. In his early years， Professor Li Yefu learned the manipulation of massage from Zhu Chunting， Wang Songshan， Qian Fuqing and other famous masters. He developed a school of his own and pioneered the method of traction reduction in the treatment of lumbar intervertebral disc herniation. Professor Li Yefu believes that the basic cause of lumbar intervertebral disc herniation is the degenerative changes of the spine and surrounding soft tissues， and the imbalance of lumbar muscles and bones is the important pathogenesis of lumbar intervertebral disc herniation. Therefore， an effective massage on clinical syndrome should be combining disease and syndrome， simultaneously strengthening muscles and bones.

[Key words] Lumbar intervertebral disc herniation; Li Yefu; Massage; Combining disease and syndrome; Simultaneously strengthening muscles and bones

李业甫教授是全国第三批国医大师，首位推拿学国医大师。安徽省推拿学科创始人。李老年近九十高龄仍坚持每周门诊，定期教学查房，开设讲座，弘扬中医推拿事业。作者系李业甫国医大师学术继承人，跟随李老学习，获益匪浅。推拿属传统医学一种外治方法，发展至今，已经与现代医学中解剖学和生理学紧密联系在一起，在治疗脊柱、四肢关节及软组织相关的一些骨伤科慢性疾病疗效确切。推拿治疗腰椎间盘突出症具有明显优势，效果好，安全性高，很少有不良反应，无需特别场地和设备，比较简便，患者容易接受，所需费用比较经济，是最常用的保守治疗方法之一。自20世纪80年代以来，随着推拿在治疗腰椎间盘突出症中广泛应用，对其研究也越来越多，取得诸多成果，而“病证合参，筋骨并举”则是李老推拿治疗颈肩腰腿痛长期经验总结，也是其学术思想的重要组成部分[1]。……