腰痛中成药详解.ppt

腰痛 gsh Evaluadon only ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  概述 病因病机 三、诊断与鉴别诊断 四、辨证论治 五、转归预后 六、临证要点 Valadon onry. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  1.定义: 腰痛是指由于外感、内伤或闪挫而致的腰部一侧或两侧 疼痛为主症的一类病证。 腰痛可呈急性起病,疼痛较重,累及一侧或两侧腰部, 轻微活动即可引起剧烈疼痛,脊柱一侧或两侧有明显压痛。 有些则起病缓慢,呈隐痛或酸痛,每因体位不当、劳累过 度、天气变化等因素而加重。部分患者腰痛可发生在长时 间不活动或休息时。临床腰痛常兼腿痛,或兼腹痛,若以 腰痛为主者,均属本篇范畴。 Valadon onry. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  二、病因病机 腰为肾之府,受肾精气之充养,又为任、督、冲、带之 脉循行之处,故凡感受外邪,闪挫跌仆,劳欲过度,久病、 年老、体虚,均可引发腰痛 1、感受寒湿 2、感受湿热 3、气滯血瘀 4,肾亏体虚 Valadon onry. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  1.感受寒湿 由于久居冷湿之地,或涉水冒雨,劳汗当风,衣着湿冷, 都可感受寒湿之邪 寒邪凝滞收引 湿邪粘聚不化 致腰腿经脉受阻 气血运行不畅 胺痛 Valadon onry. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  Valadon onry. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  2.感受湿热 岁气湿热行令,或长夏之际,湿热交蒸,或寒湿蕴积 日久,郁而化热,转为湿热 阻遏经脉 腰痛 Valadon onry. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  3.气滞血瘀 跌仆外伤,损伤经脉气血,或因久病,气血运行不 畅,或体位不正,腰部用力不当,屏气闪挫 经络气血阻滞不通 瘀血留着腰部 腰痛 Valadon onry. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  4.肾亏体虚 先天禀赋不足,加之劳累太过,或久病体虚,或年 老体衰,或房室不节 肾精亏损 无以濡养筋脉 腰痛 Valadon onry. ch Asposeslides for NET 4o dient P Evaluation only. Created