{"id":9223,"date":"2024-06-06T01:51:31","date_gmt":"2024-06-06T01:51:31","guid":{"rendered":"https:\/\/tcmdrma.com\/%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e9%92%88%e8%8d%af%e7%bb%93%e5%90%88%e6%b2%bb%e7%96%97%e4%b8%80%e4%be%8b%e8%85%b0%e6%a4%8e%e9%97%b4%e7%9b%98%e7%aa%81%e5%87%ba%e5%8f%8a%e5%9d%90%e9%aa%a8%e7%a5%9e\/"},"modified":"2025-05-09T10:57:44","modified_gmt":"2025-05-09T00:57:44","slug":"%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e9%92%88%e8%8d%af%e7%bb%93%e5%90%88%e6%b2%bb%e7%96%97%e4%b8%80%e4%be%8b%e8%85%b0%e6%a4%8e%e9%97%b4%e7%9b%98%e7%aa%81%e5%87%ba%e5%8f%8a%e5%9d%90%e9%aa%a8%e7%a5%9e","status":"publish","type":"post","link":"https:\/\/tcmdrma.com\/zh-hans\/%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e9%92%88%e8%8d%af%e7%bb%93%e5%90%88%e6%b2%bb%e7%96%97%e4%b8%80%e4%be%8b%e8%85%b0%e6%a4%8e%e9%97%b4%e7%9b%98%e7%aa%81%e5%87%ba%e5%8f%8a%e5%9d%90%e9%aa%a8%e7%a5%9e\/","title":{"rendered":"\u3010\u533b\u6848\u3011\u9488\u836f\u7ed3\u5408\u6cbb\u7597\u4e00\u4f8b\u8170\u690e\u95f4\u76d8\u7a81\u51fa\u53ca\u5750\u9aa8\u795e\u7ecf\u75db"},"content":{"rendered":"

患者，女，37岁，欧裔，主诉为腰间盘突出导致腰痛及坐骨神经痛半年有余。疼痛部位主要在后腰及左腿的后侧边神经痛，痛感沿太阳经方向延伸到足底。疼痛为7\/10，并伴有局部的麻木。疼痛已经严重影响到睡眠、走路以及工作。患者来就诊时步履蹒跚，左腿不敢用力。患者曾服用西药治疗（服药过程中出现过胃炎），曾找过Physio进行治疗，但经局部按摩后病情加重。另有多年低血压病史。舌细长红而薄苔，脉弦细弱。二便正常，睡眠可，手足冰凉，面色不华，容易疲劳，怕冷怕风。月经规律，痛经并有血块。<\/p>\n

从中医来看，此为伴有血虚血瘀的虚劳腰痛。经过12次针灸及约7周中药治疗后，疼痛已经消失，患者已经可以正常生活，并自觉精力明显提升，且多年的低血压经GP（家庭医生）检查已经恢复正常。<\/p>\n

讨论几个要点：<\/p>\n

其一，看不到患者虚的一面，则所有的治疗都是错的。<\/strong>这就是为什么局部按摩后，患者的病情会加重。患者服用西药后，疼痛有所改善，但是出现了胃炎的副作用。这是因为她的身体机能是处于低能量状态的，吃不消这类常规性的治疗手段。<\/p>\n

其二，中医的治疗原则首先是平衡阴阳<\/strong>。我们的中医的治疗，在六经辩证及八纲辨证的基础上，做得最重要的一件事就是先调整平衡阴阳，先把患者的气血补上来。然后，再治疗局部的病变。另外，虚症的治疗，欲速则不达<\/strong>。对于虚症下的各类疾病，患者本身处于一个低能量状态。这个时候，不可以急于求成。该患者治疗前期疼痛的减少明显，但距离疼痛消失的目标仍相对缓慢，患者经过7周的治疗后，患者的气血能量明显改善，在这个时候治疗迅速好转。<\/p>\n

其三，中医的治疗往往可以做到一箭双雕<\/strong>。我们没有专门去治疗患者的低血压问题，但是血虚的问题改善了，不仅把坐骨神经痛治好了，低血压也一并好了。这也是我们一再强调，中医不应该盯着西医的病名去治，而是要坚持中医独特的思维方式和辩证手段，这才是中医治疗起效的关键。<\/p>\n

最后，引用张锡纯老先生的话作为结语：“从来治腿疼臂疼者，多责之风寒湿痹，或血瘀，气滞，痰涎凝滞。不知人身之气化壮旺流行，而周身痹者，瘀者，滞者，不治自愈……故凡遇腿疼，臂疼，历久调治不愈者，补其元气以疏通之，数载沉疴，亦可随手奏效也。”<\/p>\n

 <\/p>\n

 <\/p>\n

注意：中医根据个体差异所采取的治疗手段和治疗效果亦有差异，医案分享不构成治疗建议。<\/p>\n

\n

医案编号：073<\/p>\n","protected":false},"excerpt":{"rendered":"

患者，女，37岁，欧 […]<\/p>\n","protected":false},"author":1,"featured_media":9224,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","footnotes":""},"categories":[76],"tags":[],"class_list":["post-9223","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-76"],"acf":[],"uagb_featured_image_src":{"full":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Sciatica.jpg",1200,628,false],"thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Sciatica-150x150.jpg",150,150,true],"medium":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Sciatica-300x157.jpg",300,157,true],"medium_large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Sciatica-768x402.jpg",768,402,true],"large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Sciatica-1024x536.jpg",1024,536,true],"1536x1536":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Sciatica.jpg",1200,628,false],"2048x2048":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Sciatica.jpg",1200,628,false],"blog-large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Sciatica-669x350.jpg",520,272,true],"blog-medium":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Sciatica-320x167.jpg",320,167,true],"recent-posts":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Sciatica-700x366.jpg",700,366,true],"recent-works-thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Sciatica-66x35.jpg",66,35,true],"fusion-200":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Sciatica-200x105.jpg",200,105,true],"fusion-400":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Sciatica-400x209.jpg",400,209,true],"fusion-600":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Sciatica-600x314.jpg",600,314,true],"fusion-800":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Sciatica-800x419.jpg",800,419,true],"fusion-1200":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Sciatica.jpg",1200,628,false],"portfolio-full":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Sciatica-940x492.jpg",764,400,true],"portfolio-one":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Sciatica-540x283.jpg",519,272,true],"portfolio-two":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Sciatica-460x241.jpg",460,241,true],"portfolio-three":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Sciatica-300x157.jpg",300,157,true],"portfolio-five":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Sciatica-177x93.jpg",177,93,true],"woocommerce_thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Sciatica-500x262.jpg",500,262,true],"woocommerce_single":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Sciatica-700x366.jpg",700,366,true],"woocommerce_gallery_thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/Sciatica-100x100.jpg",100,100,true]},"uagb_author_info":{"display_name":"Max Ma","author_link":"https:\/\/tcmdrma.com\/zh-hans\/author\/tcmdrma-com\/"},"uagb_comment_info":0,"uagb_excerpt":"患者，女，37岁ʌ…","_links":{"self":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9223","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/comments?post=9223"}],"version-history":[{"count":2,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9223\/revisions"}],"predecessor-version":[{"id":13890,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9223\/revisions\/13890"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/media\/9224"}],"wp:attachment":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/media?parent=9223"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/categories?post=9223"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/tags?post=9223"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}