「腎著湯」治寒溼型腰痛臨床心得

腰痛是十分惱人也常見的疾患，臨床上需辨別虛、實、寒、熱，及外感、內傷來給予治療。本篇所應用的腎著湯（甘薑苓朮湯）出自「金匱」五臟風寒積聚篇，現代文獻記載用來治療寒濕型腰痛多有顯著療效。基隆地區氣候較寒濕，臨床上遇到許多下背痛患者，天冷下雨即誘發或加劇。本篇以臨床病案觀察應用腎著湯加減治療腰痛效果顯著，故提出來共同討論。

關鍵字

腰痛；寒濕；腎著湯

並列摘要

Lumbar pain is a common disorder that causes great discomfort for many people. In order to give a proper treatment one needs to distinguish between vacuity and repletion, hot and cold, and whether the cause is due to an internal injury or external contraction. The formula Shen Zhao Tang, discussed in this article, comes from a chapter the Jin Gui Yao Lue entitled; The Five Viscera; Accumulations and Gatherings due to Wind and Cold. In modern medical literature, it has been reported to be beneficial for the treatment of lumbar pain due to wind and damp. In the city of Keelong, Taiwan, where the weather is cold and damp, there are many such cases of people suffering from lower back pain that is exacerbated by cold temperatures and rainy weather. This article discusses the author’s observations that a modified Shen Zhao Tang can provide excellent results for the treatment of lumbar pain.

並列關鍵字

lumbar pain ； cold damp ； shen zhao tang

國際替代計量

「腎著湯」治寒溼型腰痛臨床心得

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