坐骨神經痛之治療經驗－由中醫藥治療腰痛之觀念談起

Experience to Treating Sciatica Talking from How Chinese Medicine Deals with Waist Pain

柯宗卿(Tsong-Ching Kah)

《傳統醫學雜誌》 22卷1期 (2011/10) Pp. 77-86

https://doi.org/10.30038/JTM.201110.0009

摘要

坐骨神經痛是指腰椎之某神經根受壓迫而產生腰痛並延伸至下肢有麻木感，感覺異常或局部皮膚過度敏感等症狀。發生原因主要為墜墮傷腰、腰部勞損傷加上用力過猛或失當造成椎間盤突出、腰脊椎滑脫或老化致骨疣增生等。好發部位在L4-L5及L5-S1，據統計佔坐骨神經痛百分之九十以上。以中醫對腰痛、腰腿痛的認知及治療用在治療坐骨神經痛治療上，症狀緩解確實。本篇所敘述之坐骨神經痛為單純神經壓迫型，如神經瘤或脊髓灰質炎及其他內科疾病所產生的類似症狀，不屬本篇討論之範圍。

關鍵字

椎間盤突出 ； 骨疣 ； 腰痛 ； 腰腿痛

並列摘要

Sciatica refers to some nerve around the lumbar spine being pressed, leading to waist pain and numbness or discomfort in the lower limbs. Regional skin being oversensitive could also be one of the symptoms. The major causes of sciatica include waist injuries from falling, waist fatigue plus overstretching or improper use of strength, and thus result in herniated intervertebral disc (HIVD), the dislocation of the lumbar spine or proliferation of bone warts from aging. The most common afflicted areas are L4-L5 and L5-S1, accounting for ninety percent of this disease statistically. With the comprehensive understanding of waist pain and low back pain, the Chinese medicine has been able to effectively treat this condition and alleviate the symptoms. The sciatica discussed in this paper is purely nerve-pressing type, and neuromas, poliomyelitis, and other similar symptoms caused by internal diseases are not to be discussed here.

並列關鍵字

herniated intervertebral disc HIVD ； bone warts ； waist