【摘要】 腰椎间盘突出症（lumbar disc herniation,LDH）是临床最为常见的腰椎退行性疾病，其发病机制主要为椎间盘退变、损伤而致髓核突出压迫神经从而出现腰腿痛等症状，中医认为LDH属于“腰痛”“痹症”等范畴，其发病与气血瘀堵、肝肾亏虚等因素有关。其中气滞血瘀型是其常见证型之一，中医药在治疗气滞血瘀型LDH方面具有独特的理论和丰富的实践经验。本文通过对近年来相关文献的梳理，从中药内治、中药外治、针灸推拿等方面综述了中医药治疗气滞血瘀型LDH的研究进展，分析了各种治疗方法的疗效及作用机制，旨在为临床治疗提供参考依据，同时也指出了目前研究中存在的问题和未来的研究方向。更多还原

【Abstract】 Lumbar disc herniation(LDH) is the most common lumbar degenerative disease in clinical practice. Its pathogenesis mainly involves intervertebral disc degeneration and injury leading to nucleus pulposus protrusion and nerve compression, resulting in symptoms such as lower back and leg pain. In traditional Chinese medicine, LDH falls under categories like "lower back pain" and "Bi syndrome," with its onset associated with factors such as blood stasis and liver-kidney deficiency. Among these, the Qi stagnation and blood stasis type is one of the common patterns. Traditional Chinese medicine has unique theories and rich practical experience in treating the Qi stagnation and blood stasis type of LDH. This article reviews the research progress on the treatment of Qi stagnation and blood stasis type LDH using traditional Chinese medicine, including internal treatment with traditional Chinese medicine, external treatment with traditional Chinese medicine, acupuncture and massage. It analyzes the efficacy and mechanisms of various treatment methods, aiming to provide a reference for clinical treatment, while also pointing out existing issues and future research directions.更多还原