【摘要】 慢性腰痛是全球范围内高发的慢性疾病之一,传统中医药学和现代医学均从不同角度对其病因及治疗进行了系统探索。国医大师施杞教授在“气虚血瘀”的中医经典理论基础上,融合现代生物力学、分子生物学等成果,提出“益气化瘀法”,为慢性腰痛的病因认识、诊断评估及综合防治提供了新的理论框架与临床路径。通过整合现代影像技术与生物标志物检测,有助于实现个性化诊疗,凸显气血调和与整体动态观在临床中的重要价值。基于瘀血理论创制的“筋痹方”在缓解腰部疼痛、改善腰椎功能等方面展现出显著的临床疗效。未来研究应进一步加强分子机制的解析,优化个体化治疗策略,开展高质量的临床试验研究,以推动中医药在慢性腰痛防治中的现代化与国际化发展。更多还原

【Abstract】 Chronic low back pain is one of the most prevalent chronic conditions worldwide. Both traditional Chinese medicine(TCM) and modern medicine have systematically explored its etiology and treatment from different perspectives.Professor Shi Qi,a master of TCM,builds upon the classical theory of “Qi deficiency and blood stasis” and integrates advances in modern disciplines such as biomechanics and molecular biology to propose the method of “benefiting Qi and activating blood circulation”. This approach provides a novel theoretical framework and clinical pathway for understanding the etiology,diagnostic evaluation,and comprehensive management of chronic low back pain. By incorporating modern imaging techniques and biomarker detection,this approach facilitates individualized diagnosis and treatment,highlighting the clinical significance of harmonizing Qi and blood as well as maintaining a holistic and dynamic perspective. The herbal formula “Jin Bi Fang”,developed based on blood stasis theory,has demonstrated significant clinical efficacy in alleviating low back pain and improving lumbar function. Future research should elucidate the underlying molecular mechanisms,optimize individualized therapeutic strategies,and conduct high-quality clinical trials to promote the modernization and internationalization of TCM in the prevention and treatment of chronic low back pain.更多还原