中药熏蒸治疗腰椎间盘突出的研究进展

作     者：徐柯 张杰 

作者机构：黑龙江中医药大学研究生院黑龙江 哈尔滨 黑龙江中医药大学附属第二医院骨伤二科黑龙江 哈尔滨 

出 版 物：《中医学》 (Traditional Chinese Medicine)

年 卷 期：2024年第13卷第8期

页      面：1988-1993页

学科分类：1008[医学-中药学(可授医学、理学学位)] 1006[医学-中西医结合] 100602[医学-中西医结合临床] 10[医学] 

主　　题：中药熏蒸 腰椎间盘突出 疼痛缓解 生活质量 恢复功能 

摘      要：腰椎间盘突出(LDH)是脊柱慢性疾病的一种常见疾病,临床上常表现为腰痛伴有放射性的下肢麻木疼痛,由于病情难以治愈且反复发作,给病人的生活和工作带来了严重冲击。传统的治疗方法包括药物治疗、物理治疗和手术治疗,但这些方法效果不佳,而且有许多副作用和风险。近年来,中药熏蒸(CMF)治疗逐渐受到了研究者和临床医生的关注。中药熏蒸治疗是将中药药材研磨成粉末或直接使用饮片,通过加热使药物挥发,通过皮肤吸收或呼吸道吸入,发挥药疗功效。通过对相关文件的梳理,中药熏蒸治疗LDH在疼痛缓解、恢复功能、改善生活质量等方面取得了显著的效果。一项研究表明,中药熏蒸疗法可以缓解LDH患者的疼痛,从而使他们的生活质量有了明显的提高。另外,另一项研究还发现中药熏蒸治疗可以促进患者脊柱的自愈功能,有助于恢复患者的正常体位和正常活动能力。因此,治疗LDH的中药具有一定的临床应用潜力和推广价值。Lumbar disc herniation (LDH) is a common disease of chronic spinal disorders, which is often clinically manifested as low back pain accompanied by radiating numbness and pain in the lower limbs, and it has brought serious impacts on patients’ life and work due to the difficulty in curing the condition and its recurrent episodes. Traditional treatments include medication, physiotherapy and surgery, but these methods are ineffective and have many side effects and risks. In recent years, Chinese medicine fumigation (CMF) treatment has gradually gained attention from researchers and clinicians. Chinese medicine fumigation treatment involves grinding Chinese herbal medicines into powder or directly using drinking tablets, volatilising the medicines by heating, and absorbing them through the skin or inhaling them through the respiratory tract to exert the medicinal therapeutic effects. By combing through relevant documents, Chinese medicine fumigation treatment for LDH has achieved remarkable results in pain relief, restoration of function, and improvement of quality of life. One study showed that herbal fumigation therapy relieved pain in patients with LDH, resulting in a significant improvement in their quality of life. In addition, another study also found that herbal fumigation therapy could promote the self-healing function of the spine of patients, which helped to restore their normal position and normal mobility. Therefore, traditional Chinese medicine for the treatment of LDH has certain potential for clinical application and promotion value.