文档介绍：【摘要】腰椎间盘突出症与膨隆症在临床上的表现的体征十分相似，都以腰痛、腰活动受限、坐骨神经放射区疼痛为主要体症。我们不能单靠X片和CT片的检查和手术治疗。我们必须发挥中医伤科的特色，通过四诊手段仔细辩别疾病的属性，从而得出正确的治疗手段，方能收到事半功倍的效果。本人认为补其不足的元阴肾阴，是治疗腰椎间盘突出症，特别是腰椎间盘膨隆症的关键所在。 【关键词】腰椎间盘突出症 腰椎间盘膨隆症 辩证 施治 Lumbar disc herniation and lumbar disc Penglong of the dialectical and Treatment Cai Jianfei 【Abstract】Asked prominent lumbar disc disease and Penglong of the clinical manifestations of the disease are very similar, both to low back pain, lumbar activities restricted, radiation sciatic nerve pain as the main body can not rely on x-and CT-examination and treatment. We must play by the injured Chinese characteristics, by means of four attending carefully Bianbie attribute the disease to arrive at a correct treatment means, can receive multiplier think that fill its shortage of yuan Shen Yin Yin is the treatment of lumbar disc herniation, especially the lumbar disc Penglong asked of the key. 【Key words】Lumbar disc herniationBulging lumbar disc diseaseDialecticalTreatment 腰椎间盘突出症与膨隆症在临床上的表现的体征十分相似，都以腰痛、腰活动受限、坐骨神经放射区疼痛为主要体征。因此有些医者很容易把两者混淆，甚至异病同治。笔者根据多年临床经验，愿将自己体会心得说出来，与广大同行商确。 1病因病机辨证 腰椎间盘突出症有明显的外伤史，因外力冲击，促使腰椎间盘纤维环破裂，髓核向后脱出，压迫神经根而产生一系列症状。另有少数患者因寒性引发局部肌肉过度紧张，腰椎间盘内压升高，髓核向后方移位使后纤维环破裂。 腰椎间盘膨隆症多因年老体衰、肝肾亏虚或因长期劳累，促使椎体出现生理弧度变形，椎间隙变窄。在纤维环未破裂的情况下，髓核逐渐向后膨隆，压迫神经根而产生一系列症状。 2特殊体症 ，有明显外伤史。少数患者因寒性引发局部肌肉过度紧张，导致椎管内压升高，促使髓核突破纤维环，以致与相邻近的神