加载中
腰腿痛是以腰部疼痛并沿足太阳或足少阳经放射至臀部、大腿后侧及小腿为主症的病证。腰为肾之府，足太阳膀胱经与足少阳胆经循行腰腿，故本病与肾虚及膀胱、胆经经络痹阻关系最为密切。外感风寒湿邪、劳伤闪挫、久病瘀滞，或年高肾虚精亏，均可致经络气血运行受阻而发为腰腿痛。本病常与现代医学之坐骨神经痛、腰椎间盘突出、腰肌劳损等相参合。
辨证要点：寒湿痹阻型腰腿冷痛重着、转侧不利、遇寒加重、得温则减，舌淡苔白腻、脉沉紧或濡；湿热下注型腰腿灼热疼痛、痛处拒按、小便短赤、下肢沉重、舌红苔黄腻、脉濡数或滑数；瘀血阻络型刺痛固定、夜间加重、俯仰不利，多有外伤或久病史，舌紫暗或有瘀斑、脉涩；肝肾亏虚型腰膝酸软、隐痛绵绵、劳累后加重、得按则减，偏阳虚者畏寒肢冷、舌淡脉沉细，偏阴虚者心烦潮热、舌红少苔、脉细数。实证治以祛邪通络，虚证治以补益肝肾。
@misc{bencaodian-yao-tui-tong,
author = {{Bencaodian Editorial}},
title = {Yao Tui Tong 腰腿痛 (Lumbago with Leg Pain)},
year = {2026},
howpublished = {Bencao Dian: A Bilingual Knowledge Graph of Traditional Chinese Medicine},
url = {https://bencaodian.org/zh/conditions/yao-tui-tong},
urldate = {2026-04-17},
note = {CC BY-SA 4.0}
}© 本草典编辑部 · 按 CC BY-SA 4.0 协议授权