吴娟丽,王 霞,刘亚坤,马文燕,金 玉

王霞主任深耕疼痛诊疗领域二十余年，在传承中医经典理论的基础上，提出疼痛疾病的发生与督脉功能失调密切相关。在临床辨治中，她将“通督”理念置于核心地位，强调需以“益督”与“通脉”为关键抓手，实现“补虚”与“通瘀”的协同效应。对于疼痛病机的认知，她始终围绕“不通则痛”与“不荣则痛”两大核心展开—前者源于督脉经气阻滞、气血运行不畅，后者则因督脉失养、阳气虚衰或精髓不足所致，二者常相互转化、虚实夹杂。下文将系统阐述王霞主任在疼痛疾病辨治中的“通督”思想。

通督思想；疼痛辨治；督脉；不通则痛；不荣则痛

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