基于王居易经络医学理论指导下红炉拨筋罐在气滞血瘀型腰椎间盘突出症患者中的临床应用

Clinical Application of Honglu Tendon-Regulating Cupping Therapy for Lumbar Disc Herniation with Qi Stagnation and Blood Stasis Pattern Guided by Wang Juyi’s Channel Theory

摘要: 目的：初步验证王居易经络医学理论指导下红炉拨筋罐在气滞血瘀型腰椎间盘突出症患者中临床应用的效果。方法：选取90例气滞血瘀型腰椎间盘突出症患者作为实验研究样本，组别划分的方式为随机数字表法，组别名称为试验组、对照组，样本数量为45例。对照组选择口服用药方式进行干预，药物为当归活血止痛片，试验组应用红炉拨筋罐进行干预选取与腰痛相关的腧穴进行配伍：督脉–悬枢至腰俞、膀胱经–双侧肾俞、志室、奇穴–双侧腰眼、阿是穴、疗程1周。对比两组疼痛视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)、Roland-Morris腰痛功能调查表(RMDQ)、下腰痛日本骨科协会评分(JOA)、TNF-α水平。结果：治疗后，两组腰部及患肢VAS、ODI、RMDQ均较治疗前降低(P < 0.05)，且试验组均低于对照组(P < 0.05)。两组JOA较治疗前升高(P < 0.05)，试验组高于对照组(P < 0.05)。两组TNF-α水平较治疗前下降(P < 0.05)，试验组低于对照组(P < 0.05)。结论：王居易经络医学理论指导下红炉拨筋罐在气滞血瘀型腰痛患者中临床应用能够显著改善气滞血瘀型腰痛患者的症状，提高临床疗效及生活质量。

Abstract: Objective: To preliminarily evaluate the clinical efficacy of Honglu tendon-regulating cupping therapy guided by Wang Juyi’s Channel Theory in treating lumbar disc herniation with Qi stagnation and blood stasis pattern. Methods: 90 patients with lumbar disc herniation of qi stagnation and blood stasis type were selected as experimental study samples, and the grouping method was random number table method. The group names were experimental group and control group, with a sample size of 45 cases. The control group chose oral medication for intervention, with Danggui Huoxue Zhitong tablets as the medication. The experimental group used the Honglu tendon-regulating cupping therapy for intervention and selected acupoints related to lower back pain for compatibility: Du Mai-Xuanshu to Yaoshu, Bladder Meridian-Bilateral Kidney Shu, Zhishi, Qixue-Bilateral Waiyan, Ashi acupoint. The course of treatment was one week. The visual analog scale (VAS) for pain, Oswestry functional disability index (ODI), Roland-Morris Low Back Pain Questionnaire (RMDQ), Japanese Orthopaedic Association (JOA) score for lower back pain, and TNF-α levels were compared between the two groups. Results: Post-treatment, both groups showed significant reductions in VAS, ODI, and RMDQ scores (P < 0.05), with greater improvement in the control group (P < 0.05). JOA scores increased in both groups (P < 0.05), with higher scores in the experimental group (P < 0.05). The levels of TNF-α in both groups decreased compared with that before treatment (P < 0.05), and the experimental group was lower than that in the control group (P < 0.05). Conclusion: Honglu Tendon-Regulating Cupping Therapy guided by Wang Juyi’s Channel Theory significantly alleviates symptoms and improves clinical outcomes in patients with Qi stagnation and blood stasis type lumbar disc herniation.