基于“骨错缝筋出槽”理论针灸治疗 腰椎间盘突出研究进展

Research Progress of Acupuncture in the Treatment of Lumbar Disc Herniation Based on the Theory of “Bone Dislocation and Tendon Displacement”

摘要: 腰椎间盘突出症(LDH)属于临床常见的脊柱疾病，主要症状为腰痛、下肢放射性疼痛以及神经功能障碍，近年来，在中医理论研究不断深入、针灸技术日益发展的背景下，“骨错缝筋出槽”理论下的针灸疗法在治疗腰椎间盘突出症中也逐渐受到重视，本文从“骨错缝筋出槽”理论的历史渊源、中医基础以及其在现代医学中应用的情况入手，论述了它对于腰椎间盘突出症的指导作用。结合当前针灸治疗腰椎间盘突出症的机制研究及临床实践来探讨针灸在缓解疼痛、改善神经功能、促进局部血液循环等方面的作用，本文的目的是在治疗方式上提供参考。

Abstract: Lumbar disc herniation is a common clinical spinal disease, with main symptoms including lumbago, radiating pain of lower extremities and neurological dysfunction. In recent years, with the deepening of theoretical research of traditional Chinese medicine (TCM) and the continuous development of acupuncture technology, acupuncture therapy guided by the theory of “bone dislocation and tendon displacement” has gained increasing attention in the treatment of lumbar disc herniation. Starting from the historical origin, TCM theoretical basis and modern medical application of the theory of “bone dislocation and tendon displacement”, this paper elaborates its guiding significance for lumbar disc herniation. Combined with the current mechanism research and clinical practice of acupuncture in treating lumbar disc herniation, it explores the effects of acupuncture in relieving pain, improving neurological function and promoting local blood circulation. This paper aims to provide references for clinical treatment regimens.