基于经络辨证下针灸治疗腰椎间盘突出症的临床思路浅析

Analysis of Clinical Thinking of Acupuncture Treatment of Lumbar Disc Herniation Based on Meridians Differentiation

摘要: 腰椎间盘突出症(以下称“腰突症”)是临床常见的慢性疾病，因其严重影响患者身心健康和生活质量，越来越成为临床研究的重点。现代医学提倡药物治疗与手术治疗，但存在胃肠反应大、经济效益低、患者接受度低等缺陷，相较之下，腰突症是祖国医学针灸治疗的优势病种。经络理论是针灸治疗的基础，对提高针灸疗效有着重要意义，利用经络辨证的方法，通过患者疼痛部位与临床病症特点，结合辨位归经与辨病归经，可将临床典型的腰突症总结为督脉型、足太阳经型与足少阳经型三类。在治疗上，应以循经取穴为基础，尤其重视合穴、八会穴、交会穴等特定穴的运用，以提高临床效益。本文基于经络理论，分析归纳了近5年来腰突症经络辨证分型相关文献，旨在为腰突症经络辨证的规范化提供较新的参考依据。

Abstract: Lumbar intervertebral disc herniation (hereinafter referred to as “lumbar protrusion”) is a common chronic disease in clinical practice. Because of its serious impact on patients' physical and mental health and quality of life, it has increasingly become the focus of clinical research. Modern medicine advocates drug therapy and surgical treatment, but there are defects such as large gastrointestinal reaction, low economic benefit and low patient acceptance. In contrast, lumbago is the advantage of Chinese medical acupuncture treatment. Meridian theory is the basis of acupuncture treatment, and has great significance to improve the curative effect of acupuncture. By using the method of meridian dialectics, the typical lumbar herniation can be summarized into three types: Du meridian type, foot Taiyang meridian type and foot Shaoyang meridian type. In the treatment, it should be based on the selection of acupoints along the meridians, especially on the application of specific appoints, such as point combination, Point Bahia and point intersection, in order to improve clinical benefits.