基于六经辨证理论探讨密集型银质针治疗腰椎管狭窄症的辨治思路

农玉莺; 高琪; 黎展文; 王磊; 张金铃; 佟晓英; 荣培晶

doi:10.13703/j.0255-2930.20230712-k0001

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基于六经辨证理论探讨密集型银质针治疗腰椎管狭窄症的辨治思路

特色疗法 | 更新时间：2024-06-14

- 基于六经辨证理论探讨密集型银质针治疗腰椎管狭窄症的辨治思路
- Thinking of the treatment for lumbar spinal stenosis with high-dense silven needle therapy based on the theory of six-meridian differentiation
- 中国针灸 2024年44卷第6期页码：685-688
- 作者机构：
  
  1.广西百色市那坡县中医医院壮医学科，百色　533999
  2.中国中医科学院针灸研究所，北京　100700
  3.广西玉林市中医医院
- 作者简介：
  
  ☒荣培晶，研究员。E-mail：drrongpj@163.com
- 基金信息：
  
  2021年“岐黄学者”支持项目;2022年“西部之光”访问学者培养项目
- DOI：10.13703/j.0255-2930.20230712-k0001
  中图分类号：
- 收稿：2023-07-12，
  
  网络首发：2024-04-23，
  
  纸质出版：2024-06-12
- 稿件说明：
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农玉莺, 高琪, 黎展文, 等. 基于六经辨证理论探讨密集型银质针治疗腰椎管狭窄症的辨治思路[J]. 中国针灸, 2024,44(6):685-688.

NONG Yuying, GAO Qi, LI Zhanwen, et al. Thinking of the treatment for lumbar spinal stenosis with high-dense silven needle therapy based on the theory of six-meridian differentiation[J]. Chinese Acupuncture & Moxibustion, 2024, 44(6): 685-688.
农玉莺, 高琪, 黎展文, 等. 基于六经辨证理论探讨密集型银质针治疗腰椎管狭窄症的辨治思路[J]. 中国针灸, 2024,44(6):685-688. DOI： 10.13703/j.0255-2930.20230712-k0001.

NONG Yuying, GAO Qi, LI Zhanwen, et al. Thinking of the treatment for lumbar spinal stenosis with high-dense silven needle therapy based on the theory of six-meridian differentiation[J]. Chinese Acupuncture & Moxibustion, 2024, 44(6): 685-688. DOI： 10.13703/j.0255-2930.20230712-k0001.

摘要

基于六经辨证理论探讨密集型银质针治疗腰椎管狭窄症（LSS）的诊治思路。根据LSS病情轻重以及病位深浅进行六经辨证，分为太阳病、阳明病、少阳病、少阴病、厥阴病、太阴病六型进行论治。采用密集型银质针治疗LSS，其主穴为L

-L

双侧夹脊穴及对应的足太阳膀胱经腧穴（L

-L

椎管两侧旁开1.5寸处），并根据六经分型配穴、调整艾段长度进行温针灸治疗，以消除软组织损害压痛点为治痛目标，在缓解临床症状同时，患者也不需要绝对制动休息。

Abstract

The paper introduces the thinking of the diagnosis and treatment with high-dense silver needle therapy for lumbar spinal stenosis (LSS) based on the theory of six-meridian differentiation. According to the severity of LSS and the depth of illness location

LSS is differentiated as six syndromes/patterns

including

taiyang

disorder

yangming

disorder

shaoyang

disorder

shaoyin

disorder

jueyin

disorder and

taiyin

disorder. The high-dense silver needle therapy is used. The main points include the bilateral

Jiaji

points (EX-B 2) from L

to L

and the acupoints of the bladder meridian of foot-

taiyang

(1.5

cun

lateral to each side of L

to L

); and the supplementary points are selected from the affected meridians. According to the disorders of six meridians

the length of moxa stick is adjusted in warm acupuncture

targeting the tender sites of soft tissue damage. In order to obtain the satisfactory effects

the appropriate physical exercise is applicable rather than absolutely limiting the movement of affected vertebrae during the treatment.

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