温针灸联合独活寄生汤治疗气滞血瘀兼肝肾不足证腰椎间盘突出症：随机对照试验

张静; 焦健坤; 张森

doi:10.13703/j.0255-2930.20250228-0001

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温针灸联合独活寄生汤治疗气滞血瘀兼肝肾不足证腰椎间盘突出症：随机对照试验

临床研究 | 更新时间：2026-04-16

- 温针灸联合独活寄生汤治疗气滞血瘀兼肝肾不足证腰椎间盘突出症：随机对照试验
- Warming acupuncture combined with Duhuo Jisheng decoction for lumbar disc herniation of qi stagnation and blood stasis accompanied with liver-kidney deficiency: a randomized controlled trial
- 中国针灸 2026年46卷第4期页码：553-558
- 作者机构：
  
  漯河医学高等专科学校第二附属医院，中医科，河南漯河　462000
  漯河医学高等专科学校第二附属医院，康复科，河南漯河　462000
- 作者简介：
  
  张静，副主任中医师。E-mail：15290708170@163.com
- 基金信息：
  
  2022年度河南省医学科技攻关计划联合共建项目(GJ20221076)
- DOI：10.13703/j.0255-2930.20250228-0001
  中图分类号：
- 收稿：2025-02-28，
  
  网络首发：2026-01-14，
  
  纸质出版：2026-04-12
- 稿件说明：
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张静, 焦健坤, 张森. 温针灸联合独活寄生汤治疗气滞血瘀兼肝肾不足证腰椎间盘突出症：随机对照试验[J]. 中国针灸, 2026,46(4):553-558.

ZHANG Jing, JIAO Jiankun, ZHANG Sen. Warming acupuncture combined with Duhuo Jisheng decoction for lumbar disc herniation of qi stagnation and blood stasis accompanied with liver-kidney deficiency: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2026, 46(4): 553-558. DOI: 10.13703/j.0255-2930.20250228-0001.
张静, 焦健坤, 张森. 温针灸联合独活寄生汤治疗气滞血瘀兼肝肾不足证腰椎间盘突出症：随机对照试验[J]. 中国针灸, 2026,46(4):553-558. DOI： 10.13703/j.0255-2930.20250228-0001.

ZHANG Jing, JIAO Jiankun, ZHANG Sen. Warming acupuncture combined with Duhuo Jisheng decoction for lumbar disc herniation of qi stagnation and blood stasis accompanied with liver-kidney deficiency: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2026, 46(4): 553-558. DOI: 10.13703/j.0255-2930.20250228-0001. DOI：

摘要

目的：

比较温针灸联合独活寄生汤与单纯独活寄生汤治疗气滞血瘀兼肝肾不足证腰椎间盘突出症（LDH）的疗效。

方法：

将104例气滞血瘀兼肝肾不足证LDH患者随机分为观察组（52例，脱落2例）和对照组（52例，脱落2例）。对照组采用独活寄生汤加减治疗；观察组在对照组基础上加用温针灸治疗，穴取双侧肾俞，患侧阳陵泉、大肠俞、昆仑，阿是穴，每次30 min，每日1次，均治疗4周。观察两组患者治疗前后视觉模拟量表（VAS）评分、Oswestry功能障碍指数（ODI）评分、日本骨科协会（JOA）评分及腰部活动度；检测两组患者治疗前后伸直过程、屈曲过程平均肌电值（AEMG），并计算屈伸松弛比（FRR）；检测两组患者治疗前后血清白细胞介素-6（IL-6）、肿瘤坏死因子-α（TNF-α）含量；并于治疗后评定两组临床疗效。

结果：

治疗后，两组患者VAS评分、ODI评分较治疗前降低（

0.05），JOA评分较治疗前升高（

0.05）；观察组VAS评分、ODI评分低于对照组（

0.001），JOA评分高于对照组（

0.001）。治疗后，两组患者前屈、后伸、侧屈度数较治疗前增加（

0.05），且观察组大于对照组（

0.001）。治疗后，两组患者伸直过程AEMG较治疗前增高（

0.05），屈曲过程AEMG、FRR较治疗前降低（

0.05）；观察组伸直过程AEMG高于对照组（

0.001），屈曲过程AEMG、FRR低于对照组（

0.001）。治疗后，两组患者血清IL-6、TNF-α含量均较治疗前降低（

0.05），且观察组低于对照组（

0.001）。观察组总有效率为92.0%（46/50），高于对照组的76.0%（38/50，

0.05）。

结论：

温针灸联合独活寄生汤能减轻气滞血瘀兼肝肾不足证LDH患者疼痛，改善腰椎功能与腰部活动度，增强腰背肌力，并抑制炎症反应，其疗效优于单纯独活寄生汤治疗。

Abstract

Objective

To compare the therapeutic effect between warming acupuncture combined with

Duhuo Jisheng

decoction and

Duhuo Jisheng

decoction alone in the treatment of lumbar disc herniation (LDH) of

stagnation and blood stasis accompanied with liver-kidney deficiency.

Methods

A total of 104 patients with LDH of

stagnation and blood stasis accompanied with liver-kidney

deficiency were randomly divided into an observation group (52 cases

2 cases dropped out) and a control group (52 cases

2 cases dropped out). The control group was treated with modified

Duhuo Jisheng

decoction. The observation group was treated with warming acupuncture on the basis of the treatment in the control group

bilateral Shenshu (BL23)

as well as

ashi

points and Yanglingquan (GB34)

Dachangshu (BL25)

Kunlun (BL60) on the affected side were selected

30 min each time

once a day for 4 weeks. The visual analogue scale (VAS) score

Oswestry disability index (ODI) score

Japanese Orthopaedic Association (JOA) score and lumbar motion before and after treatment in the two groups were observed. The average electromyography (AEMG) during both extension and flexion movements before and after treatment in the two groups was measured

and the flexion-relaxation ratio (FRR) was calculated. The serum levels of interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α) before and after treatment in the two groups were detected. The clinical efficacy was evaluated after treatment in the two groups.

Results

After treatment

the VAS and ODI scores were decreased compared with those before treatment (

0.05)

while the JOA scores were increased (

0.05) in the two groups; and the VAS and ODI scores in the observation group were lower than those in the control group (

0.001)

while the JOA score was higher (

0.001). After treatment

the range of motion for forward flexion

backward extension and lateral bending was increased in both groups compared with that before treatment (

0.05)

and the indexes in the observation groups were greater than those in the control group (

0.001). After treatment

the AEMG during extension was increased compared with that before treatment (

0.05)

while the AEMG during flexion and FR

R were decreased (

0.05) in both groups; and the AEMG during extension in the observation group was higher than that in the control group (

0.001)

and the AEMG during flexion and FRR in the observation group were lower than those in the control group (

0.001). After treatment

the serum levels of IL-6 and TNF-αin both groups were decreased compared with those before treatment (

0.05)

and the indexes in the observation group were lower than those in the control group (

0.001). The total effective rate of the observation group was 92.0% (46/50)

which was higher than 76.0% (38/50) in the control group (

0.05).

Conclusion

Warming acupuncture combined with

Duhuo Jisheng

decoction can alleviate pain in patients with LDH of

stagnation and blood stasis accompanied with liver-kidney deficiency

improve lumbar function and range of motion

enhance lower back muscle strength

and suppress inflammatory response. Its therapeutic effect is superior to that of

Duhuo Jisheng

decoction alone.

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