慢性腰痛针灸处方古今文献研究

Exploration of acupuncture prescriptions for chronic low back pain: a review of ancient and modern literature

目的对针灸治疗慢性腰痛的古代处方及近10年的临床针灸处方进行数据整合,找出针灸治疗规律。方法收录符合纳入标准的文献,整理出穴位处方,建立Excel数据库,分析古今文献中针灸处方特点。结果古代文献针灸处方取穴以远道取穴、单穴为主;近代文献以远近配穴、多穴为主。穴位归经上二者均集中在足太阳膀胱经、督脉和足少阳胆经,以五输穴、交会穴和背俞穴应用较多。结论慢性腰痛针灸处方重视"远道取穴"的应用,"远近配穴"原则是重要内容,可指导针灸临床。

Objective To reveal the rules of acupuncture treatment for chronic low back pain （CLBP） by searching ancient and modern literature. Methods After reviewing the ancient books and records from Spring and Autumn Period to Qing Dynasty and clinical treatment articles in recent 10 years from CNKI, Wangfang Data and VIP, the acupuncture prescriptions of treatment for CLBP were collected and analyzed. Results Distant acupoints and single acupoint were widely selected in ancient times, by the contrast, distant acupoints combined with local acupoints and mulitiple acupoints were the main selection of modern acupuncture practitioner. The acupoints selected were mostly five transport points, crossing points and back-shu points which located on foot-Taiyang meridians, DU meridians and foot-Shaoyang meridians. Conclusion Selecting distant acupoints and combination of the distant - local acupoints were the core of acupuncture prescriptions for treatment of CLBP.