大肠俞放射样针感相关针刺手法观察

Observation of Radiation-like Needling Sense During Acupuncture on Point Dachangshu

目的:通过大肠俞针刺治疗腰椎间盘突出症的研究,确定获得放射样针感的针刺角度、方向和深度。方法:通过直刺和角度刺198例腰椎间盘突出症患者大肠俞,观察出现放射样针感的有无,分析采集数据。结果:198例病例1028人次中,放射样针感直刺出现128次,角度刺出现988次,2种针刺手法放射样针感出现率比较,差异有显著性意义(P<0.05)。结论:大肠俞向上或向下25°,向内20°斜刺,深度2.0～2.5寸,容易产生放射样针感。

Objective： Through the study of acupuncture manipulation on Dachanzshu（BL25） for prolapseof lumbar intervertebral disc, we determine the needling angle, direction and depth for achieving radiation-like needling sense. Methods： One hundred and ninety-eight patients with prolapse of lumbar intervertebral disc were given perpendicular or multi-angle insertion of needle on Dachangshu, and the data of the patients which had the radiation-like needling sense was collected. Results. In 1 028 case-times, the radiation-like needling sense was achieved in 128 case-times treated by perpendicular insertion, and in 988 case-times treated by multi-angle insertion, the difference being significant（P 〈 0.05）. Conclusion. Acupuncture manipulation on Dachangshu by needling obliquely upward or downward 25°, or inward 20°, with the depth of about 2.0-2.5 cun, can easily lead to the radiation-like needling sense.