杵针腰阳关八阵、河车命强段治疗腰痹病31例

Pestle needle at Yaoyangguan bazhenand Heche-mingqiang section for 31cases of bi syndrome at low back

目的:观察杵针腰阳关八阵、河车命强段治疗腰痹病(寒湿证)的临床疗效。方法:将31例腰痹病(寒湿证)患者以杵针腰阳关八阵、河车命强段为主治疗,在杵针治疗结束后取肾俞、大肠俞、环跳、委中、承山、昆仑等穴进行传统针刺治疗,最后再配合腰部、腿部中药熏洗,每天1次,5天为一疗程,疗程间间隔2天,共治疗4个疗程。分别观察患者治疗前后疼痛视觉模拟量表(VAS)评分,并评定临床疗效。结果:31例患者治疗总有效率为90.3%(28/31);治疗后患者疼痛VAS评分为2.42±0.78,与治疗前(5.59±1.17)比较,差异有统计学意义(P<0.01)。结论:杵针腰阳关八阵、河车命强段治疗腰痹病(寒湿证)有效,且无创伤、无痛苦、操作方便,患者易于接受。

Objective To observe the clinical effect of pestle needle at Yaoyangguan bazhen and Hechemingqiangsection for bi syndrome（cold dampness type）at low back.Methods Thirty-one patients of bi syndrome（cold dampness type）at low back were treated with pestle needle at Yaoyangguan bazhen and Hechemingqiangsection.After the treatment of pestle needle,traditional acupuncture was used at Shenshu（BL 23）,Dachangshu（BL 25）,Huantiao（GB 30）,Weizhong（BL 40）,Chengshan（BL 57）,Kunlun（BL 60）,etc.,followed by TCM washing at low back and legs.Once daily,five days of treatment were taken as one course,and there was an interval of 2days between two courses.Totally 4 courses were given.The visual analogue scale（VAS）before and after treatment was observed,and the clinical efficacy was evaluated.Results The total effective rate was 90.3%（28/31）in 31 patients;the VAS after treatment was（2.42±0.78）,which was significantly different from（5.59±1.17）before treatment（P〈0.01）.Conclusion The pestle needle at Yaoyangguan bazhen and Heche-mingqiangsection is effective,noninvasive,painless for low-back bi syndrome（cold dampness type）,and it is convenient for operation and easily accepted.