浅析针灸六经辨治太阳太阴合病之腰痛

Acupuncture based on six-meridian differentiation and treatment theory for lumbar painlocated on Taiyang and Taiyin meridians

运用六经辨治思维方式,结合辨证针灸、伤科手法治疗腹斜肌损伤所致腰痛,并探讨其思路与治疗。腰痛者非独肾也,五脏六腑皆可令人腰痛。盖诸经皆贯于肾而络于腰脊,故六经受邪腰必痛矣,临床常见的腹斜肌损伤所致腰痛,症若“引项脊尻背如重状”“不可仰息”,此乃腹斜肌损伤累及太阳经、太阴经所致,但该病常易被误诊,并可能存在过度治疗的情况。治疗应遵循因经、因病因施治的原则,运用六经辨证针灸、伤科手法,治疗太阳太阴合病之腰痛,疗效满意。强调调节卫气的重要性,突出中医整体观的主导思想,常能达到精准治疗的意外效果。

Differentiation acupuncture and traumatological manipulations based on the six-meridian differentiation and treatment theory in the treatment of lumber pain caused by oblique muscle injury is discussed.Lumbar pain is not only caused by the kidney,but also by all the viscus.Because all channels pass by the kidney and link with the lumbar,lumbar pain could be caused by that the meridians suffer pathogens.Abdominal oblique muscle injury belongs to the category of Taiyang and Taiyin suffering,which is the symptom of heavy and pain on back and limited extend motion range.However,it is often misdiagnosed and may be overtreated.The treatment should follow the principle of differentiation treating according to channels and etiologies.Acupuncture and traumatological manipulations should be used to treat the lumbar pain located on Taiyang and Taiyin meridians to achieve satisfactory treatment effect.By emphasizing the importance of regulating qi and holistic view in traditional Chinese medicine,unexpected effects can often be achieved.