王莉莉五线三区十二穴定位法治疗非特异性下腰痛经验介绍

Experience of WANG Lili in Treating Non-Specific Low Back Pain with Positioning Method of Five Lines,Three Regions and Twelve Points

介绍王莉莉主任医师运用独创的五线三区十二穴定位法治疗非特异下腰痛的临床经验。王莉莉认为,非特异性下腰痛除腰部症状外常合并臀部或下肢放射痛及活动受限等表现,以经络循行路线来看,其与督脉、少阳经、太阳经经筋致病关联最为密切。运用五线三区十二穴定位法治疗,可获良效,其取穴具有特点:第一是腧穴的分布及定位,利用现代化解剖知识辅助腧穴定位,改进穴位的定位方式,使得定位更快速精准,患者针感更强,疗效更佳。第二是以体表解剖标志或骨性标志为关键,并结合骨度分寸折量,将相邻穴位分经分部进行对比、定位。第三是在辨病、辨证、辨区基础上五线三区十二穴定位法取穴更加准确,简单易学,有利于提高针灸疗效,便于进一步规范化推广应用。

This paper introduces the clinical experience of Chief Physician WANG Lili using the unique positioning method of five lines,three regions and twelve points in the treatment of non-specific low back pain.WANG Lili holds that non-specific low back pain is often accompanied by symptoms such as radiating pain and limited mobility in the buttocks or lower limbs in addition to lower back symptom;from the perspective of the meridian route,non-specific low back pain is most closely related to the du mai,shaoyang channel,and taiyang channel sinews.The application of five lines,three regions and twelve points positioning method for treatment is effective,it has the following characteristics:the first is the distribution and positioning of points,utilizing modern anatomical knowledge to assist in point positioning,improving the positioning method of points,and making positioning faster and more accurate,with stronger patient needling sensation and better curative effect;the second is to use anatomical or skeletal markers on the body surface as the key,and combine them with the proportional bone measurement to compare and locate adjacent points by the division of channels and regions;third,the positioning method of five lines,three regions and twelve points based on the differentiation of diseases,syndromes and regions is more accurate,simple and easy to learn,which is conducive to improve the effects of acupuncture and moxibustion,and is convenient for further standardized promotion and application.