基于六经辨证理论探讨密集型银质针治疗腰椎管狭窄症的辨治思路

Thinking of the treatment for lumbar spinal stenosis with high-dense silven needle therapy based on the theory of six-meridian differentiation

基于六经辨证理论探讨密集型银质针治疗腰椎管狭窄症(LSS)的诊治思路。根据LSS病情轻重以及病位深浅进行六经辨证,分为太阳病、阳明病、少阳病、少阴病、厥阴病、太阴病六型进行论治。采用密集型银质针治疗LSS,其主穴为L_(1)-L_(5)双侧夹脊穴及对应的足太阳膀胱经腧穴(L_(1)-L_(5)椎管两侧旁开1.5寸处),并根据六经分型配穴、调整艾段长度进行温针灸治疗,以消除软组织损害压痛点为治痛目标,在缓解临床症状同时,患者也不需要绝对制动休息。

The paper introduces the thinking of the diagnosis and treatment with high-dense silver needle therapy for lumbar spinal stenosis(LSS)based on the theory of six-meridian differentiation.According to the severity of LSS and the depth of illness location,LSS is differentiated as six syndromes/patterns,including taiyang disorder,yangming disorder,shaoyang disorder,shaoyin disorder,jueyin disorder and taiyin disorder.The high-dense silver needle therapy is used.The main points include the bilateral Jiaji points(EX-B 2)from L_1 to L_5 and the acupoints of the bladder meridian of foot-taiyang(1.5 cun lateral to each side of L_1 to L_5);and the supplementary points are selected from the affected meridians.According to the disorders of six meridians,the length of moxa stick is adjusted in warm acupuncture,targeting the tender sites of soft tissue damage.In order to obtain the satisfactory effects,the appropriate physical exercise is applicable rather than absolutely limiting the movement of affected vertebrae during the treatment.