张闻东教授循经分证针法治疗腰椎间盘突出症的经验

Professor Zhang Wendong′s experience in treating protrusion of lumbar intervertebral disc with acupuncture method based on following the paths of the meridians and syndromes

张闻东教授继承与发扬中医传统疗法根据“经脉所过,主治所及”的思想,结合长期治疗腰椎间盘突出症的临床经验提出了“循经取穴为主,辨证选穴为辅,远治近治相结合,辨经辨证同配伍”的取穴原则,从辨经入手将腰椎间盘突出症分为膀胱经型、胆经型、督脉型和混合型,根据足太阳膀胱经、足少阳胆经和督脉的经脉循行路线,选取近部腧穴与远部腧穴治疗;同时从辨证入手将腰椎间盘突出症分为寒湿证、瘀血证、肾虚证,在治疗时再结合不同的配穴予以针刺,结合艾灸、刺络放血等疗法,在临床取得了很好的临床疗效,值得推广应用。

Professor Zhang Wendong inherits and carries forward the traditional Chinese medicine therapy according to the idea of“the stimulated meridians can treat the diseases in the corresponding organs”.In the long-term treatment of protrusion of lumbar intervertebral disc,Prof.Zhang puts forward the acupoint selection principles of“the acupoint selection is mainly based on the paths of the meridians,supplemented by differentiating syndromes.The remote treatment and near treatment are combined.Meridian differentiation and syndrome differentiation are compatible with each other.”Based on the meridian differentiation,Prof.Zhang divides the protrusion of lumbar intervertebral disc into the bladder meridian type,the gallbladder meridian type,the governor vessel type and the mixed type.According to the meridian running route of the bladder meridian of the foot taiyang,the gallbladder meridian of the foot shaoyang and the governor vessel,Prof.Zhang selects the proximal acupoints and the distal acupoints for treatment.Based on syndrome differentiation,Prof.Zhang divides the protrusion of lumbar intervertebral disc into cold-dampness syndrome,blood stasis syndrome and kidney deficiency syndrome.During the treatment,acupuncture is given in combination with different matching acupoints,moxibustion,bloodletting and other therapies.It has achieved good clinical efficacy and is worthy of popularization and application.