五枢穴考

五枢穴为足少阳胆经与带脉的交会穴,在古籍记载中常用于治疗带下、月经病、阴疝、膀胱气攻两胁等病症,其临床应用主要与其归经、部位、经络的功能、表里经配穴相关,但在现代临床治疗、研究中的应用很少。总结古医籍中关于五枢穴的文献,对临床具有一定的指导意义。

髂腰部穴位针刺辅助治疗髂腰肌劳损的临床疗效及对患者生活质量的影响

目的:探讨髂腰部穴位针刺辅助治疗髂腰肌劳损的临床疗效及对患者生活质量的影响。方法:选取髂腰肌劳损患者140例,随机分为对照组和观察组,每组70例。对照组采用塞来昔布胶囊口服治疗,观察组在对照组基础上加用髂腰部穴位针刺治疗。比较两组患者治疗总有效率,以及治疗前后视觉模拟评分法(VAS)评分和日本骨科协会评估治疗分数(JOA)评分。结果:治疗后,观察组治疗总有效率为92.86%(65/70),高于对照组的71.43%(50/70),差异有统计学意义(P<0.05);两组患者VAS评分均较治疗前降低,且观察组低于对照组,差异均有统计学意义(P<0.05);两组患者JOA评分均较治疗后升高,且观察组高于对照组,差异均有统计学意义(P<0.05)。结论:髂腰部穴位针刺辅助治疗髂腰肌劳损可有效缓解患者的症状及体征,减轻疼痛,有助于促进日常活动能力的恢复。

Literature review and application experience of needling the Belt Vessel for low back pain

Objective:To explore the feasibility of needling the Belt Vessel(BV)for low back pain.Methods:The relevant literature was systematically reviewed;the relationship between the BV and low back pain was illustrated;the clinical features of BV-related low back pain as well as the key points of acupoint selection in treatment were summarized,and the efficacy of needling the BV for treating low back pain was observed.Results:The BV is closely related to low back pain.The main clinical manifestations of BV-related low back pain include sagging distension in the low back,enlarged abdomen,and pain radiating to the groin.The main acupoints for treating low back pain via needling the BV include Mingmen(GV4),Wushu(GB27)and Ashi points near the transverse process of the third lumbar spine.Needling the BV can swiftly and effectively relieve both the low back pain and associated symptoms.Conclusion:Needling the BV can effectively alleviate the typical BV-related low back pain.