从调脊通督论治腰椎间盘突出症的针刀治疗.docVIP

从调脊通督论治腰椎间盘突出症的针刀治疗 　　[摘要] 腰椎间盘突出症是临床常见病，有一定致残率。针刀治疗是临床有效手段，但操作手法各式各样，大多都以生物力学失衡为突破口，关于督脉气血痹阻鲜有涉及。基于此，本文从调脊、通督的角度对腰椎间盘突出症西医发病机制和中医病因病机提出新认识，指出脊柱内环境紊乱、生物力学失衡与其密切相关，“督脉痹阻，阳气失运”是其病机关键。并通过临床研究指导如何选取针刀操作部位、如何运用针刀手法，总结出其特点及优势。调脊通督法能调节脊柱平衡，改变病变组织内环境及解剖结构，疏通督脉气血，恢复阳气祛除病邪之功，有效改善疼痛症状、提高腰部活动能力，且操作简便，疗效显著。 　　[关键词] 调脊通督；腰椎间盘突出症；针刀 　　[中图分类号] R681.5 [文献标识码] A [文章编号] 1673-7210（2017）10（c）-0161-03 　　Treatment of lumbar disc herniation with tiaojitongdu by needle knife 　　WU Ping1 DING Deguang2 　　1.Acupuncture and Traumatology College， Hubei University of Chinese Medicine， Hubei Province， Wuhan 430061， China； 2.Department of Acupuncture， Hospital of Traditional Chinese Medicine in Hubei Province， Hubei Province， Wuhan 430000， China 　　[Abstract] Lumbar disc herniation （LDH） is a common disease， has a certain disability. Needle knife therapy is a effective mean， but operate differently， imbalance biomechanical is usually taken to be the sally port， while there are less studies about dumai. Thus， this paper draws forth the new understanding for the etiology and pathology from the aspects of tiaoji and tongdu， points out that LDH is closed to disorder spine internal environment and imbalance biomechanical， the basic pathogenesis is dumai stasis and yangqi losing transports. The guidance for how to choose operating position of needle knife， how to use needle knife therapy in clinic， compared with the normal needle knife， tiaojitongdu needle knife reestablish the balance of the spine， change the environment and anatomical structure of the diseased tissue， dredge dumai， restore yangqi， effectively improve the pain symptoms and the ability of the waist activity， simple operation and satisfactory effects. 　　[Key words] Tiaojitongdu； Lumbar disc herniation； Needle knife 　　腰椎?g盘突出症（lumbar disc herniation，LDH）是以腰腿痛甚或二便功能障碍为特征的常见腰腿痛疾患[1-2]。近年来其发病率上升且趋向低龄化，严重危害着青壮年的身心健康，临床治疗主要分为保守和手术疗法两大类[3]，两者远不能满足患者需求，因此急需寻找更有效的治疗方案。调脊通督法是导师丁德光教授在对退行性脊柱病发病机制深入研究基础上，结合名老中医李家康教授齐刺法治疗痛症经验，提出的新的选穴配穴方法，同样适用于L