基于腰腹核心肌群探讨针灸治疗非特异性腰痛的局部用穴思路  被引量:1

Use of local points in acupuncture treatment of non-specific low back pain based on core muscles of waist and abdomen

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作  者:张友 刘慧林[2] 林岷瑜 耿楠[4] 李华[5] 吴希[5] 周丽[5] 胡慧[5] 何芙蓉[6] 黄剑 ZHANG You;LIU Huilin;LIN MinYu;GENG Nan;LI Hua;WU Xi;ZHOU Li;HU Hui;HE Furong;HUANG Jian(Graduate School of Beijing University of Chinese Medicine,Beijing 100029,China;Acupuncture and Moxibustion Center of Beijing Traditional Chinese Medicine Hospital Affiliated to the Capital Medical University,Beijing 100010;School of Humanities,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730;Tuina Department,Oriental Hospital of Beijing University of Chinese Medicine,Beijing 100078;Acupuncture and Moxibustion Department,Oriental Hospital of Beijing University of Chinese Medicine,Beijing 100078;College of Acupuncture and Moxibustion and Massage,Fujian University of Traditional Chinese Medicine,Fuzhou 350122)

机构地区:[1]北京中医药大学研究生院,北京100029 [2]首都医科大学附属北京中医医院针灸中心,北京100010 [3]中国医学科学院北京协和医学院人文学院,北京100730 [4]北京中医药大学东方医院推拿科,北京100078 [5]北京中医药大学东方医院针灸科,北京100078 [6]福建中医药大学针灸推拿学院,福州350122

出  处:《北京中医药》2024年第7期832-836,共5页Beijing Journal of Traditional Chinese Medicine

基  金:北京市中医管理局薪火传承“3+3”工程——杨甲三名家研究室(2007-SA-A-12);北京市中医管理局“十二五”重点专科建设项目。

摘  要:非特异性腰痛是不能归结于明确病理性改变而引起的腰部疼痛,通常由腰椎稳定性降低导致,究其原因是腰腹核心肌群不能良好地控制腰椎,最终表现为核心肌群反应速度及肌力减弱,亦或是肌群出现触发点而僵硬短缩。通过针刺处理多裂肌、腹横肌、腰部不同活动方向的拮抗肌群及相关肌群的触发点,可改善腰腹核心肌群功能,治疗腰痛。Non-specific low back pain,characterized by lumbar pain not attributed to specific pathological changes,usually arises from decreased lumbar vertebral stability,the root cause being inadequate control of the lumbar spine by the lumboabdominal core muscle group.Ultimately,low back pain manifests as weakened muscle reaction speed and strength of the core muscle group,or stiffness and shortening due to the appearance of trigger points.The trigger points of antagonistic muscle groups and related muscle groups in different moving directions of multifidus,transverse abdominis and waist can be treated by acupuncture to improve lumboabdominal core muscle function so as to treat low back pain.

关 键 词:非特异性腰痛 针灸 腰腹核心肌群 辨证选穴 

分 类 号:R246.9[医药卫生—针灸推拿学]

 

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