一指禅推带脉穴、足临泣穴配合常规治疗腰椎间盘突出症的临床效果  

Clinical Efficacy of Combining One Finger Zen Massage Belt Vesseland Tsulinch’i Acupoint with Conventional Treatment for Lumbar Disc Herniation

作　　者：苏良喜 陈长贤 成彦斌 SU Liangxi;CHEN Changxian;CHENG Yanbin(Department of Tuina,Quanzhou Orthopedic Hospital,Quanzhou,Fujian 362000,China)

机构地区：[1]泉州市正骨医院推拿科,福建泉州362000

出　　处：《中国医药指南》2025年第5期147-150,共4页Guide of China Medicine

摘　　要：目的探讨一指禅推带脉交会穴在治疗腰椎间盘突出症的临床疗效及应用价值。方法选取2021年5月至2023年5月在泉州市正骨医院推拿科门诊就诊的60例腰椎间盘突出症患者,按随机数字表分为联合组(30例)和对照组(30例)。联合组采用一指禅推患侧带脉穴、足临泣穴和常规推拿治疗,每日1次,6 d为一疗程,中间间隔1 d,共2个疗程的连续治疗;对照组采用常规推拿治疗方法,治疗频率和疗程同联合组。两组进行治疗前的VAS评分和JOA量表评定;治疗2个疗程后进行中医疗效评价评分。结果联合组治疗总有效率高于对照组(P<0.05)。治疗后,两组JOA评分均较治疗前提高,且联合组高于对照组(P<0.05);两组VAS评分均较治疗前降低,且联合组低于对照组(P<0.05)。结论一指禅推带脉穴和足临泣穴配合常规推拿治疗高位腰椎间盘突出症,比常规推拿能更好地改善患者腰部及下肢疼痛症状,可以更快地回归生活及工作。Objective To explore the clinical efficacy and application valueof One Finger Zenpushing belt pulse intersection point in the treatment oflumbar disc herniation.Methods A total of 60 patients with lumbar disc herniation who visited the Tuina Department outpatient clinic of our hospital from May 2021 to May 2023 were divided into a combined group(30 patients)and a control group(30 patients)based on a random number table.Thecombined group received onefinger Zen massage at the affected side’s belt vessel,Tsulinch’i,and conventional massage therapy,once a day each time,for 6daysasonecourseoftreatment,withan intervalof 1 day in between,for a total of 2 consecutive courses of treatment.The control group received conventional massage therapy with the same frequency and duration of treatment as the combined group.Two groups underwent Visual Analogue Scale(VAS)score and JapanneseOrthopaedic Association Scores(JOA)scale assessment before treatment.After 2 courses of treatment,evaluate the efficacy of traditional Chinese medicine score.Results The total effective rate of treatment in the combined therapy group was higher than that in the control group(P<0.05).After treatment,the JOA scores in both groups increased compared with those before treatment,and the combined therapy group had a higher score than the control group(P<0.05).The VAS scores in both groups decreased compared with those before treatment,and the combined therapy group had a lower score than the control group(P<0.05).Conclusions One-finger Zen Tuina combined withbelt vessel and the Tsulinch’i acupoint,along with conventional massage,can better alleviate patients’lumbar and lower limb pain symptoms than conventional massage alone,allowing for a quicker return to life and work.

关 键 词：腰椎间盘突出症 一指禅推法 带脉穴 足临泣穴 

分 类 号：R681.53[医药卫生—骨科学]