Auricular acupuncture diagnosis for idiopathic chronic low back pain:L_(1) and L_(2) points  

耳针诊断特发性慢性腰痛:L_(1)和L_(2)穴位

作　　者：FATIGA Giuseppe DE GIORGIO Damiano 

机构地区：[1]Back Pain Acupuncture Clinic,Turin 10153,Italy [2]General Practice Clinic,Borgaro Torinese 10071,Italy

出　　处：《Journal of Acupuncture and Tuina Science》2025年第2期159-163,共5页针灸推拿医学(英文版)

摘　　要：Objective:To determine whether specific neuroreflex points exist on the auricles of subjects suffering from idiopathic chronic low back pain(icLBP).Methods:Using the pressure pain test(PPT),we tested both auricles of 100 patients with icLBP[as low back pain(LBP)group]and those of 100 healthy subjects[as healthy control(HC)group].Results:The average number of painful points,in the 17,18,and 19 sectors of ROMOLI M’s sectogram,and in the Lumbosacral Vertebrae(AH9),Hip(AH_(5)),and Heart of Posterior Surface(P_(1))areas according to the Chinese standardized paper,was significantly higher in the LBP group compared to the HC group(P<0.05).In particular,in the LBP group,painful points could be clearly clustered into two main areas based on anatomy,which we called L_(1) and L_(2).In all other areas and sectors of the auricle,the average number of painful points did not differ significantly between the two groups.In the LBP group,94.7%of patients had at least one painful point in the two areas.Conclusion:L_(1) and L_(2) are two specific points on the auricle that can reflect icLBP.目的:探讨特发性慢性腰痛(icLBP)患者耳廓是否存在特定的神经反射点。方法:采用压痛试验(PPT)对100例icLBP患者(LBP组)和100例健康人(HC组)的双侧耳廓进行测试。结果:与HC组相比,LBP组ROMOLI M耳穴图谱的17、18和19扇区以及中国标准化文献中腰骶椎(AH9)、髋(AH_(5))和耳背心(P_(1))区域的痛点平均数量显著增加(P<0.05)。特别是在LBP组中,痛点可根据解剖学明确聚集成两个主要区域,我们称之为L_(1)和L_(2)。在耳廓的所有其他区域和扇区,痛点的平均数量在两组之间没有显著差异。LBP组94.7%的患者L_(1)和L_(2)两个部位中至少有一个痛点。结论:L_(1)和L_(2)是耳廓上反映icLBP的两个特殊点。

关 键 词：Auricular Acupuncture Auricular Acupoint Diagnosis Otopoint AH9 Lumbosacral Vertebrae Otopoint AH_(5)Hip Otopoint P_(1)Heart of Posterior Surface Low Back Pain Pain Measurement 

分 类 号：R246.2[医药卫生—针灸推拿学]