文献类型：期刊文献

中文题名：针刺治疗腰痛特色选穴规律的梳理与临床研究进展

英文题名：Review and clinical research progress on the characteristics of acupoint selection in acupuncture treatment for low back pain

作者：李丽[1];马翠[1];窦婷婷[1];严兴科[1]

第一作者：李丽

机构：[1]甘肃中医药大学针灸推拿学院,甘肃兰州730101

第一机构：甘肃中医药大学针灸推拿学院

年份：2025

卷号：42

期号：2

起止页码：76

中文期刊名：甘肃中医药大学学报

外文期刊名：Journal of Gansu University of Chinese Medicine

语种：中文

中文关键词：腰痛;特色针法;选穴规律;临床研究;综述

外文关键词：low back pain;distinctive acupuncture;the rules of acupoint selection;clinical research;review

摘要：查阅相关文献,从选穴、配穴角度梳理了针刺治疗腰痛的特色方法,并将其归纳为“调气”为主的特色针法(通督温阳针法、调脊通督针法、颈腰合治针法、通元针法、太极阴阳针法)、“调血”为主的特色针法(补肾活血针法)及“调脏腑”为主的特色针法(调神健脾针法、调神止痛针法)。认为各种针法选穴各有侧重,特色优势明显,其中医针灸理论多有相通之处,均强调经络辨证,重视督脉的作用,选穴注重调理脏腑和气血,配穴范围灵活广泛,且在治痛时适当加入“调神”腧穴能提高疗效。但目前研究存在样本量相对不足、临床应用范围小、缺乏长期随访数据、作用机制尚未完全阐明等问题。在未来的研究中应该重视以上问题,以期优化各类特色针法的临床应用,进一步提升腰痛患者的治疗效果。
This study conducts a comprehensive review of the relevant literature and systematically organizes the distinctive acupuncture techniques employed in the treatment of low back pain,with a particular emphasis on the principles governing acupoint selection and combination.The techniques are classified into three primary categories:those that prioritize“Qi regulation”(including Tongdu Wenyang needling,Tiaoji Tongdu needling,Jingyao Hezhi needling,Tongyuan needling,and Taiji Yin-Yang needling),those that focus on“blood regulation”(Bushen Huoxue needling),and those aimed at“zang-fu organ regulation”(Tiaoshen Jianpi needling and Tiaoshen Zhitong needling).It is proposed that each acupuncture technique possesses its own specific focus and unique advantages while sharing numerous commonalities within the theoretical framework of medical acupuncture.All approaches underscore the significance of meridian syndrome differentiation,highlight the role of the Du meridian,and advocate for acupoint selection centered on regulating zang-fu organs as well as balancing Qi and blood.The combination of acupoints is both flexible and extensive;additionally,incorporating“spirit-regulating”acupoints in pain management may enhance therapeutic outcomes.Nevertheless,this study acknowledges certain limitations such as a relatively small sample size,a narrow scope of clinical application,insufficient long-term follow-up data,and an incomplete elucidation of underlying mechanisms.Future research should aim to address these issues to refine the clinical application of these distinctive acupuncture techniques further enhancing their efficacy in treating patients with low back pain.