Acupuncture treatment of low back pain
clinical picture
Lumbago is the main manifestation. The pain is in the middle of the lumbar spine, which belongs to Du meridian disease; Pain is located on both sides of the lumbar spine, which is a disease of the foot sun meridian.
Lumbar X-ray, CT and gynecological examination are helpful for the diagnosis of this disease.
1. Cold, damp, low back pain has a history of cold in the waist, which is aggravated when the weather changes or it is rainy and windy. Severe cold pain in the waist, numbness due to soreness, or cramping, or pain even reaching the lower limbs.
2. Blood stasis and low back pain have a history of waist strain or old injury, which is aggravated when getting up in the morning, tired and sedentary. The muscles on both sides of the waist feel stiff and the pain is fixed.
3. Kidney deficiency and low back pain have a slow onset, a dull pain in the waist (mainly soreness), fatigue and weakness, and a thready pulse.
therapeutic method
1 basic therapy
Treatment principles: cold-dampness lumbago, warming meridians to dispel cold, blood stasis lumbago, promoting blood circulation to remove blood stasis, all with acupuncture and tapping; Kidney deficiency and lumbago, tonifying kidney and strengthening waist, combination of acupuncture and moxibustion, reinforcing method.
Prescription: the acupoints of bladder meridian of Foot Taiyang are the main points.
Weizhong Shenshu Dachangshu Yaoyangguan Ashi Point
Fang Yi: Zhong Wei is the intersection of the two branches of the Sun Meridian in the popliteal fossa. "Seeking from Zhong Wei in the back of the waist" can regulate the qi and blood of the meridians in the back of the waist; The waist is the house of the kidney, and Shenshu can strengthen the waist and benefit the kidney; Dachangshu, Yaoyangguan and Ashi points can dredge the qi and blood of local meridians and tendons, dredge meridians and relieve pain.
Addition and subtraction: cold-dampness lumbago plus moxibustion at Dazhui to warm yang and dispel cold; Blood stasis, lumbago, removing blood stasis, promoting blood circulation and removing blood stasis; Kidney deficiency, lumbago, moxibustion, life, kidney and waist strengthening.
Operation: routine operation at each point; For patients with kidney deficiency and low back pain, moxibustion with aconite is better.
Other therapies
⑴ Skin needle: In the local area of low back pain, use a skin needle to lightly bleed and add cupping. Is suitable for lumbago due to cold and dampness and lumbago due to blood stasis.
⑵ Ear acupuncture: Take the lumbosacral vertebra, kidney and Shenmen of the affected side. Acupuncture and guiding patients to move their waist; Or buried with a snap needle; Or paste it with melon seeds.
Acupuncture treatment of low back pain
1, singularity: the singularity is located one inch below Zusanli, one inch away from the tibia, and the milliliter is 2-4 inches straight. The main acupuncture method is diarrhea. It is suitable for patients with lumbar muscle tension, limited flexion and positive hip flexion test.
2. People, commissioners, Yanglingquan: People practice the law, while commissioners prick the blood. Acupuncture at Yanglingquan is suitable for turning over difficulties, pain in flexion and extension of lower limbs, intermittent pain in lumbar muscles, exercise-induced low back pain and breath-holding activities.
3. Lao Guo point (between the third and fourth metatarsals, about half an inch above this part): the node of puncture and tenderness, which is a better method to treat sprain, rheumatism and lumbar muscle strain, waist fever and head sweating after acupuncture.
4. Treat spinal sprain from the perspective of providing for the aged, and the lesion is at the damage of the sun meridian.
5. Yao Ning point: The patient's palm is horizontally attached to his chest, the tip of his thumb is pressed against Tiantu point, and his elbow is lifted upward. The tenderness point is located in the depression of the front edge above the elbow joint (equivalent to Quchi, Wuli and Xiabai points), and the big one is as small as a finger, such as a pea. After local disinfection, the patient directly pricked 0.5- 1.5 inch, twisted for 20 seconds, and the lumbar vertebra moved between needles and tapped. It is suitable for low back pain due to cold and dampness, external bladder meridian, soft tissue injury and subluxation of transverse costal joint.
6. Dovetail: Injection of Antongding (the needle tip points in the xiphoid process direction) is suitable for patients with left and right movement, limited extension and pain in transverse process joint after lumbar flexion.
7, Houxi Tongdu, suitable for Du meridian diseases, such as interspinous ligament, supraspinous ligament injury, mild central disc herniation, good bone bonding effect.
8. Elf and Ling Wei (low back pain point) Elf points are located at the rear edge of the fourth and fifth metacarpal space of the palm (directly behind Zhongzhu point); Ling Wei is located at the posterior edge of the second and third metacarpal space, and there are two acupoints in the left and right hands.
Indications: sudden death, phlegm retention, shortness of breath, gas attack, tinnitus, dizziness, headache, redness and swelling of the back of the hand, and wrist arthritis.
Note: Introduction of acupuncture points: Elf, Ling Wei, Qixue, Wailao Palace, where two bones are sutured, Elf on the left, Ling Wei on the right, acupuncture at 5 points, tinnitus, dizziness, headache, swelling of the back of the hand and wrist pain.
9. Shangdu: Positioning: located at the webbed edge of index finger and middle finger, with one point on the left and one point on the right, mainly used for spraining shoulders, back and waist.
10. Spine point: the metacarpophalangeal joint on the ulnar side of the little finger is red and white. A point on the left and a point on the right.
Indications: acute interspinous ligament injury, disc herniation, postoperative low back pain, coccygeal pain, tinnitus, nasal congestion, etc. From the acupuncture dictionary.
1 1. Waist and leg points: located on the back of the hand, one inch and five points in front of the transverse stripes on the back of the wrist, one point on the radial side of the second extensor tendon, one point on the ulnar side of the fourth extensor tendon, and two points on the left and right. Indications: lumbago and leg pain, lumbar sprain.
Preparation: From the manual of the commonly used new medical method, the tendon is obliquely stabbed for 3-5 points, and the needle feels numb to the fingertips. Moxibustion is strong.
12. Sciatic nerve points: located at the ulnar edge of the ring finger and the dorsal metacarpophalangeal joint, with one point on the left and one point on the right.
Indications: sciatica, hip pain, hip pain.