Fu Yong, Zhang Haifeng, Zhang Bo, Kang Mingfei
Zhongguo Zhen Jiu. 2015 Dec;35(12):1253-7.
To observe the acupoint distribution and clinical efficacy of lumbar disc herniationi (LDH) with different sensitive types.
Eighty patients with LDH were randomly divided into a heat-sensitive moxibustion group (group A), a heat-sensitive acupuncture group (group B), a force-sensitive acupuncture group (group C) and a force-sensitive moxibustion group (group D), 20 cases in each one. In the group A and the group B, moxibustion and acupuncture were applied at two or three heat-sensitive acupoints separately. In the group C and the group D,acupuncture and moxibustion were used at two or three force-sensitive acupoints respectively. The treatment was given once a day, totally 10 times. The distribution law of the heat-sensitive acupoints and the force-sensitive acupoints and the change of M-JOA before and after treatment were recorded in the four groups.
The frequent heat-sensitive acupoints areas of LDH were at Yaoyangguan (GV 3), Dachangshu (BL 25), Zhiyang(GV 9), Guanyuanshu(BL 26) and Weizhong(BL 40). The major force-sensitive acupoints areas were at Shenshu (BL 23), Dachangshu (BL 25), Tianshu (ST 25), Guilai (ST 29) and Weizhong (BL 40). After treatment, the heat-sensitive acupoints in the group A and the group B were all reduced than those before treatment and the force-sensitive acupoints in the group C and the group D were declined as well (P < 0.01, P < 0.05). The M-JOA scores were obviously lower than those before treatment in the four groups (all P < 0.01). The score in the group A was reduced more apparently than that in the group B (P < 0.05). The score in the group C was declined more markedly than that in the group D (P < 0.05).
There are diverse acupoints for LDH patients due to different sensitive types. All forms of stimulation can change the functional state of acupoints. Moxibustion is more suitable for heat-sensitive acupoints and acupuncture is optimal for force-sensitive acupoints.
观察不同敏感类型腰椎间盘突出症（LDH）的穴位分布及临床疗效。
将80例LDH患者随机分为热敏灸组（A组）、热敏针刺组（B组）、力敏针刺组（C组）和力敏灸组（D组），每组20例。A组和B组分别在两三个热敏穴位上施灸和针刺。C组和D组分别在两三个力敏穴位上针刺和施灸。每天治疗1次，共治疗10次。记录四组热敏穴位和力敏穴位的分布规律以及治疗前后改良日本骨科学会（M-JOA）评分的变化。
LDH常见的热敏穴位区域位于腰阳关（GV 3）、大肠俞（BL 25）、至阳（GV 9）、关元俞（BL 26）和委中（BL 40）。主要的力敏穴位区域位于肾俞（BL 23）、大肠俞（BL 25）、天枢（ST 25）、归来（ST 29）和委中（BL 40）。治疗后，A组和B组的热敏穴位均较治疗前减少，C组和D组的力敏穴位也减少（P < 0.01，P < 0.05）。四组的M-JOA评分均明显低于治疗前（均P < 0.01）。A组评分降低比B组更明显（P < 0.05）。C组评分下降比D组更显著（P < 0.05）。
由于敏感类型不同，LDH患者存在多种穴位。各种刺激形式均可改变穴位的功能状态。艾灸更适合热敏穴位，针刺对力敏穴位最为适宜。
