Prolapse of lumbar intervertebral disc acupuncture treatment technology

China's traditional Chinese medicine reported

        Prolapse of lumbar intervertebral disc, also called lumbar intervertebral disc fiber ring broken nucleus pulposus outstanding disease. It is happened lumbar intervertebral disc degeneration, under external force, fiber ring is broken, and nucleus pulposus stimulate or outstanding oppressive nerve root, blood vessels or organizations, such as spinal cord caused by the waist pain, and with the sciatic nerve pain symptoms such as radioactive features of a kind of pathological changes. The disease is the most common clinical backleg pain one disease, good hair at 20 ~ 30 years old of young, male more than female, its incidence in part 4 to 5 for the lumbar spine, waist 5 di 1 second and third to the fourth lumbar is rare.

        The disease belongs to the traditional Chinese medicine "waist pain," "BiZheng" category.

        A, causes and mechanism

        Waist pain etiology mainly and feelings of the attacks, and fall and the damage to other factors, such as too. Feel the wind chill, or sit lie wetland, or long engaged in heavier physical labor, or the waist flash crash not recover the wound tumbled, which can lead to the waist meridian qi block, general clauses pain. Ferrite endowment is insufficient, or old JingXie kui failure, or room excessive fatigue, loss coming kidney gas, "waist of renal government office of", the waist context, moisten the always lost in, can send back pain. The waist line from the meridians circulation, we can see the sun to foot the bladder, du meridian, take the pulse and kidney (through ridge of kidney) Lord, so waist backbones meridians, the muscle, the collaterals and lost honor may back pain is the main pathogenesis.

        Second, clinical manifestation

        Back pain with sciatica is the main symptom of lumbar intervertebral disc herniation. Waist pain often limited to near lumbosacral, spinous limitations have between deep tenderness, and to the lower limb with radiation, sciatica often for unilateral, and along the side ham with radiation to the lateral crus down, sufficient with department and foot back outside. Cough, sneeze, force when defecate in nerve root more nervous and aggravate symptoms, walking, bend, knee extensor up wait for to drag the nerve root action can also be amplifying pain. Pain more for intermittent, a few as a persistent, and confirmed by after the break, especially after the bed rest can obviously reduce, but slight damage recurrence after. The course, the lower limb radiation parts feel numb.

        Three, syndrome differentiation type points

        (1) cold dampness waist pain: the waist has got history, value the weather changes or rainy accentuate when cooled, the waist pain, acid with heavy cold linen, or JuLuan not pitch, or even hip leg pain.

        (2) blood stasis waist pain: the waist has ministry or Chen injury history, overworked, since morning, sedentary aggravating, the waist muscle of the touch on both sides have stiff feeling, quick fixed don't move.

        (3) kidney empty waist pain: zhu (renal area) dull pain, have disease slow, or acid much pain less, lack easy tired, pulse XiZhe, less by the card for foot Yin, namely kidney empty back pain.

        Four, treatment

        (1) the basic treatment

        [therapeutic] by promoting blood circulation of, benefiting kidney rehabilitation waist.

        [prescription] renal yu, rubs crosswisely, rank edge, HuanTiao, length of Yin fu, door, the bilateral, YangLingQuan

        [and] waist pain obvious, gas pressure sore point hai shu, liao, times of liao; Before the pain of obvious and city, the young; Leg pain and float in the sky, ChengShan obviously, kunlun mountains.

        [operation] renal yu, rubs crosswisely spinal direction to Pierce, generally for 2 ~ 3 inches, HuanTiao, bearing hole deep thorn help to have lower limb put inductance is preferred. Other travel needle points to gas, with flat flat for reducing method, stimulate quantity by medium is advisable. In the acute phase daily acupuncture once, symptoms after two days can be improved acupuncture once, 10 times for one period of treatment.

        (2) other therapy

        1. The bloodletting therapy

        [location] the bilateral, YangLingQuan, hang a bell, Yang auxiliary, HuanTiao, mingmen, waist Yang, rank edge

        [operation] with three edges in the first four holes and needle member from a hole, spurs take blood, a black blood 20 to 50 ml, color red is check, if the same color, the needle cutem after. Haunches points, it can use MeiHuaZhen or roller knock at thorn, make its bleeding, and cupping therapy, such as in the acupuncture therapy was added again this law, curative effect is better, this law in respect of the acute phase YouYi.

        2. Point injection

        [location] renal yu, rubs crosswisely, HuanTiao, the bilateral

        [operation] drug desirable with lidocaine, general lu pronounced, vitamin B1, vitamin B12 or angelica injection, the waist meridians to deep thorn, deep to 2.5 ~ 3.5 inch, gas, ensure there is no h., again into the solution, each drug infusion acupuncture point 1 to 2 ml. The acute phase once per day, ease two days time after, 5 times for one period of treatment.

        3. Earpins

        [location] the sciatic nerve, adrenal, buttock, god door

        Lumbar sacral vertebra

        [operation] every time select 3 ~ 5 hole, 0.5 inch acupuncture into the ears, not to side with pierced skin for degrees. With strong stimulation twisting needle after several seconds, LiuZhen 20 ~ 30 minutes, during LiuZhen every 5 minutes did a needle, or four weeks a daily treatment, 10 times for one period of treatment. Also available in the above points trapped not king do seeds.

        4. Head needle

        [location] after the temporal, top 1 line by cross-court

        [operation] with 28 needle 3 inches along the scalp slowly advance the needle, so as to meet the right depth, not mention inserted, twisting needle frequency fast, every minute of over 200 times, by and large, LiuZhen 5 ~ 10 minutes later followed a needle, and then LiuZhen a 10 minutes, can a needle.

        Five, the appropriate technology

        1. RanShi "yiqi pass after" pointer treatments for prolapse of lumbar intervertebral disc technology

        [location] the city, YangLingQuan, foot 3 miles, and the market, the point is, o emmeniopathy

        [operation]

        (1) let the patient supine on the bed, the doctor sat in the chair bed patients, facing patients. Will and point to (or middle finger) put in the gas hole on the sea, clockwise click 40 minutes. Pointer to the patient efforts body relax, comfortable shall prevail.

        (2) in turn click bilateral wind city, YangLingQuan, foot 3 miles, and the market, emmeniopathy acupuncture point, every hole counterclockwise click 30 seconds.

        (3) for patients prone to the waist tenderness point shall prevail, take apart the up and down for 3 vertebral QiZhiDian, use both hands index and middle finger, and click the vertebral spinous beside the open 1.5 inches, each hole 30 seconds, deficiency syndrome clockwise click, empirical counterclockwise click. After a pointer is key, acupuncture point (tenderness points).

        (4) in turn click bilateral HuanTiao, the bilateral, length, ChengShan reinforcement, the kunlun, each hole counterclockwise click 30 seconds, click efforts are patients tolerated is preferred.

        (5) let patients side lies, tapping hole under 8 HuanTiao fists and let the patient slowly arose, and went down bed activities 5 minutes.

        2. Ankle in three disc herniation root sexual pain analgesic technology

        [location] ankle three needle position: with three Yang meridians (yangming foot, foot by less Yang the gallbladder, foot the sun the bladder) ankle on four inch, each the meridians circulation line a point each line, which is the root pain 1, 2, root root pain pain 3; Mixed outstanding, according to the specific circumstances, comprehensive choose acupuncture point.

        [operation] the doctor left hand needle into the fixed point (thumb and refers to tighten the skin), the right hand hold needle, needle is 15 ° Angle with the skin, quickly into the subcutaneous, then needle considerate nearly the skin surface, and along the subcutaneous Pierce, length is 2.5 inches the needle, needle direction up. Quick twist to turn 200 ~ 300 / cent, not mention inserted by 360 ° Angle ~ 720 ° Angle, every time continuous twisting turn 3 minutes. Every 10 minutes did a needle, LiuZhen 30 minutes, every 48 hours a needle.

        Six, the matters needing attention

        (1) the acupuncture treatment prolapse of lumbar intervertebral disc can alleviate symptoms, analgesic effect is obvious.

        (2) the disease in patients with acute period should lie hard board rest, such as improved condition should be appropriate activities, but must avoid excessive stretch and bend over weight, in order to avoid the recurrence, lower limbs and lumbar warm, should not be cold.

        (3) have obvious nerve root or spinal cord compression symptoms, shall immediately with traction, operation, physical therapy, and other comprehensive method for treatment.