山西中医药大学学报2026，Vol.27Issue(5)：500-504,5.DOI:10.19763/j.cnki.2096-7403.2026.05.08
针药结合治疗肝肾亏虚型腰椎间盘突出症临床疗效观察
Clinical efficacy observation of acupuncture combined with Chinese herbal medicine in treating lumbar disc herniation of liver-kidney deficiency pattern
摘要
Abstract
Objective:To observe the clinical efficacy of a paired-herb empirical formula combined with the"Kidney-Strengthening and Du Mai-Unblocking"acupuncture method in treating lumbar disc herniation(LDH)of the liver-kidney defi-ciency pattern,and to provide a scientific basis and practical reference for its integrated traditional Chinese medicine treat-ment.Methods:A total of 74 patients diagnosed with LDH of the liver-kidney deficiency pattern in outpatient and inpatient settings of the Second Department of Acupuncture and Moxibustion at Shanxi Acupuncture Hospital from January 2025 to Oc-tober 2025 were selected.They were randomly divided into a treatment group and a control group at a 1:1 ratio using a random number table method,with 37 cases in each group.Both groups received basic treatment.Patients in the control group were addi-tionally treated with a paired-herb empirical formula(Shudihuang 10 g,Xixin 3 g,Niuxi 10 g,Jixueteng 10 g,Weilingxian 10 g,Sangjisheng 10 g,Duhuo 10 g,and Sharen 10 g)to tonify the liver and kidney,relax the sinews and unblock the meridians,and dispel stasis and alleviate pain.On the basis of the control group's treatment,patients in the treatment group also received the"Kidney-Strengthening and Du Mai-Unblocking"acupuncture method[main acupoints:Shenshu(BL23),Mingmen(GV4),Weizhong(BL40);adjunct acupoints:Houxi(SI3),Huantiao(GB30),Yanglingquan(GB34),Chengshan(BL57),and Xuan-zhong(GB39)]to unblock the meridians,strengthen the kidney,and fortify the bones.The observed outcomes included clinical efficacy,Japanese Orthopaedic Association(JOA),and Visual Analog Scale(VAS)pain scores.Results:Before treatment,there were no statistically significant differences in JOA and VAS scores between the two groups(P>0.05),indicating compa-rability.After treatment,both groups showed improvement in JOA and VAS scores.The treatment group had significantly bet-ter JOA and VAS scores than the control group.The total effective rate in the treatment group(94.59%,35/37)was higher than that in the control group(81.08%,30/37).The differences were statistically significant(P<0.05,P<0.01).Conclusion:The paired-herb empirical formula combined with the"Kidney-Strengthening and Du Mai-Unblocking"acupuncture method has a definite clinical effect in treating LDH of the liver-kidney deficiency pattern and is worthy of clinical application.关键词
腰椎间盘突出症/对药/"强肾通督"针法/针药结合Key words
LDH/paired-herb/"Kidney-Strengthening and Du Mai-Unblocking"acupuncture method/acupuncture combined with herbal medicine分类
医药卫生引用本文复制引用
李澜,樊润良,翟春涛,李圣云,李蕾,田康康,王正浩,吕玉娥..针药结合治疗肝肾亏虚型腰椎间盘突出症临床疗效观察[J].山西中医药大学学报,2026,27(5):500-504,5.基金项目
中国中医科学院科技创新工程项目(CI2022E010XB) （CI2022E010XB）
山西省中医药管理局中医药创新团队-针药对法中医骨伤传承创新团队(zyytd2024013) （zyytd2024013）
山西省中医药科研课题项目(2025ZYY8028) （2025ZYY8028）
山西省科技创新领军人才团队(202204051002011) （202204051002011）
山西省重大疑难疾病中西医临床诊疗协作项目 （）
山西省吕景山针药对法传承技术创新中心 （）
山西省中医药科技创新工程项目 （）
三晋英才医疗卫生领军人才项目 （）
针药对法学术流派传承工作室(首批三晋中医学术流派传承工作室建设项目) （首批三晋中医学术流派传承工作室建设项目）
2025年山西中医药大学腧穴配伍研究学科(培育)建设项目 （培育）
山西中医药大学创新团队项目(2022TD1006) （2022TD1006）
