中医药研究论丛

261.7 针刀拨罐疗法治疗下背痛的案例探讨
TJ TCM.26(1) : 81-90, 2023
DOI : 10.6516/TJTCM.202303_26(1).0007
 
针刀拨罐疗法治疗下背痛的案例探讨
A Case Study of Acupuncture and Cupping Therapy for Lower Back Pain
陈朝龙1* 杨宗翰2
1 台北市立大学,台北,台湾
2 康禾中医诊所,台北,台湾
【摘要】
根据健保资料库统计,下背痛,也就是我们常听到的腰痛,是肌肉骨骼系统中最常见的疾病之一,年盛行率达15%-45%,近八成的人在一生中曾有下背痛的困扰。27 岁的女性患者,走进诊间时稍微跛行,主诉左腰部疼痛,近一年来在久坐要站起来那一瞬间腰部与鼠蹊部明显疼痛,无外伤病史,平时工作需久坐,睡觉时要侧躺脚并弓起来才比较舒服。於110 年5 月13 日来本诊所就诊,透过「象限检痛法」诊断为髂腰肌紧绷所致,经针刀、拨罐,与「强化腹肌力量」的复健运动,治疗三个月後痊愈。
【关键词】针刀、伤科手法、拨罐放血、下背痛、腰痛、腹直肌、髂腰肌
 
Chau-Lung Chen1*Tsung-Han Yang2
1University of Taipei, Taipei, Taiwan
2Come hope clinic, Taipei, Taiwan
【Summary】
According to the statistics of the health insurance database, lower back pain is one of the most common diseases in the musculoskeletal system, with an annual prevalence rate of 15%-45%. Nearly 80% of people have suffered from lower back pain in their lifetime. A 27-year-old female patient walked into the clinic with a slight limp and complained the pain in the left waist. In the past year, her waist and groin were obviously painful when she had to stand up after sitting for a long time. She had no history of trauma. It is more comfortable for her to sleep on her side and arch her feet up. On May 13th 2021, the patient came to our clinic and was diagnosed with iliopsoas muscle tension through the "quadrant pain detection method". After acupuncture, cupping, and rehabilitation exercises to strengthen abdominal muscle strength, the patient was healed in three months.
【Keywords】Accupuncture; traumatic manipulation; cupping and bloodletting;
lower back pain; rectus abdominis; iliopsoas