吴萍++++++丁德光

    [摘要] 腰椎间盘突出症是临床常见病，有一定致残率。针刀治疗是临床有效手段，但操作手法各式各样，大多都以生物力学失衡为突破口，关于督脉气血痹阻鲜有涉及。基于此，本文从调脊、通督的角度对腰椎间盘突出症西医发病机制和中医病因病机提出新认识，指出脊柱内环境紊乱、生物力学失衡与其密切相关，“督脉痹阻，阳气失运”是其病机关键。并通过临床研究指导如何选取针刀操作部位、如何运用针刀手法，总结出其特点及优势。调脊通督法能调节脊柱平衡，改变病变组织内环境及解剖结构，疏通督脉气血，恢复阳气祛除病邪之功，有效改善疼痛症状、提高腰部活动能力，且操作简便，疗效显著。

    [关键词] 调脊通督；腰椎间盘突出症；针刀

    [中图分类号] R681.5 [文献标识码] A [文章编号] 1673-7210(2017)10(c)-0161-03

    Treatment of lumbar disc herniation with tiaojitongdu by needle knife

    WU Ping1 DING Deguang2

    1.Acupuncture and Traumatology College， Hubei University of Chinese Medicine， Hubei Province， Wuhan 430061， China； 2.Department of Acupuncture， Hospital of Traditional Chinese Medicine in Hubei Province， Hubei Province， Wuhan 430000， China

    [Abstract] Lumbar disc herniation (LDH) is a common disease， has a certain disability. Needle knife therapy is a effective mean， but operate differently， imbalance biomechanical is usually taken to be the sally port， while there are less studies about dumai. Thus， this paper draws forth the new understanding for the etiology and pathology from the aspects of tiaoji and tongdu ......