15/10/2025
[補吓你個身] 腰痛又關條筋事？ - 作者 昇大夫
腰部疼痛系列
腰三針可以鬆弛筋部
臨床治療上，不少病人出現腰痛的狀況，與骨、腰部肌肉，甚或椎間盤
的問題，今次我哋從「條筋」看看。
現代醫學中如何定義「筋」？通常為解剖學上的特定結構，以軟組織為
主；大體上區分為肌肉、肌腱、韌帶等不同結構。
中醫理論中，肝主筋，宗筋主束骨而利機關。而《內經·素問四十四篇·
痿論》：「故陽明虚則宗筋縱，帶脈不引，故足痿不用也」；《金匱要
略》又曰「見肝之病，知肝傳脾，當先實脾」
中醫的針灸治療腰痛的方法不少；現在從「靳三針療法」中「腰三針」
這個方法看看，此法為靳瑞教授臨床上歸納總結其一療法。
其穴位組成包括腎俞穴（BL23)、大腸俞穴(BL25)及委中穴(BL40)
腰為腎之府，腎俞穴處於腰部上段；大腸俞為足太陽膀胱經穴，位處腰
部下段；二穴主治腰椎病變，屬局部取穴法；委中穴治腰椎病變，屬循
經遠道取穴法。
總括而言：
軟組織的穩固等於穩定的脊椎 ；
不穩定的軟組織引發不穩定的脊椎。
This topic is about : Ligament Injury in Lumbago
Low Back Pain Series
The “Three Lumbar Points” Can Relax the Ligaments
Low back pain often stems from issues with bones, muscles, or discs, butligament injuries play a significant role too.
Ligaments, soft tissues that connect bones and stabilize joints, can become overstretched or
inflamed, reducing spinal support and causing pain.
Modern and TCM Perspectives
In modern medicine, ligaments, tendons, and muscles are soft tissues
that maintain spinal alignment.
In Traditional Chinese Medicine (TCM), the Liver governs tendons,
ensuring flexibility and movement. A weak Liver leads to undernourished tendons, causing stiffness or pain.
The Huangdi Neijing states: “When the Yangming channel is deficient, tendons become lax, weakening the legs.” The Jin Gui Yao Lue advises:
“For Liver issues affecting the Spleen, strengthen the Spleen first.” This
highlights how organ imbalances contribute to back pain.
Acupuncture: The “Three Lumbar Points”
Professor Jin Rui’s “Three Lumbar Points” acupuncture method targets
soft-tissue-related back pain. It includes:
* Shenshu (BL23): Upper lumbar, nourishes Kidney energy.
* Dachangshu (BL25): Lower lumbar, treats local spinal issues.
* Weizhong (BL40):
Behind the knee, a distal point to ease tension and
boost circulation.
This approach combines local and meridian-based treatment to
strengthen ligaments, restore spinal stability, and relieve pain.
In Summary
Stable ligaments ensure a stable spine, while unstable ones cause pain.
The “Three Lumbar Points” method integrates modern and TCM principles to relax ligaments, balance organ function, and naturally
alleviate low back pain.
By KK Tang
#青木堂醫師日常 #曼城青木堂 #英國青木堂 #補吓你個身 #昇大夫
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