12/03/2025
關於腰痛(Lumbago)
最常見的腰痛是機械性腰痛(占80%~90%)
肌肉或韧带損傷:如腰肌勞損、急性腰扭傷。
椎間盤病變:腰椎間盤突出症、椎間盤退行性變。
關節退行性病變:腰椎骨關節炎、椎管狭窄。
姿勢不良或過度使用:久坐、久站、搬運重物、運動損傷等。
孕婦或產後腰痛:主要因重心前移或順產後盤骨弛導致。
中醫針灸治療腰痛的原理:
1. 疏通經絡,調和氣血
中醫認為腰痛多因外感風寒濕邪、氣滯血瘀或肝腎不足,導致經絡阻塞、氣血運行不暢。針灸通過刺激特定穴位(如腎俞、大腸俞、委中、環跳等),可疏通膀胱經、督脈等相關經絡,促進局部氣血流通,緩解「不通則痛」的病理狀態。
2. 平衡陰陽,扶正祛邪
針灸可調節臟腑功能(如補益肝腎、強健筋骨),改善內在虛損(如腎虛腰痛),同時驅散外邪(如寒濕阻滯),達到「通則不痛」的效果。
Lower Back Pain
The most common type of low back pain is mechanical low back pain (accounting for 80%~90% of cases), which includes:
1. Muscle or ligament injuries: e.g., lumbar muscle strain, acute lumbar sprain.
2. Disc-related pathologies: e.g., lumbar disc herniation, degenerative disc changes.
3. Degenerative joint disorders: e.g., lumbar osteoarthritis, spinal stenosis.
4. Poor posture or overuse: e.g., prolonged sitting/standing, heavy lifting, sports injuries.
5. Pregnancy-related or postpartum low back pain: often caused by a forward shift in the center of gravity or relaxation of pelvic ligaments after vaginal delivery.
Principles of Acupuncture in Treating Low Back Pain in Traditional Chinese Medicine (TCM)
1. Unblocking Meridians and Regulating Qi-Blood Flow
TCM posits that low back pain often results from external pathogens (wind, cold, dampness), qi stagnation, blood stasis, or deficiencies in the liver and kidneys. These factors obstruct meridians and disrupt the flow of qi and blood. Acupuncture stimulates specific points (e.g., Shenshu BL23, Dachangshu BL25, Weizhong BL40, Huantiao GB30) to unblock relevant meridians (e.g., Bladder Meridian, Governor Vessel) and restore local qi-blood circulation, alleviating the TCM principle of "pain arises from obstruction."
2. Balancing Yin-Yang and Strengthening Vital Qi
Acupuncture regulates organ functions (e.g., tonifying the liver and kidneys, strengthening bones and tendons) to address internal deficiencies (e.g., low back pain due to kidney deficiency) while expelling external pathogens (e.g., cold-dampness obstruction).
#推拿 #腰肌勞損 #腰椎間盤突出 #痛症 #不通則痛 #針灸 #孕婦腰痛 #產後腰痛 #腰痛 #中醫 #尖沙咀中醫 #尖沙咀針灸