Application of moxibustion jar combined with “Tongjing Huayu”theory in one case of lumbar disc herniation with blood stasis and qi stagnation
基于“通经化瘀”理论灸罐联合方案在一例血瘀气滞型腰椎间盘突出症患者中的应用

摘要

腰椎间盘突出症（LDH）作为临床常见慢性、脊柱退行性病变，严重影响患者生活质量。中医将其归属于“腰痛”、“痹症”、“肾虚腰痛”等范围，血瘀气滞型LDH是其常见证型，多因外伤、气滞等原因所致。本案例基于“通经化瘀”理论灸罐联合方案在一例血瘀气滞型腰椎间盘突出症患者进行护理治疗，灸法可温通经络、散寒化瘀，火罐能行气活血、消肿止痛，辨证分型后通过在特定穴位施灸后拔罐及相应护理干预，实现通经化瘀之效，经治疗2周后患者腰背部疼痛及左下肢胀痛、麻木症状得到缓解，腰部活动度改善，能够自主进行日常活动，显著提升生活质量。

Abstract

Lumbar disc herniation (LDH),a prevalent chronic degenerative spinal disorder, severely compromises patients' quality of life. Traditional Chinese Medicine (TCM) categorizes it under syndromes such as“lumbago”、“bi syndrome”, and “kidney deficiency lumbago”. The blood stasis and qi stagnation pattern is a common manifestation, often triggered by trauma or qi stagnation. This case study demonstrates the efficacy of a moxibustion and cupping therapy regimen based on the “meridian unblocking and stasis resolution” theory in treating a blood stasis and qi stagnation type LDH patient. Moxibustion warms meridians, dispels cold, and resolves stasis, while cupping activates qi circulation, reduces swelling, and alleviates pain. After syndrome differentiation, targeted moxibustion at specific acupoints, followed by cupping and tailored nursing interventions, achieved meridian unblocking and stasis resolution. After two weeks of treatment, the patient experienced significant relief from lower back pain, left lower limb swelling, numbness, and restricted mobility. The patient regained independent mobility and demonstrated marked improvement in quality of life.