合谷刺法结合毫火针治疗寒湿型腰肌劳损的临床观察
Clinical Observation of Hegu Acupuncture Combined with Fire Acupuncture in the Treatment of Cold-Damp Type Lumbar Muscle Strain

目的：通过观察合谷刺法结合毫火针对寒湿型腰肌劳损的治疗效果，研究合谷刺法结合毫火针对治疗该病的疗效，为治疗寒湿型腰肌劳损提供有效的方法，并且减少该病的复发。方法：选取60例寒湿型慢性腰肌劳损的患者，全部来自2023年9月至2024年3年黑龙江中医药大学第一附属医院针灸二科门诊，年龄25~55岁，性别不限，且随机分为治疗组和对照组各30例。治疗组用合谷刺法结合毫火针，对照组用合谷刺法作为基础治疗方法，观察治疗组、对照组前后VAS等评分，研究合谷刺法结合毫火针治疗寒湿型腰肌劳损的疗效。结果：两组患者治疗前VAS等评分与治疗前的积分作比较，P > 0.05，不具有明显统计学差异，说明可以比较；两组患者治疗后的各项评分均降低，且与治疗前比较，P < 0.05，具有明显统计学差异，说明有疗效，且组间有差异；治疗组有效率为80.0%，对照组有效率为43.3%，说明治疗组更忧于寒湿型腰肌劳损的治疗。结论：经过研究发现，合谷刺法联合毫火针治疗寒湿型慢性腰肌劳损能够增强疗效，起到温经散寒、活血止痛的功效，临床效果突出，值得在临床上推广应用。
Objective: By observing the therapeutic effect of Hegu acupuncture combined with how-fire on cold-damp type psoas strain, to study the curative effect of Hegu acupuncture combined with how-fire on the disease, to provide an effective method for the treatment of cold-damp type psoas strain and reduce the recurrence of the disease. Methods: A total of 60 patients with cold-damp chronic psoas muscle strain were selected from the second outpatient Department of Acupuncture and Moxibustion in the First Affiliated Hospital of Heilongjiang University of Chinese Medicine from September 2023 to 2024, aged 25~55 years old and regardless of gender, and were randomly divided into the treatment group and the control group with 30 cases in each group. The treatment group was treated with Hegu acupuncture combined with Huo Huo acupuncture, and the control group was treated with Hegu acupuncture as the basic treatment. VAS scores before and after the treatment group and the control group were observed to study the efficacy of Hegu acupuncture combined with Huo Huo acupuncture in the treatment of cold-damp type lumbar muscle strain. Results: The VAS scores before treatment were compared with the scores before treatment, P > 0.05, which showed no significant statistical difference, indicating that the two groups could be compared. After treatment, all scores of the two groups were decreased, and compared with before treatment, P < 0.05, which had a significant statistical difference, indicating that there was a curative effect, and there were differences between groups. The effective rate of the treatment group was 80.0%, and that of the control group was 43.3%, indicating that the treatment group was more worried about the treatment of cold and damp type of lumbar muscle strain. Conclusion: Through the study, it is found that Hegu acupuncture combined with flame needle acupuncture can enhance the curative effect in the treatment of cold and damp chronic lumbar muscle strain, and play the effect of warming the meridian, dispersing cold, promoting blood circulation and relieving pain. The