[摘 要] 目的：探讨大椎、关元对腰椎间盘突出症临床疗效的影响，以及任督脉在腰椎间盘突出症临床治疗上的指导意义。方法：将427例腰椎间盘突出症患者随机单盲分为常规(循经取穴)组、常规加大椎组和常规加关元组进行治疗观察，采用u检验评定比较各组间疗效。结果：加大椎组和加关元组的治愈率与常规组比较，差异有显著或非常显著性意义(p0.05)。结论：大椎、关元可以提高腰椎间盘突出症的治愈率，调节任督、温补阳气可能是治疗腰椎间盘突出症的重要手段和方法之一。[主题词] 椎间盘移位/针灸疗法；穴，大椎；穴，关元
influence of gv 14 and cv 4 on clinical therapeutic ef fects of intravertebral disk displacement
lin zhiwei, zhang yongshu, li jian, et al. (department of acupuncture & moxibustion quanzhou hospital of tcm, fujian 362000, china)
abstract objective to observe influence of dazhui (gv 14) and guanyuan (cv 4) on clinical therapeutic effect of intervertebral disk disp lacement, and probe into the action of the conception vessel and the governor ve ssel in treatment of intervertebral disk displacement. methods 427 cases of intervetebral disk displacement were randomly divided by sing le-blind method into routine group (acupoint selection along channel), routine plus dazhui group, and routine plus guanyuan group, and therapeutic effects were observed. results there was a significant difference in the cured rate in the routine plus dazhui group and the routine plus guanyuan group as compared with the routine group (p0.05). conclusion dazhui (gv 14) and guanyuan (cv 4) can inc rease the cured rate of intervetebral disk displacement, indication that regu-lat ing the conception vessel and governor vessel, and warm reinforcing yang-qi are possibly one of important ways for treatment of intervetebral disk disp lacement.
key words intervertebral disk displacement/acup ther; point gv 14 (dazhui); point cv 4 (guanyuan)