林创坚针药并用联合核心肌群锻炼治疗慢性非特异性腰痛经验

关键词：慢性非特异性腰痛；针刺疗法；补肾蠲痹方；核心肌群锻炼；林创坚

中图分类号：R246.9 文献标志码：A 文章编号：1007-3213（2026）03-0777-05

DOI：10.13359/j.cnki.gzxbtcm.2026.03.032

Lin Chuangjian’s Experience in Treating Chronic Nonspecific Low Back Pain with Integrated Acupuncture-Herbal Therapy and Core Muscle Group Exercise

QIN Hao'，ZHENG Songxin²，LIN Chuangjian² （1.Shantou HospitalofTaditionalChineseMedicineAfiliatedtoGuangzhou UniversityofChineseMedicine，Shantou51000 Guangdong，China；2.Shantou Hospitalof Traditional Chinese Medicine，Shantou 515oooGuangdong，China）

Abstract：Chronic nonspecific low back pain（NLBP）is clinically characterized bypain in the area below the costal margin，above the gluteal fold，and between the midaxillarylines，persisting for more than12 weeks.This condition fallsunder thecategoryof "low back pain"in traditional Chinese medicine.Basedonyearsof clinical experience，Profesor Lin Chuangjian posits that the pathogenesis of chronic non-specific low back painin the Lingnan region is predominantly characterized by obstruction due to wind-dampness complicated by depletion of the liverand kidney.In clinical practice，he employs acupuncture therapy combined with the empirical formula “Bushen Juanbi Formula”（composed of Angelicae Pubescentis Radix， Taxili Herba，Eucommiae Cortex， Achyranthis Bidentatae Radix，Angelicae Sinensis Radix，Paeoniae Radix Alba，ChaenomelisFructus， Clematidis Radix et Rhizoma，Angelicae Dahuricae Radix，Gentianae Macrophylae Radix），with modifications based on syndrome differentiation.This is combined with instructing patients to strengthen functional exercise of the core muscle groups，thereby integrating prevention with treatment to achieve beter clinical effcacy.

Keywords：chronic nonspecific low back pain（NLBP）；acupuncture therapy；Bushen Juanbi Formula；core muscle group exercise；Lin Chuangjian

非特异性腰痛（NLBP）是指不能通过临床辅助检查手段明确其病因，同时不存在明确的组织病理学改变的一类腰痛临床症状，主要临床表现为肋缘以下、臀横纹以上、两侧腋中线之间部位的疼痛，有时可延伸至大腿（膝盖以上）2]。（剩余6482字）