DOI QR코드

DOI QR Code

A Review of Classical Literatures on Acupuncture Points Used for the Treatment of Low Back Pain

  • Si Hyun Park (Department of Acupuncture and Moxibustion, Dongguk University Ilsan Oriental Hospital) ;
  • You Jeong Han (Department of Acupuncture and Moxibustion, Dongguk University Ilsan Oriental Hospital) ;
  • Jung Eun Jang (Department of Acupuncture and Moxibustion, Dongguk University Ilsan Oriental Hospital) ;
  • Kyung Ho Kim (Department of Acupuncture and Moxibustion, Dongguk University Ilsan Oriental Hospital) ;
  • Seung Deok Lee (Department of Acupuncture and Moxibustion, Dongguk University Ilsan Oriental Hospital)
  • 투고 : 2024.06.12
  • 심사 : 2024.07.26
  • 발행 : 2024.08.01

초록

Numerous patients visit Korean medical institutions for low back pain. Various acupuncture points have been suggested to treat low back pain; however, selecting the appropriate acupuncture points is challenging because their individual importance is unknown. Therefore, in this study, we aimed to investigate the effects of different acupuncture points in the treatment of low back pain. We reviewed 14 classical literatures that recorded acupuncture prescription for low back pain. We investigated the frequency of acupuncture point usage, as well as their meridians, dermatomes, and combinations. Only BL, GV, and GB were used as local acupuncture points. The BL was the most frequently used acupuncture point in all dynasties. Over time, the use of distal rather than local acupuncture points increased. The distal acupuncture points that corresponded to the L4-S1 dermatome were most used. The most frequently used acupuncture points were BL23, BL40, BL60, GV26, GB34, and ST36. When low back pain is accompanied by lower extremity symptoms, the frequency of the use of acupuncture points at the L4, L5, and S1 levels on the dermatome increased, whereas those at the L2 and S3 levels decreased. BL31-BL34, BL28-GV02, and GV26-BL40 were mainly used in combination.

키워드

참고문헌

  1. Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F, et al.; COST B13 Working Group on Guidelines for Chronic Low Back Pain. Chapter 4. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J 2006;15(Suppl 2):S192-S300. doi: 10.1007/s00586-006-1072-1
  2. Park HJ, Choi JY, Lee WM, Park SM. Prevalence of chronic low back pain and its associated factors in the general population of South Korea: a cross-sectional study using the National Health and Nutrition Examination Surveys. J Orthop Surg Res 2023;18:29. doi: 10.1186/s13018-023-03509-x
  3. Thiese MS, Hegmann KT, Wood EM, Garg A, Moore JS, Kapellusch J, et al. Prevalence of low back pain by anatomic location and intensity in an occupational population. BMC Musculoskelet Disord 2014;15:283. doi: 10.1186/1471-2474-15-283
  4. DePalma MJ, Ketchum JM, Saullo T. What is the source of chronic low back pain and does age play a role? Pain Med 2011;12:224-233. doi: 10.1111/j.1526-4637.2010.01045.x
  5. Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, Koretzky G. Firestein & Kelley's textbook of rheumatology. 11th ed. Elsevier. 2021:753-775.
  6. Friedrich KM, Nemec S, Peloschek P, Pinker K, Weber M, Trattnig S. The prevalence of lumbar facet joint edema in patients with low back pain. Skeletal Radiol 2007;36:755-760. doi: 10.1007/s00256-007-0293-7
  7. Health Insurance Review & Assessment Service (HIRA). 2021 national health insurance statistical yearbook. HIRA [Internet]. Wonju: 2022 Nov [cited 2023 Jan 9]. Available from: https://www.hira.or.kr/bbsDummy.do?pgmid=HIRAJ030000007001&brdScnBltNo=4&brdBltNo=6&pageIndex=1&pageIndex2=1#-none
  8. Shin HK, Jeong SJ, Huang DS, Kang BK, Lee MS. Usage patterns and adverse experiences in traditional Korean medicine: results of a survey in South Korea. BMC Complement Altern Med 2013;13:340. doi: 10.1186/1472-6882-13-340
  9. Lee YS, Ryu Y, Yoon DE, Kim CH, Hong G, Hwang YC, et al. Commonality and specificity of acupuncture point selections. Evid Based Complement Alternat Med 2020;2020:2948292. doi: 10.1155/2020/2948292
  10. Kim YS. Acupuncture and pain control. Korean J Med 1999;57:637-648.
  11. Textbook Compilation Committee of Acupuncture and Moxibustion. The acupuncture and moxibustion medicine. Jipmoondang. 2012:339-354.
  12. Jiang H, Yu X, Ren X, Fang T, Tu Y. Effect of electroacupuncture at distal-proximal acupoint combinations on spinal interleukin-1 beta in a rat model of neuropathic pain. J Tradit Chin Med Sci 2015;2;45-51. doi: 10.1016/j.jtcms.2015.09.002
  13. Lee IS, Jo HJ, Lee SH, Jung WM, Kim SY, Park HJ, et al. Systematic review of selection of acupuncture points for lower back pain. Korean J Acupunct 2012;29:519-536.
  14. Yuan J, Kerr D, Park J, Liu XH, McDonough S. Treatment regimens of acupuncture for low back pain--a systematic review. Complement Ther Med 2008;16:295-304. doi: 10.1016/j.ctim.2008.04.006
  15. Sohn IC, Kim KS, Lee HS. Literature review on acupuncture treatment for back pain from contusion. J Korean Acupunct Moxibustion Soc 1992;9:125-141.
  16. Shin JK, Kim KS, Sohn IC. A study of literature on acupuncture & moxibustion techniques to treat 10 kinds of lumbago described by Huh Jun in DongUiBoGam(東醫寶鑑). Korean J Acupunct 2004;21:175-202.
  17. Choi JH, Chae WS. Literatural study on the effect of acupuncture and moxibustion treatment for back pain. J Haehwa Med 1991;2:10-25.
  18. Jung SH, Lee JD, Park DS. Literature review on causes of back pain and acupuncture treatment. J Korean Acupunct Moxibustion Soc 1996;13:263-282.
  19. Peng RC. [Dictionary of acupuncture prescription]. Beijing Publishing House. 1994:2-374. Chinese.
  20. Wang DS. [The abstract of Zhenjiu books and journals of China]. Renmin weisheng chubanshe. 1996:20-175. Chinese.
  21. Shi X, Zhang M. A Chinese-English dictionary of acupuncture & moxibustion. Huaxia Publishing House. 1998:84-596.
  22. Hwang MS. Study on the treatment mechanism of Back-Shu points for organ dysfunction. Korean J Acupunct 2016;33:95-101. doi: 10.14406/acu.2016.019
  23. Oh J. Measure of the associations of accupoints and pathologies documented in the classical acupuncture literature. Korean J Acupunct 2016;33:18-32. doi: 10.14406/acu.2016.003
  24. Textbook Compilation Committee of Acupuncture and Moxibustion. Meridian and acupuncture point. In: Textbook Compilation Committee of Acupuncture and Moxibustion editor. Acupuncture and moxibustion medicine. 3rd ed. Jipmoondang; 2014;264-556.
  25. Chapple W. Proposed catalog of the neuroanatomy and the stratified anatomy for the 361 acupuncture points of 14 channels. J Acupunct Meridian Stud 2013;6:270-274. doi: 10.1016/j.jams.2013.01.001
  26. Legge D. Yin and Yang surfaces: an evolutionary perspective. J Acupunct Meridian Stud 2014;7:281-290. doi: 10.1016/j.jams.2014.07.003
  27. Kim G, Kim D, Moon H, Yoon DE, Lee S, Ko SJ, et al. Acupuncture and acupoints for low back pain: systematic review and meta-analysis. Am J Chin Med 2023;51:223-247. doi: 10.1142/S0192415X23500131
  28. Cheng KJ. Neuroanatomical basis of acupuncture treatment for some common illnesses. Acupunct Med 2009;27:61-64. doi: 10.1136/aim.2009.000455
  29. Lim TK, Ma Y, Berger F, Litscher G. Acupuncture and neural mechanism in the management of low back pain-an update. Medicines (Basel) 2018;5:63. doi: 10.3390/medicines5030063
  30. Jiebin Z. [Jinye's complete works]. China Press of Traditional Chinese Medicine. 1990:308-310. Chinese.
  31. Huang C, Liang J, Zhang Q, Lu T. A comparative study on "Mai" and "blood vessels" in early Chinese and Western medicine: based on Hippocratic corpus and cauterization canon of the eleven vessels of the foot and forearm. Evid Based Complement Alternat Med 2019;2019:7826234. doi: 10.1155/2019/7826234
  32. Tzimas P, Triantafyllou C, Petrou A, Georgia M, Vlachos K, Papadopoulos G. The treatment of pain in ancient Greece: similarities with the traditional Chinese medicine. Hell J Surg 2020;92:71-75. doi: 10.1007/s13126-020-0549-4
  33. Kim JY, Kwon OS, Lee YJ, Kim JH, Kim ES, Kim YL, et al. A study of constructing information of main treating acupoint with priority given to five vicera's Back-su point. Korean J Acupunct 2007;24:47-54.
  34. Raoul S, Faure A, Robert R, Rogez JM, Hamel O, Cuillere P, et al. Role of the sinu-vertebral nerve in low back pain and anatomical basis of therapeutic implications. Surg Radiol Anat 2003;24:366-371. doi: 10.1007/s00276-002-0084-8
  35. Umemoto K, Saito T, Naito M, Hayashi S, Yakura T, Steinke H, et al. Anatomical relationship between BL23 and the posterior ramus of the L2 spinal nerve. Acupunct Med 2016;34:95-100. doi: 10.1136/acupmed-2015-010847
  36. Kang MS. A study of acupuncture at the sea point in an ankle sprain. Acupuncture 2015;32:103-107. doi: 10.13045/acupunct.2015065
  37. Zhao ZQ. Neural mechanism underlying acupuncture analgesia. Prog Neurobiol 2008;85:355-375. doi: 10.1016/j.pneurobio.2008.05.004
  38. Zhu SP, Luo L, Zhang L, Shen SX, Ren XX, Guo MW, et al. Acupuncture de-qi: from characterization to underlying mechanism. Evid Based Complement Alternat Med 2013;2013:518784. doi: 10.1155/2013/518784
  39. Andersson SA, Holmgren E. On acupuncture analgesia and the mechanism of pain. Am J Chin Med (Gard City N Y) 1975;3:311-334. doi: 10.1142/s0192415x75000396
  40. Tiwari S, Sapkota N. Is single-point acupuncture effective in treating acute low back pain? Clin Case Rep 2021;9:e05130. doi: 10.1002/ccr3.5130
  41. Le Bars D, Dickenson AH, Besson JM. Diffuse noxious inhibitory controls (DNIC). I. Effects on dorsal horn convergent neurones in the rat. Pain 1979;6:283-304. doi: 10.1016/0304-3959(79)90049-6
  42. Le Bars D, Willer JC. Diffuse noxious inhibitory controls (DNIC). In: Bushnell MC, Basbaum AI editors. The senses: a comprehensive reference. Vol. 5. Elsevier; 2008;763-773.
  43. Dickenson AH, Le Bars D, Besson JM. Diffuse noxious inhibitory controls (DNIC). Effects on trigeminal nucleus caudalis neurones in the rat. Brain Res 1980;200:293-305. doi: 10.1016/0006-8993(80)90921-x
  44. Bouhassira D, Villanueva L, Bing Z, le Bars D. Involvement of the subnucleus reticularis dorsalis in diffuse noxious inhibitory controls in the rat. Brain Res 1992;595:353-357. doi: 10.1016/0006-8993(92)91071-l
  45. Moon JY, Lee JH, Park CJ. A philological study on the acupuncture treatment of sciatica. Korean J Acupunct 2009;26:177-195.
  46. Lee MK, Song YK, Lim HH. Effects of acupuncture at GB30, GB34, and BL40 on functional recovery after sciatic crushed nerve injury in rats. J Korean Orient Med 2010;31:66-78.
  47. Ji Q, Shan F, Zhang B, Chen Y, Yang X, Gao F, et al. Acupuncture on "Huantiao" (GB30) and "Yanglingquan" (GB34) acupoints promotes nerve regeneration in mice model of peripheral nerve injury. IBRO Neurosci Rep 2023;15:158-164. doi: 10.1016/j.ibneur.2023.08.004
  48. Martin HD, Reddy M, Gomez-Hoyos J. Deep gluteal syndrome. J Hip Preserv Surg 2015;2:99-107. doi: 10.1093/jhps/hnv029
  49. Dimitrova A, Murchison C, Oken B. The case for local needling in successful randomized controlled trials of peripheral neuropathy: a follow-up systematic review. Med Acupunct 2018;30:179-191. doi: 10.1089/acu.2018.1297
  50. Tarulli AW, Raynor EM. Lumbosacral radiculopathy. Neurol Clin 2007;25:387-405. doi: 10.1016/j.ncl.2007.01.008
  51. Wessberg P, Frennered K. Central lumbar spinal stenosis: natural history of non-surgical patients. Eur Spine J 2017;26:2536-2542. doi: 10.1007/s00586-017-5075-x
  52. Zhou F, Huang D, Xia Y. Neuroanatomic basis of acupuncture points. In: Xia Y, Cao X, Wu G, Cheng J editors. Acupuncture therapy for neurological diseases: a neurobiological view. Springer; 2010;32-80.
  53. Steinke H, Saito T, Kuehner J, Reibetanz U, Heyde CE, Itoh M, et al. Sacroiliac innervation. Eur Spine J 2022;31:2831-2843. doi: 10.1007/s00586-022-07353-1
  54. Heo J. Principles and practices of Eastern Medicine. Nam San Dang. 1987:278-280.
  55. Allegri M, Montella S, Salici F, Valente A, Marchesini M, Compagnone C, et al. Mechanisms of low back pain: a guide for diagnosis and therapy. F1000Res 2016;5:F1000 Faculty Rev-1530. doi: 10.12688/f1000research.8105.2
  56. Urits I, Burshtein A, Sharma M, Testa L, Gold PA, Orhurhu V, et al. Low back pain, a comprehensive review: pathophysiology, diagnosis, and treatment. Curr Pain Headache Rep 2019;23:23. doi: 10.1007/s11916-019-0757-1
  57. Foley BS, Buschbacher RM. Sacroiliac joint pain: anatomy, biomechanics, diagnosis, and treatment. Am J Phys Med Rehabil 2006;85:997-1006. doi: 10.1097/01.phm.0000247633.68694.c1