[Abstract] Objective To observe the efficacy of acupuncture in the treatment of lumbar-derived abdominal pain. Methods Acupuncture treatment was performed on 26 patients with lumbar-derived abdominal pain. Results The efficacy was precise, the cure rate was high, there was no recurrence, it was safe and reliable, and it is worth promoting. Key words】 Acupuncture, lumbar origin, abdominal pain Lumbar origin abdominal pain is a chronic lesion caused by soft tissue strain of the lumbar back, which can last for months or even decades, and the nature and degree of abdominal pain varies as persistent pain or chronic abdominal pain and distension, which is often misdiagnosed as “chronic appendicitis”, “appendicitis”, etc. The misdiagnosis rate is 67.6% (75/111), the author treated a total of 26 cases from 2004 to 2009, the effect of acupuncture treatment is satisfactory, reported as follows: Pain Department, Linqing People’s Hospital, Kong Weikuan Clinical Data 1, general information The group of 26 cases, including 10 male cases, 16 female cases; age. 30-54 years old, disease duration six months-13 years. Among the 26 cases, 18 cases complained of abdominal pain, 5 cases complained of lumbar abdominal pain, 3 cases complained of abdominal pain and abdominal distension; 2 cases had epigastric pain and 24 cases had lower abdominal pain, all of which were chronic and recurrent. Physical examination All cases had no pressure and rebound pain and abdominal muscle tension in the middle abdomen, and normal bowel sounds; while there was fixed pressure pain at the lumbar 2 or lumbar 3 transverse process. 26 cases underwent corresponding ultrasound, blood and urine laboratory, CT and other examinations to exclude abdominal and pelvic organ lesions. 4.Treatment The patient was placed in prone position with a round pillow on the abdomen, and the reaction point was found at the transverse process of lumbar 2 or lumbar 3, and was routinely disinfected, wearing sterile gloves and spreading sterile cavity towels. Take No. 3 needle knife, knife line parallel to the longitudinal axis of the spine, vertical skin stabbing, reaching the transverse process bone surface, find the foreign sensation (radiation to the location of abdominal pain) and then release the adhesions, retreat the needle knife in the skin, compress the needle knife hole, no bleeding, external band-aid, the operation went smoothly, bed rest for half an hour before going home. Generally 1 time to cure, 1 time not healed, 7 days after the treatment again. Typical cases: 1. Ding, female, 54 years old, farmer, complained of chronic left lower abdominal pain for 3 years, which was aggravated by fast walking or bumpy ride in a car, with normal urination and defecation. She had been seen in local hospital and provincial hospital for abdominal ultrasound and MRI respectively, but no lesion was found and symptomatic treatment was given, which was not effective. In May 2005, he came to our department with a trial attitude. Examination: unrestricted lumbar movement, pressure pain at the tip of the left lumbar 3 transverse process. He was treated with a No. 3 needle knife and found a foreign sensation (radiating to the left lower abdomen) on the bony surface of the transverse process by stabbing the skin vertically. The abdominal pain was eliminated after the operation, and there is no recurrence since the follow-up. 2. Deng, female, 37 years old, worker, complained of chronic abdominal pain and abdominal distension for more than 8 years, and had been diagnosed as “chronic appendicitis” and “adnexitis”, etc. The symptomatic treatment was ineffective. He came to our department in December 2007. Examination: no scoliosis of the spine, no restriction of lumbar movement, and obvious pressure pain at the tip of the right lumbar 3 transverse process. The abdominal pain and abdominal distension were eliminated, and there was no recurrence since the follow-up. Discussion Soft tissues such as lumbar vertebrae and small joints, paravertebral myofascia, etc. are not treated in time after trauma or strain or improperly treated, and the residual lesions cause local sterile inflammatory changes, and the chemical stimulation of inflammatory exudate directly acts on the nerve endings of lumbar paravertebral tissues, thus causing reflex abdominal pain (1). The needle knife performs relaxation treatment in the corresponding area to release the local muscle spasm and adhesions, and release the compression on the nerve and vascular bundle, which plays the role of antispasmodic and analgesic. Diagnostic points of lumbar-derived abdominal pain: (1) abdominal pain with irregular pain points and no pressure pain and rebound pain in the abdomen; (2) fixed pressure pain at either lumbar 2 or lumbar 3 transverse processes; (3) abdominal and pelvic organ lesions excluded by clinical examination and auxiliary examination; (4) abdominal pain eliminated by acupuncture treatment. The misdiagnosis rate of patients with abdominal pain of lumbar origin is high, and most patients do not get a clear diagnosis and treatment in the first place, and only when they fail to seek medical help from many places do they report to the pain department with the attitude of trying, which results in the removal of the disease by needle. I hope that experts and colleagues, when you encounter a clinical situation that excludes organ lesions and cannot give a proper diagnosis, you can ask a professional pain physician for consultation, which will sometimes relieve the patient’s pain early.