产后腰盆痛发生于女性妊娠至产褥期内，其根本病因在于气血亏虚，关键病机为气血失和，经络不通。该文阐述临 证治疗产后腰盆痛时当紧扣其病机，标本兼顾，取脾经、胃经、肾经、任脉、督脉腧穴益气养血、补肾填精以治其本，取 肝经、心经、膀胱经腧穴理气活血、宁心调神、散寒祛湿以去其标，最终达到气血充和、经络调畅的状态，可为临床针灸 辨治产后腰盆痛提供思路。

Postpartum lumbopelvic pain（PLPP） occurs in women during the period from pregnancy to the puerperium. Its root cause lies in the deficiency of qi and blood，and the key pathogenesis is the imbalance of qi and blood， leading to meridian blockage. When treating PLPP clinically， it is essential to focus on its pathogenesis and address both the root and the symptoms. Acupuncture points from the spleen meridian，stomach meridian， kidney meridian， conception vessel， and governor vessel are selected to tonify qi， nourish blood， replenish the kidneys， and fill essence to treat the root. Acupuncture points from the liver meridian， heart meridian，and bladder meridian are chosen to regulate qi，activate blood，calm the mind，and dispel cold and dampness to alleviate the symptoms. Ultimately，this approach aims to achieve a state of harmonious qi and blood and smooth meridians，providing a clinical acupuncture strategy for the treatment of PLPP.

R246.9

广东省自然科学基金面上项目（编号：2023A1515011123，2024A1515011874）；深圳市科技计划项目（编号：JCYJ20210324124613037）； 深圳市宝安中医药发展基金会资助项目（编号：2022KJCX-ZJZL-10）