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51
Clinical Report
One hundred and twenty-four cases of lumbar
disc herniation treated with acupuncture and
massage manipulation
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SUN Chang-le (.f}i(:.*)
Orthopedics Department, Fuyang People's Hospital, Fuyang 236000, Anhui Province, China ( :t(i'{!
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AR TI C L E IN F O
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A B STRA CT
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CLINICAL DATA
All of 124 cases were from the comprehensive
2
.
ELSEVIER
pain combined with unilateral or bilateral (WJAM)
Vol.
23,
No.2,
30th
Jun.
2013
People's Hospital. Of them, 75 cases were male,
alternative radiating pain and numbness of the
49 cases female; aged from 24 to 62 years,
lower limbs, limited lwnbar movement, difficulties
in standing and walking, and disturbance of daily
averagely (41 0.6) years old; being sick in the
life activity. The writer adopted acupuncture
range from 16 days to 34 months, averagely (226
combined with massage manipulations to treat 124
0.9) days. All the cases suffered from lumbar pain
cases of LDH from October 2009 to May 2012. The
to different extents, 97 cases were combined
report is as follows.
with unilateral
METHODS
Acupuncture
Selection of points: the patients were in supine.
For those with LJ L5 and L/S1 LDH, manifested
chiefly as pain on the lateral side of the lower limb,
Shenmai ($.!!* BL 62), Neitf ng (l'gJl! ST 44) and
ZUlinqi (..@.lhb?ft GB 41) were selected on the
affected side. For those with Ly'L4 LDH,
(3)
manifested chiefly as pain and numbness on the
anterior and medial side of the lower limb,
TaichOng (:{If LR 3), Neiting (i:lg
Bl ST 44) and Zh.aoh!i (Jffi7fiJ: KI 6) were selected
on
the affected side. For those with serious lumbar
pain, Yaotongdian (Jfi
lumbar pain point,
located at the cross point of the midline of the
forehead) was selected; for those with serious
buttock pain,
TUn.tongdi (W buttock pain point, located at (4)
the midpoint from the acromion to the posterior axilla
line, in sitting or prone) was selected; and for those
with serious sciatic pain, the contralateral ZhOngzhii
(9=1lf TE 3) was selected.
Manipulation: the filiform needles, 0.25 mm X
50 mm, were used. After conventional sterilization
at the acupoints, except the oblique puncture at
YiiotOngdian, the perpendicular puncture was applied
to all the rest acupoints. The needles went deeply
to the contralateral skin, but should not penetrate it.
After inserted, the needles were lifted, thrust and
rotated rapidly.After the arrival of qi, the needles
were removed. In combination, the passive
elevation of straight leg was done on the affected
side for 3 to 5 times. The treatment was given
once a day, for 3 weeks totally. The acupoints
were selected alternatively according to the pain
sites.
Massage manipulations
(1) The patient was in prone. The therapist applied
gunfa (rolling technique) and yizhichan tuifa (onefinger pushing technique) from the lumbar region to
the extremity of the affected limb for 5 min to relax
the muscle tension.
(2) The first assistant stood on the head side of the
patient to pull the axilla of the patient while the
EFFICACY OBSERVATION
Observation indices and methods
Before and after treatment, according to the
lower back pain scoring method of ,JOA[21 in terms
of the lower back pain, leg pain or numbness, gait,
straight
leg raising test, sensory disturbance, motor disturbance
ELSEVIER
53 .
Statistical management
SPSS 11.0 software was adopted to analyze all
the data. JOA scores were expressed with
meanstandard (X s) before and after treatment. The
paired t test was used for the comparison. P<0.05
indicated statistical significant difference.
RESULTS
Compared with those before treatment, JOA
scores were increased apparently after treatment,
indicating the statistical significant difference
(P<0.001). See Table 1.
Table 1 Comparison of JOA scores of the patients
with LDH before and after treatment (is,
score)
Items
Lower back pain
After treatment
124
6.420.53 l)
0.620.84
124
1.130.76
6.850.41 ')
Gait
124
1.310.52
6.960.41 >
124
0.710.48
6.790.36 1)
Sensory disturbance
124
0.910.43
5.840.40
l)
Motor disturbance
124
1.380.64
5.920.51
1
)
Bladder function
124
0.610.13
4.170.45 l)
Total score
124
0.950.32
6.140.97 1)
EXPERIENCE
LOH is in the category of "lumbar pain" in
Chinese medicine, localized in the lumbar region.
It was determined that this disease should be
treated mainly with the points of the Governor
Vessels, Taiyang meridian and Shaoyang meridian.
Acupuncture of "three-foot-needles" (LR 3, ST 44,
GB 41) could enable the needling sensation to
transmit to the affected area through meridians and
REFERENCES
[1] Yuan XL, LiuC, Chen J, He YZ, Li AH, Wang
F.Clinical
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