Treatment of 150 Cases of Lumber Intervertebral Disk Displacement by Acupuncture plus Traction

Needling Point Jiaji (Ex-B 2), Dachangshu (BL 25), Huantiao (GB 30), Weizhong (BL 40), and Yanglingquan (GB 34) etc with the cooperation of traction, treated lumbar intervertebral disk displacement. The effective rate was 91.3%. Key Words Lumbar Vertebrae - Intervertebral Disk Displacement - Acupuncture Therapy - Traction Translator: WU Xue-fei

Treatment of 120 Cases of Lumber Intervertebral Disk Displacement by Electroacupuncture plus Movable Cupping and Traction

Ashi points, movable cupping and traction were employed to treat 120 cases of prolapase of lumber intervertebral disk, and the total effective rate was 95.6%. Key Words Lumber Vertebrae - Electroacupuncture - Cupping Therapy - Acupuncture-moxibustion - Traction - Intervertebral Disk Dislacement Author: Lü Guo-ping (1958-), female, attending physicianTranslator: WU Xue-fei

Treatment of Protrusion of Lumbar Intervertebral Disc by Pulling and Turning Manipulations

The authors treated 62 cases of protrusion oflumbar intervertebral disc by pulling and turningmanipulations from February 1993 to February 1998.Another 50 cases were treated by traction as controls.Statistical data showed that pulling and turningmanipulations had much better therapeuticeffectiveness than traction(P<0.05).

Treatment of Protrusion of the Lumbar Intervertebral Disc by TCM Massage

Protrusion of the lumbar intervertebral disc is a common disorder frequently encountered in clinic. With TCM massage and the maneuver of manual reduction, we have treated 82 cases of protrusion of the lumbar intervertebral disc, with satisfactory therapeutic results reported in the following.……

Protrusion of Lumbar Intervertebral Disc Treated by Ultra Short Wave and the Point Injection in 40 Cases

Since 1996,the author has treated 40 cases of protrusion of lumbar intervertebral disc with ultra short wave and the point injection,and obtained good therapeutic effects.This is reported as follows.

Treatment of Protrusion of the Lumbar Intervertebral Disc by Massotherapy

Clinically, there is a higher incidence of protrusion of the lumbar intervertebral disc. It can cause a terrible pain. The author has treated 66 cases by massotherapy, who were confirmatively diagnosed as having protrusion of the lumbar intervertebral disc by X-ray film and computer-aided tomography, with satisfactory results as reported in the following.Clinical DataAmong the 66 cases in this series, 49 were male and 17 female, ranging in age from 26 to 59 years, averaging 36.2 years. All the patients had got lumbago and unilateral ischialgia, with the left side affected in 37 cases and the right side in 29 cases. The leg pain radiating to lateral malleolus was found in 28 cases, to dorsum of the foot in 24 cases, and to the toes in 14 cases. Intermittent claudication was present in 22 cases, numbness of the affected foot in 16 cases, pain exacerbated when coughing in 35 cases, scoliosis in 21 cases, and positive Lasegue's sign in 48 cases.

Treatment of Protrusion of the Lumbar Intervertebral Disc by Intravertebral Blocking and Massotherapy——A Report of 62 Cases

Protrusion of the lumbar intervertebral disc is adisease commonly encountered in orthopedics andtraumatology clinic.At present removal of thenucleus pulposus to relieve the compression on thenerve root is usually adopted in the treatment of thedisease.From April,1990 to October,1997,theauthor treated 62 cases of protrusion of the lumbarintervertebral disc by massotherapy afterintravertebral blocking,with satisfactory

Effect of siRNA interference on nerve growth factor in intervertebral disc inflammation rats

Objective:To investigate the inhibition effect of siRNA interference on NGF induced by inflammatory factor IL-6,and JUL—1 so as to provide novel targets for clinical treatment of discogenic low back pain.Methods:The intervertebral disc nucleus and annulus fibrosus cells of rats were separated-The cells were co-cultured with different concentrations(10 nmol/L,20nmol/L,50 nmol/L,100 nmol/L)of IL-6 and IL-1β.The NGF-siRNA was leaded into the cocultured cells with its import ability assessed by flow cytometry instrument tests,hefore and after which the NCF mRNA expression was detected by real-time Q-PCR and the NGF content was detected by ELISA.Results:Flow cytometry instrument test results showed that the NGFsiRNA cell conversion rate was 99.8%.Real-time Q-PCR detection results showed that compared with negative control group,the NGF mRNA expression of co-cultured cells treated by 10 nmol/L,20 nmol/L,50 nmol/L,100 nmol/L IL-6 and IL-1βwere respectively raised 3.4,3.7,4.7,3.7 times which were all significantly down-regulated after the import of NGF-siRNA.EILSA detection results showed that compared with negative control group,the NGF content of cocultured medium treated by 10 nmol/L,20 nmol/L,50 nmol/L,100 nmol/L I-L6 and IL-1βwere respectively raised 2.9,3.3,4.5,7.4 times which were all significantly decreased after the import of NGF-siRNA.Conclusions:These molecular biological results suggest that inflammatory factor IL-6 and IL-1βcould stimulate NCF on intervertebral disc cells in vitro culture model and its efficiency is concentration dependent,while siRNA interference can inhibit the stimulation effect of IL-6 and IL-1βon intervertebral disc cell,which provides a new targets for the clinical treatment of discogenic low back pain.

Fifty-six Cases of Protrusion of Lumbar Intervertebral Disc Treated by Penetration and Oral Administration of Chinese Decoction Plus Traction

Fifty-six cases of the protrusion of the lumbar intervertebral disc in the treatment group were treated by drug-penetration and oral administration of traditional Chinese decoction plus traction, and the other 35 cases in the control group by oral administration of Chinese decoction and traction. The results showed that the cure rate in the treatment group was 83.9%, and that in the control group was 57.1%, with a statistically significant difference between the two groups (P<0.01), indicating that the former is a more effective therapy for protrusion of the lumbar intervertebral disc.

TCM Treatment for 50 Cases of Acute Protrusion of the Lumbar Intervertebral Disc

From January 1998 to August 2000, the author has treated 50 cases of acute protrusion of the lumbar intervertebral disc by Chinese herbs, massotherapy, and functional exercise with satisfactory therapeutic results reported in the following.

Retrospective study of acupuncture treatment for canine thoracolumbar intervertebral disc herniation

Thoracolumbar interverbal disk herniation(TL-IVDH)is a common neurological disorder in dogs,which often affects the life quality of patients and their caregivers.Acupuncture is increasingly accepted by veterinarians and animal owners,and has been used in the treatment of neurologic disorders.This study aims to evaluate the effects of acupuncture treatment for canine TL-IVDH.Clinical cases from 2016 to 2021 were collected.According to the inclusion and exclusion criteria,94 TL-IVDH cases that received acupuncture treatment were selected.Clinical classification and efficacy criteria were formulated based on the Frankel Score.For each case,clinical presentation,improvement,recovery and recurrence were recorded.Male dogs with TL-IVDH accounted for 64%of all cases.The average age was 7.49 years old,the predominant breed was poodle,and the incidence site was concentrated from T11 to L1.The overall recovery rate after receiving acupuncture treatment was 79.78%,which was comparable when considering only cases with grade 2,3,or 4 spinal cord lesions(83.33%~85.19%).In conclusion,canine with grade 2,3,and 4 spinal cord lesions due to TL-IVDH receiving acupuncture had a high recovery rate,suggesting acupuncture could be a viable treatment options for canine with TL-IVDH.

浮针疗法联合口服消髓化核汤治疗腰椎间盘突出症的临床研究

目的:探讨浮针疗法联合口服消髓化核汤治疗腰椎间盘突出症的临床疗效。方法:将60例腰椎间盘突出症患者随机分为联合治疗组和消髓化核汤治疗组,每组30例。联合治疗组采用浮针疗法联合口服消髓化核汤治疗,消髓化核汤治疗组单纯采用口服消髓化核汤治疗。浮针疗法每隔3~4 d进行1次,共治疗5~6次,消髓化核汤连续口服20 d。比较2组患者治疗前和治疗结束后1 d的腰腿部疼痛视觉模拟量表(visual analogue scale,VAS)评分、Oswestry功能障碍指数(Oswestry disability index,ODI)及治疗结束后12个月的腰椎间盘突出重吸收率。结果:联合治疗组退出3例、消髓化核汤治疗组退出5例。治疗结束后1 d,2组患者腰腿部疼痛VAS评分、ODI均低于治疗前[(7.07±1.71)分,(2.97±1.81)分,t=27.981,P=0.000;(7.18±1.52)分,(3.99±1.87)分,t=28.198,P=0.000;(33.53±7.60)%,(9.20±6.47)%,t=29.734,P=0.000;(33.40±7.70)%,(14.00±7.62)%,t=29.541,P=0.000];治疗前,2组患者腰腿部疼痛VAS评分、ODI的组间差异无统计学意义(t=0.263,P=0.793;t=0.067,P=0.946);治疗结束后1 d,联合治疗组患者腰腿部疼痛VAS评分、ODI均低于消髓化核汤治疗组(t=2.155,P=0.035;t=2.631,P=0.011)。治疗结束后12个月,联合治疗组患者椎间盘突出重吸收率高于消髓化核汤治疗组[(36.61±15.31)%,(22.47±9.72)%,t=-4.268,P=0.000]。结论:浮针疗法联合口服消髓化核汤治疗腰椎间盘突出症,能够缓解疼痛、改善腰椎功能,促进椎间盘突出重吸收,且疗效优于单纯口服消髓化核汤。

Exploration of the Clinical Rule of Acupuncturemoxibustion Treatment for Lumbar Intervertebral Disk Herniation

Objective： To review year 1956-2007 literature on acupuncture and moxibustion and explore the regularity of point selection and methods for acupuncture-moxibustion treatment of lumbar intervertebral disk herniation. Methods： A comprehensive analysis was made by a method of metrological analysis according to the data from ＂China modem acupuncture-moxibustion information databank＂. Results： Points Huantiao （GB 30）, Weizhong （BL 40）, Yanglingquan （GB 34）, and Jiaji （Ex-B 2） were most frequently used. Acupuncture was the most frequently used therapy and electroacupuncture, the next one. Conclusion： Electroacupuncture is a common and effective way to treat lumbar intervertebral disk herniation. Points Huantiao （GB 30）, Weizhong （BL 40）, Yanglingquan （GB 34）, and Jiaji （Ex-B 2） can be used as a basic prescription for acupuncture-moxibustion treatment of lumbar intervertebral disk herniation. Other acupoints are selected according to the syndrome.

Treatment of 52 Cases of Lumbar Intervertebral Disk Herniation by Acupuncture plus Herbal Medicine

Lumbar intervertebral disk herniation is a commonly and frequently encountered disease in the orthopedic department, manifested by a series of symptoms such as low back pain, numbness and pain in one or two lower limbs, due to compression to the lumbosacral nerves by protrusion of the pulpiform nucleus after rupture of the fibrous rings. The author has treated 52 cases of this disease by acupuncture plus herbal medicine. Now, the report is given as follows.

Treatment of Lumbar Intervertebral Disk Herniation with Electric Acupuncture

Objective： To make objective evaluation on treatment of lumbar intervertebral disc herniation with electric acupuncture. Method： All 200 cases were randomly allocated into an observation group （100 cases） and a control group （100 cases）. Cases in the observation group were treated with electric acupuncture. Cases in the control group were treated with oral administration of Mobic. Result： The total effective rate in the observation group was 86.5%, and the total effective rate of the control group was 75.0%. There was a significant difference between the two groups （P〈0.01）. Conclusion： Electric acupuncture is a safe and remarkably effective way for lumbar intervertebral disc herniation.

益肾强骨汤联合一指禅推拿治疗急性期腰椎间盘突出症疗效观察

目的:探讨益肾强骨汤联合一指禅推拿治疗急性期腰椎间盘突出症的临床疗效。方法:将120例急性期腰椎间盘突出症患者随机分为对照组和观察组各60例。对照组采用塞来昔布口服联合一指禅推拿治疗,观察组采用益肾强骨汤联合一指禅推拿治疗。观察两组患者临床疗效、日本骨科协会评分(Japanese orthopaedic association scores JOA)及血清炎症因子[白细胞介素1β(Interleukin-1β,IL-1β)、白细胞介素6(Interleukin-6,IL-6)、肿瘤坏死因子α(tumor necrosis factor-α,TNF-α)]水平。结果:观察组总有效率为93.33%(56/60),高于对照组的83.33%(50/60)(P<0.05);治疗后观察组JOA评分高于对照组(P<0.05);治疗后两组患者IL-1β、IL-6、TNF-α水平均降低,观察组降低更明显(P<0.05)。结论:益肾强骨汤联合一指禅推拿可降低急性期腰椎间盘突出症患者血清IL-1β、IL-6、TNF-α水平,改善患者腰椎功能。

环跳穴针刺深度对气滞血瘀型腰椎间盘突出症疗效的影响

目的观察环跳穴不同针刺深度对气滞血瘀型腰椎间盘突出症临床疗效的影响。方法招募150例气滞血瘀型腰椎间盘突出症患者,用随机数字表法分为深刺组(75例)和浅刺组(75例)。深刺组采用芒针深刺环跳穴治疗,浅刺组采用毫针针刺环跳穴治疗。分别在治疗前、治疗1个疗程后、治疗后和随访时,观察两组疼痛视觉模拟量表(visual analog scale,VAS)评分、日本骨科协会(Japanese Orthopaedic Association,JOA)腰椎评分、肌力评分和患侧膝踝反射评分的变化。比较两组临床疗效。结果深刺组治愈率高于浅刺组(P<0.05)。两组各时间点VAS评分、JOA腰椎评分、肌力评分和患侧膝踝反射评分比较,差异有统计学意义(P<0.05)。治疗后和随访时,深刺组VAS评分均低于浅刺组(P<0.05);治疗1个疗程后、治疗后和随访时,深刺组JOA腰椎评分和肌力评分均优于对照组(P<0.05)。结论环跳穴深刺治疗气滞血瘀型腰椎间盘突出症的临床疗效优于浅刺,可更有效地缓解疼痛,改善症状,提高肌力。

Observation on therapeutic effect of acupuncture at abdomen acupoints plus tuina for lumbar intervertebral disc herniation

Objective: To observe the clinical efficacy of acupuncture at abdomen acupoints plus tuina for lumbar intervertebral disc herniation (LIDH). Methods: A total of 70 patients with LIDH were randomized into an observation group and a control group, with 35 cases in each group. The observation group was treated with acupuncture at abdomen acupoints plus tuina, while the control group was treated only with tuina treatment. The clinical efficacy was observed after one course of treatment. Results: The cure rate and the total effective rate of the observation group were 83.3% and 96.7%, respectively. The cure rate and the total effective rate of the control group were 39.4% and 78.8%, respectively. There were significant differences in the cured rate and the total effective rate between the two groups (both P<0.05). There was no significant differenee in Japanese Orthopedic Association (JOA) score between the two groups before treatment (P>0.05). After treatment, the JOA scores of both groups in creased sign ifica ntly, and the in tra-group differe nces were statistically sign ifica nt (both P<0.05);the JOA score of the observation group was significantly higher than that of the control group (P<0.05). Conclusion: Acupuncture at abdomen acupoints plus tuina has a better therapeutic effect than tuina alone in the treatment of LIDH.

Influence of Acupuncture plus LONG＇s Manual Manipulations on Functional Improvement in Lumbar Intervertebral Disc Protrusion

Objective： To observe the effect of acupuncture plus LONG＇s manual manipulations on the functional improvement of the patients with lumbar intervertebral disc protrusion. Methods： 60 cases of the patients were randomly divided into a observation group and a control group, 30 cases in each group. The observation group was treated with acupuncture plus LONG＇s manual manipulations, and the control group was treated with single acupuncture. The functions of the lumber vertebrae were processed in accordance with the assessment system of Japanese Orthopedic Association （JOA）, and the therapeutic effects were assessed by Visual Analog Scale （VAS）. Results： After the treatments, the differences in JOA and improvement indexes were statistically significant （P〈0.05） between the two groups. VAS was decreased much remarkably in the observation group （P〈0.01） than before the treatments and decreased remarkably in the control group （P〈0.05） than before the treatments. There was a remarkable difference in VAS between the two groups after the treatments （P〈0.05）. Conclusion： Acupuncture plus LONG＇s manual manipulations are better than single acupuncture in improving the functions of the patients with lumbar intervertebral disc protrusion.

Observation of the Therapeutic Effect of Treating Lumbar Intervertebral Disc Protrusion by Acupuncture Therapy

Objective： To observe the clinical effect of treating lumbar intervertebral disc protrusion by needling the points on both sides of the impaired lumbar vertebrae. Methods： One hundred and eighty cases of lumbar intervertebral disc protrusion were randomly divided into three groups, treatment group, control group of acupuncture and control group of western medicine, with 60 cases in each group. The therapeutic effects were compared after 20-day treatments. Result： The effective rate was 96.7% in the treatment group, 80.0% in the acupuncture group, and 81.7% in the Western medicine group. There was a statistically significant difference between the treatment group and two control groups （P〈0.05）. Conclusion： It is an effective therapy to treat lumbar intervertebral disc protrusion by puncturing the acupuncture points on both sides of the impaired lumbar vertebrae.