Therapeutic effect of Fanzhen Jieci needling on discogenic sciatica: a randomized controlled trial.
10.13703/j.0255-2930.20210405-k0004
- Author:
Hao-Tian PAN
1
,
2
;
Jing LI
1
,
3
;
Chen-Chen FENG
1
,
2
;
Li-Juan PEI
1
,
2
;
Zi-Qi XI
1
,
2
;
Wen-Guang HOU
1
,
3
;
Ke WANG
4
Author Information
1. Acupuncture Anesthesia Clinical Research Institute, Shanghai University of TCM, Shanghai 200437, China
2. Yueyang Clinical Medical College, Shanghai University of TCM, Shanghai 201203.
3. Department of Acupuncture and Moxibustion, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of TCM, Shanghai 200437, China.
4. Acupuncture Anesthesia Clinical Research Institute, Shanghai University of TCM, Shanghai 200437, China.
- Publication Type:Randomized Controlled Trial
- Keywords:
Fanzhen Jieci;
acupuncture and moxibustion;
lumber disc herniation;
sciatica
- MeSH:
Acupuncture Points;
Acupuncture Therapy;
Humans;
Low Back Pain/therapy*;
Sciatica/therapy*;
Treatment Outcome
- From:
Chinese Acupuncture & Moxibustion
2022;42(3):261-266
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To compare the therapeutic effect between Fanzhen Jieci (warming acupuncture plus fast needling) combined with conventional acupuncture and simple conventional acupuncture on discogenic sciatica.
METHODS:A total of 76 patients with discogenic sciatica were randomized into a Fanzhen Jieci group and a conventional acupuncture group, 38 cases in each one. Conventional acupuncture was applied at Shenshu (BL 23), Dachangshu (BL 25), L1-L5 Jiaji (EX-B 2) and Huantiao (GB 30) on the affected side, etc. in the conventional acupuncture group. On the basis of the treatment in the conventional acupuncture group, Fanzhen Jieci was applied at L1-L5 Jiaji (EX-B 2) and Huantiao (GB 30) on the affected side in the Fanzhen Jieci group, i.e. warming acupuncture was applied at L1-L5 Jiaji (EX-B 2), and fast needling was applied at Huantiao (GB 30) on the affected side for a depth of 40-60 mm, so as to introduce a sensation of electric shock transmitting to lower limb, and then the needle was immediately withdrawn. The treatment was given once every other day, 3 times a week for 3 weeks in both groups. The visual analogue scale (VAS) score of leg and low back pain, the Oswestry disability index (ODI) score and the 36-item short form health survey (SF-36) score before and after treatment were compared between the two groups.
RESULTS:Compared before treatment, the VAS scores of leg and low back pain and the ODI scores after treatment were decreased in both groups (P<0.001), the changes of the VAS scores of leg and low back pain in the Fanzhen Jieci group were larger than those in the conventional acupuncture group (P<0.05). After treatment, except for the role emotional and health transition scores, the various scores of SF-36 were increased compared before treatment in the Fanzhen Jieci group (P<0.01); except for the role physical, role emotional and health transition scores, the various scores of SF-36 were increased compared before treatment in the conventional acupuncture group (P<0.01). After treatment, the physical functioning, role physical, bodily pain, mental health and general health scores of SF-36 in the Fanzhen Jieci group were higher than those in the conventional acupuncture group (P<0.05).
CONCLUSION:Fanzhen Jieci combined with conventional acupuncture can effectively relieve the pain and improve the mental state in patients with discogenic sciatica, its therapeutic effect is superior to simple conventional acupuncture.
