Objective:To investigate the clinical efficacy of thunder-fire moxibustion combined with external application of Chinese herbal ointment at the trigger point on lumbodorsal myofascial pain syndrome of cold-damp stagnation type.Methods:A total of 90 patients with lumbodorsal myofascial pain syndrome of cold-damp stagnation type admitted to Zhejiang Provincial Hospital of Integrated Traditional Chinese and Western Medicine from September 2021 to April 2022 were included in this study. They were randomly divided into three groups ( n = 30/group) using the random number table method. Patients in the Chinese herbal ointment group were treated by external application of Chinese herbal ointment at the trigger point. Patients in the thunder-fire moxibustion group were treated with thunder-fire moxibustion. Patients in the combined therapy group were treated with thunder-fire moxibustion combined with external application of Chinese herbal ointment at the trigger point. All patients were treated for 28 consecutive days. Clinical efficacy was compared among the three groups. Before and after treatment, the Visual Analogue Scale score, local tenderness score, Oswestry Disability Index score and Pittsburgh Sleep Quality Index score were compared among the three groups. Results:Total response rate (96.67%) in the combined therapy group was significantly higher than 73.33% in the thunder-fire moxibustion group and 66.67% in the Chinese herbal ointment group ( χ2 = 9.01, 4.70, both P < 0.05). Visual Analogue Scale score and local tenderness score in the combined therapy group were (1.96 ± 0.93) points and (1.00 ± 0.69) points, respectively, which were significantly lower than (2.43 ± 0.87) points and (1.37 ± 0.56) points in the thunder-fire moxibustion group and (2.77 ± 0.86) points and (1.50 ± 0.57) points in the Chinese herbal ointment group ( F = 6.22, 5.38, both P < 0.05). The Oswestry Disability Index score in the combined therapy group was (19.80 ± 3.80) points, which was significantly lower than (22.30 ± 2.82) points in the thunder-fire moxibustion group and (23.60 ± 3.71) points in the Chinese herbal ointment group ( F = 9.07, both P < 0.05). After treatment, the Pittsburgh Sleep Quality Index score in the combined therapy group was (5.30 ± 1.12) points, which was significantly lower than (6.50 ± 1.33) points in the thunder-fire moxibustion group and (6.73 ± 1.41) points in the Chinese herbal ointment group ( F = 10.59, both P < 0.05). Conclusion:Thunder-fire moxibustion combined with external application of Chinese herbal ointment at the trigger point is highly effective on lumbodorsal myofascial pain syndrome of cold-damp stagnation type than monotherapy. The combined therapy can markedly reduce pain and greatly improve lumbodorsal function and sleep quality.

ObjectiveThe clinical effects of shen que acupoint cupping in the treatment of postoperative gastrointestinal dysfunction in patients with thoracolumbar tuberculosis,and provide scientific references for the promotion of traditional Chinese medicine (TCM) nursing in clinical practice.Methods Totally 60 patients with thoracolumbar tuberculosis undergoing anterior debridement,posterior internal fixation and self-bone graft were divided into the observation group and the control group,30 cases respectively. Patients in the control group received the routine treatment,while patients in the observation group received additional shen que acupoint cupping at 6 hours post operation. After the operation,the intestinal peristalsis recovery time,the first exhaust time, the first defecation time and number of indwelling feeding tubes were compared between two groups.Results The time for the recovery of intestinal peristalsis,exhaust and defecation in the observation group were (30.93±8.37) h, (80.10±6.44) h and (24.33±5.51) h,which were significantly shorter than the time in the control group (t=15.396, 9.688,8.079;P<0.05). There were four persons with indwelling gastric tubes in the control group,while there was no indwelling gastric tube in the observation group.Conclusions Shen que acupoint cupping can effectively improve the recovery of gastrointestinal dysfunction in postoperative patients with thoracolumbar tuberculosis and is worthy for promotion in clinical practice.