OBJECTIVETo search for a better therapy for prolapse of lumbar intervertebral disk.

METHODSOne hundred and sixteen cases were randomly divided into a treatment group treated with round sharp needle plus massage, and a control group with filiform needle plus massage, 58 cases in each group. Changes of symptoms and signs were observed before and after treatment.

RESULTSThe effective rate was 98.2% in the treatment group and 82.8% in the control group (P < 0.01).

CONCLUSIONRound sharp needle combined with massage has a better therapeutic effect on prolapse of lumbar intervertebral disk.

OBJECTIVE: To observe the clinical effect of single acupoint [Yaotu (extra)] electroacupuncture (EA) therapy on lumbar intervertebral disc herniation (LIDH) and its promotion and application in community medical institutions. METHODS: This research adopted a three-level promotion model, and used multi-center collaboration topics as a platform. A total of 240 patients with LIDH were divided into a group A (top three hospital, 80 cases, 3 cases dropped off), a group B (secondary hospital, 80 cases, 8 cases dropped off), and a group C (community health center, 80 cases, 7 cases dropped off). All groups were treated with EA at a single acupoint [Yaotu (extra)] under the guidance of a unified experimental protocol. The EA was given 60 min each time and performed 3 times a week for a total of 2 weeks. The changes of visual analogue scale (VAS) scores of three groups before and after each treatment were compared, and the clinical efficacy was evaluated. RESULTS: Compared with before each treatment, the VAS scores of three groups after each treatment decreased ( CONCLUSION The single acupoint EA therapy has a significant effect in the treatment of LIDH, can quickly relieve the pain symptoms, and has the characteristics of simple operation and easy control, suitable for promotion and application in primary hospitals.
Acupuncture Points ; Electroacupuncture ; Humans ; Intervertebral Disc ; Intervertebral Disc Degeneration ; Intervertebral Disc Displacement/therapy*

The combination of acupuncture and medication is not the simple adding of the two treatments, but identifying the etiology and pathogenesis behind the disease at first, followed dynamic integration of different therapies according to the characteristics of acupuncture-moxibustion and medication. Professor believes that a more comprehensive understanding based on multi-system syndrome differentiation is essential for lumbar disc herniation. In treatment, the needling technique combined with flying needling could regulate collaterals and adjust spirit; acupoint injection could transfer medication into acupoints; herb decoction could eliminate the pathogens and strengthen the root; the balanced cupping combined with exercise therapy could regulate tendons and prevent recurrence. The principle of the combination of acupuncture and medication could organically integrate the advantages of different therapies, so their effects can be enhanced or supplemented. This method has achieved superior effects in clinical treatment.
Acupuncture Points ; Acupuncture Therapy ; Humans ; Intervertebral Disc Displacement ; therapy ; Moxibustion

Based on the location of disease and its clinical manifestations, the symptoms and signs of lumbar intervertebral disc herniation are categorized to the pathological changes of Du Meridian, Gallbladder Meridian of Foot Shaoyang, Bladder Meridian of Foot Taiyang, and Kidney Meridian of Foot Shaoyin. As to differentiations, they can be classified into blood stagnation syndrome of Du Meridian, damp-heat syndrome of Gallbladder Meridian, wind-cold-damp obstruction syndrome of Bladder Meridian, kidney-yang deficiency syndrome. Thus the therapeutic effect could be enhanced by methods of manipulation, acupuncture-moxibustion and usus internus of Chinese medicinal and the like under the guidance of meridian differentiation.
Acupuncture Therapy ; Humans ; Intervertebral Disc Displacement ; therapy ; Meridians

By taking "lumbar disc herniation", Chinese medicine", "acupuncture and moxibustion" as key words Chinese articles about acupuncture for lumbar disc herniation in recent 10 years were searched in three major Chinese databases of Wan fang database, VIP database and CNKI. Totally 546 relative articles were retrieved. After the elimination of invalid articles, 173 were included as valid articles with 49 main acupoints. The hierarchical clustering statistical method was used to analyze the possible rules among the former 20 acupoints. It turned out that there were 10 most common used acupoints on Bladder Meridian [Geshu (BL 17), Xiaochangshu (BL 27), Shenshu (BL 23), Dachangshu (BL 25), Pangguangshu (BL 28), Guanyuanshu (BL 26), Weizbong (BL 40), Zhibian (BL 54), Chengshan (BL 57), Kunlun (BL 60)], 2 on Gallbladder Meridian [Huantiao (GB 30), Yanglingquan (GB 34)], 2 on Governor Vessel [Yaoyangguan (GV 3), Shuigou (GV 26)], 2 on Stomach Meridian [Zusanli (ST 36), Juliao (ST 3)], 2 on Spleen Meridian [Sanyinjiao (SP 6), Xuehai (SP 10)], and the rest were extra points (Huatuo Jiaji) and Ashi points, so a conclusion could be drawn that the most common used acupoints were Bladder Meridian acupoints and supplemented by Gallbladder Meridian, Governor Vessel, Stomach Meridian, Spleen Meridian, extra points and Ashi points. The selected acupoints were most located on the lumbosacral region, leg and fewer located on the face, back and local part.
Acupuncture Points ; Acupuncture Therapy ; Humans ; Intervertebral Disc Displacement ; therapy ; Moxibustion

OBJECTIVETo probe into the correlativity of the therapeutic effect of acupuncture combined with traction on prolapse of lumbar intervertebral disc with the three-dimensional location.

METHODSAccording to the three-dimensional location developed by HU You-gu, the position of the prolapse of lumbar intervertebral disc in the spinal canal was located from the sagittal plain, frontal plain and horizontal plain. One hundred and thirty patients with prolapse of lumbar intervertebral disc and completion of clinical data were treated with acupuncture, and the therapeutic effects were analyzed with three-dimensional location.

RESULTSAmong 98 cases in the effective group, 73 cases had the prolapse at the I plane in sagittal location, accounting for 74.49%, 82 cases had the prolapse at the 1, 2 zone in horizontal location, accounting for 83.68%, 52 cases had the prolapse at the a area in frontal location, accounting for 53.06%; among the 32 cases in the ineffective group, 10 cases had the prolapse at the I plane, accounting for 31.25%, 12 cases in the 1, 2 zone, accounting for 37.50%, 3 cases in the a area, accounting for 9.38%. There was a statistically significant difference between the two groups in the location.

CONCLUSIONThe three-dimensional location can objectively show the size, direction, position, and the characteristics of the protruded discs, and correctly infer the pathological changes of the affected nerve root. Acupuncture combined with tract has a better effect on I plane, 1-2 zone, and a area.

OBJECTIVETo evaluate therapeutic effect of comprehensive therapy of acupuncture as main in postoperative recovery of prolapse of lumbar intervertebral disc.

METHODSSeventy-seven cases were randomly divided into an observation group (n = 40) and a control group (n = 37). The observation group were treated with acupuncture at Shenshu (BL 23), Dachangshu (BL 25), Baliao (BL 31, BL32, BL33, BL 34), Zhibian (BL 54) combined with polarized light, and the control group with western medicine dikeleke 75 mg, once daily. They were treated for 1 month.

RESULTSThe cure-markedly effective rate was 95.0% in the observation group and 75.7% in the control group with a significant difference between the two groups (P<0.05). The average VAS score was 2.28 +/- 0. 96 in the observation group and 3.49 +/- 1.45 in the control group with a significant difference between the two groups (P <0.01).

CONCLUSIONThe comprehensive therapy of acupuncture as main can obviously increase the therapeutic effect in the postoperative recovery of prolapse of lumbar intervertebral disc.

OBJECTIVETo search for an effective therapy for the nerve root pain caused by prolapse of lumbar intervertebral disc.

METHODSOne hundred and ninety-two cases were randomly divided into a Huaisanzhen group of 96 cases, a drug control group of 48 cases and an acupuncture control group of 48 cases. The Huaisanzhen group were treated by Huaisanzhen therapy, the drug control group by intramuscular injection of aspirin-DL-lysine and the acupuncture control group by routine acupuncture.

RESULTSThe time inducing analgesic effect was shorter, the effect-lasting time was longer, and the analgesic effect and the comprehensive therapeutic effect were better in the treatment group as compared with the two control groups with very significant differences (P < 0.01).

CONCLUSIONHuaisanzhen therapy has a better analgesic effect on the nerve root pain due to prolapse of lumbar intervertebral disc.

OBJECTIVE: To observe the effect of lumbar disc herniation treated with acupuncture at different time intervals. METHODS: A total of 180 patients of lumbar disc herniation were randomized into an observation group 1, an observation group 2 and an observation group 3, 60 cases in each one. All patients were treated with acupuncture at Jiaji L-L (EX-B 2), Huantiao (GB 30), Weizhong (BL 40), etc. And then KWD-808 electroacupuncture instrument was connected, time intervals of acupuncture were once every day, once every 2 days and once every 3 days, 3 weeks were provided. At 1-week, 2-week and 3-week treatment, the visual analogous scale (VAS) and Japanese Orthopedics Association (JOA) scale were observated, and the effects were evaluated. RESULTS: The effective rates in the observation group 1 and the observation group 2 were 96.7% (58/60) and 95.0% (57/60), there was no significant different between the two groups (>0.05), which were superior to 88.3% (53/60) in the observation group 3 (both <0.01). The VAS score in each group decreased to different degrees at 1-week, 2-week and 3-week treatment compared with those before treatment (all <0.01), there was no significant different between the observation group 1 and the observation group 2 (all >0.05) at 1-week, 2-week and 3-week treatment, however, they were significantly reduced compared with the observation group 3 (all <0.05). The JOA score in each group increased to different degrees at 1-week, 2-week and 3-week treatment compared with those before treatment (all <0.01), there was no significant different between the observation group 1 and the observation group 2 (all >0.05) at 1-week, 2-week and 3-week treatment, however, they were significantly increased compared with the observation group 3 at 3-week treatment (both <0.05). CONCLUSION Acupuncture once every day and once every 2 days in the treatment of lumbar disc herniation is equally effective, better than once every 3 days.
Acupuncture Points ; Electroacupuncture ; Humans ; Intervertebral Disc Displacement ; therapy ; Treatment Outcome

Lumbar disc herniation (LDH) is one of the most common causes of sciatica. Many non-operative treatment strategies have acquired satisfied effects and have been recommended in many countries. The effectiveness and advantages of non-operative treatment may depend on how they are being used. Based on analysis of the current clinical condition,the positive attitude to the treatment of both patients and doctors, appropriate therapeutic scheme and sufficient time, as well as the systematically combined optimum procedure in stepladder-like ways may be feasible principles for the treatment of LDH.
Humans ; Intervertebral Disc Displacement ; therapy ; Manipulation, Spinal ; Pilot Projects