Clinical study on acupuncture combined with meridian acupoint massage for the treatment of elderly lumbar disc herniation based on the "theory of meridian and tendon"
10.3760/cma.j.cn115398-20250328-00434
- VernacularTitle:基于“经筋理论”针法联合循经点揉推拿法治疗老年腰椎间盘突出症的临床研究
- Author:
Jianlin LI
1
;
Jianlan LI
;
Chengliang GUO
Author Information
1. 山西医科大学附属汾阳医院中医内科，汾阳 032200
- Keywords:
Intervertebral disc displacement;
Lumbar vertebrae;
Theoretical needling through tendons;
Meridian point kneading massage method;
Inflammatory factors;
Lum
- From:
International Journal of Traditional Chinese Medicine
2025;47(11):1532-1537
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the efficacy of the combination of acupuncture and meridian acupoint massage based on theory of meridian and tendon for the treatment of elderly patients with lumbar disc herniation (LDH).Methods:A randomized controlled trial study was carried out. Totally 102 elderly patients with LDH qi stagnation and blood stasis syndrome in our hospital from October 2021 to October 2024 were selected as the observation subjects. They were divided into two groups using computer drawing method, with 51 cases in each group. The control group was treated with conventional therapy+meridian acupoint massage, while the observation group was treated with conventional therapy+meridian acupoint massage+ acupuncture based on the theory of meridian and tendon. Both groups received continuous treatment for 4 weeks. TCM syndrome scoring before and after treatment was performed. A lumbar rotation detection training device was used to detect lumbar flexion, extension, flexion, and rotation range of motion; Enzyme immunoassay was used to detect the levels of prostaglandin E 2 (PGE 2), MMP-2, and IL-6; the recovery of lumbar spine function was evaluated using VAS, Oswestry Disability Index (ODI), and Japan Orthopedic Association (JOA) score; adverse reactions during treatment were recorded to assess clinical efficacy. Results:The total effective rate of the observation group was 92.16% (47/51), while that of the control group was 76.47% (39/51), with statistical significance ( χ2=4.74, P=0.029). After treatment, the observation group had lower scores and total scores for lower back pain, lower back stiffness, fatigue, and tongue purple dullness compared to the control group ( t values were 3.83, 4.28, 4.17, 4.85, 5.46, respectively, P<0.01); Lumbar flexion [(82.13 ± 7.91)° vs. (76.32 ± 7.09)°, t=3.91]; posterior extension [(39.15 ± 5.16)° vs. (34.02 ± 5.03)°, t=5.08], bending [(158.14 ± 14.19)° vs. (142.29 ± 13.31)°, t=5.82], the activity of rotation [(39.04 ± 4.79)° vs. (34.82 ± 4.71)°, t=4.49] were higher than those in the control group ( P<0.01), and the plasma levels of PGE 2, MMP-2, and IL-6 were lower than those in the control group ( t values were 4.60, 4.56, and 4.26, respectively, P<0.01); VAS and ODI scores were lower than those in the control group ( t values were 6.52 and 5.33, respectively, P<0.01); the JOA score was higher than that of the control group ( t=4.94, P<0.01). During the treatment period, the incidence of adverse reactions in the observation group was 9.80% (5/51), while in the control group it was 5.88% (3/51), without statistical significance ( χ2=0.54, P=0.461). Conclusion:The combination of acupuncture and meridian acupoint massage based on theory of meridian and tendon can increase lumbar spine mobility, reduce inflammatory factor levels, improve clinical symptoms, enhance efficacy, and have good treatment safety in elderly LDH patients.
