Clinical Observation on Fire Needling in Treating Lumbar Disc Herniation of Cold-Damp Type Under the Guidance of Meridian Sinew Theory
10.13359/j.cnki.gzxbtcm.2025.01.021
- VernacularTitle:基于经筋理论指导下运用火针治疗寒湿型腰椎间盘突出症的临床观察
- Author:
Cuilian ZHU
1
;
Shuping LUO
;
Xingxing SHEN
;
Xuemeng XU
;
Bin NIE
Author Information
1. 广州中医药大学,广东广州 510006
- Keywords:
meridian sinew theory;
fire needling;
lumbar disc herniation;
cold-damp type;
quality of life;
clinical observation
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2025;42(1):147-152
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical efficacy of fire needling in treating lumbar disc herniation(LDH)of cold-damp type under the guidance of meridian sinew theory.Methods A total of 70 cases of patients with LDH of cold-damp type were randomly divided into observation group and control group,35 cases in each group,the control group was given conventional acupuncture treatment,and the observation group was treated with fire needling under the guidance of meridian sinew theory on the basis of the treatment of the control group,and the course of treatment covered three courses,one week as a course.After three courses of treatment,the clinical efficacy of the two groups was evaluated,and the changes in the Visual Analogue Scale(VAS)scores of pain,the Japanese Orthopedic Association(JOA)scores,and traditional Chinese medicine(TCM)syndrome scores of patients in the two groups before and after treatment were observed.Results(1)During the study,there were three cases in the observation group and five cases in the control group were failed to follow-up.Finally,32 cases in the observation group and 30 cases in the control group were included in the efficacy statistics.(2)The total effective rate was 93.75%(30/32)in the observation group and 86.67%(26/30)in the control group.The clinical efficacy of the observation group was superior to that of the control group,and the difference being statistically significant(P<0.05).(3)After treatment,the VAS and JOA scores of patients in the two groups improved significantly(P<0.05),and the improvement in the observation group was significantly superior to that in the control group,the difference being statistically significant(P<0.05).(4)After treatment,the TCM scores of the two groups of patients improved significantly(P<0.05),and the improvement in the observation group was significantly superior to that in the control group,the difference being statistically significant(P<0.05).Conclusion Under the guidance of the meridian sinew theory,fire needling in treating LDH of cold-damp type can significantly reduce the degree of pain,improve the lumbar function,alleviate LDH-related symptoms,so as to improve the patients'quality of life.
