Clinical Observation on the Treatment of Chronic Non-specific Low Back Pain with Acupuncture Combined with Fire Dragon Cupping Therapy Based on Bowstring Mechanics Theory
10.13359/j.cnki.gzxbtcm.2025.09.015
- VernacularTitle:基于弓弦力学理论运用针刺结合火龙罐治疗慢性非特异性下腰痛的临床疗效观察
- Author:
Bo WU
1
;
Yuyi LIANG
;
Zheng ZHANG
Author Information
1. 深圳平乐骨伤科医院/深圳市坪山区中医院,广东 深圳 518000;广州中医药大学,广东 广州 510006
- Keywords:
chronic non-specific low back pain(CNSLBP);
human bowstring mechanics anatomical system;
acupuncture;
Fire Dragon Cupping Therapy;
holistic concept of traditional Chinese medicine;
clinical observation
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2025;42(9):2192-2199
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical efficacy of acupuncture combined with Fire Dragon Cupping Therapy in the treatment of chronic non-specific low back pain(CNLBP)based on the bowstring mechanics theory.Methods A total of 80 patients diagnosed with CNLBP and admitted to the Acupuncture Department of Shenzhen Pingle Orthopedic and Traumatology Hospital(Shenzhen Pingshan District Hospital of Traditional Chinese Medicine)from January 2024 to December 2024 were selected as the study subjects.The patients were randomly divided into an observation group and a control group using a random number table,with 40 cases in each group.The control group received conventional acupuncture treatment,while the observation group received Fire Dragon Cupping Therapy in addition to the same acupuncture treatment as the control group.The treatment lasted for 2 weeks,with a follow-up conducted 3 months after treatment.After 2 weeks of treatment,the clinical efficacy of both groups was evaluated.Changes in the Visual Analogue Scale(VAS)score,modified Oswestry Disability Index(ODI)score,serum interleukin 6(IL-6)and tumor necrosis factor α(TNF-α)levels were observed before and after treatment.Additionally,changes in lumbar flexion,extension,lateral flexion,and rotation range of motion(ROM),as well as endurance time of lumbar flexor and extensor muscles,were compared between the two groups.Results(1)The total effective rate was 97.50%(39/40)in the observation group and 82.50%(33/40)in the control group.The efficacy of the observation group was superior to that of the control group,the difference being statistically significant(P<0.05).(2)After treatment and at the 3-month follow-up,both groups showed significant improvements in VAS and ODI scores(P<0.05),with the observation group demonstrating significantly better improvements than the control group,the differences being statistically significant(P<0.05).(3)After treatment and at the 3-month follow-up,serum IL-6 and TNF-α levels significantly decreased in both groups(P<0.05),with the observation group showing significantly greater reductions than the control group,the differences being statistically significant(P<0.05).(4)After treatment and at the 3-month follow-up,lumbar flexion,extension,lateral flexion,and rotation ROM significantly improved in both groups(P<0.05),with the observation group exhibiting significantly better improvements than the control group,the difference being statistically significant(P<0.05).(5)After treatment and at the 3-month follow-up,lumbar flexor and extensor muscle endurance time significantly improved in both groups(P<0.05),with the observation group demonstrating significantly better improvements than the control group,the difference being statistically significant(P<0.05).Conclusion The combination of acupuncture and Fire Dragon Cupping Therapy based on the bowstring mechanics theory can significantly alleviate pain,restore lumbar function,and promote functional recovery in patients with CNLBP,demonstrating notable clinical efficacy.