Effect of cupping at myofascial trigger points on lumbar disc herniation based on the hepatorenal homology theory
Objective Based on the homology theory of liver and kidney,to explore the effect of cupping at myofascial trigger points on the improvement of lumbar function and surface myoelectric indexes of lumbar extensor muscle group in patients with lumbar disc herniation(LDH) of liver and kidney deficiency.Methods A total of 109 patients with LDH of liver and kidney deficiency admitted to the Department of orthopedics of Henan Provincial Hospital of TCM from March 2022 to March 2024 were recruited.54 patients in the control group were treated with CT-guided radiofrequency acupotomy combined with Jideshu Pill,and 55 patients in the observation group were treated with cupping at myofascial trigger point.Traditional Chinese medicine(TCM) syndrome score,lumbar function,lumbar motion,surface electromyographic signals of lumbar and back muscles,recurrent rate and adverse events were compared between the two groups. Results After treatment,the scores of TCM symptoms in both groups significantly decreased(P<0.05),which were significantly lower in the observation group than the control group(P<0.05). After treatment,the scores of lumbar function and motion significantly increased in both groups(P<0.05),which were significantly higher in the observation group than the control group(P<0.05). After treatment,the integrated myoelectric value and average power frequency significantly increased in both groups(P<0.05),which were significantly higher in the observation group than the control group(P<0.05).The recurrent rate of observation group 3.70% was significantly lower than that of control group 18.52%(P<0.05).There was no significant difference in the incidence of adverse events between the two groups(P>0.05).Conclusion Myofascial trigger point cupping based on the theory of homology between liver and kidney can alleviate the clinical symptoms of LDH with liver and kidney deficiency,improve the function of lumbar spine,regulate the surface electromyography of lumbar extensor muscle group,and reduce the recurrent rate.
Hepatorenal homology theoryMyofascial trigger point cuppingLumbar disc herniationLumbar spine functionSurface electromyography signals of lumbar extensor muscle group