Duhuo Jisheng decoction combined with traditional Chinese medicine bone injury manipulation in treatment of patients with lumbar disc herniation
Objective:To observe effects of Duhuo Jisheng decoction combined with traditional Chinese medicine(TCM)bone injury manipulation in treatment of patients with lumbar disc herniation(LDH).Methods:A prospective study was conducted on 62 patients with LDH admitted to the hospital from May 2021 to July 2022.According to the random number table method,they were divided into observation group and control group,31 cases in each group.The control group was treated with TCM bone injury manipulation,while the observation group was treated with Duhuo Jisheng decoction on the basis of that of the control group.Both groups were treated for 14 d.The clinical efficacy,the TCM syndrome score,the pain[visual analogue scale(VAS)]score,the lumbar function[Japanese Orthopaedic Association(JOA)]score,the inflammatory factors[C-reactive protein(CRP),tumor necrosis factor-α(TNF-α),interleukin-6(IL-6)]levels,and the quality of life[the MOS 36-item short form health survey(SF-36)]score were compared between the two groups before and after the treatment.Results:The total effective rate of the observation group was 93.55%(29/31),which was higher than 70.97%(22/31)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the scores of TCM syndromes such as lumbar and leg pain,soreness and numbness,adverse side rotation,and cold limbs in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the VAS score of the observation group was lower than that of the control group,the JOA score was higher than that of the control group,and the differences were statistically significant(P<0.05).After the treatment,the levels of CRP,TNF-α and IL-6 in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,after the treatment,the SF-36 score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusions:Duhuo Jisheng decoction combined with TCM bone injury manipulation in the treatment of the LDH patients can improve the total effective rate,the lumbar function scores and the quality of life scores and reduce the TCM syndrome scores,the pain scores and the inflammatory factor levels.Moreover,it is superior to single TCM bone injury manipulation.
Lumbar disc herniationtraditional Chinese medicine bone injury manipulationDuhuo Jisheng decoctionLumbar functionPainInflammatory factorQuality of life