Clinical Study On Treatment Of Cold-Dampness Non-specific Low Back Pain By Moxibustion At Governor Vessel In SanFu

ObjectiveComparing the clinical efficacy of moxibustion at Governor Vessel and box moxibustion in the treatment of cold and damp non-specific low back pain,so as to improve patients’ cold and damp symptoms and signs,and provide a more advantageous treatment plan for the treatment of non-specific low back pain.Deepen the development of Du moxibustion and broaden the thinking.MethodsThis study collected patients who were diagnosed with Nonspecific Low Back Pain(NLBP)at the outpatient and inpatient department of the Acupuncture Department of Hubei Provincial Hospital of Traditional Chinese Medicine from July to August 2019 and July to August 2020(during the dormant period).A total of 62 cases of cold-damp low back pain according to the TCM syndrome classification were included,and these cases were divided into the box moxibustion group(hereinafter referred to as the box moxibustion group)and the Du moxibustion group(hereinafter referred to as moxibustion at Governor Vessel group).In the box moxibustion group,the points selected were Feishu(double),Pishu(double),Shenshu(double),and Yaoyangguan.Moxibustion for 60 minutes each time,and during the three-volt period,each moxibustion was performed once for a total of 3 times;In the Du Moxibustion group,the acupoints selected on the back and waist are the Du Channel as the center,with two lateral lines including the bladder meridian on both sides.Moxibustion with self-made materials for Du moxibustion,60 minutes each time,1 time per period,3 times in total.Record the Roland-Morris dysfunction score,visual pain VAS score,and cold-damp symptom and sign conversion score of the two groups of patients before the first treatment and after the last treatment,respectively.Through statistical analysis of the above data,compare Sanfu Du moxibustion and box moxibustion in the treatment of cold-damp non-specific low back pain.Results1.Lost situation: A total of 62 volunteers were included in this study,31 cases each in the box moxibustion group and the Du moxibustion group.During the trial,One case of volunteer loss in box moxibustion group,and no loss occurred in the Du moxibustion group.Finally,61 subjects completed the entire clinical trial for data statistical analysis.Among them,30 cases were completed in the box moxibustion group and 31 cases in the Du moxibustion group.2.Baseline conditions: Before the formal clinical intervention,the subjects in the box moxibustion group and the Du moxibustion group were tested in terms of gender,age,disease course,Roland-Morris disability score,visual analog scale,and Symptoms and cold-damp symptom and sign conversion score.Perform data statistics and compare the differences between the two groups,P>0.05,which means that the differences between the two groups are not statistically significant and comparable.3.Comparison of clinical total effective rate: After 3treatments,5 cases were cured in the Du moxibustion group,25 cases improved,and 1 cases did not healed.The total effective rate was96.77%;1 case in the box moxibustion group was cured,25 cases improved,but not healed in 4 cases,the total effective rate was86.67%.The total effective rate of the Du moxibustion group was higher than that of the box moxibustion group,but the difference was not statistically significant(P>0.05).4.Comparison of Roland-Morris disability scores between the two groups before and after treatment: Compared within the group,the RMDQ scores of the two groups of patients after treatment decreased compared with those before treatment,which was statistically significant(P<0.05);Comparison between groups: the RMDQ score of the Du moxibustion group decreased more significantly(P<0.05).5.Comparison of visual analog scale between the two groups before and after treatment:Intra-group comparison: The VAS scores of the two groups of patients were lower than before treatment,and there was statistical significance(P<0.05);Comparison between groups: The VAS score of the Du moxibustion group was decreased more than that of the box moxibustion group,and the difference was statistically significant.(P<0.05).6.Comparison of cold-damp symptom and sign conversion score between the two groups before and after treatment: comparison within the group,the scores of cold-damp symptom and sign of the box moxibustion group and the Du moxibustion group were lower than the scores before the first treatment,and the difference was statistically significant(all P<0.05);comparing between groups,the cold-damp symptom and sign conversion score in the Du moxibustion group decreased more significantly(P<0.05).Conclusion1.During the dog days,the Du moxibustion therapy and the box moxibustion therapy have achieved satisfactory clinical effects in improving the symptoms and signs of cold and dampness and treating non-specific low back pain.2.Compared with box moxibustion,Du moxibustion is not only more effective in improving patients’ dysfunction,the pain symptoms and quality of life,but also can optimize the conversion score of cold and damp symptoms and signs of patients,and improve the symptoms and signs of cold and dampness,such as their fear of cold and cold limbs,warmth and delayed pulse,and eventually help the body achieve a state of balance between yin and yang,so it can be further promoted and used in clinical treatment.