Clinical Observation On Treating Lumbar Disc Herniation By Huici Lumbar Jiaji Point

Objective:To treat patients with lumbar intervertebral disc herniation by huici at Jiaji points(L1-L5)on the affected side.Compared with conventional acupuncture at Jiaji points on the affected side(L1-L5),observe whether changes in acupuncture methods can improve the clinical efficacy,To improve the quality of life of patients.Method:All subjects in this study were from patients with lumbar disc herniation who were admitted to the Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine from May 2020 to December 2020.A total of 70 subjects were included,35 in the experimental group,and control.There were 35 cases in the group,2 cases in the test group,2cases in the control group,66 subjects completed,33 cases in the test group(huici method),33 cases in the control group(conventional acupuncture method),the total loss rate 5.71%.During operation,the test group used 0.30x75mm acupuncture to treat the affected lumbar Jiaji points(L1-L5)for huici acupuncture.After restoring,the needles were retained and the acupuncture was continued,and the acupuncture needles were 0.30 x 75 mm.The other matching points are all selected 0.30x40mm size acupuncture,pre-lifting,twisting,flattening,replenishing,relieving,and keeping the needles in the main and matching points for 20 minutes after getting qi.After the needles are retained,the needles are started,and the doctor assists the patient to move the waist in all directions In the control group,0.30 x 75 mm acupuncture was used for acupuncture treatment at Jiaji points(L1-L5)on the affected side of the waist.When acupuncture was performed,conventional straight needling was used for acupuncture,the needles were lifted,twisted,and flattened,and the needles were kept after getting qi.Acupuncture and matching points,acupuncture points,needles,operation and length of needle retention are the same as those in the experimental group.After the needle retention is completed,the needle is lifted to assist the patient to move the waist.Treatment 3times a week,1 course of treatment for 2 weeks,4 weeks of treatment,a total of 2 courses.Researchers used VAS,JOA and ODI scales to score subjective pain,objective signs,and daily activity limitation before treatment,2 weeks of treatment,and 4 weeks of treatment,respectively.The evaluation refers to the JOA low back pain score sheet.Result:1.Before treatment,the baseline data of the two groups of subjects and the scores of the VAS,JOA and ODI scales were compared,and there was no significant statistical difference(P>0.05).2.After 2 weeks of treatment,the scores of VAS,JOA and ODI of the two groups were still not statistically different(P>0.05),and there was no significant difference in the efficacy of the two groups.3.After 4 weeks of treatment,the VAS,JOA,and ODI scores of the two groups were compared,and there was a significant difference(P<0.05),indicating that at 4 weeks of treatment,the experimental group that used the huici needling method was improved in pain and restricted activity.It is better than the control group of conventional acupuncture.4.The VAS,JOA,and ODI scores of the two groups of subjects at the treatment time node in the 2nd and 4th weeks were selected,and compared with the scores before treatment,there were significant differences(P<0.05),and the two groups In the 4th week,the scores of VAS,JOA and ODI were significantly improved compared with the scores of the 2nd week respectively(P<0.05).5.The test group(huici method)completed 33 cases with a marked efficiency of 21.21%and an effective rate of 93.93%.The control group(conventional acupuncture)completed 33 cases with a marked efficiency of 9.09% and an effective rate of 84.84%.There is a significant difference between the two groups,z=2.20,P=0.02(P<0.05),the experimental group that chooses the huici method is better than the control group that chooses the conventional acupuncture method.Conclusion:In the 2nd or 4th week of treatment,both the experimental group and the control group with conventional acupuncture had significant curative effect compared with before the treatment,and at the 4th week The scores of VAS,JOA and ODI of the two groups improved further than their respective scores in the second week.At 2 weeks of treatment,there was no difference in the improvement of VAS,JOA,and ODI scores between the experimental group using the huici method and the control group using conventional acupuncture.The two groups had the same curative effect.When the treatment reached the 4th week,the trial In the treatment group,the huici method was significantly better than the control group using conventional acupuncture in improving the scores of VAS,JOA and ODI.It is speculated that with the prolongation of the treatment period,the huici method was used to treat lumbar disc herniation.Patients are better than conventional acupuncture in terms of improving their subjective pain,objective signs,or restricted daily activities.