| ObjectiveLumbar disc herniation(LDH) is a common and frequently-occurring disease in orthopedics. It is the most common reason of lumbar and leg pain. Now we know that almost lumbar pain and sciatica due to LDH. We have two choices in LDH treatment: non-operation and operation. But operation have high risk, at the same time the patient is apt to present the frightened psychology before the operation, and the cost of operation is very high, so most of patients incline to choosing non-operation. Comparatively, the treatment of LOH with TCM has many advantages, such as: small pain, less complications, easy acceptance, affirmative effects and low cost. The research discussed the curative effect of herb, massage, comprehensive treatment on LDH and their mechanism of treatment, based on the non-operation treatment of professor Wang(famous doctor in Xiangfan Hospital of traditional Chinese medicine) on LDH by using TCM. So the research can offer the theoretical foundation on the choice of the treatment method on LDH and also offer reference for our better choice treatment method during the process of comprehensive treatment on LDH.MethodsFrom July 2004 to June 2006, we gathered 90 cases which were patients on LDH, who came from the hospital of XiangFan affiliated to the Hubei College of TCM. All of them were divided into three groups at random according to the treating order: the comprehensive group, the herb group and the massage group. Each group had 30 cases. The patients of the comprehensive group were from 28 to 65 years old, and the mean age was 48.3 years old, including 18 males and I2 females. The course of disease in comprehensive group was from 1 day to 8 years. The patients of the herb group were from 24 to 66 years old, and the mean age was 45.6 years old, including 16 males and 14 females. The course of disease in herb group was from 1 day to 7 years. The patients of the massage group were from 25 to 68 years old, and the mean age was 46.6 yearsold, including 17 males and 13 females. The course of disease in massage group was fromlday to 7 years. The sex, age and the course of disease were no significant statistical difference(P＞0.05) between the three groups by X~2 examination. The three groups were comparative.All patients were treated by pelvis traction and function exercise. The comprehensive group added three steps massage and herbs. The herb group added herbs. The massage group added three steps massage. The course of treatment was 10 days. The patients were treated by pelvis traction and three steps massage for 9 days and had a rest for 1 day. The patients were treated by herbs and function exercise everyday. They were treated 6 courses. After treating, the patients who were cured and improved must do function exercise everyday. Andthe patients who were in the comprehensive and herb group took the pills by water suffused 2 months.Before and after treating, we used Oswestry disability index (ODI) to assess all cases and calculated the average separately according to the group. After treating 2 months, we used ODI to assess the cases that were cured and improved again and calculated the average separately according to the group.Results1. The rate of cure and total efficiency in the comprehensive group is higher than the herb group and the massage group. The time of clinical cure in the comprehensive group is obviously less than the herb group and the massage group. The treatment of the comprehensive group is better than the herb group and the massage group on improving the patients' symptom and life quality.2. There is no significant difference in the rate of cure and total efficiency between the herb group and the massage group. And there is also no significant difference on improving the patients' symptom and life quality between the herb group and the massage group.3. The time of clinical cure in the herb group is obviously less than the massage group.4. After taking the pills by water suffused 2 months, the treatment of the comprehensive group and the herb group are better than the massage group on improving the patients' symptom, life quality forward and consolidating curative effect. But there is no significant difference on improving the patients' symptom, life quality forward and consolidating curative effect between the comprehensive group and the herb group.Conclusion1. The advantage of comprehensive treatment with herb and massage is greater than the treatment by herb and massage alone.2. The time of arising results and the course of treatment by massage is shorter than by herb.3. After treating, the herb can improve the patients' symptom, life quality forward and consolidate curative effect, based on convenient and effective. |
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