Clinical Observation On The Treatment Of Lumbar Intervertebral Disc Herniation Of Qi Stagnancy And Blood Stasis Type With "Shi’s Traumatology Plus And Minus Three Color Application Ointment"

Objective:To observe the clinical effect of "Shi Shi Traumatology plus or without three-color application of ointment" in the treatment of lumbar intervertebral disc herniation of Qi stagnation and blood stasis.Method:In this study,from January 2022 to January 2023,60 patients with lumbar disc herniation of Qi stagnation and blood stasis who met the inclusion and exclusion criteria were selected from the outpatient Department of Bone Trauma,Quanzhou Hospital of Traditional Chinese Medicine Affiliated to Fujian University of Chinese Medicine,and divided into two groups according to random number script method: control group and experimental group,with 30 cases in each group.The control group was treated with the regimen of "external application of placebo combined with internal administration of celecoxib capsules",and the experimental group was treated with the regimen of "Shi’s Trauma Department plus or minus trichromatic application of ointment combined with internal administration of celecoxib capsules" for a total of 2 treatment courses(1 course for 7 days).VAS scores,JOA scores and TCM syndrome scores of the two groups were statistically analyzed before treatment,1 week and 2 weeks after treatment.SPSS26.0 software was used to statistically analyze and compare the therapeutic effect of the two groups on the lumbar disc herniation of Qi stagnation and blood stasis.Results:1.None of the 60 patients with lumbar disc herniation of Qi stagnation and blood stasis included in this study had fallen off.2.Comparison of the general information of the two groups of patients: the age and gender of the two groups of patients were statistically compared,and the difference was not statistically significant(P>0.05),indicating comparability.3.Comparison of observation indexes before treatment between the two groups: VAS score,JOA score and TCM syndrome score before treatment were compared between the two groups,and the difference was not statistically significant(P>0.05),indicating comparability.4.Observation indexes before and after treatment in both groups within the group of comparison: the two groups of patients before and after treatment 1 week,2 weeks after treatment,the VAS score,JOA score and TCM syndrome score compared group,the differences were statistically significant(P<0.05),the test group and control group can effectively relieve patients waist pain,improve the lumbar vertebral function and symptoms in TCM.5.Comparison of observation indexes before and after treatment between the two groups:VAS score,JOA score and TCM syndrome score of 1 week and 2 weeks after treatment were compared between the two groups,and the differences were statistically significant(P<0.05),indicating that in the treatment of lumbar disc herniation of Qi stagnation and blood stasis,the experimental group was better than the control group in relieving symptoms,relieving pain,improving lumbar function and TCM symptoms.6.Comparison of the total effective rate of the two groups: After 2 courses of treatment,the total effective rate of the experimental group was 93.33% and that of the control group was90.00%.The efficacy of the two groups was statistically analyzed,and the difference was statistically significant(P<0.05),indicating that the clinical efficacy of the experimental group was better.Conclusions:The program of "Shi Shi Injury plus or subtraction three-color application of ointment external application combined with celeoxib capsule internal administration" has better efficacy,which can effectively reduce the clinical symptoms of patients with lumbar disc herniation of Qi stagnation and blood stasis type,and promote the improvement of lumbar function.