Observation On Analgesic And Therapeutic Effect Of Auricular Acupuncture Combined With Warming Needle Moxibution Of Jiaji On Lumbar Disc Herniation

Objective:To observe the analgesic and therapeutic effect of auricular acupuncture combined with warming needle moxibution of Jiaji(EX-B 2)on the patients with lumbar disc herniation,in order to expand the clinical treatment ideas of lumbar disc herniation.Methods:70 patients with lumbar disc herniation were divided into treatment group and control group by random number method.65 cases were completed.Among them,33 cases were treated with auricular acupuncture combined with warming needle moxibution of Jiaji,and 32 cases in control group were only treated with warming needle moxibution of Jiaji.The treatment group’s auricular points have the following choice:Lumbosacral vertebra(AH9),Sciatic Nerve(AH6),Shenmen(TF4),Sucortex(AT4),liver(CO12)and Kidney(CO10);If the hip is radiating pain,the Hip(AH5),Buttocks(AH7)will be taken,if the lower limb is radiating pain,the Knee(AH4),Ankle(AH3)will be taken.The body acupuncture points which including Shenshu(BL 23),Qihaishu(BL 24),Dachangshu(BL 25),Jiaji(EX-B 2),Zhibian(BL 54)and Huantiao(GB 30)are selected for the patients;If the hip is radiating pain,the Juliao(GB 29),Ashi point will be taken,if the pain on the the lower extremity,Yanglingquan(GB 34)and Feiyang(BL 58)will be taken.The control group only selected the body acupuncture points.Then,the patients were placed in the lateral position,exposed the waist,buttocks and the lower limbs,and then treated with iodine volt to disinfect the corresponding parts and acupuncture and moxibution.The auricular acupuncture therapy adopts the tube needle of 0.20×20 mm needling straight.The depth of the acupuncture should be controlled flexibly according to the thickness of the local auricle,and the needle can not pierce the ear.The treatment of warming needle moxibution of Jiaji(EX-B 2)selected the pipe needle of 0.30×50 mm and 0.25×40 mm which needling straight(depending on different acupuncture points),and the depth of the needle is about 10～35 mm(depending on different acupuncture points).After the needle twisted,inserted,or lift,the patients felt the desired sensation.And then,body acupunctures were connected with G6805-2A electroacupuncture therapy instrument,and the frequency was 50～100 hz.Meanwhile,the double-layer peripheral paper were padded between the needle body of Jiaji(EX-B 2)and patients’skin.The Jiaji points’ needle body were cover ignited 2.5cm of moxa strips,and moxibustion is 1 strong each time.After 30 minutes,the needles were removed and the needle holes were pressed for a moment with a sterilized dry cotton ball to prevent bleeding.The treatment group was treated with auricular acupuncture combined with warming needle moxibution of Jiaji(EX-B 2),while the control group was treated with warming needle moxibution of Jiaji(EX-B 2).Except for the auricular acupuncture,both two groups have the same operation method,needle set and treatment time.Two groups were treated three times a week,two weeks as a course,and 2 courses as a total of the treatment.To observe the changes of visual pain analogue score(VAS)on treatment before,after the first treatment,after one course of treatment and two courses of treatment,and to compared with two groups the JOA lumbago score on before and after treatment.The therapeutic effect of the two groups were graded by the guiding principles of the new Chinese medicine clinical study.Results:1.There was no significant difference in gender,age and course of disease between the two groups(P>0.05).2.Before treatment,there was no significant difference in VAS scores between the two groups(P>0.05);from the first treatment to the second course of treatment,VAS scores of the two groups showed a downward trend,and the decrease in the treatment group was more obvious,with significant statistical significance(P<0.01).After the first treatment,1 course of treatment,2 courses of treatment,the VAS score of the treatment group decreased more significantly than that of the control group,the difference was statistically significant(P<0.01,P<0.05).3.Before treatment,there was no significant difference in subjective symptoms score,physical signs score,daily activity limitation score and the total JOA score between the two groups(P>0.05);after treatment,the subjective symptoms score,physical signs score,daily activity limitation score and total JOA score of the two groups were higher than those before intervention,and the difference was statistically significant(P<0.01);after treatment,the subjective symptoms score,daily activity limitation score and total JOA score of treatment group are rising more significantly than that of the control group,the difference was statistically significant(P<0.01).there was no significant difference between the two groups with physical signs score of JO A(P>0.05).4.After treatment,the therapeutic effect of treatment group was better than control group,and the difference was statistically significant(P<0.01).The effective rate of the control group was 31.25%,and that of the treatment group was 69.70%.The effective rate of the treatment group was better than that of the control group,and the difference was statistically significant(P<0.01).The total effective rate was 87.50%in the control group and 93.93%in the treatment group.There was no significant difference between the two groups(P>0.05).Conclusion:Auricular acupuncture combined with warming needle moxibution of Jiaji(EX-B 2)can relieve the pain of patients with lumbar disc herniation more quickly and permanently,improve the lumbar function,and have a good clinical curative effect,which is worthy of further research and promotion.