That Stretched Tongdu Of Manipulation In The Treatment Of Lumbar Disc Herniation Clinical Research And Mechanism

Hernia Lumber Disc refers to a group of symptoms and body signs caused by pressure and stimulation to spinal marrow or nerve root due to fibrous ring rupture and pulpiform nucleus protrusion. Hernia Lumber Disc is one of commonly seen disorders in departments of orthopedics and Tuina; and about one fifth of patients with pain in the lumber and leg have hernia lumber disc. Because of pain resulting in limitation of movement, working and daily life of patients' are greatly influenced. For treating this disease, there are many methods, but the therapeutic results are not satisfied. Tuina is an extremely important conservative therapy. On the base of generations of physicians' recognition to this disease, combining with modern medicincal research, this research summarizes the etiology, pathogenesis, diagnosis and therapy for hernia lumbar disc. This research also recalls and concludes Tuina treatment for hernia lumbar disc on ancient literature and modern therapy research. Meanwhile, it objectively comments clinical effect of Tuina technique of soothing channels and promoting Governor Vessel working on hernia lumber disc with research methods of parallel comparison and group random.Firstly, through systematic reorganization of TCM literatures of different generations, it reckons the causative factors are deficiency, pathogen, and stagnation. The pathogenesis is kidney Qi deficiency, essence and Qi declining, resulting in malnourishment to tendons; or pathogenic wind and cold flow into channels, or retention of exogenous and accumulation of blood stagnation, resulting in Qi retention and blood stagnation. Principle of treatment is to moist and nourish kidney, and to regulate blood circulation to expel wind, cold and dampness. About manipulation, systematic reorganized the literatures about Tuina treatment to pain in lumbar region and leg, and manipulation technique for hernia lumbar disc and its functioning mechanism, hence, it considers manipulation techniques are very important mean for treating hernia lumbar disc conservatively.Secondly, through research on modern literatures about hernia lumbar disc, it points out that diagnosis of hernia lumbar disc should be done with the combination...