Clinical Study On Senile Lumbar Intervertebral Disc Prolapse Treated By Warming Yang And Removing Dampness Therapy

Background and Objective:As the population aging increasingly in our country. The morbidity of senile Lumbar Intervertebral Disc Prolapse (LIDP) has been significantly increasing. It is a big problem to treating because of long nature history, complicate underlying diseases and the age of the patients, surgical treatment is risky and also easy to recurrence, so that conservative treatment is the first choice. Chinese Medicine can ensure the satisfactory outcome. The research chooses Senile Lumbar Intervertebral Disc Prolapse with kidney deficiency and cold-dampness syndrome, Discuss self-made warming yang and removing dampness decoction’ efficacy in treating Senile Lumbar Intervertebral Disc Prolapse, Provide theoretical basis for Chinese Medicine in treating Senile Lumbar Intervertebral Disc Prolapse.Methods:The research selected50patients who came from Hong Kong Chan’s Bonesetter Clinic and were divided into two groups randomly. The treatment group was treated by the traditional Chinese medicine of warming yang and removing dampness decoction,and the control group was treated by Yaobitong capsule.In the treatment procedure,all the patients were evaluated through VAS,JOA and Oswestry score.Then all the data and the clinical effect were analyzed by SPSS16.0.Results:This clinical study has not occurred during an adverse reactions and safety accidents.1. Before the treatment, The treatment group’s average VAS score is7.51, treating one week,the score is7.04, two weeks, the score is diminish to6.54, three weeks the VAS score is reduce to5.66, after four weeks’treatment, the score is down to4.68. As same as the treatment group, the control group’VAS score is also reduces gradually. Before the treatment, The control group’s average VAS score is7.40, treating one week,the score is7.16, two weeks, the score is diminish to6.94, three weeks the VAS score is reduce to6.44, after four weeks’ treatment, the score is down to5.97. Statistic shows the treatment group was better than control group in pain relieving(P<0.01).2. Before the treatment, The treatment group’s average JOA score is9.53, treating one week,the score is11.41, two weeks, the score is rise to11.47, three weeks the JOA score is up to12.79, after four weeks’treatment, the score is up to13.09. As same as the treatment group, the control group’ JOA score is also rise gradually. Before the treatment, The control group’s average JOA score is9.59, treating one week,the score is10.94, two weeks, the score is up to10.92, three weeks the VAS score is rise to12.38, after four weeks’treatment, the score is up to12.82.Statistic shows the treatment group’result was better than control group (P＜0.01).3. After the whole treatment, Chinese Oswestry Disability Index score in the treatment group and the control group were both lower than before treatment, and the scores difference before and after treatment in the treatment group were more obviously than the control group.4. In treatment group, Cure case number were4、8cases were markedly effective、10effective、3ineffective; In control group, Cure case number were3、9cases were markedly effective、8effective、5ineffective, The total effective rate was84%in treatment group and68%in control group with significant difference.Conclusion:Warming yang and removing dampness therapy can eliminate swelling exudation and relieve the pain which cause by LIDP after a fully course, It can obviously relieves the pain, lumbodynia leg radiating pain and anesthesia induced by LIDP.The effect of the therapy is prominence. It also has high security and reliability.