| ObjectiveThe objective of this control study is to abserve the clinical effect and safety on electric acupuncture at jiaji point of waist for Lumbar Disc herniatio.MethodsThe research objects were patients with lumbar disc herniation. There were treatment group (electric acupuncture at jiaji point of waist group) and control group (acupuncture group),30 cases each. Treatment:â‘ points selecting:according to differentiation of syndromes of meridians. Main point: 3rd-5th jiaji point of waist, Shenshu(BL23), Dachang shu(BL25), Huanzhong, Weizhong(BL40). Aoordination of acupoints:pain along with Taiyang meridian, select Yinmen(BL37), Chengshan (BL57), Kunlun(BL60); pain along with Shaoyang meridian, Huantiao(GB30), Fengshi(GB31), Yanglingquan(GB34),Xuanzhong(GB39); according to different syndromes:cold-damp syndrome with Yaoyangguan (DU3); blood stasis syndrome with Geshu(BL17); kidney deficiency syndrome with Mingmen(DU4) and Taixi(KI3), damp-heat syndrome with Yanglingquan.â‘¡Operation:after patients taking prone position, choose No.28 stainless steel needles of 2 to 3 inch in length, regularly sterilize the skin, prick directly to the points. Needling depth:jiaji about 2 inches, Huangzhong about 2.5 inches, Weizhong and Yanglingquan about 1.5 inches.Treatment group:in accordance with excess or deficency snydrome, lifting and thrusting or twirling the needles with reinforcing or reducing method, link to electro-therapeutic apparatus after getting Qi, jiaji points in left and right side as one group and linked to positive and negative anode, Huanzhong and piont in lower limb as another group for electric acupuncture (Huanzhong point to the positive anode). Frequency:continuous wave and frequency of 2Hz; output intensity to patient's tolerance and appendicular muscles twitching rhythmically, retain for 30mins. Control group:in accordance with excess or deficency of the snydrome, lifting and thrusting or twirling the needles with reinforcing or reducing method, after getting qi, do not use electro-therapeutic apparatus, manipulating needles by technique at the interval of five minutes. Course of treatment:once every day for both groups, 10 times as a course of treatment; 3 to 5 days off between courses,2 courses total then do the statistical work. Other therapeutic drugs should not be used during the trial.ResultIn this randomized controlled clinical trial, a total of 60 cases of qualified objects. Treatment group 30 cases and the same with the control group.Comparability testing of two groups:compared indexes of the two groups before treatment, there was no significant difference.Efficacy comparison:compared two groups of effect on Chinese medicine syndromes. The treatment group, clinical curative rate was 53.3%, markedly effective rate was 23.3%, effective rate was 13.3%, total effective rate was 90%; the control group, clinical curative rate was 43.3%, markedly effective rate was 30%, effective rate was 16.6%, total effective rate was 90%. The difference was not statistically significant between the two groups.Comparing the improvement of low back pain, numbness of lower limbs, walking, life skills and working ability before and after treatment, the difference was not statistically significant.comparing disappearance rate of the main clinical symptoms after treatment: comparing the disappearance rate of low back pain, hip pain, leg pain, numbness of lower limbs, walking, life skills and working ability after treatment, the difference was not statistically significant. comparing the disappearance rate of sciatic nerve tenderness, sensory disability, dyskinesia, knee tendon reflex, after treatment, the difference was not statistically significant.Compared the two groups'accumulated points of pain index before treatment, the difference was not statistically significant, showing the two groups was comparable. Comparing the improvement of accumulated points about pain index in treatment group before and after treatment, the difference was statistically significant (t= 16.48, P= 0.00). Comparing the improvement of accumulated points about pain index in control group before and after treatment, the difference was statistically significant (t= 11.87, P= 0.00).Comparing the accumulated points of pain index between the two groups after treatment, the difference was statistically significant((t= 2.27, P = 0.02). Comparing the changes of accumulated points of pain index in each group before and after treatment, the difference was statistically significant in both (t= 2.62, P= 0.01).Sefety testing:in both groups, test results of patients'blood, urine, stool, liver function, ECG were all normal before treatment and no abnormal change was found after treatment.Adverse events observation:no adverse reaction was found after treatment, meaning that this therapy is safe for clinical application.Conclusion1. The therapy of electric acupuncture at jiaji point of waist has a equivalent effect with conventional acupuncture for lumbar disc herniation.2. The therapy of electric ac upuncture at jiaji point of waist has a better effect in relieving pain than conventional acupuncture for lumbar disc herniation.
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