Study On The Relation Between The Time-needed And Curative Effect Of Moxibustion In Treating LIDP

Lumbar Intervertebral Disc Protrusion (LIDP) is a common and frequently-occurring clinical disease featuring repeated outbreak and persistency which tends to occur in young and middle-age people. And in recent years, incidences of such disease have been on the rise, which cause a lot of problems for patients and the society.This study is based on the therapy of heat-sensitive acupoint moxibustion adopted by Chen Rixin, the president of Jiang Xi Hospital of Traditional Chinese Medicine, to discuss the treatment laws of this therapy in treating LIDP.Research Purpose:Different moxibustion time are studied to observe the different clinical efficacy of this therapy on patients with LIDP, and the laws of moxibustion intensity of the above-mentioned therapy are also discussed so as to provide clinical data for medical workers and scholars adopting this therapy to help them to consult and research.Experimental Methods:Forty qualified patients are involved in this experiment and they are equally divided into two groups at random:one treated with sufficient intensity (treatment group), the other is treated with traditional intensity (control group).The therapeutic method:to conduct moderate suspended acupuncture at the acupoints with strongest heat-sensitivity in the triangle areas formed by large intestine acupoint and kidney acupoint at both sides. But time spent on this is different:the time for each moxibustion at treatment group lasts30to60minutes as heat-sensitive moxibustion sensation disappears, while at control group,15minutes is the maximum. The total course of treatment for these two groups lasts for14days, equally divided into two small courses, and if patients recover, then the second small course is unnecessary. After the course finishes, a6-month follow-up observation is needed. The clinical efficacy before treatment, at the exact time when treatment ends and6months after treatment ends are assessed and Clinical Symptom Rating Scale (special examinations are assessed according to their extent) and internationally received Visual Analogue Scale (VAS) are also applied.Results Analysis:1. In general information, the comparative differences of gender, age and course of disease between these two groups are not statistically significant(P>0.05), so such comparisons are feasible.2. Total effective rate of clinical efficacy for the treatment group is95%, while85%for the control group. According to Ridit, Rtreatment group is0.36while Rcontrol group is0.64, which means statistical significance and P<0.05, the clinical efficacy of the treatment group outperforms that of the control group. 3. From the comparison of integral clinical assessment we can learn that as the therapeutic process goes on, the clinical symptoms of patients are improved. The comparisons between efficacies in the post-treatment period and follow-up observation period show that the improvement degree of the treatment group outperforms that of the control group (Ztreatment group is-3.666, P<0.05and Zcontrol group is-3.953, P<0.05). The long-term efficacy of the treatment group is stable while patients in the control group suffer repeat symptoms six months after treatment ends.4. The comparison of VAS indicates that both therapeutic methods are helpful to relieve pains of the patients. The comparisons between efficacies in the post-treatment period and follow-up observation period show that pain-killing efficacy of the treatment group outperforms that of the control group (Ztreatment group is-3.755, P<0.05and Zcontrol group is-3.739, P<0.05). The long-term pain-killing efficacy of the treatment group is stable while patients in the control group suffer repeat pains six months after treatment ends.Conclusions:1. Heat-sensitive acupoint moxibustion has significant clinical efficacy in treating LIDP is significant.2. The clinical efficacy of heat-sensitive acupoint moxibustion outperforms that of acupuncture with traditional intensity.3. That heat-sensitive acupoint moxibustion is significant in clinical efficacy is perhaps related to sufficient time, correct choice of the heat-sensitive acupoint and the application of heat-sentive moxibustion that can easily spur propagated sensation along channels.