Clinical Observation On The Treatment Of Adhesive Chronic Lumbar Muscle Strain By Integrating Tuina And Ashi Cutting-bloodletting Acupuncture

Objective: Through the clinical observation on the treatment of adhesive chronic lumbar muscle strain by integrating Tuina and Ashi cutting-bloodletting acupuncture,to objectively evaluate the efficacy of this method on the treatment of adhesive chronic lumbar muscle strain,and to explore it's mechanism of action.Method: In this study,60 patients are randomly divided into treatment group and control group,with 30 patients in each group.The treatment group is applied the method by integrating Tuina and Ashi cutting-bloodletting acupuncture,and the control group is treated simply by Tuina.The clinical efficacy of the patients in pre-treatment and post-treatment periods would be observed,and the patients would be received follow-up visit on the third month and sixth month accordingly after the treatment.The researcher compares and analyzes the results and related data from follow-up visits.Result: After the first course of treatment,both treatment group and control group gain good efficacy for adhesive chronic lumbar muscle strain at an equivalent level(P>0.05).After the second course of treatment,the results and efficiency of treatment group(86.6% curative rate,96.6% effective rate)are better than the control group(66.7% curative rate,86.7% effective rate)(P<0.01).While on the third month follow-up visit,the treatment group's improvement of patients' condition has increased compared to the end of the treatment;however,the control group's improvement of patients' condition has decreased.On the sixth month follow-up visit,the treatment group's improvement of patients' condition keeps the same level as it was at the third month(P>0.05);and the control group's improvement of patients' condition has decreased compared to that on the third month.The efficacy and recurrence rate of treatment group(60.0% curative rate,93.3% effective rate,3.33% recurrence rate)are significantly better than the control group(6.67% curative rate,53.3% effective rate,33.3% recurrence rate)(P<0.01).Conclusion: The study verifies that applying Tuina and Ashi cutting-bloodletting acupuncture on the clinical treatment of adhesive chronic lumbar muscle strain is able to maintain good efficacy in both short term and long term.It is a straightforward,practical,fast-onset,and steady treatment method for the study disease.This treatment is worth spreading widely on clinical use.