Clinical Observation Of Warming Needle Moxibustion At Jiaji Point For Treating Lumbar Spinal Stenosis Due To Deficiency Of Kidney Yang

Objective: The purpose of this study is to observe the clinical observation of "warm acupuncture and moxibustion on Jiaji point" for the patients with lumbar spinal stenosis of kidney yang deficiency type,objectively evaluate its safety and efficacy,For LSS standardized clinical treatment,,and also provide reference for the clinical treatment of painful diseases.Methods: 68 cases of type deficiency of lumbar spinal stenosis of kidney yang deficiency type were randomly divided into two groups: the treatment group(34 cases)and the control group(34cases).The patients in the treatment group were treated with "warm acupuncture and moxibustion on Jiaji point",while the pattransformthe control group were treated with routine acupuncture.The main points in the acupuncture group of "warming acupuncture and moxibustion on Jiaji points" : Jiaji points(double)from yao1 to yao5,Weizhong.The main points of the routine acupuncture group were Shenshu,Dachangshu,Weizhong,Ashi,Yaoyangguan and Mingmen.Each group was treated once a day for 5 days,midfeather two days,a treatment course is ten days,altogether two treatment courses.The transform of JOA and vas were observed before and after treatment,and the data were analyzed by statistical method。Results:1.General data analysis: A total of 68 patients were included in this study,including 4patients who fell off for some reason,and 64 patients were finally completed,including 32 patients in the treatment group and 32 patients in the control group.SPSS22.0 statistical software was used to analyze the results,and it was concluded that the differences in gender,age and course of disease between the two groups were not statistically significant and comparable.2.Japan Orthopaedic Association(JOA)score: after the treatment,all the data of "warm needle moxibustion Jiaji point" acupuncture group and conventional acupuncture group were higher than before(P < 0.05),indicating that After two kinds of treatment,LSS patients can effectively improve their motor function 。 Without treatment,there was no big difference between the two groups(P > 0.05);The difference of JOA scores between the acupuncture group and the routine acupuncture group was statistically significant(P < 0.05),which indicated that the acupuncture group was overmatch than the common acupuncture group in enhancing the motor function.3.Pain VAS score: after treatments finished,the VAS score of pain in the acupuncture group of "warming acupuncture and moxibustion at Jiaji point" and the conventional acupuncture group decreased significantly compared with that before treatment。There was conspicuous differencebetween the two groups pretherapy and post-treatment(P < 0.05).indicating therapeutic effecte patients with lumbar spinal stenosis of kidney yang deficiency type can obviously eliminate or alleviate the pain after two treatments;4.therapeutic effect: After process treatment,these two groups of cure rates respectively are90.6% and 75%,Demonstrating two groups have the good curative effect for lumbar spinal stenosis of kidney yang deficiency type.According to the statistical analysis,these two groups of data have the very big difference in the overall cure rate aspect(P < 0.05),suggesting that for the kidney yang deficiency type of lumbar spinal stenosis,the therapeutic effect of "warm needle moxibustion Jiaji point" acupuncture was excellent than that of routine acupuncture.Conclusion: Routine acupuncture can improve the function and relieve pain in patients with lumbar spinal stenosis due to kidney-yang deficiency.But "warm acupuncture and moxibustion" method is more effective than ordinary acupuncture and moxibustion.