Observation On The Clinical Efficacy Of Acupuncture Combined With Grain Moxibustion In Treating Low Back Pain

Objective:Low back pain(LBP)is one of common and recurrent diseases in the modern society.Its incidence is closely related to people's life style.Such as long sedentary or poor posture inappropriately activities,with an ageing population trends,the clinical symptoms of the disease incidence rate gradually increased lumbago.It is characterized by stiffness and pain in the lumbar or haunch.And it usually associated with lower limbs pain,numbness,weakness or radiating pain in the buttocks and legs.Increasing abdominal pressure may get worse(such as cough and sneeze).It become one of the important factors that affect the quality of modern life.In the western medicine in the treatment of the disease mainly drugs and surgery.There are some deficiencies,such as analgesic drugs produce side effects such as the liver and kidney damage dependence and tolerance,or the injury in the surgery,etc.The LBP treatments of TCM are varied,mainly acupuncture,massage and Chinese herbs,Therefore,comparing the two different methods of acupuncture and acupuncture combined with wheat-grain moxibustion,this paper aims to observe the clinical efficacy of acupuncture combined with wheat-grain moxibustion in the treatment of LBP,and objectively and systematically evaluate the effectiveness,feasibility,safety,short-term and long-term efficacy of this therapy,so as to explore a new path,adding to the treatment prescription for LBP by acupuncture and moxibustion.Methods:Based on related literature and clinical data about low back pain,we have worked out relatively scientific research methods according to the actual situation.In the study,60patients who met the criteria were randomly divided into two groups:30 cases in the acupuncture combined with wheat-grain moxibustion group and 30 cases in the acupuncture group.The main acupoints of the two groups were lumbar Jiaji,Dachangshu,Shenshu,Pangguangshu,Weizhong,Jizhong,Mingmen,and Yaoyangguan.And the acupoints were prepared according to the differentiation of meridians and collaterals,and were as follows:for the patients with the Urinary bladder meridian that choose jinggu,shugu,dazhu.For patients with Gallbladder meridian that choose qiuxu,zulinqi,jianjing.For patients with the Governor vessel that choose dazhui,houxi.In addition,that choose 4-6 positive reaction point at the distal track of the muscular-sinew channel.The acupuncture combined with grain moxibustion group only uses acupuncture on the main acupoints.The patients were treated twice a week for 12times in total.Oswestry disability index(ODI),Japanese Orthopaedic Association Questionnaire(JOA),and McGill pain questionnaire(MPQ)were used for four times--before treatment,after the forth,eighth and twelfth treatment.All the data was collected and used for statistical analysis with SPSS25.0software,to evaluate the curative effect comprehensively,and the safety evaluation and follow-up after the treatment were also carried out.Results:In the study,chi-square test,independent sample t test,non-parametric test and two-factor repeated measure ANOVA were used.It shows that the two different treatment(acupuncture combined with grain moxibustion and mere acupuncture)both have obvious clinical effects on LBP.Both the two treatment can significantly improve the symptoms of LBP such as pain,weakness,numbness,or radiation symptoms.Also,there are significant differences in the improvement of emotion,life and work situation between every 4 times'treatment.Moreover,in the results of ODI,acupuncture combined with wheat-grain moxibustion sho wed significant and constant improvement after 8 times'and 12 times'treatment,and its curative effect is better than the acupuncture group.(the difference was statistically significant).Among the results of JOA questionnaire and VAS,the curative effect of acupuncture combined with grain Moxibustion was significantly better than that of acupuncture after 12 times'treatment.(the difference was statistically significant)In the results of SF-MPQ(Evaluation of Pain Sensation and PPI),the curative effect of acupuncture combined with grain Moxibustion was significantly better than that of acupuncture after 4 times'treatment(the difference was statistically significant).But there was no significant difference between the two treatment methods in the SF-MPQ(Evaluation of Emotion).Conclusion:In treatment of LBP;both the two treatment(acupuncture combined withgrain moxibustion and mere acupuncture)can effectively improve its pain,weakness,numbness,radiation symptoms and other clinical symptoms as well as the life and work conditions,which can last for a long term.However,according to the results of the three taken scales(ODI,JOA,SF-MPQ)before and after the treatment,to improve the pain symptoms and the quality of life,acupuncture combined with grain moxibustion has obviously a better curative effect than mere acupuncture.The difference of curative effect appeared at the early stage of the treatment.Nevertheless,there is no difference of the curative effect of both therapeutic methods for improving the emotional impact of pain.