Study On The Clinical Effect Of “Wenjing Tongdu Method” Tuina In The Treatment Of Lumbar Disc Herniation

Objective:To observe the clinical effect of"wenjing tongdu method"tuina in the treatment of lumbar disc herniation.Methods:60 Patients with lumbar disc herniation diagnosed and treated in the Tuina department of the First Affiliated Hospital of Guangxi University of traditional Chinese medicine from March 2021 to February 2022 were selected.Randomly divided into the wenjing tongdu tuina group and the routine tuina group by a randomizing digital table,there were 30 cases in each group.The wenjing tongdu tuina group was treated with wenjing tongdu method”Tuina,and the routine tuina group was treated with routine tuina therathpy.Two groups of patients were treated with tuina once every other day,four times a week,two weeks as a course of treatment,a total of two courses of treatment.The clinical efficacy,Visual Analogue Scale(VAS score)and Japanese Orthopaedic Association Scores(lumbar spine)(JOA score)of the two groups were compared before and after treatment.Results:(1)There was no significant difference between the two groups in gender,age,course of disease and other baseline indicators,which was comparable(gender:X~2=0.28,P>0.05;age:Z=1.50,P>0.05;course of disease:Z=1.03,P>0.05).(2)After treatment,the overall efficacy of the two groups was compared.The wenjing Tongdu tuina group was better than the routine tuina group,and the difference was statistically significant(Z=2.39,P<0.05).(3)Before treatment,there was no significant difference in lumbar JOA score between the two groups(t=0.11,P>0.05).After treatment,the lumbar JOA score in the two groups was higher than that before treatment,and the difference was statistically significant(the wenjing Tongdu tuina group:t=40.46,P<0.05;the routine tuina group:t=20.86,P<0.05).And the lumbar JOA score in wenjing tongdu tuina group was higher than that in routine tuina group,the difference was statistically significant(t=5.28,P<0.05).(4)Before treatment,there was no significant difference in VAS score between the two groups(t=0.68,P>0.05).After treatment,the VAS score of the two groups was lower than that before treatment,and the difference was statistically significant(wenjing tongdu tuina group:t=23.11,P<0.05;routine tuina group:t=15.00,P<0.05).The VAS score of wenjing tongdu tuina group was lower than that of routine tuina group,and the difference was statistically significant(t=3.12,P<0.05).Conclusions:"wenjing tongdu method"tuina can effectively improve the degree of pain and lumbar dysfunction in patients with lumbar disc herniation,and improve the quality of life of patients.It is worthy to be popularized in clinic.