Clinical Efficacy of Warm Acupuncture Combined with Hanbi Decoction in the Treatment of Patients with Lumbar Disc Herniation of Cold-Dampness Obstruction Type
YU Xiaoyue, XU Hongliang, WANG Huifang, et al
Department of TCM Orthopedics & Traumatology, Shanghai Jing'an District Central Hospital, Shanghai 200040
Abstract:【Objective】 To explore the clinical efficacy of warm acupuncture combined with Hanbi Decoction in the treatment of patients with lumbar disc herniation of cold-dampness obstruction type. 【Methods】 A total of 100 patients with lumbar disc herniation of cold-dampness obstruction type diagnosed and treated in our hospital from January 2023 to January 2025 were selected and divided into a control group and an observation group according to the random number table method, with 50 cases in each group. The control group was treated with warm acupuncture alone, while the observation group was treated with warm acupuncture combined with Hanbi Decoction on the basis of the control group. The clinical efficacy, Oswestry Disability Index (ODI) score, Visual Analogue Scale (VAS) score, Japanese Orthopaedic Association (JOA) score and lumbar mobility were compared between the two groups before treatment and 5 weeks after treatment. 【Results】 The total effective rate of treatment in the observation group was significantly higher than that in the control group (P<0.05). Five weeks after treatment, the ODI score and VAS score of the observation group were lower than those of the control group, while the JOA score and lumbar mobility were higher than those of the control group, with statistically significant differences (all P<0.05).【Conclusion】 Warm acupuncture combined with Hanbi Decoction has a significant clinical efficacy in the treatment of lumbar disc herniation of cold-dampness obstruction type, which can effectively relieve pain and improve lumbar function and mobility.
俞笑悦, 徐洪亮, 王慧芳, 江苏闽, 廖昱, 李伟. 温针灸联合寒痹方治疗寒湿痹阻型腰椎间盘突出症患者的临床疗效[J]. 医学临床研究, 2025, 42(12): 2054-2056.
YU Xiaoyue, XU Hongliang, WANG Huifang, et al. Clinical Efficacy of Warm Acupuncture Combined with Hanbi Decoction in the Treatment of Patients with Lumbar Disc Herniation of Cold-Dampness Obstruction Type. JOURNAL OF CLINICAL RESEARCH, 2025, 42(12): 2054-2056.
[1] RUSCHELL G,AGNOLETTO G J,ARAGÃO A,et al.Lumbar disc herniation with contralateral radiculopathy:a systematic review on pathophysiology and surgical strategies[J].Neurosurg Rev,2021,44(2):1071-1081. [2] GADJRADJ P S,HARHANGI B S,AMELINK J,et al.Percutaneous transforaminal endoscopic discectomy versus open microdiscectomy for lumbar disc herniation:a systematic review and meta-analysis[J].Spine,2021,46(8):538-549. [3] DING Y,CHEN J Y,YANF J C,et al.Disc degeneration contributes to the denser bone in the subendplate, but not in the vertebral body, in patients with lumbar spinal stenosis or disc herniation[J].Spine J,2023,23(1):64-71. [4] 刘明达,王旭凯,周锐,等.基于中医辨证综合治疗腰椎间盘突出症研究进展[J].河北中医,2021,43(6):1033-1037. [5] 吴利,张静,黄曾,等.586例腰椎间盘突出症患者中医体质分类与证型分布的研究[J].中国中医急症,2022,31(12):2170-2172. [6] 唐李莹,罗明,张垣,等.夹脊穴温针灸联合 Proxomed Tergumed系统康复训练对腰椎间盘突出症患者术后康复的效果[J].广东医学,2022,43(11):1432-1436. [7] 于涛,邢春旭,郑维,等.血府逐瘀汤联合温针灸治疗腰椎间盘突出症疼痛的临床研究[J].中华中医药学刊,2025,43(4):213. [8] 张丽丽,吴李秀,朱慧梅.循经取穴推拿联合温针灸对腰椎间盘突出症患者ODI指数和腰椎活动度的影响[J].中国中医急症,2023,32(1):123-126. [9] 宁嘉威,林雨晨,单继刚,等.基于肌筋膜链理论运用推拿手法联合温针灸治疗血瘀型腰椎间盘突出症临床研究[J].新中医,2025,57(2):108-113. [10] 中华医学会骨科学分会脊柱外科学组,中华医学会骨科学分会骨科康复学组.腰椎间盘突出症诊疗指南[J].中华骨科杂志,2020,40(8):477-487. [11] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:202-203. [12] 闫月.温针灸配合独活寄生汤治疗腰椎间盘突出症寒湿型临床观察[J].实用中医药杂志,2023,39(5):874-876. [13] 袁冬,李慧英.蠲痹汤加减联合双氯芬酸钠治疗腰椎间盘突出症肾虚寒湿证的疗效观察[J].中国实验方剂学杂志,2018,24(9):184-189. [14] 罗跃嘉.简化McGill疼痛评分表的临床应用评价[J].中国康复,1992,7:160-164. [15] 陈巧丽,李英莲,郭为汀.郭为汀治疗腰椎间盘突出症经验介绍[J].新中医,2022,54(24):229-233. [16] 王惠,黄炜,韩晓东,等.腰痛宁胶囊联合布洛芬缓释胶囊治疗腰椎间盘突出症的疗效评价[J].中草药,2023,54(5):1506-1510. [17] 彭垚勤,苏新平,谭旭仪,等.苏新平治疗腰椎间盘突出症经验[J].湖南中医杂志,2023,39(2):61-63. [18] 王拥军,吴弢.石氏伤科施杞临证经验集萃[M].北京:科学出版社,2016.