Hu Xiu-Wu, Deng Chen-Ying, Qiu Fen-Fen, Geng Le-le, Yu Xi-Jing, Tang Li-Mei, Huang Ping, Nie Xiao-Feng
Department of Acupuncture and Moxibustion, Hongdu Hospital of Chinese Medicine, Nanchang 330006, China.
Department of Rehabilitation of Jiangxi Integrated Chinese and Western Medicine Hospital, Nanchang 330004.
Zhen Ci Yan Jiu. 2020 Apr 25;45(4):320-4. doi: 10.13702/j.1000-0607.190569.
To observe the effect of long-snake moxibustion on pain, functional disorder and body constitution in the patients with lumbago of cold-dampness type.
A total of 90 patients with lumbago of cold-dampness type were randomized into long-snake moxibustion, acupuncture and medication groups, 30 cases in each group. In the long-snake moxibustion group, long-snake moxibustion was exerted on the spinal (between Dazhui[GV14] and Yaoshu[GV2]) with the self-prepared moxa powder formula combined with fresh ginger and moxa wool, once a week, for 4 weeks. Regular acupuncture was given to the acupuncture group, 30 min each time, once a day, 8 times as a treatment course, at the interval of 2 days between the courses. The duration of treatment was 1 month. In the medication group, Diclofenac Sodium was prescribed for oral administration, 25 mg each time, three times a day, and Mecobalamine tablets, 0.5 mg each time, 3 times a day. The duration of medication was 1 month. Before and after treatment, the differences were evaluated in the scores of visual analog scale (VAS), the present pain intensity(PPI), Oswestry disability index (ODI) and the scale of yang-deficiency body constitution among the 3 groups.
After the treatment, VAS and PPI score and ODI were significantly reduced in the patients of the 3 groups as compared with those before treatment (all <0.05). Compared with the medication group, ODI score was significantly reduced in the long-snake moxibustion group and the acupuncture group (<0.05). After the treatment, the scores of the scale of yang-deficiency body constitution were significantly reduced in the long-snake moxibustion group and the acupuncture group (<0.05) as compared with those before the treatment, but not statistically significant in the medication group in comparison before and after the treatment (>0.05). The score of the scale of yang-deficiency body constitution in the long-snake moxibustion group was significantly lower than that in the acupuncture group and the medication group (<0.05). Regarding the clinical effect, the effective rate was 93.33% (28/30) in the long-snake moxibustion group and it was 86.67% (26/30) in the acupuncture group and 73.33% (22/30) in the medication group after the treatment. The effective rate in the long-snake moxibustion group was significantly higher than those in the acupuncture group and the medication group (<0.05).
The long-snake moxibustion therapy can achieve significant effect on lumbago of cold-dampness type. This therapy can alleviate pain, relieve the functional disorders and improve the conditions of body constitution in the patients. Hence, it is applicable for the clinical promotion.
观察长蛇灸对寒湿型腰痛患者疼痛、功能障碍及体质的影响。
将90例寒湿型腰痛患者随机分为长蛇灸组、针刺组和药物组，每组30例。长蛇灸组采用自拟艾粉方配合鲜姜、艾绒在脊柱（大椎[GV14]至腰俞[GV2]）行长蛇灸，每周1次，共4周。针刺组给予常规针刺，每次30分钟，每日1次，8次为1个疗程，疗程间间隔2天。治疗时间为1个月。药物组口服双氯芬酸钠，每次25mg，每日3次，甲钴胺片，每次0.5mg，每日3次。用药时间为1个月。治疗前后，评估3组患者视觉模拟评分（VAS）、当前疼痛强度（PPI）、Oswestry功能障碍指数（ODI）及阳虚体质量表评分的差异。
治疗后，3组患者的VAS、PPI评分及ODI均较治疗前显著降低（均P<0.05）。与药物组比较，长蛇灸组和针刺组ODI评分显著降低（P<0.05）。治疗后，长蛇灸组和针刺组阳虚体质量表评分较治疗前显著降低（P<0.05），而药物组治疗前后比较差异无统计学意义（P>0.05）。长蛇灸组阳虚体质量表评分显著低于针刺组和药物组（P<0.05）。在临床疗效方面，治疗后长蛇灸组有效率为93.33%（28/30），针刺组为86.67%（26/30），药物组为73.33%（22/30）。长蛇灸组有效率显著高于针刺组和药物组（P<0.05）。
长蛇灸疗法对寒湿型腰痛有显著疗效。该疗法可缓解疼痛，减轻功能障碍，改善患者体质状况。因此，适用于临床推广。
