Clinical Study on Modified Medicine Storage Cupping Technique Combined with Mecobalamin Tablets in Treatment of Lumbar Disc Herniation with Cold-damp Obstruction Syndrome

LIU Hongyan, DING Ying, GAO Chunyu, YUAN Na, YANG Kexin, DONG Yongli,

LI Luguang, XUE Huanhuan, ZHANG Chunran

Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China

Abstract: Objective To observe the clinical efficacy of modified medicine storage cupping technique combined with mecobalamin tablets in the treatment of lumbar disc herniation (LDH) with cold-dampness obstruction. Methods Totally 80 patients were randomly divided into treatment group (40 cases) and control group (40 cases). All patients were given health education, and mecobalamin tablets were given 0.5 mg each time, 3 times a day, orally. On this basis, the treatment group was treated with modified medicine storage cupping method, and the control group was treated with routine cupping method, once every 3 days. Both groups were treated continuously for 2 weeks and followed up for 1 month. The clinical efficacy of the two groups was compared. The visual analogue score (VAS) and the score of the Japanese Orthopaedic Association (JOA) were observed before and after treatment and during the follow-up period. The safety of the two groups was evaluated. Results In the course of treatment, one case lost in the treatment group and three cases lost in the control group. The total effective rate was 89.74% (35/39) in the treatment

group and 78.38% (29/37) in the control group (P<0.05). The total effective rate in the treatment group was significantly higher than that in the control group (P<0.05). Compared with before treatment, the VAS score of both groups decreased significantly after treatment (P<0.05). Compared with after treatment, the VAS score in the treatment group was significantly reduced during follow-up (P<0.05). The VAS score in the treatment group after treatment and during follow-up were significantly lower than the control group (P<0.05). Compared with before treatment, the JOA score of the two groups increased significantly after treatment (P<0.05). Compared with after treatment, the JOA score of the treatment group significantly increased during follow-up(P<0.05). The JOA score in the treatment group after treatment and during follow-up were significantly higher than the control group. The adverse reaction rate was 2.56% (1/39) in the treatment group and 5.41% (2/37) in the control group, without statistical significance (P>0.05). Conclusion The modified medicine storage cupping method combined with mecobalamin tablets is effective in the treatment of LDH with cold-dampness obstruction syndrome, which can significantly improve the clinical symptoms and lumbar function.

Keywords: modified medicine storage cupping; lumbar disc herniation; cold-dampness obstruction symptom