LIU Yi-jun, YAGN Yong, SUN Li-min. Clinical Effect of Iontophoresis Therapy of Fuzitang Combined with Shaoyao Gancaotang on Non-specific Low Back Pain[J]. Chinese journal of experimental traditional medical formulae, 2017, 23(20): 195-200.
DOI:
LIU Yi-jun, YAGN Yong, SUN Li-min. Clinical Effect of Iontophoresis Therapy of Fuzitang Combined with Shaoyao Gancaotang on Non-specific Low Back Pain[J]. Chinese journal of experimental traditional medical formulae, 2017, 23(20): 195-200. DOI: 10.13422/j.cnki.syfjx.2017200195.
Clinical Effect of Iontophoresis Therapy of Fuzitang Combined with Shaoyao Gancaotang on Non-specific Low Back Pain
Objective: To evaluate the clinical efficacy of iontophoresis therapy of Fuzitang combined with Shaoyao Gancaotang on non-specific low back pain (NLBP)cold dampness and blood stasis syndrome and investigate its effects on levels of interleukin-1β (IL-1β)
thromboxane 2 (TXB2)
6-keto prostaglandin Flα(6-Keto-PGFlα)
calcitonin gene related peptide (CGRP)
and vasoactive intestinal peptide (VIP). Method: One hundred and seventy-six patients were randomly divided into control group and observation group by random number table.Patients in control group received Yaotuitong pills+electroacupuncture
and patients in observation group received Fuzitang
Shaoyao Gancaotang combined with electroacupuncture.The treatment course was 4 weeks for both groups.Before and after treatment
scores of tenderness condition in simplified McGill pain scale (SF-MPQ) were graded
and the tenderness and pain thresholds were measured.functions were evaluated by using Japan orthopedics association (JOA) method
and patients' global impression of change (PGIC) and cold dampness and blood stasis syndrome were evaluated discussed.In addition
levels of IL-1β
TXB2
6-Keto-PGFlα
CGRP and VIP were detected
and safety evaluation was conducted. Result: The total amelioration rate of JOA was 95.18% in observation group
higher than 83.95% in control group (χ2=5.564
P<0.05).Scores of the pain feeling
pain emotion
visual analog pain
current pain conditions and total pain score in the observation group were all lower than those in control group (P<0.01).The hardness value
tenderness and traditional Chinese medicine (TCM) syndrome scores were lower than those in in control group
but pain threshold value was higher than that in control group (P<0.05 and P<0.01).Scores of subjective symptoms
clinical symptoms
limitation of daily activities
and the total sore of JOA scale in observation group were higher than those in control group (P<0.01).In addition
the markedly improved rate was 68.67% in observation group
higher than 50.62% in control group (χ2=5.558
P<0.05)
and the levels of IL-1β
TXB2
CGRP and VIP were lower than those in control group
while 6-Keto-PGFlα was higher than that in control group (P<0.01). Conclusion: Iontophoresis therapy of electroacupuncture combined with Fuzitang and modified Shaoyao Gancaotang can relieve patients' pain
promote the recovery of lumbar function and improve activity ability in the patients with non-specific low back pain with cold dampness and blood stasis syndrome.
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