Clinical Observation of the Hot and Humid Compress Therapy of Traditional Chinese Medicine in the Treatment of Qi Stagnation and Blood Stasis Type of Lumbar Disc Herniation
Background: Although a number of studies have reported that the hot and humid compress from traditional Chinese medicine (TCM) is effective in treating lumbar disc herniation (LDH) with qi stagnation and blood stasis, clinical evidence is limited. Objective: The purpose of this study is to provide high-quality evidence to support the effectiveness of the traditional Chinese hot and humid compress in the treatment of LDH with qi stagnation and blood stasis. Methods: From October 2021 to November 2023, 86 patients with LDH of qi stagnation and blood stasis type were recruited in our hospital and divided into a control (n = 43) and an observation group (n = 43) according to the random number table method. The control group was given routine clinical treatment, and the observation group was treated with the hot and humid compress therapy for two weeks. The visual analogue scale (VAS) score, Japanese Orthopaedic Association (JOA) score, TCM syndrome score, serum interleukin-6 (IL-6), serum interleukin-1β (IL-1β), and tumor necrosis factor-α (TNF-α) were observed and compared between the two groups before and after treatment, and the clinical efficacy of the two groups was evaluated. Results: After treatment, the VAS score, TCM symptom score, and serum IL-6, IL-1β, and TNF-α levels decreased in both groups (P < 0.05), and those in the observation group were significantly lower than those in the control group (P < 0.05). After treatment, the JOA scores of both groups increased (P < 0.05), and those in the observation group were significantly higher than those in the control group (P < 0.05). The total effective rate of the observation group was 93.02% (40/43) and that of the control group was 72.09% (31/43; P < 0.05). Conclusions: The hot and humid compress of traditional Chinese medicine can effectively relieve pain, restore lumbar function, improve TCM syndromes, reduce the level of inflammatory factors, and have a curative effect in treating LDH.
References
[1]
Mo, Z., Li, D., Zhang, R., Chang, M., Yang, B. and Tang, S. (2019) Comparisons of the Effectiveness and Safety of Tuina, Acupuncture, Traction, and Chinese Herbs for Lumbar Disc Herniation: A Systematic Review and Network Meta-Analysis. Evidence-Based Complementary and Alternative Medicine, 2019, Article ID: 6821310. https://doi.org/10.1155/2019/6821310
[2]
Cho, P.G., Ji, G.Y., Yoon, Y.S. and Shin, D.A. (2019) Clinical Effectiveness of Percutaneous Epidural Neuroplasty According to the Type of Single-Level Lumbar Disc Herniation: A 12-Month Follow-Up Study. Journal of Korean Neurosurgical Society, 62, 681-690. https://doi.org/10.3340/jkns.2019.0070
[3]
Bailey, C.S., Rasoulinejad, P., Taylor, D., Sequeira, K., Miller, T., Watson, J., et al. (2020) Surgery versus Conservative Care for Persistent Sciatica Lasting 4 to 12 Months. New England Journal of Medicine, 382, 1093-1102. https://doi.org/10.1056/nejmoa1912658
[4]
Kim, C.H., Choi, Y., Chung, C.K., Kim, K., Shin, D.A., Park, Y., et al. (2021) Nonsurgical Treatment Outcomes for Surgical Candidates with Lumbar Disc Herniation: A Comprehensive Cohort Study. Scientific Reports, 11, Article No. 3931. https://doi.org/10.1038/s41598-021-83471-y
[5]
Basic Research and Translation Group, Spinal Cord Professional Committee and Chinese Rehabilitation Medical Association (2022) Guidelines for the Diagnosis, Treatment and Rehabilitation Management of Lumbar Disc Herniation. Chinese Journal of Surgery, 60, 401-408.
[6]
Zhang, W., Lou, B.D., Li, J.X., et al. (2021) Clinical Practice Guidelines for Rehabilitation of Traditional Chinese Medicine∙Low Back Pain (Lumbar Disc Herniation). Journal of Rehabilitation, 31, 265-270.
[7]
Yao, M., Li, Z., Zhu, S., Wang, J., Pan, Y., Tian, Z., et al. (2018) Simplified Chinese Version of the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire. Spine, 43, E357-E364. https://doi.org/10.1097/brs.0000000000002424
[8]
Zhou, H. (2018) Classification of TCM Syndrome Elements of Lumbar Disc Herniation. Chinese Medicine Science and Technology, 25, 775-777.
[9]
Tan, Y.P., Xu, Z.H., Zhang, D.X. and Xie, F. (2022) Clinical Observation on 36 Cases of Hyperplasia of Mammary Glands Complicated with Moderate and Severe Breast Pain Treated by Damp-Heat Compress with Modified Digestive Ointment—Double-Blind, Placebo Randomized Controlled Trial. Journal of Traditional Chinese Medicine, 63, 1547-1552.
[10]
Yang, Z.J., Shi, S. and Cui, H.Y. (2021) Clinical Study on the Treatment of Lumbar Disc Herniation with Blood Stasis Type by Tendon Massage Combined with Traditional Chinese Medicine Hot Compress. Clinical Study of Traditional Chinese Medicine, 13, 94-97.
[11]
Shi, S.Y., Guan, R.Q. and Yu, Z.G. (2020) Five-Stage Stretching Massage Combined with Traditional Chinese Medicine Hot Compress in the Treatment of Lumbar Disc Herniation. Journal of Guizhou Medical University, 45, 228-232.
[12]
Xu, F., Liu, Q.H. and Yang, T.H. (2022) Clinical Study of Traditional Chinese Medicine Hot Compress Combined with Radiofrequency Ablation in the Treatment of Lumbar Disc Herniation. New Chinese Medicine, 54, 193-197.
[13]
Mei, J.C., Deng, F.M., Chen, Z. and Chen, B. (2021) Clinical Effect of Damp-Heat Compress of Traditional Chinese Medicine Combined with Celecoxib in the Treatment of Lumbar Disc Herniation. Journal of Clinical Rational Drug Use, 14, 103-105.
[14]
Song, C.J. (2022) Clinical Efficacy of Traditional Chinese Medicine Hot and Humid Compress Combined with Exercise Therapy in the Treatment of Knee Osteoarthritis. Journal of Chronic Diseases, 23, 1056-1058.
[15]
Zhou, F., Tao, H., Liu, G., Zhang, Y., Zhang, Y. and Zhou, K. (2021) Clinical Effect of TESSYS Technique under Spinal Endoscopy Combined with Drug Therapy in Patients with Lumbar Disc Herniation and Its Effect on Quality of Life and Serum Inflammatory Factors: Results of a Randomized Trial. Annals of Palliative Medicine, 10, 8728-8736. https://doi.org/10.21037/apm-21-1282
[16]
Yu, Z.G., Guan, R.Q., Li, T.J., Zheng, C.Z., Wu, L.Q. and Huang, C.L. (2022) Observation on the Curative Effect of Five-Stage Stretching Method Combined with Traditional Chinese Medicine Hot Compress in the Treatment of Lumbar Disc Herniation with Qi Stagnation and Blood Stasis. Acta Chinese Medicine and Pharmacology, 50, 58-61.
[17]
Yu, P., Jiang, H., Liu, J., Li, X., Qian, X., Han, S., et al. (2014) Traditional Chinese Medicine Treatment for Ruptured Lumbar Disc Herniation: Clinical Observations in 102 Cases. Orthopaedic Surgery, 6, 229-235. https://doi.org/10.1111/os.12120
[18]
Ma, Z., Yu, P., Jiang, H., et al. (2021) Conservative Treatment for Giant Lumbar Disc Herniation: Clinical Study in 409 Cases. Pain Physician, 24, E639-E648.
[19]
Liu, J., Zhu, Y., Wang, Z., Yu, P., Xue, C., Jiang, H., et al. (2020) Clinical Research for Whether the Traditional Chinese Medicine Could Promote the Resorption of Lumbar Disc Herniation: A Randomized Controlled Trial. Medicine, 99, e21069. https://doi.org/10.1097/md.0000000000021069
