EVALUATION OF THE TREATMENT RESULTS OF THE REDUCED TAM TY THANG REGIMEN FOR DEGENERATIVE SCIATICA OF THE LUMBAR SPINE, COMBINED WITH ELECTROACUPUNCTURE, MASSAGE, AND ACUPRESSURE

Duy Thương Hồ, Văn Nút Lâm

Main Article Content

Abstract

Research objective: Evaluate the results of treating sciatica with lumbar spine degeneration using the modified "Tam ty thang" prescription combined with electroacupuncture, massage, and acupressure; Survey the unwanted clinical effects of this method. Method: Open clinical trial comparing before and after treatment on 33 patients diagnosed and treated for lumbar spine syndrome with lumbar spine degeneration at the Department of Traditional Medicine, Nghi Xuan District General Hospital - Ha Tinh from May 2016 to the end of September 2016. Results: Treatment of sciatica with wind-cold-dampness syndrome and kidney deficiency by taking the modified "Tam Ty thang" prescription and electroacupuncture, massage, and acupressure has a clear pain-relieving effect: Pain level at D0, moderate pain in 30 patients, severe pain in 3 patients. At D16, there was no pain in 14 patients, mild pain in 18 patients, moderate pain in 1 patient, and no severe pain in any patient. Valleix sign at D0, 1 point has 1 patient, 2 points have 2 patients, 3 points have 5 patients, 4 points have 7 patients, 5 points have 18 patients. Up to D16, 0 point has 11 patients, 1 point has 11 patients, 2 points have 8 patients, 3 points have 2 patients, 4 points have 1 patient, 5 points have no patients. Lasegue sign at D0, 31 patients have Lasegue 45º - 75º, 2 patients have Lasegue 30º - 45º. Up to D16, Lasegue greater than 75º is 30 patients, Lasegue 45º - 75º is 3 patients. General treatment results: Type A: 42.42%, Type B: 48.49%, Type C: 9.09%. Conclusion: Treatment of sciatica due to wind-cold-dampness and kidney deficiency by taking the modified “Tam ty thang” and electroacupuncture, acupressure massage has a significant pain-relieving effect. When treating sciatica due to wind-cold-dampness by taking the modified “Tam ty thang” and electroacupuncture, acupressure massage has no undesirable clinical and paraclinical effects.

Article Details

References

Trần Ngọc Ân (1991), “Đau vùng thắt lưng hông”, Bệnh thấp khớp, Tái bản lần thứ 4, tr. 294-311.
2. Nguyễn Thị Thu Hương (2003) “Điều trị đau dây thần kinh tọa với hai huyệt Thái xung và Túc lâm khấp”, Tạp chí Đông y, số 173, tr. 37- 39.
3. Trường Đại học Y Hà Nội (1993), Bài giảng Y học cổ truyền, Tập II, Nhà xuất bản Y học, Hà Nội, tr. 140-142, 418.
4. Lê Thị Tranh (2007), Điều trị đau thần kinh tọa bằng phương pháp điện châm và thủy châm nhóm vitamin.” Đề tài luận văn Thạc sỹ Y học cổ truyền 2007, tr.30-40.
5. Nguyễn Thế Truyền (2010), “Điều trị đau thần kinh tọa bằng sóng điện từ” luận văn tốt nghiệp đại học, Học viện Y Dược học cổ truyền Việt Nam, tr 25-30.
6. Trương Minh Việt (2001) “Xoa bóp bấm huyệt điều trị đau thàn kinh hông to” luận văn Thạc sỹ học viện Quân y, tr: 42-50
7. Balague F, Nordin M, Sheikhzadeh A (1999), Recovery of severe sciatica, Spine24, pp. 2516-2524
8. Lo G.H., Richard M.J., McAlindon T.E., Kriska A.M, Price L.L., et al. Strength Training Is Associated With Less Knee Osteoarthritis: Data From the Osteoarthritis Initiative. Arthritis Rheumatol. 2023. 76(3), 377-383, doi: 10.1002/art.42732.