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| Herbal cupping therapy combined with massage for lumbar disc herniation：a randomized controlled study |
| Hits 421 Download times 272 Received:January 03, 2025 |
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| DOI
10.11656/j.issn.1673-9043.2025.05.03 |
| Key Words
herbal cupping;lumbar disc herniation（LDH）;cupping;massage;pain;daily functional activity |
| Author Name | Affiliation | E-mail | | WANG Dingyin | Department of Infectious Diseases, Tianjin Nankai Hospital, Tianjin 300100, China
Department of Infectious Disease, Hospital of Integrated Chinese and Western Medicines, Tianjin 300100, China | | | TANG E | Department of Cardiovascular Medicine, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
Department of Cardiovascular Medicine, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China | | | JIANG Hailun | Acupuncture Department, Zhejiang Provincial Hospital of Chinese Medicine, Hangzhou 310060, China
Acupuncture Department, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
Acupuncture Department, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China
Graduate School of Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China | jhl1996@qq.com |
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| Abstract
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| [Objective] To evaluate the clinical efficacy and safety of herbal cupping therapy combined with massage and bamboo cupping therapy combined with massage in the treatment of patients with lumbar disc herniation of blood stasis type. [Methods] This study is a randomized controlled trial，and 76 patients were randomly divided into two groups in a 1∶1 ratio. All patients received massage therapy. The treatment group received medicated jar therapy at Weizhong（bilateral），Shenshu（bilateral），and Dachangshu（bilateral），while the control group received bamboo cupping at the corresponding acupoints. The primary outcome was the change in the JOA score before and after two weeks of treatment. Secondary outcomes included the Visual Analogue Scale（VAS），platelet count，fibrinogen content，whole blood viscosity（high shear rate），and the overall effectiveness of the treatment. Adverse events were assessed at each visit. [Results] In this trial，63 participants completed the study，with no statistical difference in demographic and clinical baseline characteristics（P>0.05）. After two weeks of treatment，both intervention schemes improved scores in subjective symptoms（P<0.05），daily life limitations（P<0.05），and JOA total scores（P<0.05） while reducing VAS scores（P<0.001），with the treatment group showing more advantages over the control group（P=0.02）. Clinically，the overall effectiveness rate was higher in the treatment group than in the control group（P=0.007）. No significant statistical differences were observed in high shear rate，fibrinogen content，and platelet count between the groups before and after treatment（P>0.05）. No adverse events related to the interventions occurred in any of the subjects. [Conclusion] This study confirmed that both medicated cupping combined with massage and cupping therapy combined with massage improve the pain level and daily functional activities in patients with blood stasis syndrome type LDH. However，no significant correlation was found with changes in platelet count，fibrinogen，and high shear rate，and the mechanisms still require further exploration. |
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