|
| Evaluation of ancient evidence of lumbar disc herniation and exploration of dialectical rules |
| Hits 629 Download times 1455 Received:January 21, 2023 |
| View Full Text View/Add Comment Download reader |
| DOI
10.11656/j.issn.1672-1519.2023.05.08 |
| Key Words
lumbar disc herniation;low back pain;ancient literature;evaluation;Chinese medical classics |
| Author Name | Affiliation | E-mail | | TAO Tao | Changchun University of Chinese Medicine, Changchun 130117, China | | | SHI Mingpeng | Changchun University of Chinese Medicine, Changchun 130117, China | | | ZHANG Xianshuai | Changchun University of Chinese Medicine, Changchun 130117, China | | | ZHOU Guohui | Changchun University of Chinese Medicine, Changchun 130117, China | | | YU Jie | Department of Orthopedics, Wangjing Hospital of Chinese Academy of Chinese Medical Sciences, Beijing 100102, China | | | YIN He | Department of Orthopedics, Wangjing Hospital of Chinese Academy of Chinese Medical Sciences, Beijing 100102, China | | | ZHUANG Minghui | Department of Orthopedics, Wangjing Hospital of Chinese Academy of Chinese Medical Sciences, Beijing 100102, China | | | TAN Boyang | Changchun University of Chinese Medicine, Changchun 130117, China | | | LI Shaojun | Department of Orthopedics, The Affiliated Hospital to Changchun University of Chinese Medicine, Changchun 130117, China | | | ZHU Liguo | Department of Orthopedics, Wangjing Hospital of Chinese Academy of Chinese Medical Sciences, Beijing 100102, China | | | LI Zhenhua | Department of Orthopedics, The Affiliated Hospital to Changchun University of Chinese Medicine, Changchun 130117, China | 184515927@qq.com |
|
| Abstract
|
| [Objective] To sort out the ancient book evidence and dialectical law of lumbar disc herniation and evaluate its quality of evidence, in order to provide reference for the study of clinical evidence-based medicine in traditional Chinese medicine.[Methods] Search the Chinese medical classics to screen the prevention and treatment evidence related to lumbar disc herniation, evaluate each evidence with the evaluation and grading scale of prevention and treatment evidence of ancient chinese medicine, and provide clinicians with a summary of the syndrome differentiation rules of classic prescriptions through the way of "measuring the syndrome by prescription".[Results] A total of 197 pieces of prevention and treatment evidence of lumbar disc herniation were obtained, including 192 pieces of knowledge evidence and 5 pieces of case evidence. A total of 136 prescriptions and 74 ancient books are involved, in which 136 prescriptions, 20 were rated as Level Ⅰ evidence; 55 were rated as Level Ⅱ evidence; 61 were rated as Level Ⅲ evidence. Most of the dialectical types are kidney deficiency lumbago (55), cold and wet lumbago (35), congested lumbago (9), and damp-heat lumbago (9).[Conclusion] The quality of evidence in ancient books of traditional Chinese medicine for the treatment of lumbar disc herniation is not high, and the research of ancient books of traditional Chinese medicine still needs to be further explored. Evidence from ancient books shows that kidney deficiency lumbago and cold-dampness lumbago are common in the dialectics of lumbar disc herniation, and the treatment principles and methods are mostly kidney tonifying and yang strengthening, dispelling cold and dehumidifying, warming meridians and collaterals, regulating qi to relieve pain, resolving phlegm and dehumidifying, etc. |
|
|
|
|
|
|
|
