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Clinical effect of triple needling at Weizhong(BL 40)on cold-dampness type lumbar intervertebral disc herniation
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DOI   10.11656/j.issn.1672-1519.2024.12.06
Key Words   Weizhong(BL40);triple needling;lumbar disc herniation;infrared thermography;multifidus
Author NameAffiliationE-mail
XU Jingjing Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China
Department of Acupuncture and Moxibustion, Shanghai Sixth People's Hospital, Shanghai 200233, China
Shanghai Nanxiang Community Health Service Center, Shanghai 201802 
 
ZHANG Junfeng Department of Acupuncture and Moxibustion, Shanghai Sixth People's Hospital, Shanghai 200233, China  
WU Yaochi Department of Acupuncture and Moxibustion, Shanghai Sixth People's Hospital, Shanghai 200233, China 18930172222@163.com 
ZHANG Jingzhi Department of Acupuncture and Moxibustion, Shanghai Sixth People's Hospital, Shanghai 200233, China  
YI Xiaolei Department of Ultrasound Medicine, Shanghai Sixth People's Hospital, Shanghai 200233, China  
Abstract
    [Objective] To observe the clinical efficacy of triple needling at Weizhong(BL40) in the treatment of patients with cold-dampness type lumbar disc herniation. [Methods] From August 2023 to March 2024,79 patients with cold-dampness lumbar disc herniation who met the inclusion criteria in the outpatient department of the Department of Acupuncture and Traumatology of Shanghai Sixth People’s Hospital were randomly divided into treatment group(40 cases) and control group(39 cases). The patients in the treatment group were treated with triple needling at Weizhong(BL40),while the patients in the control group were treated with common acupuncture at Weizhong(BL40). Both groups were treated with acupuncture at lumbar Jiaji(EX-B2),Shenshu(BL23),and Dachangshu(BL25) for 2 courses. The changes in pain VAS score,JOA score,lower lumbar temperature,and multifidus muscle morphology under ultrasound were observed before and after treatment,and the clinical efficacy of the two groups was compared. [Results] The effective rate of the treatment group was 95% higher than that of the control group 74.4%. After treatment,the pain VAS score and JOA score of the two groups were significantly improved after 2 courses of treatment,and the treatment group was better than the control group(P<0.05). The changes in lower lumbar temperature,cross-sectional area,and thickness of multifidus muscle in the treatment group were significantly higher than those in the control group(P<0.05). [Conclusion] Triple needling at Weizhong(BL40)can effectively reduce the symptoms of low back pain in patients with cold-dampness type lumbar disc herniation,improve the quality of life of patients,increase the temperature of the lower waist,control the atrophy of the multifidus muscle,improve multifidus muscle contraction ability.

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