Clinical Study on Fu's Subcutaneous Needling Therapy Combined with Tui Na for 46 Cases of Chronic Nonspecific Low Back Pain in Pattern of Qi Stagnation and Blood Stasis.

Objective: To discuss the clinical therapeutic effect of Fu's subcutaneous needling therapy combined with tui na in the treatment of chronic nonspecific low back pain in pattern of qi stagnation and blood stasis. Methods: 92 cases of chronic nonspecific low back pain patients in pattern of qi stagnation and blood stasis were divided into the treatment group and the control group, with 46 cases in each group (n = 46). The patients in the control group were given routine treatment of modern medicine. Based on the treatment of the control group, patients in the treatment group were treated with Fu's subcutaneous needling therapy combined with tui na. The therapeutic effect of the two groups was compared after treatment. The modified Japanese Orthopaedic Association (mJOA) was used to evaluate the patient's condition. The subjective pain degree of patients was evaluated by visual analogue scale (VAS). The range of motion of extension, lateral flexion and flexion was compared between the two groups. The serum levels of Interleukin-1B (IL-1ß), substance P (SP) and 5-hydroxytryptamine (5-HT) were measured before and after treatment. Results: The total effective rate of the treatment group was 95.65%. The total effective rate of the control group was 80.43%. The total effective rate of the treatment group was higher than that of the control group, and the difference was statistically significant (P < 0.05). The mJOA scores of the two groups increased significantly after treatment, especially in the treatment group (P < 0.05). The VAS scores of the two groups significantly reduced after treatment, especially in the treatment group (P < 0.05). The range of motion of extension, lateral flexion and flexion in the two groups significantly improved after treatment (P < 0.05). The range of motion of extension, lateral flexion and flexion in the treatment group was higher than that in the control group, and the difference was statistically significant (P < 0.05). After treatment, IL-1ß and SP in the two groups decreased significantly, and 5-HT increased significantly (P < 0.05). The IL-1ß and SP in the treatment group were lower than those in the control group, and 5-HT in the treatment group was higher than that in the control group. Moreover, the differences were statistically significant (P < 0.05). Conclusion: Fu's subcutaneous needling therapy combined with tui na can improve the curative effect of chronic nonspecific low back pain in pattern of qi stagnation and blood stasis. The treatment helps to control the condition of disease, reduce the degree of pain and improve the range of activity of the waist. Moreover, it can regulate the level of cytokines. [ABSTRACT FROM AUTHOR]