Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
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Clinical Research Using Salviae Miltiorrhizae Radix-Pharmacopuncture for Lumbar Herniated Intervertebral Disc: Analysis of Trends

  • Kim, Seon Woo (Department of Acupuncture and Moxibustion Medicine, Gwang-ju Jaseng Hospital of Korean Medicine) ;
  • Park, Cheol Woo (Department of Acupuncture and Moxibustion Medicine, Gwang-ju Jaseng Hospital of Korean Medicine) ;
  • Jo, Myeong Jae (Department of Korean Medicine Rehabilitation, Gwang-ju Jaseng Hospital of Korean Medicine) ;
  • Kim, Min Wook (Department of Acupuncture and Moxibustion Medicine, DongShin Korean Medicine Hospital) ;
  • Yu, Jae Hee (Department of Acupuncture and Moxibustion Medicine, DongShin Korean Medicine Hospital) ;
  • Hee, Jeon Seok (Department of Acupuncture and Moxibustion Medicine, DongShin Korean Medicine Hospital) ;
  • Jang, Seung Won (Department of Acupuncture and Moxibustion Medicine, DongShin Korean Medicine Hospital) ;
  • Kang, Do Young (Department of Korean Medicine Rehabilitation, DongShin Korean Medicine Hospital) ;
  • Jeong, Hyun Jin (Department of Internal Korean Medicine, DongShin Korean Medicine Hospital)
  • Received : 2020.10.17
  • Accepted : 2020.12.10
  • Published : 2021.02.28
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Abstract

This review of national and international randomized controlled trials of Salviae miltiorrhizae radix pharmacopuncture for lumbar herniated intervertebral discs was performed to assess its clinical efficacy. There were 5 online databases (PubMed, EMBASE, CNKI, NDSL, OASIS, and RISS) searched on June 1st, 2020. Studies were selected according to the inclusion and exclusion criteria and were reviewed by risk of bias assessment. This review included 14 Chinese studies. The sample sizes ranged from 50 to 100. The numbers of treatments ranged from 20 to 30, with most patients receiving 20 treatments. The longest treatment periods were 10-15 and 15-20 days, of which each accounted for 29% of the studies. The most frequently used evaluation indices were the Japanese Orthopedic Association and the Visual Analog Scale scoring method. The most frequently used acupoints were EX18 and BL25, which accounted for 31% of the total number of acupoints. In 50% of the studies, the pharmacopuncture injection volume was 2 mL. Acupuncture treatment was the most common control group. Eleven studies reported that the intervention group had significantly improved symptoms. However, most of the included studies were of low quality.

Keywords

References

  1. The Korean Orthopaedic Association. Orthopedics. Seoul (Korea): Choisin Publishers Co.; 1998. p. 170-179, 451-454.
  2. Deyo RA, Loeser JD, Bigos SJ. Herniated lumbar intervertebral disc. Ann Int Med 1990;112:598-603. https://doi.org/10.7326/0003-4819-112-8-598
  3. Clinical Guideline on Acupuncture Treatment for Low back Pain. Seoul (Korea): Korean Acupuncture & Moxibustion Medicine Society; 2013. p. 13-18
  4. Cha JD, Jeong SM, Kim GO, Kim GS, Kim NO. The comparison of effectiveness between acupuncture and its cotreatment with bee venom acua-acupuncture therapy on the treatment of herniation of nucleus pulpous. J Acupunct Res 2004;21:149-158. [in Korean].
  5. Kim SN, Kim SC, Choi HK, So KS, Lim JA, Moon HC et al. Clinical study on effect of scolopendrid aquacupuncture classified by the type of lumbar disc herniation. J Acupunct Res 2004;21:80. [in Korean].
  6. Seal J, Herzog R. The natural history of lumbar intervertebral disc extrusions treated nonoperatively. Spine 1990;15:683-686. https://doi.org/10.1097/00007632-199007000-00013
  7. Yoon YS, Park WS, Ha IH, Lee JS, Shin HD. A clinical study on the effect of Korean medical treatments for patients with lumbar disc herniation. J Korean Med Rehabil 2008;18:153-161. [in Korean].
  8. Lee HJ. Introduction to pharmacology and clinical practice. Seoul (Korea): Iljoogsa publishers Co.; 1999. p. 13-15. [in Korean].
  9. Lim CW, Seo JC, Youn HM, Jang KJ, Song CH, Ahn CB. Effect of salvia radix herb-acupuncture on rabbits with Hg-induced acute renal failure. J Acupunct Res 2001;18;111-122
  10. Zhang JX, Ye ZQ, Song D, Zhou YQ. 40 cases of lumbar intervertebral disc protrusion treated by injection of Xiangdan injection at Jiaji points. Fujian Tradit Chin Med 2017;1:7-8. [in Chinese].
  11. Chen XD. Clinical observation on treating 50 cases of lumbar disc herniation with the Danhong injection. Clin J Chin Med 2018;10:88-90. [in Chinese].
  12. Higgins JPT, Green S, editors. Cochrane Handbook for Systematic Reviews of Interventions, version 5.1.0. Chichester (UK): John Wiley & Sons, Ltd; 2011.
  13. Le XH, Fu LP. Treatment of 56 cases of lumbar intervertebral disc protrusion mainly by point injection. Shanghai J Acupunct Moxibust 2002;4:36. [in Chinese].
  14. Zhou JX. Observation on curative effect of guanxinning point injection on treatment of lumbar intervertebral disc herniation. Hubei J Tradit Chin Med 2006;12:42-43. [in Chinese].
  15. Sun YF [Thesis]. Clinical study on treatment of lumbar intervertebral disc protrusion by electroacupuncture and point injection of danshen injection. Heilongjiang University of Chinese Medicine; 2007. p. 1-56. [in Chinese].
  16. Wang XY. 130 cases of lumbar intervertebral disc protrusion treated with point injection and acupuncture. Jangxi J Tradit Chin Med 2008;6:72-73. [in Chinese].
  17. Wang XH. Treatment of 86 cases of lumbar intervertebral disc protrusion of blood stasis type by water acupuncture. Liaoning J Tradit Chin Med 2013:5:999-1000. [in Chinese].
  18. Ye ZQ [Thesis]. Clinical observation on the treatment of lumbar intervertebral disc herniation with xiangdan injection and jiaji point injection. Fujian University of Traditional Chinese Medicine; 2013. p. 1-27. [in Chinese].
  19. Xu WQ, Fu J, Feng XL. Treatment of 50 cases of lumbar intervertebral disc protrusion by traction acupuncture and point injection of xiangdan injection. Chin Med Modern Distance Educ 2015:1:72-73. [in Chinese].
  20. Yang C. The clinical curative effect of acupoint injection on the treatment of lumbar disc herniation with blood stasis syndrome. Guangzhou University of Chinese Medicine; 2016. p. 1-34. [in Chinese].
  21. Wang YG, Liu JT, Zhuang ZL, Duan JH, Qiu C. Danhong injection combined with compound betamethasone acupoint injection in the treatment of lumbar intervertebral disc herniation and its effect on serum BMP-2, TGF-β1, SOD, MDA. Hebei Med J 2016:20:3092-3094. [in Chinese].
  22. Zhang JX, Ye ZQ, Song D, Zhou YQ. 40 Cases of lumbar intervertebral disc protrusion treated by injection of xiangdan injection at jiaji points. Fujian J Tradit Chin Med 2017;1:7-8. [in Chinese].
  23. Sun CN, Cong XY, Cao YM. Treatment of 180 cases of lumbar intervertebral disc protrusion by traction acupuncture and acupoint injection of xiangdan injection. World Latest Med Infor 2018;3:148. [in Chinese].
  24. Wang SY, Zhao ZG. Clinical effect of traction acupuncture and acupoint injection of xiangdan injection in the treatment of lumbar intervertebral disc herniation. Chin Rural Health 2018;1:58-59. [in Chinese].
  25. He XY. Clinical study on treatment of lumbar intervertebral disc herniation with abdominal acupuncture and point injection. Guangzhou University of Chinese Medicine; 2019. [in Chinese].
  26. Zhang Z, Zhang Y, Zou JH. Clinical study on treatment of lumbar intervertebral disc herniation by radiofrequency thermocoagulation target ablation decompression surgery combined with acupoint injection of Chinese medicine. Shaanxi Chin Med 2019:11:1548-1551. [in Chinese].
  27. Schulz KF, Altman DG, Moher D. CONSORT 2010 Statement: Updated Guidelines for Reporting Parallel Group Randomized Trials. Int J Surg 2011;9:672-677. https://doi.org/10.1016/j.ijsu.2011.09.004