ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ ĐAU THẮT LƯNG THỂ HÀN THẤP TRÊN NGƯỜI BỆNH THOÁI HÓA CỘT SỐNG BẰNG THUỐC VIÊN BẠCH Y PHONG TÊ THẤP KẾT HỢP ĐIỆN CHÂM, CỨU VÀ TẬP DƯỠNG SINH

Abstract

 Background: Low back pain due to lumbar spondylosis is a common condition, causing persistent pain and limitation of movement; in traditional medicine, the cold-damp pattern typically presents with pain that worsens in cold conditions and is relieved by warmth, and combined traditional medicine therapies using multiple methods provide improvement. Objectives: 1. To describe selected clinical and paraclinical characteristics of patients with low back pain due to lumbar spondylosis; 2. To evaluate treatment outcomes for cold-damp pattern low back pain in patients with lumbar spondylosis treated with Bach Y Phong Te Thap pill in combination with electroacupuncture, moxibustion, and health qigong exercises. Materials and methods: A single-arm clinical intervention study with a pre–post design was conducted on 60 patients treated at Hoc Mon District General Hospital. Patients received continuous treatment for 10 days; outcomes were assessed at D0, D5, and D10 using the VAS pain scale, Schober index, fingertip-to-floor distance, and lumbar spine range of motion. Results: Osteophytes were present in almost all patients (100%), and degenerative changes were mainly concentrated at L4–L5. The proportion of severe pain decreased from 55% (D0) to 0% (D5 and D10); at D10, 20% had no pain and 68.3% had mild pain (p<0.001). The Schober index increased from 10.83 ± 0.60 (D0) to 13.55 ± 0.72 (D10); the fingertip-to-floor distance decreased from 36.78 ± 5.12 cm to 18.22 ± 7.20cm (p<0.001). Range of motion improved significantly in flexion, extension, lateral bending, and rotation (p<0.001). Conclusion: The regimen combining Bach Y Phong Te Thap pill, electroacupuncture, moxibustion, and health qigong exercises significantly reduced pain and improved lumbar spine range of motion after 10 days of treatment.