ĐÁNH GIÁ HIỆU QUẢ LÂM SÀNG BẰNG BÀI THUỐC ĐỘC HOẠT KÝ SINH THANG KẾT HỢP ĐIỆN CHÂM, ĐIỆN XUNG, XOA BÓP BẤM HUYỆT, TẬP ĐỘNG TÁC TAM GIÁC BIẾN THỂ TRÊN BỆNH NHÂN THOÁI HÓA CỘT SỐNG THẮT LƯNG TẠI BỆNH VIỆN Y HỌC CỔ TRUYỀN THÀNH PHỐ CẦN THƠ NĂM 2024-2025

Abstract

Background: According to Traditional Medicine, there are many traditional methods that are effective in treating low back pain caused by lumbar spine degeneration. The combination of therapeutic exercises, including a modified triangle movement, has been studied and shown to be effective in managing low back pain due to spinal degeneration. Objectives: To describe the clinical and paraclinical characteristics, and to evaluate the pain relief outcomes using the prescription Duhuo Jisheng Tang combined with electroacupuncture, electrical stimulation, acupressure massage, and the modified triangle movement in patients with lumbar spine degeneration. Materials and methods: An uncontrolled clinical intervention study was conducted on 30 patients diagnosed with lumbar spine degeneration according to modern medicine, and classified as having kidney and liver deficiency syndrome (Gan-Shen Xu) according to Traditional Medicine, who were hospitalized at Can Tho Traditional Medicine Hospital, voluntarily participated in the study from June 2024 to April 2025. Results: All patients (100%) presented with localized low back pain, paraspinal muscle stiffness, and restricted mobility. Paraclinical imaging showed joint space narrowing and intervertebral disc space reduction in 100% of cases, subchondral sclerosis in 86.7%, and osteophyte formation in 93.3%. Pain reduction based on the VAS score, lumbar lordosis angle, lateral flexion, forward flexion, range of motion, and fingertip-to-floor distance all improved significantly after 14 days of treatment, with statistically significant differences (p<0.001). Conclusion: The results indicate that the treatment regimen combining Duhuo Jisheng Tang, electroacupuncture, electrical stimulation, acupressure massage, and modified triangle exercises provides good clinical efficacy in treating patients with lumbar spine degeneration, with notable improvement in both symptoms and functional parameters.