Randomized Controlled Clinical Observation on the Treatment of Lumbar Disc Herniation of Cold-Dampness Obstruction Type with Hot Ironing of <italic style="font-style: italic">Haitongpi Formula </italic>（海桐皮方） Combined with Three Movements Technique of Qinggong Spinal Manipulation

LI Fajie; ZHANG Yue; WAN Tianhao; YANG Manhong; XIA Di; ZHANG Qing

doi:10.13288/j.11-2166/r.2025.10.009

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Randomized Controlled Clinical Observation on the Treatment of Lumbar Disc Herniation of Cold-Dampness Obstruction Type with Hot Ironing of Haitongpi Formula （海桐皮方） Combined with Three Movements Technique of Qinggong Spinal Manipulation

更新时间：2025-05-15

- Randomized Controlled Clinical Observation on the Treatment of Lumbar Disc Herniation of Cold-Dampness Obstruction Type with Hot Ironing of Haitongpi Formula （海桐皮方） Combined with Three Movements Technique of Qinggong Spinal Manipulation
- Journal of Traditional Chinese Medicine Vol. 66, Issue 10, Pages: 1023-1030(2025)
- 作者机构：
  
  1.中国中医科学院望京医院，北京市朝阳区花家地街6号，100102
  2.中国中医科学院中医临床基础医学研究所
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2025.10.009
  CLC：
- Received：26 June 2024，
  
  Revised：2025-03-12，
  
  Published：17 May 2025
- 稿件说明：
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李法杰,张悦,万田豪等.海桐皮方热熨联合清宫正骨三搬法治疗寒湿痹阻型腰椎间盘突出症随机对照临床观察[J].中医杂志,2025,66(10):1023-1030.

LI Fajie,ZHANG Yue,WAN Tianhao,et al.Randomized Controlled Clinical Observation on the Treatment of Lumbar Disc Herniation of Cold-Dampness Obstruction Type with Hot Ironing of Haitongpi Formula （海桐皮方） Combined with Three Movements Technique of Qinggong Spinal Manipulation[J].Journal of Traditional Chinese Medicine,2025,66(10):1023-1030.
李法杰,张悦,万田豪等.海桐皮方热熨联合清宫正骨三搬法治疗寒湿痹阻型腰椎间盘突出症随机对照临床观察[J].中医杂志,2025,66(10):1023-1030. DOI： 10.13288/j.11-2166/r.2025.10.009.

LI Fajie,ZHANG Yue,WAN Tianhao,et al.Randomized Controlled Clinical Observation on the Treatment of Lumbar Disc Herniation of Cold-Dampness Obstruction Type with Hot Ironing of Haitongpi Formula （海桐皮方） Combined with Three Movements Technique of Qinggong Spinal Manipulation[J].Journal of Traditional Chinese Medicine,2025,66(10):1023-1030. DOI： 10.13288/j.11-2166/r.2025.10.009.

摘要

目的

观察海桐皮方热熨治疗寒湿痹阻型腰椎间盘突出症（LDH）的临床疗效和安全性。

方法

将70例寒湿痹阻型LDH患者随机分为治疗组与对照组各35例。两组在清宫正骨三搬法治疗的基础上，治疗组加用海桐皮方热熨，对照组加用扶他林软膏外涂，疗程均为14天。比较两组患者临床疗效；分别在治疗前、治疗第7天和第14天、随访第7天和第14天，比较两组腰椎功能的日本骨科协会（JOA）评分、腰部疼痛视觉模拟评分法（VAS）评分、腰部阳性反应点疼痛阈值（PPT）及中医证候积分；于治疗前、治疗第14天比较两组腰椎曲度指数（LCI）。研究过程中记录两组患者不良反应发生情况。

结果

最终纳入患者治疗组35例、对照组34例，治疗组临床总有效率（91.43%，32/35）明显优于对照组（82.35%，28/34，

＜0.05）。与本组治疗前比较，在治疗第7天和第14天、随访第7天和第14天，两组JOA评分和PPT均升高，VAS评分和中医证候积分均降低；两组LCI在治疗第14天均升高（

＜0.01）。与对照组同时间比较，在治疗第14天、随访第7天和第14天，治疗组JOA评分和PPT均升高，VAS评分和中医证候积分均降低；治疗组LCI在治疗第14天升高（

＜0.05或

＜0.01）。对照组有1例出现轻度皮肤过敏反应，其余患者未见不良反应发生。

结论

在清宫正骨三搬法治疗的基础上，海桐皮方热熨治疗寒湿痹阻型LDH的临床疗效优于扶他林软膏外用，可明显降低患者的腰痛程度，提高压痛阈值，改善临床症状、腰椎功能障碍及腰椎曲度，且安全性好。

Abstract

Objective

To observe the clinical efficacy and safety of hot ironing with

Haitongpi Formula

（海桐皮方， HF） in the treatment of lumbar disc herniation （LDH） of cold-dampness obstruction type.

Methods

A total of 70 patients with cold-dampness obstruction type LDH were randomly divided into a treatment group and a control group， with 35 cases in each group. Both groups received three movements technique of Qinggong Spinal Manipulation （QSM） as the basis for treatment. In addition， the treatment group received hot ironing with HF， while the control group applied Diclofenac Sodium Gel externally. The treatment duration for both groups was 14 days. The clinical efficacy was compared between groups. Japanese Orthopedic Association （JOA） score， visual analog scale （VAS） for pain， pain pressure threshold （PPT） for lumbar positive response points， and traditional Chinese medicine （TCM） symptom scores were compared， on day 7， and day 14 of treatment， as well as on day 7 and day 14 of follow-up. The lumbar curvature index （LCI） was also compared before treatment and on day 14 of treatment. Adverse reactions during the study were recorded for both groups.

Results

A total of 35 patients in the treatment group and 34 patients in the control group were included for final analysis. The clinical total effective rate of the treatment group （91.43%， 32/35） was significantly higher than that of the control group （82.35%， 28/34，

＜0.05）. Both the JOA score and PPT of the two groups increased on day 7 and day 14 of treatment， and on day 7 and day 14 of follow-up. VAS scores and TCM symptom scores both decreased. The LCI of both groups increased on day 14 of treatment （

＜0.01）. Compared with the control group at the same time points， on day 14 of treatment and day 7 and day 14 of follow-up， the treatment group had higher JOA scores and PPT， and lower

VAS scores and TCM symptom scores. The LCI of the treatment group increased on day 14 of treatment （

＜0.05 or

＜0.01）. One case in the control group showed mild skin allergy， with no other adverse reactions observed in either group.

Conclusion

Based on three movements technique of QSM， hot ironing with HF shows better clinical efficacy than external Diclofenac Sodium Gel in the treatment of cold-dampness obstruction type LDH. It can significantly reduce lumbar pain， increase pain pressure threshold， improve clinical symptoms， lumbar function， and lumbar curvature， with good safety.

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references

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Randomized Controlled Clinical Observation on the Treatment of Lumbar Disc Herniation of Cold-Dampness Obstruction Type with Hot Ironing of Haitongpi Formula （海桐皮方） Combined with Three Movements Technique of Qinggong Spinal Manipulation

DOI：10.13288/j.11-2166/r.2025.10.009

摘要

Abstract

关键词

Keywords

references