Clinical study on the treatment of low back pain with oral Chinese medicine combined with external application of Mongolian medicine Jiuwèi Xiaozhong powder
中药内服配合蒙药九味消肿散外敷治疗腰痛的临床研究

摘要

目的 探讨临床上针对腰痛患者采用中药内服联合蒙药九味消肿散外敷的治疗方法所取得的临床效果。方法 本次临床研究针对2024年1月至2025年6月期间在我院就诊的60例腰痛患者进行。患者的分组是随机的，采用投掷硬币的方式决定。其中，参照组包含30例患者，该组患者接受的是中药内服配合针灸的治疗方案；而研究组同样有30例患者，他们接受的是中药内服联合蒙药九味消肿散外敷的治疗方法。此次研究的主要目的是观察并对比两组患者的治疗有效率、JOA（腰腿痛评分系统）评分、VAS（视觉模拟量表）评分以及中医症状体征评分的差异。结果 与参照组腰痛患者相比，研究组患者的治疗总有效率在临床统计数据上展现出了明显的提升（P<0.05）。在治疗前，通过JOA量表对患者进行评估，结果显示两组患者的各项指标评分并未表现出明显的差异（P>0.05）。经过治疗之后，两组患者的JOA量表指标评分均出现了显著的降低，（P<0.05）。在治疗前，利用VAS量表和中医症状体征评分对两组患者进行评估，结果也未显示出明显的差异（P>0.05）。治疗后，这两组患者的VAS量表评分和中医症状体征评分均呈现出了显著的降低趋势（P<0.05）。结论 临床对腰痛患者在给予治疗期间，将中药内服+蒙药九味消肿散外敷方法充分结合，可明显提高患者的治疗效果，双重改善患者的腰椎功能以及疼痛程度，可充分说明两种方法联合治疗腰痛疾病的价值所在。

Abstract

Objective To explore the clinical effects of a treatment method combining oral traditional Chinese medicine (TCM) with external application of Mongolian medicine Jiuwei Xiaozhong San in patients with low back pain.
Methods This clinical study included 60 patients with low back pain who visited our hospital from January 2024 to June 2025. Patients were randomly divided into groups using a coin toss method. The control group consisted of 30 patients, who received oral TCM combined with acupuncture. The study group also included 30 patients, who were treated with oral TCM combined with external application of Mongolian medicine Jiuwei Xiaozhong San. The primary aim of this study was to observe and compare the treatment efficacy, Japanese Orthopaedic Association (JOA) scores, Visual Analog Scale (VAS) scores, and Traditional Chinese Medicine (TCM) symptom and sign scores between the two groups.
Results Compared with the control group, the total treatment efficacy of the study group showed a significant improvement in clinical statistics (P<0.05). Before treatment, JOA scale evaluation showed no obvious differences between the two groups (P>0.05). After treatment, JOA scores in both groups were significantly reduced (P<0.05). Before treatment, VAS and TCM symptom and sign scores also showed no significant differences between the groups (P>0.05). After treatment, the VAS and TCM scores in both groups displayed a significant decreasing trend (P<0.05).
Conclusion   During clinical treatment of low back pain, the combination of oral TCM with external application of Mongolian medicine Jiuwei Xiaozhong San can significantly improve treatment outcomes, enhance lumbar function, and alleviate pain, demonstrating the value of this combined therapeutic approach for low back pain.