Retrospective analysis of clinical effect of Tibetan medicine on Kazhomai Lung (Lumbar disc Herniation)
藏医治疗凯掌买垄（腰椎间盘突出症）的回顾性临床疗效分析

摘要

目的 通过回顾性病例收集我科在电子病历系统于2020年3月~2022年3月期间住院患者50例运用藏医外治法（药浴结合涂擦疗法）和不同时段的藏药在治疗凯掌买垄的疗效。方法 通过藏医外治法（药浴结合涂擦疗法）和不同时段的藏药治疗腰椎间盘突出症的疗效。通过早、中、晚三个时段用三种藏药5天为一个疗程，同时进行加味五味甘露藏药浴每天2次、每次10~30分钟、以7天一个疗程，结束7天药浴后接着用经脉散与陈旧酥油调匀后涂于腰部及下肢涂完药膏后加以PPT烤电20分钟、每日1次、5天为一个疗程。结果 临床控制11例（22%），显效20例（40%）,有效16例（38%）,无效3例（6%）,总有效率为94%。结论 运用藏药和藏医外治疗法治疗腰椎间盘突出症，发现在改善临床症状腰痛、下肢麻木、行动困难、无力等临床症状方面疗效显著，值得临床推广应用。

Abstract

Objective Through retrospective collection of 50 patients who were hospitalized in the electronic medical record system of our department from March 2020 to March 2022, the therapeutic effect of Tibetan medicine (medicine bath combined with erasure therapy) and different periods of Tibetan medicine in the treatment of Kaizhangmai lung.
Methods: The treatment of lumbar disc herniation by external treatment of Tibetan medicine (medicine bath combined with rubbing therapy) and different periods of Tibetan medicine. Through the morning, the middle and the evening three periods with three kinds of Tibetan medicine for 5 days as a course of treatment, at the same time with the flavor of five flavors of sweet dew Tibetan medicine bath 2 times a day, 10 to 30 minutes each time, to 7 days a course of treatment, after the end of the 7 days of medicine bath and then with the meridian powder and old shortening evenly applied to the waist and lower limbs after the ointment with PPT curing electricity for 20 minutes, once a day, 5 days for a course of treatment.
Results: Clinical control cases were 11 (22 %), effective cases were 20 (40%), effective cases were 16 (38 %), ineffective cases were 3 (6 %), the total effective rate was 94%.
Conclusion  : The application of Tibetan medicine and outside Tibetan medicine in the treatment of lumbar disc herniation was found to be effective in improving clinical symptoms such as lumbago, lower limb numbness, mobility difficulties, weakness and other clinical symptoms, worthy of clinical promotion and application.