Discussion on the application principle of tuina manipulations for lumbar intervertebral disc herniation in Chinese literatures in recent 30 years
Tóm tắt
To discuss the application principle in tuina manipulation for lumbar intervertebral disc herniation (UDH) in Chinese literatures published in recent 30 years. The three major Chinese databases, Wanfang Academic Journal Full-text Database (Wanfang), Chongqing VIP Database (CQVIP) and China National Knowledge Infrastructure (CNKI), were searched to collect the studies of tuina manipulations in treatment of LIDH published in recent 30 years. Clustering analysis was applied to analyze the top 20 tuina manipulations for UDH. The top 20 most frequently used manipulations for LIDH were Gun-rolling, Rou-kneading, Dian-digital pressing, oblique Ban-pulling, An-pressing, Tanbo-plucking, Bashen-pulling and extending, horizontal Tui-pushing, Na-grasping, Anrou-pressing and kneading, Dou-shaking, Yao-rocking, Ca-scrubbing, Pai-patting, post-extension Ban-pulling, Mo-rubbing, Zhen-vibrating, Nie-pinching, fist-back Ji-tapping, and dorsal Shen-extending methods. The involved manipulations can be divided into two categories by the treated body areas. One category is applied to the soft tissues, including Gun-rolling, Rou-kneading, Dian-digital pressing, An-pressing, Tanbo-plucking, horizontal Tui-pushing, Na-grasping, Anrou-pressing and kneading, Ca-scrubbing, Pai-patting, Mo-rubbing, Zhen-vibrating, Nie-pinching, and fist-back Ji-tapping methods. The other category is applied to bones and joints, including oblique Ban-pulling, Bashen-pulling and extending, Dou-shaking, Yao-rocking, post-extension Ban-pulling, and dorsal Shen-extending methods. Based on the treated body area, the tuina manipulations applied to treat LIDH are predominated by the ones performed on soft tissues, assisted by those on bones and joints. From the way of force exertion, the involved manipulations are majorly the swinging methods, followed by squeezing and pressing ones. The manipulations applied to bones and joints are predominated by the Ban-pulling ones, followed by the Bashen-pulling and extending ones.
Tài liệu tham khảo
Sun JJ, Wang YF, Zhang Z, Cao HJ, Wang P, Zhao MY, Hu NJ, Wu GW, Hu SQ, Meng HY, Zhu J. Effects of needling depth on clinical efficacy of lumbar disc herniation: a systematic review. Zhongguo Zhen Jiu, 2017, 37(9): 1015–1020.
Li CL. Epidemiological analysis of lumbar intervertebral disc herniation. Linchuang Yiyao Shijian, 2003, 12(6): 470.
Lin Q, Zhang H, Zhao Q, Niu K, Zhang GH, Wang YL, Qu Q. Biological effect of rolling manipulation on human skeletal muscle cells. Shanghai Zhongyiyao Daxue Xuebao, 2013, 27(2): 81–84.
State Administration of Traditional Chinese Medicine. Criteria of Diagnosis and Therapeutic Effects of Diseases and Syndromes in Traditional Chinese Medicine. Nanjing: Nanjing University Press, 1994: 214.
Wang GC. Science of Tuina Manipulations. 2nd Edition. Beijing: China Press of Traditional Chinese Medicine, 2007: 111–252.
Shi ZH, Zhang XF, Shen J. Statistics for Traditional Chinese Medicine. Beijing: Science Press, 2009: 978.
Xu SX, Ji L, Wang QW. Numerical investigation of effect of rolling manipulation of traditional Chinese medical massage on blood flow Yingyong Shuxue He Lixue, 2005, 26(6): 694–700.
Qi W, Hu GY, Lu Q, Cong DY, Lu WH, Wang YC, Zhang YF. Mechanism of swaying manipulations working on circulatory system. Zhongguo Laonianxue Zazhi, 2018, 38(2): 486–487.
Guo HK, Xie GT, Zhai XK. Discussion of Rou-kneading manipulation. Anmo Yu Kangfu Yixue, 2003, 19(1): 3, 28.
Wu JC, Wang JJ, Yao BS, Lu MQ, Wang L, Geng N, Ye YY, Yu TY. Evaluation of the effect of plucking manipulation and rubbing manipulation in alleviating biceps brachii fatigue by sEMG. Zhonghua Zhongyiyao Zazhi, 2013, 28(5): 1608–1611.
Li ZW, Wang PM, Xu JA, Mao J. Clinical observation of extended Dianya-digital pressing manipulation for 58 cases of unilateral lumbar intervertebral disc herniation. Jiangsu Zhongyiyao, 2005, 26(11): 28–29.
Chen LZ. Experience in treatment of lumbar intervertebral disc protrusion with pressing method. Zhongyiyao Daobao, 2006, 12(5): 49.
Lian HR. Preliminary discussion of the analgesic effect An-pressing manipulation and its mechanism. Anmo Yu Kangfu Yixue, 2003, 19(4): 53–54.
Yang Z, Ai K, Yu J, Peng L, Wang DJ, Li W, Liu XW, Li JS. Discussion on clinical application status of pressure manipulation. Zhonghua Zhongyiyao Zazhi, 2015, 30(6): 2026–2028.
Li L, Feng ZY, Sun JL. Clinical observation of sling exercise therapy and meridian plucking manipulation on lumbar disc herniation. Kangfu Xuebao, 2015, 25(4): 10–13.
Zhao CQ, Yu HJ, Chen ST, Liu MJ. Clinical study of along-meridian Tanbo-plucking manipulation for chronic lumbar muscle strain. Changchun Zhongyiyao Daxue Xuebao, 2012, 28(4): 617–618.
Ding GQ. Elbow Tui-pushing manipulation as major intervention for lumbar intervertebral disc herniation. Zhongguo Yishi Zazhi, 2004, 9(S): 83–85.
Chen CH, Cao BW, Zhao Y. Clinical observation of Na-grasping thigh adductors for lumbar intervertebral disc herniation. Hubei Zhongyi Zazhi, 2008, 30(6): 57–58.
Li ZY, Chen PQ, Gong L, Gu F, Shen GQ, Yan JT. Analgesic effect on lumbar intervertebral disc protrusion-induced back-leg pain by kneading method of taking the tender point as acupoint. Zhongguo Linchuang Kangfu, 2006, 10(23): 25–27.
Liu YB, Wang DJ. Dou-shaking manipulation in treatment of lumbar intervertebral disc herniation. Zhongyiyao Xinxi, 2002, 19(3): 64.
Zhao Y, Wang CX, Wang WD, Zhang D, Hu YT. The method of traction-shaking in treating the first attack from traction of lumbar disc herniation. Jiangxi Zhongyi Xueyuan Xuebao, 2012, 24(4): 12–13.
Yan XH, Yan JT, Gong L, Jiang SY Study on biomechanics and thermal effect of palmar rubbing. Zhongguo Zhongyi Jichu Yixue Zazhi, 2018, 24(1): 56–59, 86.
Zhan GP. Forty cases of lumbar intervertebral disc herniation treated with Ca-scrubbing and single thumb Tui-pushing Yaoyangguan (GV 3). Zhejiang Zhongyi Zazhi, 2012, 47(4): 276.
Liu Y, Wang QX. Therapeutic observation of hot ironing with Qufeng Zhitong Tougu powder plus Pai-patting meridian-collaterals for sixty cases of cervical spondylosis. Hebei Zhongyi, 2015, 37(7): 990–992. [25]_Cai XL, Chen P. Forty-three cases of lumbar muscle strain treated with tuina plus Mo-rubbing with ointment. Shandong Zhongyi Zazhi, 2011, 30(9): 642–643.
Zhang ZB, Fang M, Jiang SC, Zhang H, Zhou Q. Research progress on biomechanics of vibration therpay. Liaoning Zhongyi Zazhi, 2012, 39(11): 2323–2325.
Wang YC, Zhang SN, Chen YJ, Qiao ZK. Clinical research of applying vibration therapy combined with elongated needles penetration acupuncture to treat lumbar disc herniation. Sichuan Zhongyi, 2014, 32(10): 165–167.
Ren W. Experience of treating 62 cases of lumbar intervertebral disc herniation with fixed-point lumbar oblique Ban-pulling method. Zhejiang Zhongxiyi Jiehe Zazhi, 2016, 26(4): 373–374.
Ni BF, Jin X, Chen WH, Huang J, Sun XY, Lu LJ. Clinical observation on treating lumbar disc herniation by lateral oblique pull method. Zhongyi Linchuang Yanjiu, 2012, 4(16): 40–41.
Kong Y, Zhong CW, Zhang X. Modified lumbar post extension pulling in treating lumbar rotation type lumbar muscle strain. Jilin Zhongyiyao, 2017, 37(10): 1053–1055.
Wang XD. Therapeutic observation of dynamic lumbar post-extension Ban-pulling method for lumbar intervertebral disc herniation. Changchun Zhongyiyao Daxue Xuebao, 2012, 28(5): 881.
Lu LJ, Ke XA, Mao XD, Chen XJ, Wu FC, Tong HJ. Clinical observation of post-extension pulling massage in treating lumbar disc herniation. Zhongguo Gushang, 2010, 23(10): 790–791.
Liu JG. Eighty cases of lumbar intervertebral disc herniation treated with Bashen-pulling and extending and oblique Ban-pulling manipulations. Guangxi Zhongyiyao, 2015, 38(4): 53–54.
Zhang J, Zhu ZY Clinical observation of lumbar intervertebral disc herniation treated with Bashen-pulling and extending manipulation of traditional Chinese medicine. Zhongguo Yixue Gongcheng, 2012, 20(5): 72–73.
Zhou J, Liu SF, Jiang RJ. Clinical research on the effect of improved waist-shaking treatment in supine position on patients with degenerative lumbar spondylolisthesis. Zhongguo Zhongyi Jizheng, 2016, 25(11): 2131–2133.
Sun GX, Guo YX, He QH, Guo JY, Zhang JD. Tendon-bone mutual use and balance theory Pingle bone-setting theory: study of the balance theory in Pingle bone-setting theory system, part two. Zhongyi Zhenggu, 2012, 24(10): 73–77.
Lei LM. Clinical progress of tuina treatment for lumbar intervertebral disc herniation in recent 10 years. J Acupunct Tuina Sci, 2012, 10(2): 128–132.
Li JB, Xiong QL, Qu SK, He JZ, Deng Y, Jia, Li Y, Yi HC. Application of tuina manipulation for lumbar disc herniation: literature analysis in recent 10 years. Zhongguo Zuzhi Gongcheng Yanjiu, 2014, 18(44): 7211–7216.
Tang SJ. Discussion on the theory of paying equal attention to sinew and bone in China osteosynthesis. J Acupunct Tuina Sci, 2015, 13(5): 328–331.
Gao YF, Yao BB, Yu TY Discussion about manipulation theory in treatment of lumbar disc herniation. Liaoning Zhongyiyao Daxue Xuebao, 2014, 16(2): 67–69.
Shi NN, Shen GQ, Zhang XL, He SY. Holistic view of Chinese spinal manipulation and its clinical application. J Acupunct Tuina Sci, 2009, 7(5): 288–292.