title: [Treatment of lumbar disc herniation combine with buttock tender node with Pizhen].
abstract: OBJECTIVE
  To observe the therapeutic effects of Pizhen in treating lumbar disc herniation combined with buttock tender node.
  
  
  METHODS
  From August 2009 to February 2010,83 patients (29 males and 54 females) with lumbar disc herniation combined with buttock tender node were randomly divided into the Pizhen group and acupuncture group. Pizhen group were treated with Pizhen manipulation, inserting needle by vertical prick with quacking inserting and quick withdrawing the needle, no rotating and the depth was through the surface of fascia, two times as a course of treatment; acupuncture group were treated with acupuncture, inserting Ashi-point, retaining the needle 20 min, ten times as a course of treatment. VAS scoring at the end of treatment and B ultrasonic image at 3d after treatment was carried out to observe the therapeutic effects.
  
  
  RESULTS
  B ultrasonic image of buttock tender node showed inflammation reaction or ellipse. The width of the inflammation reaction decreased after treatment, but there has no statistical significance (P=0.635). There was no significant difference between two groups (P=0.813).
  
  
  CONCLUSIONS
  Pizhen manipulation is better than acupuncture. B ultrasonic image gives morphological performance of buttock tender node, the content is inflammatory infiltrates. B ultrasound has certainly significance in diagnosing, treating and evaluating the clinical effect of Pizhen manipulation on treating buttock tender node.
authors.affiliation: Acupuncture and Massage College of Traditional Chinese Medicine University of Beijing, Beijing 100029, China.
authors.forename: Zhi-wei
authors.initials: ZW
authors.lastname: Zhang
authors.forename: Ning
authors.initials: N
authors.lastname: Deng
authors.forename: Xiao-bo
authors.initials: XB
authors.lastname: Zhou
authors.forename: Zheng
authors.initials: Z
authors.lastname: Wang
authors.forename: Yan-hong
authors.initials: YH
authors.lastname: Shen
authors.forename: Guo-dong
authors.initials: GD
authors.lastname: Shang
authors.forename: Xiao-yu
authors.initials: XY
authors.lastname: Wang
authors.forename: Lei
authors.initials: L
authors.lastname: He
authors.forename: Yan
authors.initials: Y
authors.lastname: Fang
authors.forename: Tian-yuan
authors.initials: TY
authors.lastname: Yu
mesh_terms: D015670:Acupuncture Therapy / Q000379:methods*; D000328:Adult; D000368:Aged; D002081:Buttocks / Q000000981:diagnostic imaging / Q000473:pathology*; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000628:therapy*; D008159:Lumbar Vertebrae; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D014463:Ultrasonography