title: [Case-control study on manipulation combined with Chinese herbs for the treatment of lumbar disc herniation within chronic stage].
abstract: OBJECTIVE
  To observe and compare the therapeutic effects of two methods to lumbar disc herniation treated by manipulation combined with Chinese herbs and traction with Western medicine.
  
  
  METHODS
  A multi-center with a central district unit was used to study the patients with lumbar disc herniation from November 28th, 2008 to May 7th, 2010. All the patients were divided into treatment group and control group. The treatment group had 100 cases, including 45 males and 55 females, averaged (43.43 +/- 9.18) years. The treatment group was treated by manipulation combined with Chinese herbs; Control group had 100 cases (5 cases were fall off), including 38 males and 57 females, averaged (42.29 +/- 9.78) years. The control group was treated by traction with Western medicine. The course of treatment was 3 weeks. VAS, M-JOA, LMS (lower limb muscle strength) and classification efficacy was used to evaluate outcome and therapeutic effects before and after treatment.
  
  
  RESULTS
  VAS and M-JOA were improved after the treatment both in treatment group and control group; there was no significant difference in LMS before and after treatment in both groups. VAS and M-JOA in treatment group was superior to those of control group after treatment. There was no significant difference in LMS. According to classification efficacy, 41 cases got excellent result, 34 good, 13 fair and 12 poor in treatment group; in control group, 35 cases obtained excellent results, 16 good, 19 fair and 25 poor. The effect of treatment group was better than that of control group.
  
  
  CONCLUSIONS
  Both of two methods can improve the score of VAS, M-JOA, and treatment group is better than that of control group. While for the improvement of LMS, both of two methods have no obvious effects.
authors.affiliation: Department of the First Spinal Surgery, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China.
authors.forename: Yu
authors.initials: Y
authors.lastname: Zhang
authors.forename: Guan-nan
authors.initials: GN
authors.lastname: Wu
authors.forename: Xing
authors.initials: X
authors.lastname: Li
authors.forename: Yong-dong
authors.initials: YD
authors.lastname: Zhang
authors.forename: Zuo-xu
authors.initials: ZX
authors.lastname: Li
authors.forename: Ming
authors.initials: M
authors.lastname: Ma
authors.forename: Zhong-min
authors.initials: ZM
authors.lastname: Lei
authors.forename: Jun-jie
authors.initials: JJ
authors.lastname: Li
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D002908:Chronic Disease; D003131:Combined Modality Therapy; D004365:Drugs, Chinese Herbal / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000628:therapy*; D008159:Lumbar Vertebrae; D008297:Male; D008349:Manipulation, Orthopedic; D008875:Middle Aged; D014143:Traction
chemical_list: D004365:Drugs, Chinese Herbal