Objectives of Study:
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Moxibustion treatment has a clear effect on lower back pain, but the standardized degree of moxibustion operation is low and almost depends on manual work, and the standardized degree of treatment needs to be improved. Therefore, a "intelligent lightning fire moxibustion" robot is developed and applied to the clinical treatment of lower back pain. Compared with the artificial moxibustion group, its clinical efficacy and safety are verified, so as to provide a new idea for intelligent moxibustion.
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Description for medicine or protocol of treatment in detail:
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"Intelligent Thunder Fire Moxibustion" Group
1. Point selection:
Selection of acupoints: referring to the planned textbook "Acupuncture and Moxibustion Therapeutics" compiled by Gao Shuzhong in charge of national colleges and universities of traditional Chinese medicine, Shenshu, Dalianshu, Yaoyangguan and Ashi acupoints were selected.
Positioning: selected according to the relevant provisions of the National Standard for the Positioning of Acupuncture and Moxibustion Channels and Points (formulated according to the national GB1234-90 standard). Shenshu: At the waist, when the second lumbar spine is under the process, the side opening is 1.5 inches. Select two points on both sides each time. Large intestine shu: at the waist, when the fourth lumbar spine is under the spinous process, the lateral opening is 1.5 inches. Select two points on both sides each time. Waist Yang Guan: at the waist, on the back midline, in the depression under the fourth lumbar spinous process.
2. Course of treatment:
The treatment time was 30 minutes.
(Each patient is treated 5 times a week in our hospital, usually 2-3 weeks)
3. Operation mode of moxibustion robot
Enter the setting page of "Free Moxibustion" of intelligent lightning fire moxibustion, and use the rocker to control the 6-DOF mechanical arm to locate the points on the patient's lumbar back - Shenshu, Dachangshu, Yaoyangguan, Ashi. After positioning, ignite and install the lightning fire moxibustion stick, and set the moxibustion operation on the operation page - 10 min for each point (first convolute moxibustion for 5 min, then peck moxibustion for 5 5min), and moxibustion at four points in turn for 40 5min in total; The operation method of whirling moxibustion is: plane whirling moxibustion, the mechanical arm holding the ignited thunder fire moxibustion strip makes parallel whirling moxibustion above the above points, with a whirling radius of 4 cm; The operation method of bird pecking moxibustion is as follows: the mechanical arm holds the ignited thunder fire moxibustion stick to the selected acupoint, and uses a method similar to the sparrow pecking to apply moxibustion, with a rise and fall range of 5cm, giving a strong warm stimulus; The moxibustion distance is manually adjusted according to the patient's tolerance temperature.
Precautions: Patrol the ward at any time to observe the skin condition and the patient's heat resistance. If you feel unwell, stop treatment immediately and treat symptomatically.
Artificial moxibustion group: artificial thunder fire moxibustion was used for treatment. The course of treatment, acupoints and treatment duration were the same as above.
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Inclusion criteria
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Inclusion criteria:
① It is consistent with the diagnostic criteria of low back pain and the syndrome differentiation criteria of cold damp type lumbar muscle strain;
② The age should be between 25 and 70 years old, regardless of gender;
③ No traditional Chinese and western medicine treatment related to low back pain was carried out nearly 2 weeks ago;
④ The course of disease was controlled within 8 years;
⑤ Informed consent, willing to cooperate with the whole process of treatment;
⑥ Agree to record the score of the scale and voluntarily participate in this trial.
⑦ At least one contact way shall be reserved for patients to receive follow-up;
⑧ In order to reduce the dropout rate, priority was given to inpatients.
Only those who meet the above 7 items can be included in this study.
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Exclusion criteria:
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① Patients do not meet the inclusion criteria;
② The patient is in pregnancy or lactation;
③ The patient is allergic to moxibustion smoke and difficult to accept moxibustion treatment;
④ The patient suffered from lumbar tuberculosis, bone cancer and other diseases, which affected the experimental results;
⑤ The patient has blood and immune system diseases;
⑥ Heart, liver and kidney dysfunction;
⑦ The patient suffers from mental illness and cannot cooperate with moxibustion.
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