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J Acupunct Res > Volume 31(1); 2014 > Article
Kim, Lee, Jun, Lim, Lee, Kim, and Ha: The Comparitive Study on the Effect of Shinbaro Pharmacopuncture and Bee Venom Pharmacopuncture Treatment of Patient Diagnosed as Cervical Disc Hermiation Based on the MRI after Traffic Accident:

Abstract

Objectives :

The purpose of this study is to compare the effect of Shinbaro pharmacopuncture treatment and bee venom pharmacopuncture treatment on cervical disc herniation and whiplash injury induced by traffic accident.

Methods :

This study was carried out on the 59 patients with whiplash injury by traffic accident and diagnosed as cervical disc herniation. The patients were divided into 2 groups ; Shinbaro pharmacopuncture group was treated with Shinbaro pharmacopuncture along with herbal medicine and general acupuncture. Bee venom pharmacopuncture group was treated with bee venom pharmacopuncture along with herbal medicine and general acupuncture. We measured verbal numerical rating scale(VNRS) and neck disability index(NDI) before the treatment and 1, 2, 3 weeks afterwards.

Results :

Shinbaro pharmacopuncture group and Bee venom pharmacopuncture both showed significant decrease in VNRS and NDI. Shinbaro pharmacopuncture group showed significant decrease over Bee venom pharmacopuncture group in VNRS decrement in the first week, while Bee venom pharmacopuncture group showed significant decrease over Shinbaro pharmacopuncture group in the secone week of treatment.

Conclusion :

According to the result of this study, it is suggested that Shinbaro pharmacopuncture group is more effective in reducing pain in the earlier period of treatment. Also suggests that further study on the effect of Shinbaro pharmacopuncture on patients diagnosed as cervical disc herniation after traffic accident for longer period of treatment.

Fig. 1.
VNRS of the Shibaro group and bee venom gorup at each follow-up point
* : Shinbaro pharmacopuncture group.
† : bee venom pharmacopuncture group.
acupunct-31-1-43-5f1.tif
Fig. 2.
NDI of the Shibaro group and bee venom gorup at each follow-up point
* : Shinbaro pharmacopuncture group.
†: bee venom pharmacopuncture group.
acupunct-31-1-43-5f2.tif
Table 1.
Prescription of Shinbaro Pharmacopuncture
Herbal name Amount(g)
Chelidonium majus 9.0
Acyranthes bidentata 9.0
Chaenomeles sinensis 9.0
Acanthopanax 8.0
Corydalis remota 8.0
Ostericum Koreanum 8.0
Atractylodes ovata 3.0
Angelica gigas 3.0
Rehmannia glutinosa 3.0
Paeonia lactiflora 3.0
Clematis florida 3.0
Aralia contientalis 3.0
Citrus unshiu Markovich 3.0
Myrrh 3.0
Boswellia carterii Birdwood 3.0
Carthamus tinctorius 3.0
Amomum villosum 3.0
Glycyrrhiza uralensis Fischer 2.0
Zingiber officinale 6.0
Zizyphus jujuba 6.0
  Tatal amount 98.0
Table 2.
Prescription of Dangkisoo-san(Dangguixusan)
Pharmacognostic name Amount(g)
Angelicae Gigas Radix 12.0
Carthami Flos 3.2
Persicae Semen 2.8
Glycyrrhizae Radix 2.0
Paeoniae Rubra Radix 4.0
Linderae Radix 4.0
Cyperi Rhizoma 4.0
Sappan Lignum 4.0
Cinnamoni Cortex 2.4
Tatal amount 36.4
Table 3.
Characteristics of Group
Characteristics Group A* (n = 31) Group B (n = 28) p-value
Gender(M/F) 16/15 14/14
Age(yrs) 42.70±7.82 39.31±9.15 0.236
VNRS 6.27±0.64 6.62±0.82 0.130
NDI 29.66±4.92 29.71±3.54 0.617

Values are means ± SD.

Statistical significance was evaluated by Mann-Whitney U-test.

*: Shinbaro pharmacopuncture group.

†: bee venom pharmacopuncture group.

VNRS : verbal numerical rating scale.

NDI : neck disability index.

Table 4.
VNRS and NDI of the Shinbaro Group at Each Follow-up Point
Baseline Week 1 Week 2 Week 3
VNRS 6.27±0.64 5.17±0.59 3.73±0.52 3.20±0.48
NDI 28.75±4.92 23.83±3.58 18.67±3.33 14.12±3.21

Values are means ± SD. VNRS : verbal numerical rating scale. NDI : neck disability index.

Table 5.
VNRS and NDI of Bee Venom Group at Each Follow-up Point
Baseline Week 1 Week 2 Week 3
VNRS 6.62±0.82 5.34±0.81 3.76±0.51 3.34±0.55
NDI 29.58±5.21 23.89±5.27 20.43±5.40 18.72±5.14

VNRS : verbal numerical rating scale. NDI : neck disability index. Values are means ± SD.

Table 6.
The Comparison on VNRS and NDI Decrement between Shinbaro and Bee Venom Group
Group A* Group B p-value
VNRS decrement Baseline–week 1 1.10±0.71 0.34±0.72 <0.01
Week 1–2 1.43±0.63 2.51±0.87 <0.01
Week 2–3 0.53±0.57 0.41±0.50 0.448
Baseline–week 3 3.07±0.74 3.28±0.92 0.513
NDI decrement Baseline-week 1 3.83±1.51 3.79±1.32 0.700
Week 1–2 4.27±2.13 4.59±2.21 0.565
Week 2–3 4.70±2.48 4.58±2.28 0.957
Baseline-week 3 12.80±2.40 12.88±2.27 0.495

* Shinbaro pharmacopuncture group.

†: bee venom pharmacopuncture group.

Values are means ± SD. Statistical significance was evaluated by Mann-Whitney U-test.

VI. References

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