Your browser does not support the NLM PubReader view.

Go to this page to see a list of supporting browsers.

A Comparison of the Effect of Shinbaro Pharmacopuncture and Jakyakgamcho Decoction Pharmacopuncture Treatments in Patients with Low Back Pain Caused by Traffic Accidents: A Retrospective, Case Series Observational Study

Article information

Acupunct. 2015;32(4):157-165
Tae Ho Kim1,5,, Seong Hyun Jeong2, Tae kyung Yoon1, So Jin Lee1, Soo Ji Shin3, Ok Jun Kwon2, Yeong Guk Joo2, Jong Cheol Lee4, Jae Young Park1
1Dept. of Acupuncture and Moxibustion Medicine, Graduate School, Kyung Hee University
2Dept. of Oriental Rehabilitation Medicine, Bu-Cheon Jaseng Hospital of Korean Medicine
3Dept. of Acupuncture & Moxibustion Medicine, Bu-Cheon Jaseng Hospital of Korean Medicine
4Dept. of Gynecology of Korean Medicine, Bu-Cheon Jaseng Hospital of Korean Medicine
5Dept. of Acupuncture & Moxibustion Medicine, Wonkwang University Gwangju Hospital of Korean Medicine
*Corresponding author: Dept. of Acupuncture & Moxibustion Medicine, Bu-Cheon Jaseng Hospital, 17, Buil-ro 191beon-gil, Wommi-gu, Bucheon-si, Gyeonggi-do, 14598, Republic of Korea, Tel: +82-11-450-5892, E-mail: kth86@daum.net
Received 2015 November 09; Revised 2015 December 13; Accepted 2015 December 14.

Abstract

Objectives:

This study was designed to compare the effect of Shinbaro pharmacopuncture treatment and Jakyakgamcho Decoction pharmacopunture treatment in patients with low back pain caused by traffic accidents.

Methods:

This study was conducted on 64 cases of patients with low back pain caused by traffic accidents, who were admitted to Bucheon Jaseng Hospital of Korean Medicine from May 3rd, 2015 to October 31th, 2015. The patients were divided into two groups: Shinbaro pharmacopuncture treatment group and Jakyakgamcho Decoction pharmacopunture treatment group. We measured the efficacy of treatment with a numerical rating scale(NRS) and Oswestry disability index(ODI). The NRS which was checked at pretretment and after 4th and 8th treatments, and the ODI which was checked at pre-treatment and after 8th treatment were collected and analyzed.

Results:

In both Shinbaro and Jakyakgamcho Decoction group, NRS and ODI decreased significantly. However there was no statistically significant difference between the groups. At the 4th treatment, However, the Jakyakgamcho Decoction group showed a greater decrease in NRS with a statistically significant difference.

Conclusions:

In a short period of time, Jakyakgamcho Decoction Pharmacopuncture is more efficient than Shinbaro pharmacopuncture in reducing the pain of patients with low back pain caused by trafficic accidents, but in the end there is no statistically significant difference between the groups.

Keywords: Shinbaro pharmacopunture; Jakyakgamcho Decoction pharmacopuncture; Low back pain; Traffic accidents

The General Charateristics of Patients

Low back Pain NRS and ODI of the Shinbaro Pharmacopuncture Group at Each Follow-up Point

Low back pain NRS and ODI of the Jakyakgamcho Decoction Pharmacopuncture Group at Each Follow-up Point

The Comparison on Low Back pain NRS and ODI Decrement between Shinbaro and Jakyakgamcho Decoction Pharmacopuncture Group

References

1. Traffic Accidents Analysis System. Road Traffic Environment and Traffic Accident Available from: http://taas.koroad.or.kr/Eng/dm/dm_indexMain.jsp?link=LoadTraffic.
2. Park SY, Lee YK, Kim JS, et al. Survey of Oriental Medical Care for Traffic Accident Patients with Automobile insurance; 544 Cases Report. The Acupuncture 2009;26(3):1–10.
3. Shin JC, Park EJ, Na GH, et al. The Clinical Comparative Analysis on 27 Patients of Traffic Accidents and 33 Patients of Non-Traffic Accidents to be Diagnosed as Lumbar Spine Sprain. The Acupuncture 2004;21(3):13–27.
4. Christie HJ, Kumar S, Warren S. Postural aberrations in low back pain. Arch Phys Med Rehabil 1995;76(3):218–24.
5. Kim MA, Park YJ. A Study on Acupuncture treatment for Disorders following Whiplash Injuries. The Acupuncture 2000;17(3):75–86.
6. Park JO, Jung H, Heo DS. Clinical Study of the Effects of Gwibitang and Danggwisusan on Traffic Accident Patients with Acute Cervicolumbar Disorder. JORM 2015;25(3):81–90.
7. Lee JS, Lee SJ, Nam JH, et al. The Comparative Study on the Effect of Pharmacopuncture Treatment, Chuna Treatment, Pharmacopuncture-Chuna Cooperative Treatment for Neck Pain Caused by Traffic Accidents. The Acupuncture 2012;29(5):87–95.
8. Han SY, Lee JY, Park SH, et al. A Clinical Study on Effect of Electro-acupuncture Treatment for Whiplash Injury Patients Caused by Traffic Accident. The Acupuncture 2011;28(6):107–15.
9. Kim KW, Lee MJ, Jun JY, et al. 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. The Acupuncture 2014;31(1):43–50.
10. Kim TH, Park WH, Cha YY. A Retrospective Study on the Effects of ShinBaro Pharmacopuncture and Jungsongouhyul Pharmacopuncture on Whiplash Injury by Traffic Accident. JORM 2013;23(4):1–7.
11. Kim TH, Park WH, Cha YY. Comparative Study of Effects on Bee Venom Pharmacopuncture and Ouhyul Herbal Acpuncture in Low Back Pain Caused by Traffic Accident. JORM 2012;22(2):177–84.
12. Lim GM, Wi DY, Lee JH, Ko YS. The Effects of Soyeom and Jungsongouhyul Pharmacopuncture on Whiplash Injury by Traffic Accident. JORM 2012;22(2):185–92.
13. Korean Pharmacopuncture Institute. Pharmacopuncturology Seoul: Elsevierkorea; 2008. p. 3.
14. Jang JH, Kim KH, Yun JW, Kim KS. Studies of the Analgesic and Anticonvulsive Effects of Jakyakgamchotang Extract Aqua-acupuncture Stimulation in Mice. The Acupuncture 1993;10(1):247–64.
15. Lee JH, Kim MJ, Lee JW, Kim MR, Lee IH, Kim EJ. A Study on Standardization of Shinbaro Pharmacopuncture Using Herbal Medicines Identification Test and HPLC-DAD. The Acupuncture 2015;32(2):1–9.
16. Chung HJ, Lee HS, Shin JS, et al. Modulation of acute and chronic inflammatory processes by a traditional medicine preparation GCSB-5 both in vitro and in vivo animal models. J Ethnopharmacol 2010;130(3):450–9.
17. Park OJ, Kim SG, Lee JJ, Lee SM, Kim SJ, Cho NG. The effect of Shinbaro and bee venom pharmacopuncture in treating lumbar disc herniations. The Acupuncture 2013;30(5):41–50.
18. Lee JH, Jun JY, Lim SJ, et al. The Effects of Sterilization on Jakyakgamcho Decoction (Shaoyaogancao Decoction) Pharmacopuncture: an Investigation to Minimize Loss of Principal Components. The Acupuncture 2014;31(4):29–32.
19. Schamberger W. The Malalignment Syndrome 2nd edth ed. Seoul: Elsevier Korea; 2013. p. 492–510. p. 517–9.
20. Korean society of Chuna Manual Medicine for Spine & Nerves. Chuna manual medicine 2nd edth ed. Seoul: Korean society of Chuna Manual Medicine for Spine & Nerves; 2014. p. 4p. 17–8. p. 73.
21. Hu J. Donhuibogam Seoul: Donguibogam Publishing Company; 2006. p. 775p. 777p. 1663–4.
22. Park SH, Ro HR. The Case Report of Prescribing Kamiseokyong-tang(Nam) for the Two Patients with Superior labral anterior posterior lesion. The journal of korea CHUNA manual medicine for spinal & nerves 2011;6(1):129–39.
23. Wall PD, Melzack R. Textbook of pain Seoul: Jungdam; 2002. p. 483–4.
24. Fairbank JC, Pynsent PB. The Oswestry Disability Index. Spine 2000;25(22):2940–52.
25. The Korean Academy of Oriental Rehabilitation Medicine. Oriental Rehabilitation Medicine 2nd edth ed. Seoul: Koonja Publishing Company; 2008. p. 35.
26. Korean Acupuncture & Moxibustion Society Textbook Compilation Committee. The Acupuncture and Moxibustion Medicine 3rdth ed. Paju: Jipmoondang; 2008. p. 72.
27. Jang MK, Yoon EH, Jung CY, et al. Review of Randomized Controlled Trials on Pharmacopuncture Treatment of Musculoskeletal Diseases. The Acupuncture 2009;26(3):149–63.
28. Chung HJ, Lee HS, Shin JS, et al. Modulation of acute and chronic inflammatory processes by a traditional medicine preparation GCSB-5 both in vitro and in vivo animal models. J Ethnopharmacol 2010;130(3):450–9.
29. Park OJ, Kim SG, Lee JJ, Lee SM, Kim SJ, Cho NG. The Effect of Shinbaro and Bee Venom Pharmacopuncture in Treating Lumbar Disc Herniations. The Acupuncture 2013;30(5):41–50.
30. Kim BW. Anti-inflammatory effect of Jakyakgamcho-tang. Korean J Orient Int Med 2010;31(2):365–71.
31. Kang TH, Back BY, Kim YC. Protective Effect of Jakyak-Gamcho-Tang Extract and Its Constituents Against t-BHPInduced Oxidative Damage in HT22 Cells. Am J Chin Med 2005;33(2):181–9.
32. Kwak DW, Lee CH, Kong IS, Lee JC, Choi DH, Na CS. Comparison of the Spasmolytic Effects of Jakyak-Gamcho Decoctions Derived via Different Extractants. Evid Based Complement Alternat Med Published online (11 Oct 2015).
33. Jang JJ, Kim KH, Yun JH, Kim KS. Studies on the analgesic and anticonvulsive effects of Jakyak-gamchotang extract aqua-acupuncture stimulation in mice. The Acupuncture 1993;10(1):247–64.
34. Cheon YS. Study on analgesic effect of JakYak GamCho Tang-herbal acupuncture [dissertation] Seoul: Kyung Hee Univ; 1995. Korean.

Article information Continued

Copyright © 2015 KAMMS. Korean Acupuncture & Moxibustion Medicine Society. All rights reserved.

Table 1

The General Charateristics of Patients

Characteristics Group A* (n = 33) Group B† (n = 31) p-value
Gender(M/F) 10/23 19/12
Age(yrs) 42.48±12.17 39.32±9.73 0.254
NRS 6.45±1.03 6.54±1.09 0.725
ODI 30.42±3.09 30.48±3.79 0.945

Values are means±SD.

Statistical significance was evaluated by independent two samples t-test.

*

Shinbaro pharmacopuncture group.

†

Jakyakgamcho Decoction pharmacopuncture group.

NRS: numerical rating scale.

ODI: oswestry disability index.

Table 2

Low back Pain NRS and ODI of the Shinbaro Pharmacopuncture Group at Each Follow-up Point

Follow-up Point p-value
Pre-treatment After 4th treatment After 8th treatment
NRS 6.45±1.03 4.76±1.14 3.33±1.08 p*<0.01
p†<0.01
p‡<0.01
ODI 30.42±3.09 20.83±5.07 p<0.01

Values are means±SD.

Statistical significance was evaluated by paired sample t-test.

*

p-value between pre tretment and after 4th treatment’s NRS.

†

p-value between pre tretment and after 8th treatment’s NRS.

‡

p-value between after 4th tretment and after 8th treatment’s NRS.

NRS: numerical rating scale.

ODI: oswestry disability index.

Table 3

Low back pain NRS and ODI of the Jakyakgamcho Decoction Pharmacopuncture Group at Each Follow-up Point

Follow-up Point p-value
Pre-treatment After 4th treatment After 8th treatment
NRS 6.54±1.09 4.32±0.75 3.45±0.89 p*<0.01
p†<0.01
p‡<0.01
ODI 30.48±3.79 20.88±3.16 p<0.01

Values are means±SD.

Statistical significance was evaluated by paired sample t-test.

*

p-value between pre tretment and after 4th treatment’s NRS.

†

p-value between pre tretment and after 8th treatment’s NRS.

‡

p-value between after 4th tretment and after 8th treatment’s NRS.

NRS: numerical rating scale.

ODI: oswestry disability index.

Table 4

The Comparison on Low Back pain NRS and ODI Decrement between Shinbaro and Jakyakgamcho Decoction Pharmacopuncture Group

Group A* Group B† p-value
NRS decrement Pre to 8th treatment‡ 3.12±1.27 3.10±1.22 0.938
Pre to 4th treatment§ 1.70±1.02 2.22±0.99 0.039
ODI decrement Pre to 8th treatment‡ 9.54±1.82 9.65±4.01 0.898

Values are means±SD.

Statistical significance was evaluated by independent two samples t-test.

*

Shinbaro pharmacopuncture group.

†

Jakyakgamcho Decoction pharmacopuncture group.

‡

From pre treatment to 8th treatment.

§

From pre treatment to 4th treatment.

NRS: numerical rating scale.

ODI: oswestry disability index.