| Summary: | 碩士 === 中國醫藥大學 === 中西醫結合研究所碩士班 === 105 === Title: Human Anatomy and Pulse Diagnosis - Cunkou Pulse research in acute/subacute low back pain patients treated with acupuncture and traumatology treatment
Student：Hsiang-Ju Chen
Advisor：Wen-Ling Liao
Co-Advisor：Chin-Ming Huang
Institution：Graduate Institute of Integrated Medicine, China Medical University, Taiwan, R.O.C.
Background：Senior traumatology physician often utilize traditional Chinese medicine pulse diagnosis as a holistic assessment of patient conditions. A patient''s pulse can change rapidly throughout the course of the treatment. In literatures, most of these diagnosis methods were used in the descriptive prognosis of external trauma. This study was aimed investigate low back pain patient Cunkou pulse changes, before and after treatment, for identifying a usable pulse diagnosis for low back pain.
Methods：Patients with acute/subacute low back pain in the traditional Chinese medicine traumatology department in the Taichung Tzu Chi Hospital were enrolled in this study. They receive acupuncture and traumatology treatment .The patient pulse data and pain indexes were collected within 2 hours before and after treatment. 19 subjects were enrolled. Of these subjects, 3 did not complete posttest, and 3 had loss of partial data. Therefore, a complete data were obtained from a total of 13 subjects (n=13)
Results：The initial analysis indicated that a combination of acupuncture and chiropractic treatments can significantly reduce patient visual analog scale (P<0.01). Patient " optimal pulse spectra " at the right Chi position exhibited significant difference in obtained pressure (gram)before and after treatment (P<0.01). Pulses at other locations of Cunkou exhibited no significant difference in obtained pressured. And pain vas score change has moderate correlation with obtained pressure of left guan " optimal pulse spectra ".(p<0.05)
Conclusions：The preliminary result from this study indicated the acute and subacute low back pain and structure abnormalities can be associated with Cunkou pulses. The pulse at right Chi position was considered to be valuable for low back pain diagnosis.And left Guan position was considered to valuable for pain diagnosis.
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