An evidence‐based guideline on treating lumbar disc herniation with traditional Chinese medicine

• DOI: 10.1111/jebm.12598
• Publication Date: 2024-03-19T19:45:12Z
• Authors: Xiaokuan Qin; Kai Sun; Weiguo Xu; Jinghua Gao; Hong Jiang; Wei Chen; Ling Zhang; Zhenhua Li; Wuyin Li; Puwei Yuan; Kexin Yang; Peijian Tong; Yuanming Zhong; Xiaofeng Zhu; Xiaoming Wan; Chengjian He; Yanguo Wang; Xilin Xu; Yong Huang; Zhihai Zhang; Yifei Huang; Wei Guo; Junling Cao; Tianxiao Feng; Xu Wang; Yuhui Yin; Hao Wang; Chuanrui Sun; Xiangyu Xiao; Xu Wei; Liguo Zhu
• Keywords: Guideline; Lumbar disc herniation; Grading (engineering); Manual therapy; Evidence-Based Medicine

Abstract Background Lumbar disc herniation (LDH), as one of the most common causes lower back pain, imposes a heavy economic burden on patients and society. Conservative management is first‐line choice for majority LDH patients. Traditional Chinese medicine (TCM) an important part conservative treatment has attracted more international attention. Study design Evidence‐based guideline. Methods We formed guideline panel multidisciplinary experts. The clinical questions were identified basis systematic literature search consensus meeting. searched direct evidence assessed its certainty‐generated recommendations using grading recommendations, assessment, development, evaluation (GRADE) approach. Results made 20 which covered use Shentong Zhuyu decoction, Shenzhuo Simiao San Duhuo Jisheng Yaobitong capsule, Yaotongning Osteoking, manual therapy, needle knife, acupuncture, electroacupuncture, exercise techniques (Tai Chi, Baduanjin, or Yijinjing), integrative medicine, such combined non‐steroidal anti‐inflammatory drugs, neural nutrition, traction. Recommendations either strong weak, in form ungraded consensus‐based statement. Conclusion This first TCM with search, synthesis evidence, GRADE method to rate quality evidence. hope these can help support healthcare workers caring