Traditional Chinese medicine composition for treating lumbar spinal stenosis and preoperative and postoperative conditioning method thereof

Abstract

The invention discloses a traditional Chinese medicine composition for treating lumbar spinal stenosis and a preoperative and postoperative conditioning method thereof, and belongs to the technical field of traditional Chinese medicines. Aiming at the problem of lack of relatively stable intervention measures before and after an operation, a traditional Chinese medicine component distribution strategy is divided into two parts, namely preoperative components and postoperative components, the preoperative components comprise astragalus membranaceus, codonopsis pilosula, loranthus parasiticus and the like which are used for benefiting qi and nourishing blood; the postoperative components comprise ground beetles, deer-horn glue, pseudo-ginseng powder and the like which are used for promoting blood circulation to remove blood stasis. Preoperative and postoperative operations are fully considered, and a whole-stage recovery curative effect is provided for a patient. Meanwhile, the traditional Chinese medicine components are forbidden by pregnant women, so that the medication safety is ensured. According to the research experience of lumbar spinal stenosis at the present stage, adaptation is performed according to the corresponding age stage, and in the young stage, muscle and bone strengthening drugs such as radix achyranthis bidentatae are added; at the middle-aged stage, liver and kidney tonifying medicines such as radix rehmanniae preparata are added; in the old stage, dogwood and other medicines for consolidating basis are added, so that adaptation of all ages is realized.

Description

TECHNICAL FIELD

[0001] The present application belongs to the technical field of traditional Chinese medicine, and particularly relates to a traditional Chinese medicine composition for lumbar spinal stenosis and a preoperative and postoperative conditioning method thereof. BACKGROUND

[0002] Lumbar spinal stenosis (LSS) mainly refers to a series of lumbar leg pain and nervous system symptoms caused by compression of the dural sac and nerve due to a decrease in the effective volume of the central spinal canal, nerve root canal and intervertebral foramen. There are many causes of lumbar spinal stenosis, including congenital developmental or acquired factors that cause bone or fibrous connective tissue abnormalities in the lumbar spinal canal, nerve root canal or intervertebral foramen. Some people are born with a relatively narrow lumbar spinal canal, and the spinal stenosis will gradually become prominent as they age, causing discomfort. Some people may have a lumbar fracture or dislocation due to a fall from a height or a car accident, which reduces the space in the lumbar spinal canal. Some people may have a lumbar spinal stenosis due to long-term labor, such as long-term bending work or prolonged sitting, which causes the lumbar spine to gradually degenerate. Some patients with bone hyperplasia have small bone spurs on the edge of the lumbar spine, which occupy the space in the lumbar spinal canal, causing stenosis. Some patients have hypertrophic ligaments that occupy more space, causing the lumbar spinal canal to become narrower. Some people may have a lumbar spinal stenosis due to age-related lumbar degeneration. Although the causes are different, they all pose a problem for many patients.

[0003] With the development of spinal surgery, the understanding of lumbar spinal stenosis has been continuously improved. In recent years, the surgical treatment options for lumbar spinal stenosis have also gradually increased, including total laminectomy decompression, interlaminar fenestration or hemilaminectomy decompression, microscopic decompression, endoscopic decompression or vertebral plasty. However, there are still problems such as inability to relieve preoperative lumbar and leg pain in elderly patients, preoperative emotional anxiety, postoperative scar adhesion, disc re-herniation, postoperative instability and changes in the joint process. This may be due to the fact that some doctors have not fully and objectively analyzed the patient's clinical symptoms, signs and imaging examinations, and the surgical decompression is not complete, or the patient is older and the surgical treatment is not suitable. Therefore, there is still a lack of specific preoperative and postoperative stable intervention measures at this stage. SUMMARY

[0004] In view of the lack of stable intervention measures before and after surgery, the present application provides a traditional Chinese medicine composition for lumbar spinal stenosis and a preoperative and postoperative conditioning method thereof.

[0005] To solve the above technical problems, the present application adopts the following technical solutions:

[0006] The first aspect of the present invention provides a traditional Chinese medicine composition for lumbar spinal stenosis, comprising the following raw materials in the indicated weight ratios;

[0007] Preoperative components (preventive enhancement type): Astragalus membranaceus 18-22 parts, Codonopsis pilosula 15-30 parts, Taxillus chinensis 16-24 parts, Eucommia ulmoides 8-12 parts, Angelica sinensis 5-15 parts, Salvia miltiorrhiza 12-15 parts; focusing on improving physical fitness and enhancing the body's tolerance;

[0008] Postoperative components (recovery type): 6-12 parts of ground beetle (not for use by pregnant women), 8-10 parts of deer antler glue, 5-10 parts of Panax notoginseng powder, 8-10 parts of frankincense (not for use by pregnant women), 7-12 parts of myrrh (not for use by pregnant women), and 10-12 parts of wolfberry.

[0009] The second aspect of this invention provides a traditional Chinese medicine composition for lumbar spinal stenosis, for patients aged 18-40 years: in addition to the traditional Chinese medicine composition of the first aspect, it further includes:

[0010] Preoperative preparation includes an additional 8-12 parts of Achyranthes bidentata to strengthen tendons and bones;

[0011] Postoperatively, an additional 12-15 parts of Poria cocos were added to the formula to strengthen the spleen and promote diuresis.

[0012] The third aspect of this invention provides a traditional Chinese medicine composition for lumbar spinal stenosis, for patients aged 41-60 years: in addition to the traditional Chinese medicine composition of the first aspect, it further includes:

[0013] Preoperative preparations include an additional 25-30 parts of Rehmannia glutinosa to nourish the liver and kidneys.

[0014] Postoperatively, an additional 10-15 parts of Epimedium were added to warm and tonify kidney yang.

[0015] The fourth aspect of this invention provides a traditional Chinese medicine composition for lumbar spinal stenosis, wherein, for elderly patients over 61 years of age: in addition to the traditional Chinese medicine composition of the first aspect, it further includes:

[0016] Preoperative preparations include an additional 7-13 parts of Cornus officinalis to strengthen the body's foundation and nourish vital energy.

[0017] Postoperatively, an additional 4-6 parts of cinnamon are added to warm and unblock the meridians.

[0018] In the fifth aspect of this invention, the ground beetle (which breaks up blood stasis), frankincense (which invigorates blood and promotes qi circulation), and myrrh (which disperses blood stasis) in the above-mentioned aspects have the effect of invigorating blood and removing blood stasis. These are components that are prohibited for pregnant women, as their use may lead to miscarriage.

[0019] The sixth aspect of this invention provides a preoperative and postoperative conditioning method for lumbar spinal stenosis, using the traditional Chinese medicine composition of the first aspect;

[0020] Preoperative regimen: Start taking the medication 2-4 weeks before surgery, one dose per day, decocted in water and taken in two divided doses, in conjunction with appropriate functional exercises (adjusted as needed by the responsible doctor).

[0021] Postoperative dosage: Start taking the medication 1-2 days after surgery and continue for 4-8 weeks. The dosage will be adjusted by your doctor based on your recovery progress.

[0022] The seventh aspect of this invention is a preoperative and postoperative conditioning method for lumbar spinal stenosis, for patients aged 18-40 years: using the traditional Chinese medicine composition described in the second aspect; starting 2-4 weeks before surgery, taking the preoperative component of the traditional Chinese medicine, one dose per day, decocted in water and taken in two divided doses, in conjunction with appropriate functional exercises; starting 1-2 days after surgery, taking the postoperative component of the traditional Chinese medicine, continuing for 4-8 weeks, with weekly follow-up visits during this period, and adjusting the dosage according to the instructions of the attending physician;

[0023] The core treatment focuses on strengthening spinal stability through training, preventing injury and further degeneration, correcting poor posture and movement patterns, and employing a combination of physical therapy and exercise programs.

[0024] Targeted training: Swallow jump and five-point support exercises to strengthen the lower back muscles;

[0025] Flexibility training: Improves body flexibility

[0026] Posture management: When sitting, keep your back straight and avoid slouching; when standing, keep your back straight and avoid leaning to one side or the other.

[0027] Exercise recommendations: Low-impact exercises such as swimming and yoga; avoid high-intensity contact sports.

[0028] The eighth aspect of this invention is a preoperative and postoperative conditioning method for lumbar spinal stenosis. The patient is a middle-aged patient aged 41-60 years old, using the traditional Chinese medicine composition described in the third aspect. The patient begins to take the preoperative component of the traditional Chinese medicine composition 2-4 weeks before surgery, one dose per day, decocted in water and taken in two divided doses, in conjunction with appropriate functional exercises. After surgery, the patient begins to take the postoperative component of the traditional Chinese medicine composition 1-2 days after surgery, and continues to take it for 4-8 weeks, with weekly follow-up visits during this period, and the dosage is adjusted according to the instructions of the attending physician.

[0029] The core treatment strategy emphasizes both conservative treatment and active rehabilitation, combining lifestyle management with medical intervention, and employing a multimodal treatment approach.

[0030] Physical therapy includes: applying heat and cold to promote local blood circulation; and using electrotherapy and ultrasound to relieve symptoms.

[0031] Rehabilitation exercises include: strengthening the back muscles and improving lumbar spine stability;

[0032] Weight management: Controlling weight reduces the burden on the lumbar spine and prevents accelerated lumbar degeneration.

[0033] The ninth aspect of this invention provides a pre- and post-operative management method for lumbar spinal stenosis. The patient is an elderly patient over 61 years of age. The method utilizes the traditional Chinese medicine composition described in the fourth aspect. Two to four weeks prior to surgery, the patient begins taking the pre-operative component of the traditional Chinese medicine, one dose daily, decocted in water and taken in two divided doses, in conjunction with appropriate functional exercises. Post-operatively, one to two days after surgery, the patient begins taking the post-operative component of the traditional Chinese medicine, continuing for 4 to 8 weeks, with weekly follow-up visits during this period to adjust the dosage according to the attending physician's instructions.

[0034] Treatment should prioritize conservative therapy, supplemented by medication to control symptoms, using a multi-faceted approach.

[0035] Physical therapy extensions include: acupuncture to regulate Qi and blood; massage to relieve muscle tension; traction therapy to reduce nerve root pressure; and lifestyle modifications.

[0036] Posture changes: Avoid prolonged sitting, standing, or lying down; change your posture regularly to relax your lumbar spine.

[0037] Keep your waist warm: Avoid cold wind blowing directly on your waist. Use a waist brace or wear thicker clothing in winter.

[0038] The tenth embodiment of this invention is a preoperative and postoperative conditioning method for lumbar spinal stenosis. The patient is a pregnant woman and uses the traditional Chinese medicine composition of the fifth embodiment of this invention. The patient begins to take the preoperative component of the traditional Chinese medicine composition 2 to 4 weeks before the operation, one dose per day, decocted in water and taken in two divided doses, in combination with appropriate functional exercises. After the operation, the patient begins to take the postoperative component of the traditional Chinese medicine composition 1 to 2 days after the operation, and continues to take it for 4 to 8 weeks. During this period, the patient will have a follow-up visit every week, and the dosage will be adjusted according to the instructions of the attending physician.

[0039] Compared with the prior art, the present invention has the following advantages:

[0040] The herbal component allocation strategy of this invention is divided into two parts: preoperative components and postoperative components. The preoperative components, such as Astragalus membranaceus, Codonopsis pilosula, and Taxillus chinensis, are used to replenish qi and nourish blood. The postoperative components, such as Eupolyphaga sinensis, deer antler glue, and Panax notoginseng powder, are used to promote blood circulation and remove blood stasis. This fully considers both preoperative and postoperative needs, providing patients with therapeutic effects throughout the entire recovery process. Furthermore, the herbal components of this invention contain ingredients contraindicated for pregnant women, ensuring medication safety. Based on current research experience in lumbar spinal stenosis, this invention is tailored to corresponding age groups: in youth, it adds herbs such as Achyranthes bidentata to strengthen bones and muscles; in middle age, it adds herbs such as Rehmannia glutinosa to tonify the liver and kidneys; and in old age, it adds herbs such as Cornus officinalis to strengthen the body and replenish vital energy, achieving suitability for all age groups. Attached Figure Description

[0041] To more clearly illustrate the technical solutions in the embodiments of this application, the accompanying drawings used in the description of the embodiments will be briefly introduced below. Obviously, the accompanying drawings described below are only some embodiments of this application. For those skilled in the art, other drawings can be obtained based on these drawings without creative effort.

[0042] Figure 1 This is a schematic diagram showing the component distribution at each stage of the traditional Chinese medicine composition of the present invention. Detailed Implementation

[0043] To gain a deeper understanding of this invention, we will provide a comprehensive and detailed description. However, this invention has various implementations and is not limited to the specific examples listed herein. These examples are presented to enhance a full understanding of the disclosure of this invention.

[0044] A traditional Chinese medicine composition for lumbar spinal stenosis, comprising the following raw materials in the indicated weight ratios;

[0045] Preoperative composition: Astragalus membranaceus 18-22 parts, Codonopsis pilosula 15-30 parts, Taxillus chinensis 16-24 parts, Eucommia ulmoides 8-12 parts, Angelica sinensis 5-15 parts, Salvia miltiorrhiza 12-15 parts;

[0046] Postoperative components: 6-12 parts of ground beetle, 8-10 parts of deer antler glue, 5-10 parts of Panax notoginseng powder, 8-10 parts of frankincense, 7-12 parts of myrrh, and 10-12 parts of wolfberry.

[0047] ① If the patient is a young person aged 18-40:

[0048] Preoperative preparation includes an additional 8-12 parts of Achyranthes bidentata to strengthen tendons and bones;

[0049] Postoperatively, an additional 12-15 parts of Poria cocos were added to the formula to strengthen the spleen and promote diuresis.

[0050] Use the above-mentioned Chinese herbal composition; start taking the preoperative component of Chinese herbal composition 2-4 weeks before surgery, one dose per day, decocted in water and taken in two divided doses, in conjunction with appropriate functional exercises; start taking the postoperative component of Chinese herbal composition 1-2 days after surgery, continue taking it for 4-8 weeks, with weekly follow-up visits during this period, and adjust the dosage according to the instructions of the attending physician.

[0051] The core treatment focuses on strengthening spinal stability through training, preventing injury and further degeneration, correcting poor posture and movement patterns, and employing a combination of physical therapy and exercise programs.

[0052] Targeted training: Swallow jump and five-point support exercises to strengthen the lower back muscles;

[0053] Flexibility training: Improves physical flexibility;

[0054] Posture management: When sitting, keep your back straight and avoid slouching; when standing, keep your back straight and avoid leaning to one side or the other.

[0055] Exercise recommendations: Swimming and yoga are low-impact exercises; avoid high-intensity contact sports.

[0056] ② If the patient is a middle-aged patient aged 41-60:

[0057] Preoperative preparations include an additional 25-30 parts of Rehmannia glutinosa to nourish the liver and kidneys.

[0058] Postoperatively, an additional 10-15 parts of Epimedium are added to warm and tonify kidney yang.

[0059] The patients were middle-aged, aged 41-60, and used the above-mentioned Chinese herbal composition. They started taking the preoperative Chinese herbal composition 2-4 weeks before the operation, one dose per day, decocted in water and taken in two divided doses, in conjunction with appropriate functional exercises. After the operation, they started taking the postoperative Chinese herbal composition 1-2 days after the operation and continued to take it for 4-8 weeks, with weekly follow-up visits during the period, and the dosage was adjusted according to the instructions of the attending physician.

[0060] The core treatment strategy emphasizes both conservative treatment and active rehabilitation, combining lifestyle management with medical intervention, and employing a multimodal treatment approach.

[0061] Physical therapy includes: applying heat and cold to promote local blood circulation; and using electrotherapy and ultrasound to relieve symptoms.

[0062] Rehabilitation exercises include: strengthening the back muscles and improving lumbar spine stability;

[0063] Weight management: Controlling weight reduces the burden on the lumbar spine and prevents accelerated lumbar degeneration.

[0064] ③ If the patient is an elderly patient over 61 years old:

[0065] Preoperative preparations include an additional 7-13 parts of Cornus officinalis to strengthen the body's foundation and nourish its vital energy.

[0066] Postoperative treatment includes adding 4-6 parts cinnamon to warm and unblock the meridians.

[0067] The patient was an elderly patient over 61 years old, and the above-mentioned traditional Chinese medicine composition was used. Two to four weeks before surgery, the preoperative component of the traditional Chinese medicine was taken, one dose daily, decocted in water and taken in two divided doses, in conjunction with appropriate functional exercises. One to two days after surgery, the postoperative component of the traditional Chinese medicine was taken, continuing for 4 to 8 weeks, with weekly follow-up visits during this period to adjust the dosage according to the attending physician's instructions.

[0068] Treatment should prioritize conservative therapy, supplemented by medication to control symptoms, using a multi-faceted approach.

[0069] Physical therapy extensions include: acupuncture to regulate Qi and blood; massage to relieve muscle tension; traction therapy to reduce nerve root pressure; and lifestyle modifications.

[0070] Posture changes: Avoid prolonged sitting, standing, or lying down; change your posture regularly to relax your lumbar spine.

[0071] Keep your waist warm: Avoid cold wind blowing directly on your waist. Use a waist brace or wear thicker clothing in winter.

[0072] This study investigated 84 patients with lumbar spinal stenosis from 2008 to 2015, including 68 males aged 38-84 years. A selection of patients and their treatment processes are presented below:

[0073] Example 1

[0074] In this example, the patient was a 58-year-old male who presented with lower back pain and intermittent claudication, which severely affected his daily life.

[0075] A traditional Chinese medicine composition for lumbar spinal stenosis, comprising the following raw materials in the indicated weight ratios;

[0076] Preoperative treatment regimen: Astragalus membranaceus 18 parts, Codonopsis pilosula 15 parts, Taxillus chinensis 24 parts, Eucommia ulmoides 10 parts, Angelica sinensis 5 parts, Salvia miltiorrhiza 12 parts; additional Rehmannia glutinosa 30 parts to nourish the liver and kidneys; start taking the Chinese herbal components of the preoperative regimen 2 weeks before surgery, 1 dose per day, decocted in water and taken in 2 divided doses, combined with appropriate functional exercises; at the same time, electrotherapy and ultrasound are used to relieve symptoms.

[0077] Postoperative treatment regimen: 12 parts ground beetle, 9 parts deer antler glue, 6 parts Panax notoginseng powder, 9 parts frankincense, 10 parts myrrh, 10 parts wolfberry, with an additional 12 parts Epimedium to warm and tonify kidney yang. Patients will begin taking the prescribed herbal components one day after surgery and continue for six weeks, with weekly follow-up appointments to adjust dosage according to the attending physician's instructions. Postoperative rehabilitation exercises include the "Little Swallow" exercise and five-point support exercises to strengthen back muscles and improve lumbar spine stability; hot and cold compresses will also be used to promote local blood circulation; weight management will be implemented to control weight, reduce the burden on the lumbar spine, and prevent accelerated lumbar degeneration.

[0078] Example 2

[0079] In this example, the patient was a 66-year-old female who presented with unilateral lower limb pain and intermittent numbness.

[0080] A traditional Chinese medicine composition for lumbar spinal stenosis, comprising the following raw materials in the indicated weight ratios;

[0081] Preoperative herbal formula: Astragalus membranaceus 20 parts, Codonopsis pilosula 25 parts, Taxillus chinensis 20 parts, Eucommia ulmoides 10 parts, Angelica sinensis 8 parts, Salvia miltiorrhiza 14 parts; with an additional Cornus officinalis 8 parts to strengthen the body's foundation; start taking the herbal formula 4 weeks before surgery, one dose per day, decocted in water and taken in two divided doses, combined with appropriate functional exercises; acupuncture to regulate qi and blood; massage to relieve muscle tension; traction therapy to reduce nerve root pressure;

[0082] The preferred treatment approach was conservative therapy, supplemented by medication to control symptoms; therefore, surgery was not performed.

[0083] Post-operative treatment ingredients: 10 parts ground beetle, 8 parts deer antler glue, 10 parts Panax notoginseng powder, 10 parts frankincense, 10 parts myrrh, and 12 parts wolfberry. An additional 6 parts cinnamon are added to warm and unblock the meridians. Two days after the surgery, begin taking the prescribed herbal ingredients and continue for eight weeks, with weekly follow-up appointments to adjust the dosage according to the attending physician's instructions. Keep the lower back warm: Avoid direct drafts to the lower back; use a lumbar support belt or wear thick clothing in winter. Change positions regularly: Avoid prolonged sitting, standing, or lying down; change positions regularly to allow the lumbar spine to relax.

[0084] Example 3

[0085] In this example, the patient was a 38-year-old male who presented with decreased back extensor muscle strength and decreased quadriceps muscle strength.

[0086] A traditional Chinese medicine composition for lumbar spinal stenosis, comprising the following raw materials in the indicated weight ratios;

[0087] Preoperative components: Astragalus membranaceus 22 parts, Codonopsis pilosula 15 parts, Taxillus chinensis 20 parts, Eucommia ulmoides 8 parts, Angelica sinensis 9 parts, Salvia miltiorrhiza 13 parts; Achyranthes bidentata 12 parts added to strengthen muscles and bones; Start taking the Chinese herbal components of the preoperative components 3 weeks before surgery, 1 dose per day, decocted in water and taken in 2 divided doses, combined with Little Swallow Flying and Five-Point Support to strengthen the back muscles, and appropriate functional exercises.

[0088] The surgery chosen was percutaneous endoscopic discectomy, a minimally invasive procedure to remove osteophytes and hypertrophic posterior longitudinal ligaments, relieving nerve compression.

[0089] Post-operative treatment regimen: 10 parts ground beetle, 9 parts deer antler glue, 7 parts Panax notoginseng powder, 7 parts frankincense, 10 parts myrrh, and 12 parts wolfberry. An additional 15 parts Poria cocos are added to strengthen the spleen and promote diuresis. Patients should begin taking the prescribed herbal components 2 days post-surgery and continue for 8 weeks, with weekly follow-up appointments. Postural management is crucial: maintain a straight back while sitting and standing; avoid slouching; appropriate low-impact exercises such as swimming and yoga can improve flexibility; avoid high-intensity contact sports.

[0090] The core treatment focuses on strengthening spinal stability through training, preventing injury and further degeneration, correcting poor posture and movement patterns, and employing a combination of physical therapy and exercise programs.

[0091] Example 4

[0092] In this example, the patient was a 77-year-old female who had limited lumbar flexion and extension, and pain and numbness in both lower limbs.

[0093] A traditional Chinese medicine composition for lumbar spinal stenosis, comprising the following raw materials in the indicated weight ratios;

[0094] Preoperative treatment regimen: Astragalus membranaceus 22 parts, Codonopsis pilosula 30 parts, Taxillus chinensis 16 parts, Eucommia ulmoides 12 parts, Angelica sinensis 13 parts, Salvia miltiorrhiza 12 parts; additional Cornus officinalis 10 parts to strengthen the body's foundation and nourish vital energy; start taking the preoperative Chinese medicine regimen 4 weeks before surgery, one dose per day, decocted in water and taken in two divided doses, combined with appropriate functional exercises; acupuncture to regulate Qi and blood; massage to relieve muscle tension; traction therapy to reduce nerve root pressure;

[0095] The preferred treatment approach was conservative therapy, supplemented by medication to control symptoms; therefore, surgery was not performed.

[0096] Post-operative treatment ingredients: 12 parts ground beetle, 0 parts deer antler glue, 6 parts Panax notoginseng powder, 8 parts frankincense, 8 parts myrrh, and 12 parts wolfberry. An additional 6 parts cinnamon are added to warm and unblock the meridians. Two days after the surgery, begin taking the prescribed Chinese medicine ingredients and continue for 8 weeks, with weekly follow-up appointments to adjust the dosage according to the attending physician's instructions. Keep the lower back warm: Avoid direct drafts to the lower back; use a lumbar support belt or wear thick clothing in winter. Change positions regularly: Avoid prolonged sitting, standing, or lying down; change positions regularly to allow the lumbar spine to relax.

[0097] Example 5

[0098] In this example, the patient was a 68-year-old male with diminished Achilles tendon reflexes on the affected side, unilateral lower limb numbness, and diabetes.

[0099] A traditional Chinese medicine composition for lumbar spinal stenosis, comprising the following raw materials in the indicated weight ratios;

[0100] Preoperative treatment regimen: Astragalus membranaceus 22 parts, Codonopsis pilosula 28 parts, Taxillus chinensis 18 parts, Eucommia ulmoides 10 parts, Angelica sinensis 12 parts, Salvia miltiorrhiza 15 parts; with an additional Cornus officinalis 8 parts to strengthen the body's foundation and nourish vital energy; starting 4 weeks before surgery, take the preoperative herbal regimen, one dose daily, decocted in water and taken in two divided doses, combined with appropriate functional exercises; acupuncture to regulate Qi and blood; massage to relieve muscle tension; traction therapy to reduce nerve root pressure;

[0101] The preferred treatment approach was conservative therapy, supplemented by medication to control symptoms; therefore, surgery was not performed.

[0102] Post-operative treatment ingredients: 6 parts ground beetle, 8 parts deer antler glue, 10 parts Panax notoginseng powder, 10 parts frankincense, 12 parts myrrh, and 12 parts wolfberry. An additional 6 parts cinnamon are added to warm and unblock the meridians. After the surgery, begin taking the prescribed herbal ingredients one day after the procedure and continue for 8 weeks, with weekly follow-up appointments to adjust the dosage according to the attending physician's instructions. Keep the lower back warm: Avoid direct drafts to the lower back; use a lumbar support belt or wear thick clothing in winter. Change positions regularly: Avoid prolonged sitting, standing, or lying down; change positions regularly to allow the lumbar spine to relax.

[0103] Contents not described in detail in this specification are prior art known to those skilled in the art. Although illustrative specific embodiments of the invention have been described above to facilitate understanding by those skilled in the art, it should be understood that the invention is not limited to the scope of the specific embodiments. Various modifications are readily apparent to those skilled in the art as long as they fall within the spirit and scope of the invention as defined and determined by the appended claims, and all inventions utilizing the concept of this invention are protected.

Claims

1. A traditional Chinese medicine composition for lumbar spinal stenosis, characterized in that: Made from the following raw materials in the indicated weight ratios: Preoperative composition: Astragalus membranaceus 18-22 parts, Codonopsis pilosula 15-30 parts, Taxillus chinensis 16-24 parts, Eucommia ulmoides 8-12 parts, Angelica sinensis 5-15 parts, Salvia miltiorrhiza 12-15 parts; Postoperative components: 6-12 parts of ground beetle, 8-10 parts of deer antler glue, 5-10 parts of Panax notoginseng powder, 8-10 parts of frankincense, 7-12 parts of myrrh, and 10-12 parts of wolfberry.

2. The traditional Chinese medicine composition for lumbar spinal stenosis according to claim 1, characterized in that: If the patient is a young adult aged 18-40: Preoperative preparation includes an additional 8-12 parts of Achyranthes bidentata to strengthen tendons and bones; Postoperatively, an additional 12-15 parts of Poria cocos were added to the formula to strengthen the spleen and promote diuresis.

3. The traditional Chinese medicine composition for lumbar spinal stenosis according to claim 1, characterized in that: If the patient is a middle-aged patient aged 41-60: Preoperative preparations include an additional 25-30 parts of Rehmannia glutinosa to nourish the liver and kidneys. Postoperatively, an additional 10-15 parts of Epimedium were added to warm and tonify kidney yang.

4. The traditional Chinese medicine composition for lumbar spinal stenosis according to claim 1, characterized in that: If the patient is an elderly patient over 61 years old: Preoperative preparations include an additional 7-13 parts of Cornus officinalis to strengthen the body's foundation and nourish its vital energy. Postoperatively, an additional 4-6 parts of cinnamon are added to warm and unblock the meridians.

5. The traditional Chinese medicine composition for lumbar spinal stenosis according to claim 1, characterized in that: The aforementioned ground beetle, frankincense, and myrrh have the effect of promoting blood circulation and removing blood stasis. These are prohibited ingredients for pregnant women, as their use may lead to miscarriage.

6. A preoperative and postoperative management method for lumbar spinal stenosis, characterized in that: Use the traditional Chinese medicine composition according to claim 1; Preoperative regimen: Start taking it 2-4 weeks before surgery, 1 dose per day, decocted in water and taken in 2 divided doses, combined with appropriate functional exercises; Postoperative dosage: Start taking the medication 1-2 days after surgery and continue for 4-8 weeks. The dosage will be adjusted by your doctor based on your recovery progress.

7. A preoperative and postoperative management method for lumbar spinal stenosis, characterized in that: For patients aged 18-40: Use the traditional Chinese medicine composition as described in claim 2; start taking the preoperative component of the traditional Chinese medicine 2-4 weeks before surgery, one dose per day, decocted in water and taken in two divided doses, in conjunction with appropriate functional exercises; start taking the postoperative component of the traditional Chinese medicine 1-2 days after surgery, continue taking it for 4-8 weeks, with weekly follow-up visits during this period, and adjust the dosage according to the instructions of the attending physician. The core treatment focuses on strengthening spinal stability through training, preventing injury and further degeneration, correcting poor posture and movement patterns, and combining physical therapy with exercise programs. ‌ Targeted training: Swallow jump and five-point support exercises to strengthen the lower back muscles; Flexibility training: Improves physical flexibility; Posture management: When sitting, keep your back straight and avoid slouching; when standing, keep your back straight and avoid leaning to one side or the other. Exercise recommendations: Swimming and yoga are low-impact exercises; avoid high-intensity contact sports.

8. A preoperative and postoperative management method for lumbar spinal stenosis, characterized in that: The patient is a middle-aged patient aged 41-60 years old. The traditional Chinese medicine composition described in claim 3 is used. The patient starts taking the preoperative component of the traditional Chinese medicine 2-4 weeks before the operation, one dose per day, decocted in water and taken in two divided doses, in combination with appropriate functional exercises. After the operation, the patient starts taking the postoperative component of the traditional Chinese medicine 1-2 days after the operation and continues to take it for 4-8 weeks. During this period, the patient will have a follow-up visit every week and the dosage will be adjusted according to the instructions of the attending physician. The core treatment strategy emphasizes both conservative treatment and active rehabilitation, combining lifestyle management with medical intervention, and employing a multimodal treatment approach. Physical therapy includes: applying heat and cold to promote local blood circulation; and using electrotherapy and ultrasound to relieve symptoms. Rehabilitation exercises include: strengthening the back muscles and improving lumbar spine stability; Weight management: Controlling weight reduces the burden on the lumbar spine and prevents accelerated lumbar degeneration.

9. A preoperative and postoperative management method for lumbar spinal stenosis, characterized in that: The patient is an elderly patient over 61 years old, using the traditional Chinese medicine composition described in claim 4; the patient begins taking the preoperative component of the traditional Chinese medicine composition 2 to 4 weeks before surgery, one dose per day, decocted in water and taken in two divided doses, in conjunction with appropriate functional exercises; after surgery, the patient begins taking the postoperative component of the traditional Chinese medicine composition 1 to 2 days after surgery, and continues to take it for 4 to 8 weeks, with weekly follow-up visits during this period, and the dosage is adjusted according to the instructions of the attending physician. ‌ Treatment should prioritize conservative therapy, supplemented by medication to control symptoms, using a multi-faceted approach. Physical therapy extensions: acupuncture to regulate Qi and blood; massage to relieve muscle tension; traction therapy to reduce nerve root pressure; lifestyle adjustments; ‌ Posture changes: Avoid prolonged sitting, standing, or lying down; change your posture regularly to relax your lumbar spine. Keep your waist warm: Avoid cold wind blowing directly on your waist. Use a waist brace or wear thicker clothing in winter.

10. A preoperative and postoperative management method for lumbar spinal stenosis, characterized in that: The patient is pregnant and uses the traditional Chinese medicine composition described in claim 5. She starts taking the preoperative component of the traditional Chinese medicine 2-4 weeks before the operation, one dose per day, decocted in water and taken in two divided doses, in conjunction with appropriate functional exercises. After the operation, she starts taking the postoperative component of the traditional Chinese medicine 1-2 days after the operation and continues to take it for 4-8 weeks. During this period, she has a follow-up visit every week and the dosage is adjusted according to the instructions of the attending physician.

Images