Clinical Efficacy of Lithiasis-Expelling Decoction Combined with Acupuncture in Patients with Ureteral Stones

LI Pu; ZHAO Bo

doi:10.13919/j.issn.2095-6274.ZHJY202503009

Abstract：Objective To observe the effects of Lithiasis-Expelling Decoction combined with acupuncture on the improvement of clinical symptoms and pain in patients with ureteral stones.Methods A total of 120 pa-tients with damp-heat syndrome type ureteral stones,treated at the Emergency Department of Qiannan Prefecture Chinese Medicine Hospital from April 1,2023,to April 1,2024,were selected for the study.The patients were ran-domly divided into two groups using a random number table method.The study group(n=60)received treatment with Lithiasis-Expelling Decoction combined with acupuncture,while the control group(n=60)received conven-tional oral Western medication.The two groups were compared for changes in VAS scores,Traditional Chinese Medicine(TCM)syndrome scores,stone clearance rate,and treatment safety after 1 month and 6 months.Re-sults There was no significant difference in VAS scores between the two groups before treatment(P＞0.05).How-ever,the VAS scores at 1 week,1 month,and 3 months after treatment showed significant differences in time,be-tween-group comparisons,and interaction effects(P＜0.001).There was no significant difference in TCM syndrome scores between the two groups before treatment(P＞0.05).One month after treatment,the TCM syndrome score in the study group was significantly lower than that in the control group(P＜0.001).After treatment,the stone clear-ance rate in the study group was significantly higher than in the control group(P＜0.05).The incidence of adverse reactions in the control group was 3.33％(2/60),and in the study group,it was 5.00％(3/60).There was no signif-icant difference in the incidence of adverse reactions between the two groups(P＞0.05).Conclusion Treatment with Lithiasis-Expelling Decoction combined with acupuncture can improve clinical symptoms,reduce pain,and increase stone clearance rate in patients with ureteral stones,with an acceptable safety profile.