The Comparison Study Between
the Ecacy of Fresh Herbal
Compression and Dried Herbal
Compression in Patients with Neck
and Back Pain: A Randomized Trial
Suphawadee Tangchitchareon, Panitsupa Chuachang, Chaveewan Jaiveerawattana,
Akadet Onsa-ard, Ueamphon Suwannatrai, Manmas Vannabhum, Pravit Akarasereenont
Center of Applied Thai Traditional Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University,
Bangkok, Thailand
Siriraj Medical Bulletin 2022;15(1): 22-30
Abstract
Objective: To compare the efficacy of fresh herbal compression with dry herbal compres-
sion for treatment in Lom -Plai-Pata-Khad Sanyan 4 of neck/back – neck or upper back pain.
Material&Methods: 206 subjects were divided randomly to fresh hot herbal compress
treatment group (N=103) and dry hot herbal compress treatment group (N=103). The hot herbal
compressed was applied on neck and upper back 45 minutes, 3 times for 1 week (1st, 3rd and 5th
day). The pain scores, numeric rating scale (NRS: 0-10) were recorded before - after and follow
up in 14±2 day. The satisfaction was asked after 5th day.
Results: The pain scores were reduced significantly difference before and after treatment
both groups on 1st, 3rd and 5th day (p-value <0.001). The reducing pain, score reducing <2 levels
showed no significant difference between fresh and dry hot herbal compress treatment. Mean
differences of pain scores between fresh and dry hot herbal compress treatment on 1st, 3rd and
5th day were no significantly difference. The satisfaction result showed significant difference in
smell, heat and soften of fresh hot herbal compress treatment.
Conclusion: The fresh or dry hot herbal compress can be used for reliving muscular pain
in the Lom-Plai-Pata-Khad Sanyan 4 of neck/back or other muscular diseases that depended on
convenience and usage properly.
Keywords: Thai traditional medicine: hot compress: herb: muscle pain
Correspondence to: Panitsupa Chuachang
E-mail: panitsupa.chu@mahidol.edu
Received: 31 August 2021
Revised: 11 October 2021
Accepted: 23 October 2021
http://dx.doi.org/10.33192/smb.v15i1.253056
22 ี่� 15 ฉั่� 1 มกราคม - ม่นาคม 2565
Original Article



: 
,  ,  ,  , 
 ,  , 
สถานการแพ์แผนไระุก์ คณะแพศาสร์ศิริราชพาาล มหาิาลัมหิดล กรุงเพมหานคร














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Siriraj Medical Bulletin

















Zingiber montanum
Curcu-
ma zedoaria Cymbopogon citratus
Dryobalanops aromatica

24 ี่� 15 ฉั่� 1 มกราคม - ม่นาคม 2565
Original Article






























Zingiber monta-
num 


Zingiber
montanum 
















































25
Siriraj Medical Bulletin
































 
 

  
  
  
  

  
  
  

  
  
  
  
  

26 ี่� 15 ฉั่� 1 มกราคม - ม่นาคม 2565
Original Article












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

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











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
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

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












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




  
 
   
   
   
   
   
   
   


































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






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






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
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






























27
Siriraj Medical Bulletin
28 ี่� 15 ฉั่� 1 มกราคม - ม่นาคม 2565
Original Article











κ






















































29
Siriraj Medical Bulletin




# p < 0.00$ p < 0.001 
 *p < 0.05 

30 ี่� 15 ฉั่� 1 มกราคม - ม่นาคม 2565
Original Article
* p < 0.05 and ** p < 0.001 
