Beryllium acupuncture for cervical spondylotic neck pain OBJECTIVE: To investigate the mechanism and effectiveness of beryllium acupuncture for cervical spondylotic neck pain. Methods: 61 cases of cervical spondylotic neck pain were treated with beryllium acupuncture, and the efficacy was determined according to the change of neck and shoulder pain before and after treatment. Results: 35 cases (57.38%) were clinically cured; 16 cases (26.23%) were effective; 9 cases (14.75%) were effective; 1 case (1.64%) was ineffective. The total effective rate was 98.36%. Conclusion: Beryllium needle treatment relieves cervical spondylosis neck pain by cutting subcutaneous tissues, fascia and muscles to release adhesions, decompress and reduce tension, and the effect is satisfactory. ”Cervical spondylosis is a common disease in clinical practice. Neck pain is one of the most common symptoms of cervical spondylosis, and can occur in all types of cervical spondylosis. From July 2006 to September 2008, our department used “beryllium needle” to treat 97 cases of cervical spondylosis neck pain with satisfactory results, which are reported as follows. 1. Clinical data 1.1. General data Among the 61 cases in this group, there were 29 male cases and 32 female cases; age ranged from 25 to 67 years old, with an average of 48 years old; the duration of the disease ranged from 1 month to 3 years, with an average of 7 months. Among them, there were 9 cases of cervical type, 31 cases of nerve root type, 18 cases of vertebral artery type, and 3 cases of spinal cord type (early mild disease); lesions were single segment 28 cases, two segment 23 cases, and three segment 10 cases, involving C3, 48 cases, C4, 528 cases, C5, 645 cases, and C6, 723 cases. 1.2, design and structure of beryllium needle The beryllium needle is made of titanium alloy, diameter 0.5-0.75 mm, overall length 5-8 cm, head length 1 cm, needle body length 4-7 cm, flattened end with edge, the blade is beveled, the blade line is 0.5-0.75 mm. the needle handle is a common needle handle wound with steel wire, about 3-5 cm long. the treatment should make the blade line and the plane mark of the handle in the same plane In order to identify the direction of the incision line in the body. 1.3. Diagnostic basis All 61 patients in this group met the diagnostic criteria for cervical spondylosis according to the minutes of the Second Symposium on Cervical Spondylosis [1]. Patients with similar clinical manifestations of cervical spondylosis caused by other diseases, such as cervical transverse cutaneous nerve entrapment syndrome and cervical dorsal myofasciitis, were also excluded. The specific diagnostic criteria are as follows: 1. Cervical type: (1) complaints of abnormal sensations such as head, neck and shoulder pain. And accompanied by corresponding pressure pain points. (2) The cervical spine shows curvature changes or intervertebral joint instability on X-ray; (3) other neck disorders should be excluded (fallen pillow, frozen shoulder, rheumatic myofibrositis, neurasthenia and other non-degenerative disc degeneration-induced shoulder and neck pain. 2. Nerve root type (1) has more typical root symptoms (numbness, pain). And the scope is consistent with the area innervated by the cervical spinal nerve. (2) Positive cervical compression test or brachial plexus pulling test. (3) The imaging findings are consistent with the clinical manifestations (4) No significant effect of painful point closure (this test may not be performed if the diagnosis is clear). (5) Excluding the pain of upper limbs caused by extra-cervical pathology (thoracic outlet syndrome, tennis elbow, carpal tunnel syndrome, elbow tunnel syndrome, frozen shoulder, biceps tenosynovitis, etc.). 3. Vertebral artery type: (1) Previous sudden collapse attack with cervical vertigo (2) Positive rotational neck test. (3) X-ray film shows segmental instability or osteophytes of the hook vertebral joint. (4) Most of them are accompanied by sympathetic symptoms. (5) Exclude ophthalmogenic and otogenic vertigo. (6) Exclude insufficiency of basilar artery supply caused by compression of vertebral artery segment I and vertebral artery segment III. (7) Vertebral arteriogram or digital subtraction vertebral arteriogram (DSA) should be performed before surgery. 4. Spinal cord type: (1) Clinical manifestations of cervical spinal cord damage are present. (2) Osteomalacia and spinal stenosis at the posterior edge of the vertebral body are shown on x-ray. Imaging confirms the presence of spinal cord compression. (3) Excluding amyotrophic lateral sclerosis, spinal cord tumor, spinal cord injury, secondary adhesive arachnoiditis, and multiple peripheral neuritis. All patients were treated with beryllium acupuncture, and the pressure points and muscle tensions in the neck were selected as the entry points. The patient was seated with the head lying on the table or the back of the chair, and the skin was marked with gentian violet after accurate positioning. Disinfect the skin routinely, press the thumb of the left hand next to the marker point, and use the wrist force of the right hand to stab the beryllium needle directly into the marker point vertically, and the depth of the needle should be through the deep fascia. The depth of the needle should be flexible depending on the fatness of the patient and the location of the needle. After entering the needle to find the sunken tight astringent needle sense, and in the needle sense layer to loosen and unclog, that is, loosen the pressure pain points and muscle tension in the obvious soft tissue, line or multi-point loosening 4 to 5 needles. After completing the relaxation, press the entry point with sterile cotton ball or gauze, and then quickly remove the needle, press the local area for 2~3min, cover the entry point with sterile dressing, and end the treatment. Keep the local dry and clean for 24 h. Beryllium needle release is done once a week, and generally 1 to 3 times depending on the severity of the disease. The average treatment for this group of patients was 2.3 times. 3.Efficacy assessment: 3.1.Observation items and methods The patient’s neck pain index was the main focus, according to the VAS pain index marking method, without any suggestion or inspiration, the patient faced the ruler and placed the cursor at the position that best represented the degree of pain at that time, and the physician recorded the degree of pain according to the side with the scale on the other side of the ruler. The pain was classified from 0 to 10 on the scale, and the pain was classified as normal, mild, moderate and severe, and given different scores of 0, 1, 2 and 3 respectively. Each grade was divided as follows: normal, no pain, 0 points; mild, 1 to 3, 1 point; moderate, 4 to 6, 2 points; severe, 7 to 10, 3 points. 3.2. Efficacy assessment criteria (the following efficacy assessment criteria were formulated with reference to the diagnostic and therapeutic standards of the State Administration of Traditional Chinese Medicine) The efficacy assessment was based on the change of pain in the neck and was evaluated at four levels: clinically cured, effective, efficient and ineffective. Clinical healing: pain disappears or the score is ≤1 point; efficacy: the score decreases ≥2/3 and >1 point, pain basically disappears; effectiveness: the score decreases ≥1/3.