Abstract
OBJECTIVE: To observe the recent and long-term efficacy of cervical cervical spondylosis treated with staffley acupuncture. METHODS: A group of 72 cases was set up to observe the clinical effect of cervical cervical acupuncture treatment, and a control group of 48 cases was set up to treat cervical cervical spondylosis with ordinary acupuncture.
RESULTS: The recent cure rate was 55.56% and the total effective rate was 94.4%; the long-term cure rate was 54.62% and the total effective rate was 93.06% in the staff-needle treatment group. The recent cure rate of the general acupuncture control group was 27.08%, and the total effective rate was 62.5%; the long-term cure rate was 31.3%, and the total effective rate was 58.3%. The near-term and long-term curative effects of the treatment group were better than those of the control group, with significant differences (P<0.05).
Conclusion: The treatment of cervical cervical spondylosis with Member’s Li acupuncture has significant efficacy, and the near-term and long-term efficacy are reliable, and the treatment risk is small, so it is easy to be promoted in the clinic. He Liangzhi, Department of Comprehensive Internal Medicine, Xiyuan Hospital, Chinese Academy of Traditional Chinese Medicine
Key words: cervical spondylosis; cervical cervical spondylosis, member li acupuncture; cervical jiaoji point
Cervical cervical spondylosis is the most common type of cervical spondylosis in clinical practice, with neck pain and discomfort as the main symptom, and there are many treatment methods for it. Our department has been treating cervical cervical spondylosis by using member’s li acupuncture from 2009 to 2011, and the efficacy is remarkable in comparison with ordinary acupuncture treatment, as reported below.
Clinical data
1.General data
120 cases of cervical cervical spondylosis patients were randomly divided into 2 groups. There were 72 cases in the post-acupuncture treatment group and 48 cases in the general acupuncture control group. In the treatment group, 33 cases were male and 39 cases were female; the minimum age was 25 years old and the maximum age was 68 years old; in the control group, 2l cases were male and 27 cases were female; the minimum age was 24 years old and the maximum age was 67 years old; the shortest duration of the disease was 3 months and the longest was 13 years; all cases had different degrees of neck pain and discomfort and neck pressure pain, including 24 cases of vertigo discomfort, 15 cases of tinnitus, 66 cases of shoulder discomfort with pressure pain, and different All cases had different degrees of neck pain and neck pressure pain. All cases were examined by X-ray, and 105 cases had different degrees of straightening of the physiological curve of the cervical spine, 38 cases had changes in the intervertebral space, and 45 cases had different degrees of scoliosis. All cases were strictly examined to exclude other types of cervical spondylosis. 2 groups of patients were basically similar in terms of age, disease duration and distribution of disease, and P>0.05 by statistical treatment.
2.Diagnostic criteria
The diagnostic criteria for cervical cervical spondylosis were formulated with reference to the Diagnostic Efficacy Criteria of Chinese Medicine Evidence formulated by the State Administration of Traditional Chinese Medicine in 1994.
(1) Neck pain, sluggishness and soreness, and limitation of neck movement.
(2) A small number of patients have shoulder and arm pain, numbness, and transient hand numbness, often aggravated or recurring after poor posture such as morning rising, overexertion, work or sleep, and after feeling wind and cold, often mistaken for “falling pillow”.
(3) X-rays and other auxiliary examinations can be seen in the cervical spine physiological curvature straightening, intervertebral joint instability, osteophytes or cervical disc bulge.
3.Exclusion criteria
Excluding patients with heart, brain, kidney diseases, diabetes, mental illness; those with particularly severe cervical vertigo such as severe nausea and vomiting; those who have received other treatments for cervical spondylosis within 3 months; those who are timid and have a tendency to get dizzy.
Treatment methods
1.Membership acupuncture treatment group.
The staff-li acupuncture treatment selects acupoints according to the location of the lesion and the symptoms, mainly using the ayurvedic point, the pinch point and the tianzong point, plus the identification of acupuncture points.
Acupuncture technique: the use of the member of the needle piercing straight lifting inserted mainly, into the needle after lifting inserted several times the technique, daily acupuncture once, three times for a course of treatment, general treatment for a course, no relief can do two to three courses of treatment, each course of treatment during the rest is not necessary. Local skin disinfection after the identification of treatment.
2. General acupuncture control group.
According to the acupuncture point method in “Modern Research and Application of Acupuncture”, take the drop pillow, A-Yi point, cervical pinch spine, large vertebrae, Tianzhu, Da Loom, Fengchi, Baihui and Hegu. Dizziness plus Fengfu and Yu Pillow; scapular pain plus Tianzong and Waiyu of the Shoulder; tinnitus plus Shengong and Catarrh.
Acupuncture method: the cervical spine should not be too deep, the rest are conventional milli-needle acupuncture method, stay acupuncture 10-20 min, treatment once a day, a total of 2 weeks treatment.
Treatment results
The efficacy statistics of both groups were conducted twice at the end of the treatment course and 3 months after treatment.
1. The efficacy criteria were categorized with reference to the Diagnostic Efficacy Criteria for Chinese Medical Evidence as.
(1) Clinical cure: clinical symptoms, signs disappeared and functions returned to normal.
(2) Significant effect: clinical symptoms are reduced, signs are significantly improved, and functions are basically restored to normal.
(3) Effective: clinical symptoms and signs slightly reduced, although they can adhere to work, but still have an impact on work and life.
(4) Invalid: no change in symptoms and signs before and after treatment.
2.Results
The comparison of the recent efficacy of the two groups is shown in Table l.
Table 1 Comparison of recent efficacy between two groups Example (%)
Group Number of cases Cured Effective Ineffective Cured rate (%) Total effective rate (%)
Treatment group 72 40 17 11 4 55.56 94.4
Control group 48 16 11 8 13 33.3 72.92
After statistical treatment, there was a significant difference in the cure rate and effective rate between the two groups (P<0.05).
The comparison of the long-term efficacy of the two groups is shown in Table 2.
Table 2 Comparison of long-term efficacy between the two groups Example (%)
Group Number of cases Cured Effective Ineffective Cured rate (%) Effective rate (%)
Treatment group 72 39 16 12 5 54.62 93.06
Control group 48 15 11 8 14 31.3 69.85
As shown in Table 2, the long-term efficacy of the treatment group was significantly better than that of the control group, and there was a significant difference in the cure rate and efficiency rate between the two groups after statistical treatment (P<0.05).
Discussion
Cervical cervical spondylosis is the most common type of clinical cervical spondylosis, which is mostly seen in the early stage of cervical spondylosis. With the popularization of computers and changes in people’s work and life, there is a trend of younger onset of this disease. The main cause of cervical spondylosis is due to long-term poor posture of the neck, combined with cold and trauma, resulting in cervical muscle spasm and changes in the physiological curve of the cervical spine and cervical spine instability, resulting in vertebral rotation, joint misalignment, joint spasm, and stimulation of the corresponding nerves and blood vessels. The most common cause is strain or injury to the soft tissues of the neck and shoulders, followed by dizziness and headache due to tension and spasm of the soft tissues in the posterior occipital area that stimulate the surrounding small blood vessels and vertebral arteries. With the development of the disease, degenerative line pathological changes occur in the discs, synovial joints, joint capsule and ligaments related to the affected vertebrae, leading to the occurrence of other types of cervical spondylosis.
Cervical spondylosis belongs to the category of “paralysis” and “bone paralysis” in Chinese medicine. In the “Nei Jing, Theory of Paralysis”, it is said that “the three gases of wind, cold and dampness are combined to form paralysis”. Paralysis is the meaning of closed blockage, various reasons for the poor flow of Qi and blood, stagnation of the veins and veins, limb movement is paralysis. The therapeutic effect and principle of the post-needle; one is to open the meridians and activate the channels, the human body’s meridians, internal organs, external joints communicate inside and outside, through the upper and lower, the various parts of the body tissues and organs linked into an organic whole. The meridian pathology, not pass can cause external discomfort and pain, internal is caused by the internal organs of the pathology and pain, the member of the needle acupuncture can unblock the paralysis of the meridian and tendons, and make the meridian pass, relieve pain. The second is to unblock the tendons and disperse the knots, the body’s chronic pain caused by the body is divided into the meridians, the meridians and tendons (tendons), the tendons paralysis knot inaccessible and cause pain, the member of the Lee needle through the dispersion of knots, eliminate the foci of pain and achieve the loose meridians (tendons) paralysis knot pain. The third is to dispel cold, Yin cold internal knot, condensation and become paralysis, knot and become a lump to become a focal point, the member of the Lee needle acupuncture can make the cold directly from the puncture point outside the diarrhea, and dispel the cold to relieve pain. Our department uses this method to treat cervical cervical spondylosis, which has the advantages of quick effect, good efficacy in the near and long term, short course of treatment, no trauma and little pain, etc. It is one of the nine acupuncture methods in Chinese medicine with quick effect, and is suitable for promotion and application in hospitals at all levels.