Abstract:Objective:To observe the efficacy of Gui Zhi Fu Ling Wan plus and minus in the treatment of cervical spondylosis.Method:To apply Gui Zhi Fu Ling Wan plus and minus with external treatment for cervical spondylosis of nerve root type.
The results showed that 21 cases were cured, 36 cases were improved, and the total effective rate was 95%.
Warming the Yang and opening the luo! The efficacy of promoting blood circulation and relieving pain”.
Keywords: cervical spondylosis of nerve root type; Chinese medicine therapy; Gui Zhi Fu Ling Wan
The Gui Zhi Fu Ling Wan is from 5 Jin Kou Yao#Women’s Pregnancy Disease Chapter6 “This formula was designed in ancient times for /Y accumulation0, but nowadays it has been innovated in clinical application, and the scope of use is not limited to gynecology /Y accumulation0″ In recent years, the author used Gui Zhi Fu Ling Wan with traction and Chinese herbal medicine to treat 60 cases of neurogenic cervical spondylosis, and achieved satisfactory therapeutic results; it is reported as follows”
1. General information
The 60 cases were all outpatients of our hospital, 36 males and 24 females; age 28~65 years old, average 35.6 years old; duration of disease 3 months~6 years; 22 cases of cold-damp type, 25 cases of damp-heat type, 4 cases of kidney-yang deficiency type and 9 cases of kidney-yin deficiency type according to the Chinese medicine diagnosis; the diagnostic criteria were referred to the 5 Chinese medicine diagnosis and efficacy criteria6 [1], and cervical spine tumor was excluded! nodules and cervical rib syndrome”
2. Treatment methods
2.1 Internal treatment method Basic formula: Gui Zhi 10, Fu Ling 20, Tao Ren 12 (broken), Dan Pi 15, Red Peony 15, Ge Gen 30, 1 dose /, divided into 1 time to take, 15 doses for a course of treatment “type identification of evidence to add or subtract: cold damp type: neck, shoulder and arm pain! Soreness and numbness, when the weather changes (especially humid and cold), the symptoms are aggravated, the tongue is light red, the moss is white or white and greasy, the pulse is slow, it is advisable to dispel wind and dispel cold and remove dampness, the original formula adds Qiang Wu 12, Fang Feng 12, Beehive 12, Chuan Dioscorea Z30, “damp-heat type: neck, shoulder and arm pain! Soreness and numbness, with bitterness in the mouth and dryness in the throat, irritable heat in the limbs, short urine, dry stool, red tongue with yellow fur, warming the kidneys and strengthening the yang, the original formula is supplemented with Niubizi 18, Eucommia! Chuan Guan Guan each 15” Kidney Yin deficiency type: neck, shoulder and arm swelling and pain! Soreness and numbness, with lumbar and knee tenderness, five heart fever, hot flashes and night sweats, bitter mouth and dry throat, red tongue, little moss, thin pulse “should nourish the liver and kidneys, the original formula plus Shundi 15, Poria 20, Zelig 15, Yam 20, Cornus officinalis 15, Dampi 15” 2.2 external treatment method occipital jaw belt traction, weight 5-7, lasting 30, 1 time / “with the external application of Shuangbai San, each 200, 1 time /” treatment 15
1 course of treatment”
3. Treatment results
3.1 Efficacy assessment criteria Referring to the diagnostic efficacy criteria of Chinese medicine6 [1], “cure: neck pain and numbness of upper limbs! The symptoms of weakness disappeared, the upper brachial nerve pulling test was negative, and the physiological curvature of the cervical spine was normalized on the radiographs; improved: the symptoms were reduced, the upper limb was sore and swollen! Numbness is relieved and the linear signs are improved; invalid: no change in symptoms and linear signs”
3.2 Treatment results The group of 60 cases, treated by this method, the course of treatment 15 ~ 90, the average course of treatment 28, 21 cases of recovery, 36 cases of improvement, invalid 3 cases, the total effective rate of 95%”
4. Experience
Nerve root type cervical spondylosis is a more common type of cervical spondylosis, accounting for about 60% to 70% of cervical spondylosis” refers to the degeneration of the cervical spine, nerve root compression and other factors leading to a certain degree of pain in the area of its domination! Numbness! Sensory loss and reflex changes” are more common in low-headed workers over 30 years old.
The Chinese traditional medicine classical medical text on this disease is scattered in / paralysis 0!/ vertigo 0!/ item strong 0!/ item tendon urgent 0 and / item shoulder pain 0, etc. “For example, 5 Zhang’s medical general6 said: / kidney qi does not follow the old way, qi reverse to hold the spine and up, resulting in shoulder and back pain,,, or view the book to xiang long sitting to cause the spine 0; 5 typhoid 6 said: / item back strong several several,,, Gui Zhi Ge Gen Tang is the main 0″ its cause and trauma! Strain! The pathological changes involve the internal organs! Meridians! Qi and blood, etc.”
Such as 5 Suwen # Shanggu Tianzhen Lun 6 said: / five eight kidney qi failure, hair and teeth depleted,, seven eight liver qi failure, tendons can not move 0 “This indicates that the human body with age, the whole body organs! Bone! Muscle! joints, etc. into the process of decline “people to five eight kidney failure, bone and joint degenerative changes, there will be tendon disease, / tendons can not move 0” 5 Nei Jing # five viscera generation chapter 6 and cloud: / liver, tendons also “kidney, bone also” bone, the marrow of the house, can not stand for a long time, line is Zhen off, bone will be exhausted “0 pointed out the relationship between bone and joint disease and liver and kidney function” liver and kidney essence deficiency, can not moisten the tendons and bones, then bone and joint degenerative diseases are likely to occur
5 Suwen # Xuanming five gas chapter 6 cloud: / long vision injury blood, long lying injury gas, long sitting injury tendons, long standing injury bone, long walking injury tendons 0 pointed out the relationship between degenerative diseases of the bone and joint and strain “Therefore, the occurrence of cervical spondylosis is based on liver and kidney deficiency, wind, cold and dampness attack, or neck Rong then pain and limb numbness and other symptoms” In addition, due to the long duration of the disease, the condition is difficult to heal, and / long disease will be stasis 0! As the disease progresses, the internal stasis of blood will become more and more serious” Therefore, the author believes that the main pathological mechanism of cervical spondylosis lies in the stasis of blood0 “Gui Zhi Fu Ling Wan has the function of warming Yang and opening the ligaments! The function of activating blood and resolving blood stasis” in the formula Gui Zhi to go to the upper extremities can warm Yang to pass paralysis, especially suitable for shoulder and arm pain; peony nourishes blood and Ying, if the use of red peony can still activate blood; peach kernel! Danpi invigorate blood circulation to resolve blood stasis; this formula focuses on blood circulation and Yang, so the use of Fu Ling tonic and the middle, the dosage should be large, to prevent other drugs to hurt the “use of this blood stasis to go, meridians open, blood flow, wind, cold and wet, etc.
The study on the mechanism of action of Chinese medicine in the treatment of cervical spondylosis is mainly based on patients, and the observation indexes are limited to microcirculation! Hemodynamics! Oxygen free radicals! Inflammatory mediators! Immunity, etc. “Blood rheology is currently the ideal indicator to determine blood coagulation and tendency to form thrombus” Du Xegang et al [2] tested seven indicators of blood rheology in 65 patients with cervical spondylosis and found that all of them had different degrees of increase, especially plasma viscosity! Plasma endothelin is a strong vasoconstrictor. “Feng Shiqing et al [3] found that plasma endothelin levels in patients with vertebral artery cervical spondylosis were significantly higher than those in normal controls. The above study objectively proved the close relationship between cervical spondylosis and blood stasis in TCM. Plasma viscosity and coagulation In addition, Gui Zhi Fu Ling Wan can achieve its anti-blood stasis effect by normalizing the local distribution of erythrocyte sialic acidase activity.
It can inhibit the increase of capillary permeability caused by histamine, 5 hydroxytryptamine, etc., and inhibit the effect of egg white! formaldehyde, etc., and inhibit chronic granulomatous tissue proliferation [4], i.e., it has significant inhibitory effects on the early and late stages of inflammation. Late stage of inflammation were significantly inhibited”