Chinese medicine believes that cervical spondylosis is caused by the body’s meridians and blood vessels, and the failure of the meridians will lead to the appearance of painful symptoms. Topical Chinese medicine has the function of activating blood stasis, dispelling wind and removing dampness, so that the lesioned area can be naturally restored to a healthy state and completely cured, thus achieving the principle of reducing swelling and relieving pain. It is currently the best topical medicine for cervical spondylosis!
Chinese medicine acupuncture therapy is also a more common treatment method, using treatment plus acupuncture therapy is more effective for the treatment of cervical spondylosis. The following is a detailed explanation of acupuncture therapy in Chinese medicine.
Acupuncture therapy is an important part of Chinese medicine and includes two parts: acupuncture and moxibustion. Acupuncture is the use of refined metal needles into certain parts of the body, with appropriate techniques to stimulate, while moxibustion is the use of moxa or moxa cones ignited and smoked acupuncture points to stimulate, through stimulation to adjust the function of the human meridians organs qi and blood and prevention of disease. Modern acupuncture treatment for cervical spondylosis has received increasing attention from scholars at home and abroad, and various acupoint stimulation methods are used for this disease.
When acupuncture is used for cervical spondylosis, the angle and depth of acupuncture should be mastered, and the key to effectiveness is to induce the sensation of meridian qi by carrying and twisting. With electro-acupuncture can enhance the effect of pain relief, long-lasting disease cold quality can be added moxibustion method synergistic effect. Long-term disease into the complex can be stabbing cupping to remove blood stasis and relieve pain. Ear acupuncture pressure can play a preventive role, with the neck activities can loosen the muscles, unlock the joints, relieve pain. Head acupuncture, cupping, acupuncture knife and acupoint injection have their own strengths in treatment.
Acupuncture is effective in treating cervical spondylosis and has no side effects. Among them, the nerve root type is the most effective, the sympathetic type and vertebral artery type are the second most effective, and the spinal cord type is less effective. Among the various treatments, acupuncture point combination therapy has the best effect. The acupuncture treatment is mainly applied to the cervical instability and the bone flap irritation phase of the degeneration process, while for the bone flap compression phase, comprehensive treatment measures including surgery are required. Acupuncture treatment for this disease mainly works by improving local blood circulation and releasing adhesions and spasm. Experiments have shown that acupuncture can relieve vascular spasm and increase blood flow to the cervical vertebral artery; it can relieve the patient’s subjective pain sensation and significantly improve the cervical electromyography. Cervical spondylosis is a degenerative pathology, and acupuncture can relieve pain and improve symptoms, but it cannot eradicate it and is often prone to recurrence. Therefore, further research is needed to improve the efficacy and reduce recurrence. At the same time, attention should be paid to protection during treatment, avoiding long-term low head work, moderate activity after 1 to 2 hours of work, adopting the correct sleeping posture in general, moderate pillow height, paying attention to neck warmth, and avoiding the evil of wind and cold, cold and damp.
Treatment by type.
(1) Cervical cervical spondylosis: for those whose main symptom is mainly neck strength, needles can be applied to Fengchi, Hegu, Liegun, Hangzhong and Waiguan; for those whose main symptom is neck pain and throat pain, needles can be applied to Dazhi, Quchi, Hegu, Waiguan and Houxi; for those who are restricted in pitching and tilting, Kunlun and Liegun can be used; for those who are restricted in rotation, Zhizheng can be used.
(2) Nerve root type cervical spondylosis: for those whose main symptom is mainly pain, acupuncture Fengchi, Hegu, Foot Sanli, Hanging Bell, Houxi; for those with shoulder pain, acupuncture Shoulder Shen, Shoulder Wai Yu; for those with elbow and arm pain, acupuncture Quchi, Tianjing, Wai Guan, Shaku Ze; for those with wrist, acupuncture Yangchi, Yangxi, Wrist Bone, Daling; for those whose main symptom is numbness, acupuncture Hegu, Wai Guan, Foot Sanli, Sanyinjiao, Kidney Yu, Hanging Bell; for those whose main symptom is muscle atrophy, acupuncture Quchi, Hand Sanli, Spleen Yu, Eight Evil Eight winds.
(3) Spinal cord type cervical spondylosis.
① spasm as the main symptom, deficiency spasm needles Zhonggui, foot Sanli, hanging bell, Taixi, Sanyinjiao, Yinlingquan, Qihai, Guan Yuan, Life Gate; actual evidence needles ring jump, Chibian, Yanglingquan, Weizhong, Kunlun, Spleen Yu, Dazhi, Houxi; constipation can be added Tianshu, Zhigou, Shang Juxu; urinary disadvantage needles Sanyinjiao, Yinlingquan, Zhongji;
(2) impotence: tonifying the kidney and benefiting the essence: Guan Yuan, Qi Hai, Kidney Yu, San Yin Jiao, Tai Xi; tonifying the spleen and stomach: Spleen Yu, Foot San Li.
(4) Vertebral artery type cervical spondylosis.
(1) for phlegm-dampness, acupuncture: Zhongbei, Neiguan, Fenglong, Xiexi, Hangzhong, Yinlingquan;
(2) for blood stasis, acupuncture Sun, Fengchi, Yanglingquan, Zhigou, Hegu, Taichong, Foot Sanli, Shuangbone, Zhongzhu, Foot Linyu, Houxi;
(iii) for damp-heat, Dazhi, Hegu, Quchi, Sanyinjiao, Yinlingquan, Shu Sanli, Taichong;
(4) for Qi deficiency, acupuncture: Baihui, Qihai, Guangyuan, Kidney Yu, Spleen Yu, Foot Sanli, Hanging Bell, and Laogong.
(5) Sympathetic cervical spondylosis.
(1) Liver Yang is hyperactive needles Fengchi, Quchi, Foot Sanli, Taichong, Xingma, Yanglingquan, Sun, front headache plus Hegu. Add Houxi for occipital pain, Taichong for headache, and Zhongzhu for temporal pain;
(2) Blood deficiency and essence deficiency: Shen Men, Tai Xi, San Yin Jiao, Shu San Li, Qi Hai, Guan Yuan, Spleen Yu, Kidney Yu;
③Thoracic paralysis: Zhi Gu, Yang Ling Quan, Qie Men, Neiguan, Shen Men;
(4) Stomach pain: Nei Guan, Shu San Li, Zhong Guan, Hang Zhong;
⑤ constipation: Tianshu, Zhigou, Shang Juxu, Zhonggui, Xingma.
Acupuncture precautions.
① hunger, fatigue, high tension, not acupuncture in order to avoid dizziness and stagnation of needles; physical weakness, as far as possible, choose the lying position, stimulation should not be too strong to avoid dizziness;
② Pregnant women, acupuncture must be cautious. Within three months of pregnancy, the lower abdomen is prohibited needles, more than three months, the abdomen and lumbosacral and some easy to cause contractions of the uterus points such as Hegu, Sanyinjiao, Kunlun, etc., should not be needled to avoid miscarriage; menstruation, such as non-menstrual needs should not be needled;
③Acupuncture should avoid blood vessels, with bleeding tendencies and coagulation disorders, should not be acupuncture, to prevent bleeding or bleeding more than;
④ face and trunk acupuncture points must be strictly in accordance with the angle and depth required for each point into the needle, so as not to cause pneumothorax or important organ damage.
3. Electro-acupuncture
Electro-acupuncture is a new therapy based on acupuncture combined with electricity. When the needle acupuncture points to get gas, in the process of needle retention needle body into the specific current, with electrical stimulation combined with needle stimulation, in order to achieve the appropriate amount of stimulation, so that the effect of stimulation is increased. Electro-acupuncture enhances the amount of stimulation during needle retention and has a stimulation effect similar to that of continuous needle transportation, and also allows objective recording of stimulation parameters for analysis and research.
(1) acupuncture points: the selection of points can be referred to the body acupuncture method.
(2) Method: Depending on the condition, 4 to 6 points are taken each time. The cervical region and the upper part of the nerve trunk should be the main points. According to the spread of the pain, select distant points according to the meridian as supporting points. Connect the negative pole to the main point and the positive pole to the matching point. The frequency of the current is 120-300 times per minute, and the intensity is as strong as the patient can tolerate. 15-20 minutes each time, every other day, 10 times for a course of treatment, the course of treatment interval of 4-5 days.
(3) Precautions: the same as the body needle part.
4. Moxibustion method
Moxibustion method is to use moxa as the main material made of moxa cones or moxa strips, ignited and then smoked in certain points on the body surface to heat stimulation of the body, is a method of disease prevention and treatment. The common moxibustion methods for cervical spondylosis are moxibustion and warm needle moxibustion, both of which have good effects of warming the meridians, moving Qi and blood, dispelling dampness and cold, relieving spasm and pain, and warming Yang and tonifying the middle, benefiting Qi and fixing the surface.
(1) moxibustion: take 24g of moxa, lay it on 26cm long, 2Ocm wide, soft, loose and tough mulberry paper, roll it into a cylinder of 1.5cm in diameter, and seal it with glue or paste into the sun. There are also moxa mixed with other drugs powder, this kind of moxa strip is also called medicine strip. Chinese pharmacies generally have finished products for sale. Moxibustion is generally divided into mild moxibustion and bird pecking moxibustion. The moxibustion is the end of the moxibustion stick ignited to the moxibustion site, about 1.7 ~ 3.3cm away from the smoked, so that the patient has local warmth and Yuan burning pain. Generally, moxibustion is performed for 3 to 5 minutes each, until the skin is slightly flushed. The moxibustion is the ignited end of the moxa stick moves up and down like a bird pecking, and can also move evenly in the left and right direction or repeatedly rotate the moxibustion. Cervical spondylosis can often be prevented by moxibustion of the large vertebrae, Guan Yuan, Qi Hai, and Foot San Li.
(2) Warm needle moxibustion: refers to the process of staying in the needle after acupuncture gets gas, pinch the moxa on the needle handle, ignite or load 1~2cm long moxa strips to ignite, so that the heat of moxa ignition and acupuncture work at the same time to achieve therapeutic purposes.
(3) Precautions: moxibustion and warm needle moxibustion to prevent burning moxa or burning out of the hot ash off, causing burns or burned clothing. The face, superficial parts of the blood vessels and tendons and the lumbosacral area of pregnant women should be used with caution.
5. Cupping
Cupping method is also known as the suction tube method, the ancient name of the corner method. This is a cup and jar as a tool, the heat to remove the air, so that suction on the skin, causing the phenomenon of blood stasis a method.
(1) Points: A-Yi point, Da Loom, Feng Men, Tian Zong, Shoulder Well, Shoulder Zhen.
(2) Method: Using a glass jar or bamboo jar, use the flash jar method, suck the jar onto the acupuncture point for 7 to 10 minutes and then remove it, to the extent that petechiae or bleeding occurs. Daily or every other day, 10 times for a course of treatment, the course of treatment interval of 3 to 5 days.
(3) Bamboo jar potion preparation: mugwort, eucommia, fengfeng, ephedra, papaya, Sichuan pepper, perforated sorrel, turtle shell, qiangwu, atractylodes, solanum, sumac, safflower, peach kernel, millennium health, haitongpi 1Og each, frankincense, myrrh 5g each, cloth bag with water decoction, use different sizes of bamboo jars in the boiling potion for 2-3 minutes, before cupping shake out the potion and cool to about 50 ℃.
(4) Precautions: Pay attention to the time when cupping to prevent burns.
6. Ear acupuncture
Ear acupuncture is a therapy to prevent diseases by acupuncture and other methods on some specific points in the auricle. The connection between the ear and the meridians and internal organs shows that the ear is part of the body as a whole. The acupuncture points distributed on the auricle are both reaction points for diseases in various ministries and can be used as stimulation points for acupuncture treatment. The positive reaction points appearing on the auricle can be used as a reference for clinical diagnosis.
(1) Points: Neck, cervical spine, Shen Men, occipital, subcortical, liver, and kidney.
(2) Method: select 3 to 4 points each time, after strict sterilization, pierce 0.7 to lcm with a No. 30 3.3 cm long milli-needle, retain the needle for 20 minutes after obtaining qi in each point, perform 2 to 3 times during the retention process, and cooperate with neck activities, the amplitude changes from small to large, 2 to 3 times per week, 10 times as a course of treatment. Or, the auricular acupuncture point can be pressed with snap-needle intradermal needling or Wang Bu Liuxing seeds, and each point can be pressed 3 to 5 times/day to produce acidity, numbness, swelling and pain. Treatment 1 to 2 times per week, 10 times as a course of treatment.
(3) Precautions: pay attention to disinfection and prevent infection.
7. Acupoint injection
Acupuncture point injection, also known as water acupuncture therapy, is to improve the pathological state of the body through the dual action of acupuncture and drugs.
(1) Acupuncture points: cervical pinch points, large vertebrae points, ayurvedic points, etc., nerve root type plus tianding, vertebral artery type and sympathetic type plus fengchi.
(2) Drugs: vitamin B1 50-100mg, vitamin B12 250-500ug, which has a nerve-nourishing effect and is suitable for hemp patients. Vitamin E: 50mg of oil, has the effect of improving local tissue oxygen supply, eliminating local inflammation edema and pain relief, can relieve radicular symptoms. Danshen Injection: 2ml plus 10% glucose when 5-10ml, has the effect of activating blood and unblocking meridians, suitable for those with heavy symptoms such as vertigo and headache of cervical spondylosis. Angelica Parviflora Injection: 2ml or Angelica Injection 2ml can relieve the root symptoms. Wild papaya injection: It can relieve pain.
(3) Method: Select 2 acupuncture points each time, sterilize routinely and then stab into the points, make a slight lifting and inserting, make the gas obvious, Tian Ding point should make the needle sense to reach the diseased arm and fingers is good, after drawing back no blood, slowly inject one of the above medicinal solution, 1ml per point, once every other day, 10 times for a course of treatment.
(4) precautions: the selection of acupuncture points to take care, safety, avoid important nerves, blood vessels, into the needle to avoid large lifting twisting, so as not to injure adjacent tissues.
8. Head acupuncture
Head acupuncture, also known as “scalp acupuncture”, is a method of acupuncture in some specific points on the scalp to treat diseases. The head and the human body organs have a close relationship. The head meridian points have been used to treat systemic diseases for many generations.
(1) Acupuncture points: for nerve root type, take the lower part of the upper 1/5 of the contralateral sensory area, and the contralateral upper limb sensory area. The spinal cord type is taken from the contralateral motor area and the sensory area of both feet.
(2) Method: Rapidly enter the needle and twist it quickly after piercing to a certain depth without lifting. Continuously twist the needle for 2-3 minutes, keep the needle for 10 minutes, then repeat the twisting line of needles, repeatedly line of needles for 2-3 minutes, after which the needle can be discharged. In the acute stage, once a day, in remission once every other day, 10 times as a course of treatment, the course of treatment interval of 4 to 5 days.
9. Blood pricking therapy
(1) Acupuncture points: the cervical joints, dazhi and ayurveda.
(2) Method: Stimulate percussion with skin needles on the acupuncture points in the neck, or percussion on the lesioned parts of the neck, and add fire cupping for about 5 minutes after slight bleeding to cause a little local bleeding. 1~2 times per week, 10 times as a course of treatment.