1.Data and methods
1.1 Clinical data 42 cases of cervical spine syndrome were diagnosed by X-ray and partly by CT examination, 19 men and 23 women; the youngest was 21 years old, the oldest was 77 years old, 8 cases were under 40 years old, 20 cases were 41~50 years old, 14 cases were over 50 years old, the shortest duration was half a month, the longest was 20 years, 15 cases were within 1 year, 22 cases were 1~10 years, 5 cases were 10~20 years. According to the Chinese medicine classification, there were 20 cases of wind-cold paralysis, 10 cases of qi stagnation and blood stasis, and 12 cases of kidney deficiency; Western medicine classification: 15 cases of neurological classification, 10 cases of vertebral artery type, 5 cases of spinal type, 2 cases of sympathetic nerve type, and 10 cases of mixed type. At the same time, 30 cases with comparable age, sex, disease duration and typing were set as the control group.
1.2 According to the third edition of the Internal Medicine Manual, the diagnosis was confirmed by any of the following clinical symptoms and two or more of the clinical signs were positive, combined with auxiliary examinations.
① Recurrent neck, shoulder and back pain, often triggered by exertion and cold, pain radiating to the upper arm, fingers or numbness of the fingers.
②Dizziness, vertigo, tinnitus, numbness of the limbs and even sudden collapse.
③ Unilateral or bilateral lower limb numbness, weakness and even difficulty walking.
1.3 Clinical signs and symptoms: The following tests should be performed:
①Strike the top test;
②Cervical nerve root pull test.
(iii) anterior oblique muscle pressure test.
④Tilt and turn test.
⑤ Flexion and tilt test.
1.4 Auxiliary examination
①Cervical spine X-ray can show the loss of physiological curvature of cervical convexity, lip-like hyperplasia at the anterior and posterior edges of the vertebral body, and narrowing of the vertebral space.
②Protruding or bulging discs can be seen on CT examination, and lesions in the cervical spinal canal, such as occupying tumors, can be excluded.
1.5 Treatment methods
1.5.1 Observation group
①Acupuncture points, the corresponding lesion cervical spine points, the large vertebrae, Tianzhu, cervical hundred worms, Houxi, wind-cold paralysis, plus Fengchi, Fengmen, shoulder well, Qi stagnation and blood stasis, plus Tianzong, Hegu, Quchi, liver and kidney deficiency, plus Liver Yu, Kidney Yu, Foot Sanli, Taixi, large vertebrae points, direct stabbing 2 inches, flat tonic and flat diarrhea. The remaining acupuncture points are supplemented and diarrhea is applied according to deficiency.
②After acupuncture, the moxa stick was cut into 3 cm length and set on the needle handle and ignited (mainly for Dazhi, Jijiao points and Tianzhu).
1.5.2 In the control group, traction or physical therapy was performed, oral vitamins and anti-inflammatory and analgesic drugs were administered, and Chinese herbal tonics and non-steroidal analgesics were added to treat the symptoms.
2. Results
2.1 The efficacy standard was basically cured: clinical symptoms and positive signs disappeared, and limb function returned to normal. Significant effect: clinical symptoms were significantly reduced, limb function was significantly improved, and normal work could be performed. Effective: clinical symptoms are reduced and normal work can be performed. Ineffective: No change or significant deterioration of clinical symptoms and positive signs.
2.2 Comparison of the treatment results between the two groups, 71% of the treatment group was cured and 50% of the control group was cured, the difference was statistically significant.
3.Typical case
The patient was a 53-year-old female with neck pain for 3 years and numbness of the right finger for half a year, which was aggravated for half a month. 3 years ago, the patient developed neck pain after working overtime with her head down for too long, and the X-ray showed C5-7 osteophytes and narrowing of the cervical foramina bilaterally, After 10 times of treatment with warm acupuncture, the numbness and pain disappeared and the movement was free, and there was no recurrence after 5 times of consolidation treatment and six months of follow-up.
4. Discussion
This disease belongs to the category of “paralysis”, “yin paralysis” and “bone paralysis” in Chinese medicine, mostly due to old age, liver and kidney deficiency, loss of nourishment of tendons and bones, or sedentary consumption of Qi, strain on tendons and flesh, or feeling external evil, The guest in the meridian, or sprain and injury, qi and blood stagnation, venous paralysis and obstruction caused.
The dazhi is a supervisory point, the meeting of all the yang, can stimulate the yang meridian qi, through the meridians, the corresponding lesions of the spine points and cervical hundred worms, Tianzhu has combing local qi and blood to relieve pain, Houxi is the eight meeting points, and the supervisory vein, can regulate the supervisory meridian qi, through the pain, the points together to dispel wind and cold, dredge the meridians, the function of qi to relieve pain, moxibustion has warmed the meridians to move qi and blood, the role of dispelling dampness and dispersing cold, the occurrence of cervical spine syndrome is often associated with The occurrence of cervical spine syndrome is often closely related to “cold condensation”, “blood stasis”, “kidney deficiency” and other factors, in the treatment of acupuncture alone, the power of warming and dispersing is weak, moxibustion alone is not enough power to pass the meridians, the use of warming and acupuncture, and control The combination of warm needles and controlled stimulation intensity can produce the best effect and improve the therapeutic effect.
Acupuncture is mainly used in the cervical instability and bone stimulation phases of the degenerative process, while other methods including surgery should be used in the compression phase such as bone compression of the spinal cord.
The disease is prone to recurrence, after the disappearance of symptoms, should adhere to treatment, consolidate treatment, adhere to do neck health exercises and pay attention to neck warmth and sleep with a comfortable pillow is important.