Cervical spondylosis is a common disease with a high incidence. Since October 1993, our hospital has treated more than 1,000 cases of various types of cervical spondylosis with better results. In order to standardize the treatment, we summarize the treatment in combination with our department as follows.
1.Cervical type.
Main manifestations: head, neck, shoulder and back pain, unfavorable rotation, difficulty in pitching and rotating, easy to neck in the late stage. Fatigue, light red tongue, thin white coating, thin string pulse.
Treatment principle: relax the tendons and channels, dispel wind and relieve pain.
Treatment methods: ① acupuncture: take the cervical pinch point, A-Yi point, the pillow point, Feng Chi point, Hegu point, direct or oblique acupuncture, diarrheal method, local warm moxibustion or TDP irradiation for 30 minutes, every 5 minutes during the needle, cupping after taking the needle, retain the jar for 5 minutes.
②Tui-na: use gentle one-finger Zen pushing and rolling method to apply the neck and shoulder muscles for about 10 minutes, followed by rotating trigger method, finally rubbing the neck and shoulder, lifting and holding the shoulder well, patting the neck and shoulder back muscles to end about 15-20 minutes.
③Chinese medicine: Ge Gen, Angelica sinensis, Chuanxiong, Bai Shao, Qiang Wu, Fang Feng, Gentiana, Gui Zhi, Licorice, add and subtract treatment according to the symptoms, one dose of water decoction divided into 2 times a day, the dregs of the medicine hot compress neck and shoulder.
Treatment results: cervical cervical spondylosis treatment once a day, 5 times for a course of treatment, generally within a course of treatment can be cured, the disease is short, generally 1-2 times that the symptoms disappear.
2.Nerve root type.
Main manifestations: head, neck and occipital pain, soreness and pain in the back of the shoulder and one or both upper limbs and fingers, aggravated by head and neck activities or coughing and sneezing, with obvious radiating pain and string numbness. Pale tongue, white coating and thin pulse.
Treatment principle: Activating blood circulation, relieving spasm and pain.
Treatment methods.
①Acupuncture: take the affected cervical pinch point and Fengchi point, the affected shoulder k, shoulder s, Quchi, Waiguan, Hegu through Houxi point, the technique is to use the method of flat tonification and flat diarrhea, or the short course of the disease with the diarrhea method, the long course of the disease with the tonification method, retain the needle for 30 minutes, local warm moxibustion or TDP irradiation, or use G6805 electroacupuncture treatment.
②Tui-na: after 15-20 minutes of cervical traction, use one-finger meditation pushing and rolling method on the neck and shoulder and the affected limb to relax the neck muscles, press and knead the shoulder k, shoulder s, hand sanli, quchi, internal and external guan, hegu and other points on the affected limb, and then use fixed-point trigger method according to the nerve root pressure, and finally apply the plucking method to pluck the neck muscles, lift the neck and shoulder and rub the affected limb to end the technique for 20 minutes each time.
③Chinese medicine: Astragalus, Angelica, Chuanxiong, Gui Zhi, Quan Yin, Centipede, Di Long, Xuan Hu, Bai Shao, Shu Di, Wei Ling Xian, Ge Ge Ge, Dan Shen, Herba, Qiang Wu, Dou Wu, etc. Add or subtract according to the symptoms. One dose of water decoction was divided into 2 times a day.
Treatment results: The incidence of neurogenic cervical spondylosis is high, accounting for about 60%, treatment is generally 1-2 times a day, 10 times a course of treatment, 1-3 courses of treatment, the effect is stable, but to avoid recurrence, in addition to pay attention to the posture of the neck, avoid cold neck, should strengthen the functional exercise of the neck, comprehensive treatment effect is obvious, the efficiency is more than 90%.
3.Spinal cord type.
Main manifestations: stiffness and pain in the neck, heavy limbs, numbness, coldness, pain, unstable walking, trembling and weakness, such as “stepping on cotton”, paralysis of the lower limbs in severe cases, loss of control of the bowels, light or red tongue, little moss, weak pulse.
Treatment principle: regulating qi and blood, opening meridians, strengthening tendons and bones.
Treatment methods.
Acupuncture and moxibustion: cervical acupuncture points, Kidney Yu, Zhengmen, Zhizhong, Foot Sanli, Hand Sanli, Internal and external Guan, and Hegu, etc. The acupuncture technique is based on the tonic method, and warm moxibustion or TDP irradiation is applied to the neck.
②Tui-na: apply one-finger meditation pushing, kneading and rolling methods to the neck and shoulder for about 10 minutes, and apply pointing, pressing, kneading and rolling methods to the affected limbs and rubbing methods. The patient is in supine position, point rubbing bilateral Fengchi points and flicking neck muscles, traction method to pull the neck, cautiously use trigger method.
Chinese medicine: Shu Di, Shan Yao, Cornu Cervi Pantotrichum, Fructus Lycii, Radix Angelicae Sinensis, Poria, Chuan Gui, Radix Astragali, Turtle Board, Deer Antler Gum, Xian Ling Spleen, Radix et Rhizoma Gastrodiae, Salviae Miltiorrhizae, Radix et Rhizoma Zhi Mu, Atractylodes Macrocephalae, Papaya, and Pericarpium Citri Reticulatae. A daily dose of water decoction was taken orally in 2 doses, and the dregs of the medicine were used to fumigate the affected limbs and neck.
Treatment results: the incidence rate is about 10-15%, this treatment method is only applicable to the short duration of the disease, the symptoms are mild, once a day, 20 times as a course of treatment, generally 1-3 courses of treatment, the symptoms are more serious, or the disease is in the progress and aggravated, it is recommended that early surgery.
4.Vertebral artery type.
Main manifestations: headache, neck pain, vertigo, and position-related, or even sudden collapse, light tongue, white greasy coating, smooth and thin pulse.
Treatment principle: activating blood circulation, resolving phlegm, relaxing the tendons and opening the collaterals.
Treatment methods.
Acupuncture and moxibustion: take Fengchi, Yin Tang, Sun, Neiguan, and cervical spine points, and acupuncture with a flat tonic and flat
The acupuncture is performed with a flat tonic and flat laxative technique, and the needles are left in place for 30 minutes, and warm moxibustion or TDP is applied to the neck for 45 minutes.
②Tui-na: apply one-finger meditation pushing and rolling method to the neck, press Fengchi, Sun, Sishencong, and Hearing Palace and Hearing Society points, according to the pressure pain of spinal prominence and deviation, use fixed-point rotation reset method, to trigger reset, finally take the head and neck and shoulder, pat the back to end, 20 minutes per technique.
③Chinese medicine: Poria, Atractylodes macrocephala, Fuxia, Danshen, Biliary South Star, Pueraria Mirifica, Bai Shao, Wei Ling Xian, Gui Zhi, Bai Zhi, Chai Hu, Tian Ma, Chrysanthemum, etc. were added and subtracted according to the symptoms.
Treatment results: incidence rate of about 15%, this method once a day, 5 times for a course of treatment, such as a simple vertebral artery in the neck pressure caused by the vertebral artery type cervical spondylosis, the use of fixed-point rotation reset method once that can be effective, a course of symptoms can be controlled, combined with vertebral artery sclerosis and other factors, the comprehensive treatment effect is better, in terms of clinical treatment, the total efficiency is more than 85%.
5.Sympathetic nerve type.
Main manifestations: dizziness, blurred vision, tinnitus, hand numbness, tachycardia and other plant nerve dysfunction, and related to cervical spine activities and posture, with a light tongue, thin white coating and string pulse.
Treatment principle: relax the tendons and channels, move the qi and pass the yang.
Treatment methods.
①Acupuncture: take Fengchi, Fengfu, Baihe, Neiguan, Quchi, Sansanli, Sanyinjiao, acupuncture with flat tonic and flat diarrhea, mild moxibustion on the neck, and keep the needles for 30 minutes.
②Tui-na: apply one-finger meditation pushing and rolling method to the neck. According to the symptoms: for the head and face, apply the usual points with pointing, pressing and kneading; for the extremities, focus on the extremities; for the cardiovascular symptoms, press the points of Heart Yu, Kidney Yu, Liver Yu, Life Gate, Inner and Outer Pass and Hegu.
③Medications: Radix et Rhizoma Puerariae, Radix Salviae Miltiorrhizae, Radix et Rhizoma Cinnamomi, Rhizoma Chuanxiong, Rhizoma whole worm, Centipede, Dilong, Fried jujube seeds, Wu Wei Zi, Poria, Nightshade, Radix Angelicae Sinensis, Licorice, etc. were added and subtracted with symptoms.
Treatment results: The typical sympathetic cervical spondylosis accounts for a low rate, about 3-5%, because of its complex symptoms, often easily misdiagnosed and mistreated, this treatment method once a day, 10 times for a course of treatment, because simple is less common, mostly mixed with other types, so the results are not good.