Clinical Efficacy of Acupuncture Combined with Massage on Cervical Spondylopathy of Vertebral Artery Type and Its Effect on Hemodynamics of Patients

Objective:To investigate the clinical efficacy of acupuncture combined with massage on cervical spondylopathy of vertebral artery type and its effect on hemodynamics of patients.Methods:Sixty patients with vertebral artery type cervical spondylosis treated in our hospital from July 2017 to October 2019 were selected as the research subjects and randomly divided into 2 groups of 30 cases each.The control group was treated with acupuncture,and the observation group was treated with acupuncture combined with massage,and the clinical efficacy and hemodynamic index of the two groups were compared after 1 month of treatment[peak systolic blood velocity(PSV),pulsatile index(PI),time mean flow velocity(TMFV)].Results:There was no statistical difference in the PSV,PI,and TMFV between the two groups before treatment(P>0.05).After treatment,the observation group had a higher treatment efficacy than the control group with PSV and TMFV increasing and PI decreasing in both groups,and the change in the observation group was greater than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Acupuncture combined with massage on cervical spondylopathy of vertebral artery type can improve the clinical efficacy and improve the hemodynamic index of patients,which is worthy of clinical application.

The utilization of interventional therapy in recovery of cervical spondylopathy

Objective To assess the efficacy of percutaneous diskectomy (PCD) in recovery of cervical spondylopathy. Methods Review analysis 26 patients receiving PCD treatment,observing the improvement of cervical spondylopathy patients’ clinical symptoms.Results Success ratio of PCD is 100%,14 patients’ symptom disappear,10 patients’ symptom apparent alleviate and 2 patients’ symptom mild alleviate. Conclusion PCD is a kind of easy, safe and efficient method to treat cervical spondylopathy,it is very important to the recovery of cervical spondylopathy.

100 Cases of Cervical Spondylopathy Treated by Chen's Massage

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Treatment of Cervical Spondylopathy with a Combined Therapy

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A CLINICAL OBSERVATION ON THE THERAPEUTIC EFFECT OF CERVICAL SPONDYLOPATHY OF NERVE ROOT TYPE TREATED BY COMBINED CERVICAL TRACTION AND ELECTROACUPUNCTURE

Objective: To observe the therapeutic effect of combined cervical traction and electroacupuncture (EA) on Cervical Spondylopathy of Nerve Root Type (CSNRT). Methods: 145 patients diagnosed as CSNRT were randomized into 3 groups: combined treatment group, EA group, and cervical traction (CT) group. The combined group was treated with traction followed by EA of Dazhui (大椎 GV 14), Fengchi (风池 GB 20), cervical Jiaji (夹脊 EX-B 2), etc.. Patients of two control groups were only treated by either CT or EA. Results: The markedly-effective rate and total effective rate were 76.0% and 94.0% respectively in the combined treatment group, 62.5% and 81.25% respectively in CT group, and 63.82% and 82.97% respectively in EA group. The therapeutic effect of the combined treatment group was significantly superior to that of two control groups (P<0.05). At 6-month follow-up, the above two markedly-effective and total effective rates in the combined treatment group remained 74.0% and 92.0%, still significantly higher than that in two control groups. Conclusion: Combining cervicle traction with EA treatment can effectively eliminate or relieve the symptoms and signs in patients with nerve root type cervical spondylopathy.

Cervical Spondylopathy Involving the Vertebral Arteries Treated by Body-Acupuncture Combined with Scalp-Acupuncture in 72 Cases

Among various types of cervical spondylopathy, the one involving the vertebral arteries is frequently encountered in the middle-aged and the old people. It is often accompanied with arteriosclerosis and high blood viscosity, and clinically it is difficult to be treated. From March 1996 to December 2000, the authors hadtreated 72 cases of cervical spondylopathy of this type and achieved satisfactory therapeutic effects shown by clinical symptoms and indicated by the trans-cranial Doppler ultrasonic examination (TCD). This is reported as follows. ……

STUDY ON THE SOMESTHETIC EVOKED POTENTIAL IN ELECTRO-ACUPUNCTURE TREATMENT OF CERVICAL SPONDYLOPATHY

In order to study the significance of somesthetic evoked potentials (SEP) in diagnosis of cervical spondylopathy (CS) and judgement of its therapeutic effect, a total of 60 cases of CS patients were randomly divided into electroacupuncture (EA) group (n=30) and control (traction) group (n=30). Amplitudes of N 9, N 11 , N 13 , N 20 and intervals of N 9-N 13 , N 13 -N 20 and N 9-N 20 of SEP were used as indexes. After 3 courses of treatment, the clinical therapeutic effect of EA group was significantly superior to that of control group (P<0.01); the amplitudes of the aforementioned components of SEP in both groups increased apparently while the interpeak latency shortened in different degrees. In EA group, the increased values of various components of SEP amplitude, except for N 9, were all larger than those of control group (P<0.05 for N 11 , P<0.01 for N 13 and N 20 ); the values of shortened latency of different components, except for N 13 -N 20 , were all larger than those of control group (P<0.01 for N 9-N 13 and N 9-N 20 ). It suggests that SEP possess a certain significance in diagnosis and evaluation of CS and can be used as one of the objective indexes for evaluation of the therapeutic effect.

COMBINED TREATMENT OF 43 CASES OF CERVICAL SPONDYLOPATHY

From February of 1994 to February of 1996, the author of the present paper adopted combined therapies of potent traction, massage, acupuncture and Chinese medicinal herbs to treat 43 cases of cervical spondylopathy. Results showed that after 1-3 months’ treatment, of the 43 cases, 30 (69.8%) were cured, 10 (23.3%) had marked improvement, 2 (4.6%) had improvement and 1 (2.3%) failed, with an effective rate of 97.7%.

Mid-term outcomes of Bryan cervical disc arthroplasty versus anterior cervical discectomy and fusion for cervical spondylopathy

Objective To compare the clinical outcomes of Bryan disc replacement with anterior cervical discectomy and fusion (ACDF) in patients with cervical spondylopathy. Methods Sixteen patients underwent Bryan cervicaldisc replacement (A group) ,and

OBSERVATION ON THE TREATMENT OF VERTEBROARTERY TYPE CERVICAL SPONDYLOPATHY INDUCED VERTIGO WITH HYDRO-ACUPUNCTURE THERAPY

Objective: To observe the therapeutic effect of hydro acupuncture therapy for treatment of vertigo induced by vertebroartery type cervical spondylopathy and to study its action mechanisms. Methods: A total of 54 cases of vertebroartery type cervical spondylopathy patients were observed in the present study. Fengfu (GV 16) and Jiaji (EX B 2) near the regenerated cervical vertebral body were used for injection of Ligustrazine injectio, 1 mL every acupoint, once every other day, with 7 sessions being a therapeutic course. Before and after treatment, cerebral blood flow volume was determined using a Doppler velocimeter. Results: After 2 weeks’ treatment, of the 54 cases, 28 (51.9%) had their vertigo disappeared, 13 (24.1%) had remarkable improvement, 10 (18.5%) had improvement and 3 (5.5%) failed in the treatment, with an effective rate of 94.5%. After treatment, the peak and mean values of the blood flow velocity of the bilateral vertebral arteries and the basilar artery increased significantly in comparison with pre treatment ( P <0.01). Conclusion: Hydro acupuncture therapy has an obvious therapeutic effect for relieving vertebroartery type vertigo and ameliorating cerebral blood supply.

Blood-activating and Orifice-opening Method with Acupuncture and Moxibustion in Treating Vertebroarterial Cervical Spondylopathy

Objective： It is to investigate the efficacy of the blood-activating and orifice-opening method with acupuncture and moxibusion for treatment of vertebroarterial cervical spondylopathy. Methods： 176 cases were divided into the treatment group （89 cases） and control group （87 cases） randomly.Acupuncture on points Geshu （BL 17）, Fengchi （GB 20） and Bailao （Ex-HN） was applied, and meanwhile moxibustion on points Baihui （GV 20） and Shangxing （GV 23） was applied in the treatment group, while Flunarizine was orally taken in the control group. Results： The bloodactivating and orifice-opening method with acupuncture and moxibustion could significantly improve the comprehensive curative effect clinically, increase the subjective index score and the sign score significantly, and change hemodynamics obviously. Its effect was better than that of the control group. It was also found that its follow-up effect was significantly better that of the control group. Conclusion. The blood-activating and orifice-opening method with acupuncture and moxibustion has a definite effect on vertebroarterial cervical spondylopathy.

Treatment of neck type cervical spondylopathy with Zheng's Jin Gou Diao Yu(gold-hook-fishing)acupuncture method:a randomized controlled trial

Objective:To observe the clinical effect of Zheng's Jin Gou Diao Yu(gold-hook-fishing)acupuncture method versus ordinary acupuncture on superficial fascia for treating neck type cervical spondylopathy in Kyrgyz.Methods:A total of 64 Kyrgyz patients conforming to the diagnostic criteria of neck type cervical spondylopathy were included.The patients were randomized into a Zheng's Jin Gou Diao Yu(gold-hook-fishing)acupuncture group and a conventional acupuncture group,with 32 cases in each group.Patients in the Zheng's Jin Gou Diao Yu(gold-hook-fishing)acupuncture group were treated with Zheng's Jin Gou Diao Yu(gold-hook-fishing)acupuncture method to stimulate the superficial fascia,the stimulation sites were primarily located at bilateral sides of the cervical vertebra as well as the trigger points in shoulder-neck region;patients in the conventional acupuncture group were punctured at the same acupoints,with twirling reducing method,and the depth of insertion was determined by the treated region.Patients in both groups received treatment every day for a succession of 5 d as a course,with a 2-day interval between 2 courses,and the whole treatment lasted for 3 courses.After 3 courses of treatment,the McGill pain questionnaire(MPQ)and neck disability index(NDI)were measured to compare the clinical effect between the two groups.Results:After treatment,scores of MPQ and NDI scale dropped when compared with those before treatment,and the differences showed statistical significance(all P<0.05);scores of MPQ and NDI in the Jin Gou Diao Yu(gold-hook-fishing)acupuncture group were substantially lower than those in the conventional acupuncture group,and the differences showed statistical significance(all P<0.05).The total effective rate was 96.9%in the Jin Gou Diao Yu(gold-hook-fishing)acupuncture group and the cured rate was 78.1%,which were higher than 81.3%and 40.6%in the conventional acupuncture group,and the differences showed statistical significance(both P<0.05).Conclusion:Zheng's Jin Gou Diao Yu(gold-hook-fishing)acupuncture method by stimulating superficial fascia to treat cervical spondylopathy in Kyrgyz can produce a better clinical effect than conventional acupuncture treatment,and is effective in improving pain and stiffness in patients,and thus is worth clinical popularization.

Observation of Clinical Effect of Acupuncture by Warming Governor Vessel and Dredging Yang for 50 Cases of Cervical Spondylopathy

Acupuncture method by warming the Govemor Vessel and dredging yang can be used to improve microcirculation obviously, eliminate pain in the neck and improve the motion of the neck. In the treatment of 50 cases of cervical spondylopathy by this method, the therapeutic effect is satisfactory.

Influence on Hemorheology of Cervical Spondylopathy with Xi(Cleft)Point Electroacupuncture

Objective：To observe the curative effect of Xi（Cleft） point electro-acupuncture on acute cervical spondylopathy of blood stasis type. Methods： 32 cases of acute spondylopathy of blood stasis type were treated with electroacupuncture on Huizong（TE 7） point, Xi （Cleft） point of Triple Energizer Meridian of Hand Shaoyang and Yanglao（SI 6） point, Xi （Cleft） point of Small Intestin Meridian of Hand Taiyang. 31 cases were randomly selected as the research subjects for control group and treated with routine treatment. At the same time changes of hemorheology were observed in the two groups before and after treatment. VAS was used for pain evaluation. Results and conclusion： The total curative effect in treatment group was 93.8%, the average duration of course 20.2±3.1d, pain accumulation points 3.47± 1.45; The total curative effect in contrast group was 83.9%, the average duration of course 26.5± 1.8 d, pain accumulation points 5.67±1.52. P〈 0.01 after t test. Ridit analysis was used for analysis of the therapeutic effect. P〈 0.05. There were some improvements in hemorheology in the two groups before and after treatment. It showed that there was a significant difference in the two groups in therapeutic results and average duration of course. The therapeutic results were improved and duration of course shortened in the treatment group.

Clinical Observation on Vertebroarterial Pattern of Cervical Spondylopathy Treated by Combination of Adjacent and Distal Points

Objective：In order to investigate the therapeutic effect of combined adjacent and distal acupoints in the treatment of vertebroarterial pattern of cervical spondylopathy. Methods： 140 cases were randomly divided into the acupuncture group and medication group, 70 cases in each group. The acupuncture group was treated by the acupoints selected upon TCM pattern identification plus the spots decided upon the anatomical feature in modem medicine. The medication group was treated with oral Dragon Bone Cervical Vertebra Capsules, and Flunarizine Hydrochloride Capsules, to observe the integral of the clinical symptoms and signs and improvement of the vertebrobasilar blood flow before and after the treatment. Results and Conclusion： The total effective rate was significantly higher in the acupuncture group （100%） than in the medication group （61.4%） （P〈 0. 01）. There was a significant difference （P〈 0. 05） in the integral of clinical symptoms and sighs and in the improvement of the vertebrobasilar blood flow in comparison between the two groups before and after the treatment, but the improvement was more remarkable in the acupuncture group （P〈 0. 05） than in the medication group, and the long-term therapeutic effect was better in the acupuncture group than in the medication group, but without significant difference （P〉 0. 2）.

TREATMENT OF VERTEBRAL－ARTERY TYPE CERVICAL SPONDYLOPATHY WITH NEEDLE－KNIFE THERAPY

In the present paper, 62 cases of vertebral artery type cervical spondylopathy were treated with needle knife therapy (acupotomy). After 2-6 sessions of treatment, 23 cases (37.1%) were cured, 19 (30.7%) showed marked improvement, 15 (24.2%) had some improvement and 5 (8.1%) failed in the treatment. The total effective rate was 91.9%. It indicates that acupotomy therapy is a highly effective remedy for treating vertebral artery type cervical spndylopathy.

Clinical observation on warm needling moxibustion plus acupoint sticking therapy for cervical radiculopathy

Objective: To observe the clinical effect of warm needling moxibustion plus acupoint sticking therapy for cervical radiculopathy. Methods: A total of 120 cases were allocated into an observation group, a warm needling group and an acupoint sticking group according to the random number table, with 40 cases in each group. Cases in the observation group received warm needling moxibustion plus acupoint sticking therapy;cases in the warm needling group received the same warm needling moxibustion in the observation group;cases in the acupoint sticking group received the same acupoint sticking therapy in the observation group. The scores of Japanese Orthopaedic Association (JOA) and visual analog scale (VAS) were recorded before and after treatment. Results: The total effective rate was 95.0% in the observation group, versus 77.5% in the warm needling group and 75.0% in the acupoint sticking group (both P<0.05). Inter-group differences in JOA and VAS between the observation group and the other two groups were statistically significant (all P<0.05). Conclusion: Warm needling moxibustion plus acupoint sticking therapy is effective in treating cervical radiculopathy, and it can significantly alleviate pain and enhance clinical efficacy, and thus is worth clinical popularization.

Clinical study of thumb-tack needle therapy for cervical radiculopathy based onmeridian differentiation

Objective:To observe the clinical efficacy and eligibility of thumb-tack needle therapy based on meridian differentiation in treating cervical radiculopathy.Methods:A total of 70 patients with cervical radiculopathy were randomized into an observation group and a control group,with 35 cases in each group.Patients in the control group received thumb-tack needle based on conventional point selection,while those in the observation group received thumb-tack needle according to meridian differentiation.The visual analog scale(VAS)and clinical symptom scores in the two groups were compared before and after treatment,and the clinical efficacy of the two treatments was observed.Results:After treatment,the VAS score in both groups dropped significantly(both P<0.01),and the VAS score in the observation group was lower than that in the control group(P<0.01).The clinical symptoms score in both groups dropped significantly(all P<0.01),and the clinical symptoms score in the observation group was lower than that in the control group(P<0.01).The total effective rate in the observation group was higher than that in the control group(P<0.05).Conclusion:Thumb-tack needle therapy based on meridian differentiation can reduce pain score,improve clinical symptoms in patients with cervical radiculopathy,and produce more significant efficacy compared with conventional thumb-tack needle therapy.

Clinical Study on Auricular Acupoint Penetration Needling along the Skin for Treatment of A Variety of Pain Syndrome and Dysfunction

This paper is a summary of clinical studies on auricular acupoint penetration needling along the skin for treatment of pain and dysfunction in recent 10 years.Auricular acupoint penetration needling along the skin was used to observe rapid analgesic effects and clinical efficacy on cervical spondylopathy,periarthritis of shoulder,pain in waist and lower extremities,migraine,and other peripheral neuropathic pain,and stroke sequels,soft tissue injury,and so on.Self-control method was used in the studies at the first stage,and clinically randomized control trial methodwas used for systematic comparison with other therapies at the second stage.Results indicated that the auricular acupoint penetration needling along the skin had obviously clinical effects on cervical spondylopathy,periarthritis of shoulder,pain in waist and lower extremities,migraine,soft tissue injuries and stroke sequels,with a better rapid analgesic effect as compared with ear perpendicular needling method.