OBJECTIVE: To explore the curative effects of warming needle moxibustion combined with manipulation massage on cervical spondylotic vertebral arteriopathy and its influence on the cerebral blood flow and cervical vert...OBJECTIVE: To explore the curative effects of warming needle moxibustion combined with manipulation massage on cervical spondylotic vertebral arteriopathy and its influence on the cerebral blood flow and cervical vertebra function. METHODS: A total of 84 patients with cervical spondylotic vertebral arteriopathy admitted to our hospital from February 2016 to June 2017 were selected, and all patients were divided into an observation group (n=42) and a control group (n=42) according to the random number table method. The patients in the control group were given conventional western treatment, and the patients in the observation group were treated with warming needle moxibustion combined with manipulation massage on the basis of the control group. After 4 weeks of treatment, the changes of main clinical symptoms (vertigo, headache, neck and shoulder pain, tinnitus), cervical function (clinical symptoms, clinical examination, daily life action) and cerebral blood flow parameters (average blood flow velocity of left vertebral artery, right vertebral artery and basilar artery) of the 2 groups were observed, and the clinical efficacy of the 2 groups were statistically analyzed. RESULTS: The scores of vertigo, headache, neck and shoulder pain and tinnitus in the 2 groups were all significantly lower than before treatment (P < 0.05), and the clinical symptom scores in the observation group were significantly lower after treatment (P < 0.05);After treatment, the scores of clinical symptoms, clinical examination and daily life action in the 2 groups were significantly higher than those before treatment (P < 0.05), and the increase of cervical vertebral function score in the observation group was better than that in the control group (P < 0.05);The mean blood flow velocity of the left vertebral artery, right vertebral artery and the basilar artery in the 2 groups after treatment were significantly higher than before treatment (P < 0.05), and the increase of the above cerebral blood flow parameters in the observation group were higher than the control group (P < 0.05). The total effective rate was 92.9% in the observation group and 76.2% in the control group after treatment, and the difference between the 2 groups was statistically significant (P < 0.05). CONCLUSION: Warming needle moxibustion combined with manipulation massage can quickly relieve the clinical symptoms of patients with cervical spondylotic vertebral arteriopathy, improve the cervical function and cerebral blood flow parameters, increase the vertebrobasilar artery blood flow, and promote the recovery of the disease.展开更多
Introduction:Palpitation is a common complaint among patients presenting to emergency departments or cardiologists.Palpitation caused by organic heart diseases,such as coronary atherosclerotic heart disease and hypert...Introduction:Palpitation is a common complaint among patients presenting to emergency departments or cardiologists.Palpitation caused by organic heart diseases,such as coronary atherosclerotic heart disease and hypertensive heart disease,may be a sign of a life-threatening condition.In such cases,treatment with western medicines or surgeries is warranted.However,for patients with palpitation caused by noncardiac factors,western medicine treatment is often ineffective,and traditional Chinese medicine has comparatively superior advantage.With the change in people’s lifestyle and habits in the past decades,the time spent sitting and that with a forward head posture is increasing,which has accelerated the process of spinal aging and increased the incidence rate of spinal diseases.Case presentation:A 54-year-old female presented with paroxysmal palpitations,chest depression,and neck pain that had lasted for more than 2 months.Western medicine diagnosis was palpitations due to spinal disorders,while the traditional Chinese medicine diagnosis was palpitation(heart and spleen deficiency).The patient was treated with traditional Chinese massage,30 min sessions,5 times a week,3 weeks totally.Subsequently,the patient’s neck pain and numbness disappeared and the palpitations,chest tightness,and dizziness ameliorated.The patient resumed regular appetite,experienced better sleep,and had further improvement of spirit,enabling her to lead a normal life.Conclusions:Traditional Chinese massage therapy can relieve muscle spasm,regulate cervical facet joint disorder and dislocation,release adhesion,relieve synovial incarceration,restore the dynamic and static balance of the cervical spine,improve blood circulation of the cervical spine,increase the nutritional supply of the cervical spine and surrounding soft tissue,and promote metabolism and tissue repair.All these advantages make it a good complementary and alternative therapy for palpitation caused by spine disorders.展开更多
文摘OBJECTIVE: To explore the curative effects of warming needle moxibustion combined with manipulation massage on cervical spondylotic vertebral arteriopathy and its influence on the cerebral blood flow and cervical vertebra function. METHODS: A total of 84 patients with cervical spondylotic vertebral arteriopathy admitted to our hospital from February 2016 to June 2017 were selected, and all patients were divided into an observation group (n=42) and a control group (n=42) according to the random number table method. The patients in the control group were given conventional western treatment, and the patients in the observation group were treated with warming needle moxibustion combined with manipulation massage on the basis of the control group. After 4 weeks of treatment, the changes of main clinical symptoms (vertigo, headache, neck and shoulder pain, tinnitus), cervical function (clinical symptoms, clinical examination, daily life action) and cerebral blood flow parameters (average blood flow velocity of left vertebral artery, right vertebral artery and basilar artery) of the 2 groups were observed, and the clinical efficacy of the 2 groups were statistically analyzed. RESULTS: The scores of vertigo, headache, neck and shoulder pain and tinnitus in the 2 groups were all significantly lower than before treatment (P < 0.05), and the clinical symptom scores in the observation group were significantly lower after treatment (P < 0.05);After treatment, the scores of clinical symptoms, clinical examination and daily life action in the 2 groups were significantly higher than those before treatment (P < 0.05), and the increase of cervical vertebral function score in the observation group was better than that in the control group (P < 0.05);The mean blood flow velocity of the left vertebral artery, right vertebral artery and the basilar artery in the 2 groups after treatment were significantly higher than before treatment (P < 0.05), and the increase of the above cerebral blood flow parameters in the observation group were higher than the control group (P < 0.05). The total effective rate was 92.9% in the observation group and 76.2% in the control group after treatment, and the difference between the 2 groups was statistically significant (P < 0.05). CONCLUSION: Warming needle moxibustion combined with manipulation massage can quickly relieve the clinical symptoms of patients with cervical spondylotic vertebral arteriopathy, improve the cervical function and cerebral blood flow parameters, increase the vertebrobasilar artery blood flow, and promote the recovery of the disease.
文摘Introduction:Palpitation is a common complaint among patients presenting to emergency departments or cardiologists.Palpitation caused by organic heart diseases,such as coronary atherosclerotic heart disease and hypertensive heart disease,may be a sign of a life-threatening condition.In such cases,treatment with western medicines or surgeries is warranted.However,for patients with palpitation caused by noncardiac factors,western medicine treatment is often ineffective,and traditional Chinese medicine has comparatively superior advantage.With the change in people’s lifestyle and habits in the past decades,the time spent sitting and that with a forward head posture is increasing,which has accelerated the process of spinal aging and increased the incidence rate of spinal diseases.Case presentation:A 54-year-old female presented with paroxysmal palpitations,chest depression,and neck pain that had lasted for more than 2 months.Western medicine diagnosis was palpitations due to spinal disorders,while the traditional Chinese medicine diagnosis was palpitation(heart and spleen deficiency).The patient was treated with traditional Chinese massage,30 min sessions,5 times a week,3 weeks totally.Subsequently,the patient’s neck pain and numbness disappeared and the palpitations,chest tightness,and dizziness ameliorated.The patient resumed regular appetite,experienced better sleep,and had further improvement of spirit,enabling her to lead a normal life.Conclusions:Traditional Chinese massage therapy can relieve muscle spasm,regulate cervical facet joint disorder and dislocation,release adhesion,relieve synovial incarceration,restore the dynamic and static balance of the cervical spine,improve blood circulation of the cervical spine,increase the nutritional supply of the cervical spine and surrounding soft tissue,and promote metabolism and tissue repair.All these advantages make it a good complementary and alternative therapy for palpitation caused by spine disorders.