Cervical disease

Cervical disease known as cervical syndrome, a degenerative pathological changes in the basis of the disorder. Performance for cervical disc degeneration itself, and a series of secondary pathological changes, such as segmental instability, loose; Nucleus prominent or prolapse; Spur formation; The ligament hypertrophy and secondary spinal canal stenosis, or oppression stimulate the adjacent nerve root and spinal cord, vertebral artery and cervical sympathetic organizations, and give rise to a variety of symptoms and signs syndrome.

Cervical in the head, chest and upper limbs between vertebrae in the spine is the smallest, but the greatest flexibility, the highest frequency of activities, load larger segment, since it is not under various load, strain, even traumatic, so prone to degeneration. After about 30 years old, began to gradually cervical disc degradation, water content decreased, accompanied by the growth more apparent age, or to induce cervical and other tissues degeneration. Biomechanical perspective, 5-6, 6-7 cervical largest force, therefore, the location of cervical disease in these segments were less than 20%. Statistics showed that about 50 years old in the crowd of about 25% of the people have or are suffering from breast cancer, 60-year-old is about 50%, almost 70 years about 100%, that is the disease, the elderly and multiple diseases.

Clinical symptoms】 【

Clinical symptoms of cervical disease more complicated. Major neck pain, upper limb weakness, numb fingers, limb weakness, walking difficulty, dizziness, nausea, vomiting and even wet, tachycardia and swallowing difficulties. Clinical symptoms of cervical disease and lesion, organizations and individual differences involvement of a certain relationship.

1. Cervical: complained of head, neck and shoulder pain and abnormal feeling and tenderness associated with the corresponding points. Features neck stiffness, discomfort, pain, and activities are not flexible, which is the most common type.

2. Nerve root: the patient’s hand or arm numbness, pain, grip strength decreased, and sometimes feel that no Glenealy Cup of severity, pain difficult to sleep all night.

3. Vertebral Artery: the patient’s symptoms is migraine, dizziness or chest tightness, chest pain. Each attack of vertigo and neck are the rotation.

4. Sympathetic type: clinical manifestations of dizziness, vertigo, tinnitus, hand Ma, tachycardia, cardiac pain before, and a series of sympathetic symptoms.

[Treatment]

Modern acupuncture in the treatment of cervical disease, quite a few articles in the 1950s. From the late 1970s, along with geriatrics, the disease began acupuncture at home and abroad by the industry’s attention. In less than 20 years time, the Chinese medicine in China and other medical publications have reported thousands of cases with acupuncture treatment. Multiple Point stimuli, such as electro-acupuncture – needles, moxibustion at drug cake, cans of bamboo, Point laser irradiation, Point injection, the needle, needle, and so on beryllium are used in the treatment of this disease. Abroad, such as Romania, Japan, the United States, the Netherlands, Ireland, and other countries have carried out this work. Foreign workers in the use of acupuncture needles, or 0.13 electroacupuncture treatment, the Japanese scholars also used the alternate Jiang moxibustion. Point to Point Selection of the main neck and shoulder, but also used the way to Point A and Point.

According to statistical information at home and abroad, acupuncture efficiency of the disease in about 90%. To test efficacy, it was observed temperature to EMG against cervical disease, found positive signs with the disappearance of EMG resting at fibrillation wave is of the wave disappeared, damaged nerve resume normal muscle strength, motor voltage potentials tend normal, that the effect is accurate.

▲ body acupuncture

(1) Point Selection
The main point: the two groups. 1, 4 to 7 Jiaji neck; 2, 1 to 4 dumb wind pool, Tianzhu, Dazhui.
Point: nerve root and shoulder Well, shoulder joints, Quchi, Gu, after River endowment; Vertebral artery-plus Baihui, four god-tsung, the sun, the first dimension, Sanyinjiao, too River, between the lines; Sympathetic and Baihui, four god-tsung, BL, Yu liver, biliary Yu, Taichong; Spinal plus Zusanli, sun, the customs committee, Yang Ling-chuen, Central jump.
Dumb 1 ~ 4 position: a dumb and mute 2, 4 are located in the Du dumb, dumb for a section between 2,3 cervical spinous process (a dumb subglottic inch), 2 duds for cervical spinous process of 3,4, 6,7 dumb 4 for cervical spinous process of the (1-inch on Dazhui ). Dumb dumb two adjacent three in a 05. – Inch (bilateral).
Shoulder joint Point Location: scapula in the geopolitical point tenderness.

(2) Treatment
Main Points of each elected a group, alternately choose. Point of a group which generally take five to six Jiaji neck, neck and shoulder pain Ma refers to the wrist, were admitted; Group 2 point each election just dumb (1 ~ 4) of a point, I point to an election two points. According to Point of different type, from 2 to 4 points.
     Jiajixue operation: on the 30th from 28 ~ 150 ~ 2-inch needle of 0.13 to 75 degrees direction spine angle next to a black or jiajixue into 45-degree angle color to the tips are inconsistent flu retreat needle five points. Used to plug with a small Twist, to needle flu transmission. Bear in severe pain to slow interpolation, physically Ma cool slowly inserted patients bear mentioning. With a general-fill-reducing method. Dumb 1,2,4 Point, are the target of 1 ~ 2-inch, repeatedly mentioned interpolation not Twist, three duds into acupuncture with jiajixue. Request Point Selection accurate, in the gas light to plug after 3 to 5 minutes or destroyed needle 2 ~ 3 minutes, 3 needle dumb request for the upper shock flu flu point I should reach limbs electrocution flu. To needle flu from weak to strong, steady, not chaos and destroyed the officer. If dissatisfied with the flu needle, adjust the direction of the needle as no sense, and without force. Slowly the needle, the needle-point shootout after a short break. Cone, needling fast, slow delivery to the 1.5-inch needle deep. When the needle tip into slightly upward, after a tip-facing downward slightly, a thumb and index finger and then clamping needle stalk for a small rapid Twist, a trader flu patients through Du downlink, and then changed to a top-down tempo Twist (thumb upward, downward twist needle index finger), needle shipped half a minute. Retreat to subcutaneous needle, the needle will point to complex side, Twist to plug a minute, Henry reached exhaustion, leaving needles. Wind direction into the pool to the lower 1.5-inch needle about the needle flu radiotherapy to the head and neck, spine Tianzhu point to slightly sharp, needle flu neck to the appropriate emission are used fill-in-law diarrhea. Point, a needle into the air after meeting with Ping-reducing method, in which needling shoulder joints Point 3 to 5 minutes, the appropriate local doctor; Endowment Point Point Selection in the chest, palm, black tip inward direction of the Commissioner, needle sensors to shoulder, elbow, wrist radiotherapy. Point above, except for those who do not stay, both in needle 20 minutes. At a daily or every other day, 10 to 12 times for a course of treatment, treatment interval 3 to 5 days.

(3) Evaluation
Clinical Criteria: clinical cure: symptoms completely disappeared, normal cervical activity, but the neck X-ray showed no obvious improvement degenerative disease; Obvious: Clinical symptoms reduced significantly after exertion neck slightly unwell, I Ibid. Effective: Clinical symptoms relieved, do light work, I Ibid. invalid: Symptoms and signs were not improved.

A total of 1,991 cases governance. Of these 1,741 cases, according to the above standards of clinical recovered 778 cases (44.7%) agonist 566 cases (29.6%), effective 401 cases (23.1%), 46 cases of invalid (2.6%), the total efficiency of 97 .4% [2 ~ 7].

Another 250 cases, neck and shoulder pain improvement rate of 91.6%, Ma neck shoulder activities that are obstacles to efficiency were 89.5% and 94.2% [8]. Overall treatment, the nerve root to the best effect of acupuncture, and the spinal cord of the worst.

▲ electroacupuncture

(1) Point Selection
Main Points: Jiaji cervical 2 ~ 7.
Point: pension, Tianzhu, Dazhui, Shenshu, colon Yu, Qu pool, the customs Gu, Yang Ling-chuen, Rank edge.

(2) Treatment
The main point, according hyperplasia site, select the corresponding jiajixue. Point, each time from four to five points. Main Points to 2-inch needle 0.13 for 45-degree angle to the direction of the spine color, Wan needle to a needle flu transmission, distribution Point gas into a needle. Ping-Ping spilled a minute, and then connect electroacupuncture device, the main point to anode, cathode to Point, CW, frequency of 120 to 250 times / min, the current strength of the appropriate patient comfort, usually in a ~ 1.5 milliamperes. Once a day, every 30 minutes, 15 times for a course of treatment, treatment interval of 4 ~ 5 days.

(3) Evaluation
A total of 168 cases, with some in the West drugs, the total efficiency of 93.3 ~ 96.4%.

▲ Cupping

(1) Point Selection
The main point: the two groups. 1, A yes or Dazhui Point; 2, loom large, the throttle.
Point: days in shoulder Well, shoulder Fok.
A point is the location: the neck tenderness points.

(2) Treatment
Main Points for the first group Blood-cupping, the second group of bamboo cans. Every time a group, can turn choose. If only the main effect was not significant points, or switch to a plus-two Point.

Blood-cupping method is: first to beryllium Acupuncture, a straight shots deep to the periosteum, the needle after a small amount of blood outflow (generally not more than 5 ml), the skin can also call local thorn needles to the skin micro-bleeding. Needle added cupping, in 15 minutes tank to tank after local massage and head for rotating movement, a 3 ~ 5 days, 3 times for a course of treatment. A week treatment interval.

Bamboo cans France: the difference in size of the bamboo cans in the syrup pot boiling cooking 2 to 3 minutes, remove and make syrup off, and then quickly put points on the Wild skin, 7 to 10 minutes later removed to a degree for congestive or ecchymosis. At a daily or every other day, 10 times as a course of treatment. 3 ~ treatment interval on the 5th.

Solution Preparation: folic artemisiae, Eucommia, shielding, Ephedra, papaya, pepper, pangolins, Walker insects, Rhizoma et Radix Notopterygii, Cangzhu, live alone, HE, safflower, peach kernel, Speranskia tuberculata, Millennium Jian, 10 grams of Pittosporum Paper, frankincense and myrrh to 5 grams, plus cloth Paeunia cook formed.

(3) Evaluation
A total of 300 cases, 54 patients recovered clinical results, obvious and effective 215 cases, 31 cases ineffective, and the total efficiency of 86. 7% [15, 16, 18].

▲ Point Injection

(1) Point Selection
Main Points: new, is Point A, Dazhui, these days.
Point: nerve root and Acupressure, vertebral artery and the surge tank sympathetic.
New Point Location: Wind Point straight pool below, after the 1.5-inch hairline.
A point is the location: the neck tenderness points.

(2) Treatment
Solution: Mixed injection (Salvia injection +10 2 ml of 5% glucose injection ~ 10 ml); Wild papaya injection, Fufang Danshen injection.
Main Points 1 point each election, according to a distribution point in the election. A point is more cervical around carefully to find exploration, such as cable can be found – or nodular pain better. In inject drugs should be preceded by a brief mention interpolation makes obvious sense of gas, Acupressure point is reached should enable needle disease better arm and fingers, and then slowly injected, the drugs hold a hill, into a milliliter (A point is the two drugs can be injected ml). A meeting the next day, 12 times as a course of treatment.

(3) Evaluation
Rule 489 cases, 184 cases of clinical recovery (, 247 cases obvious, effective 45 cases, 13 cases ineffective, and the total efficiency of 97.3%. If the cervical disease is divided into three, for a period of cervical instability, two for the stimulation of osteophyte, three for the oppression of osteophyte to the Point Injection Phase 1,2 best effect.

▲ pick rule

(1) Point Selection
Main Points: A point is.
A point is the location: the reaction points. Appeared neck, back, Dangshen range of skin changes. Generally round or oval, beans or Peanut tablets, neat edge, the edge deep in normal skin color, and reflecting weak. To Dazhui and cervical hyperplasia seen more parts.

(2) Treatment
Each election 3 ~ 4 A is the point. After disinfection using conventional 2% procaine local anesthesia, a thin needle to break skin, superficial skin again Endo silk fiber. Pick fiber silk, percutaneous needle affixed to thorn-first sliding forward in parallel and then gently lifted the needle upward, fiber silk Endo, pick net. The next pick, it will be the last pick in the exposed epidermis, the first cut silk fiber. Every five days a pick governance, 5 times for a course of treatment. Elections to pick each point rule, which must be a point in the cervical spine.

(3) Evaluation
Rule 560 cases, 504 cases cured clinical results, effectual 38 cases, 18 cases effectively, and the total efficiency of 100% [17].

▲ Cupping and Point Injection

(1) Point Selection
Main Points: neck jiajixue.
Point: wind pool, day in, shoulder Well, shoulder Yi, Gu, the Commissioner, in covenant.

(2) Treatment
Admission to the main point, a gas acupuncture, the use of fire or liposuction Cupping, a general admission to each two pairs jiajixue. Alternative 2 ~ 3 on Point Acupuncture, a gas fill-Ping Shi diarrhea after practice. Stay cans time to a local skin Purpurin degrees. Needle in 15 minutes. The next day, take two pairs of cross-jiajixue were injected vitamin B12250 microgram / 1 ml (0.5 ml pot) and Angelica parasitic injection 2 ml (1 ml pot). The law, once a day on, for a two-month course. Course layout in January.

(3) Evaluation
Using this method the treatment of 312 cases, 62 patients recovered clinical results, effectual 235 cases, 32 cases of effective and ineffective three cases. The total efficiency of 93.1%. Follow-up of 60 patients with follow-up period of 6 months to 4 years, only one relapse.

Point laser ▲

(1) Point Selection
Main Points: A point is.
Point: wind pool, shoulder yi, Gu, Quchi, shoulder Liao.
A point is the location: the lesions jiajixue.

(2) Treatment
Main Points will take, Point Return. Use the following two law irradiation.
1, He – Ne laser irradiation: The helium – neon laser output power of 25 mW, irradiation distance of 100 cm, 2 cm diameter spot, direct irradiation is Point A, Point close to the end of the fiber skin exposure. A point is also can be connected to the fiber special acupuncture needle piercing vertical 3 ~ 5 cm to a strong expansion Ma flu after further irradiation. A point is irradiation, each 10 to 15 minutes; Point irradiation five minutes.

2, carbon dioxide laser irradiation: The treatment of carbon dioxide, with the distance from 25 points to 30 cm irradiated spot diameter of four centimeters, defocus vertical irradiation pot 15 to 20 minutes to a warm sense of the degree.

These methods are a daily meeting, 10 times as a treatment for 5 ~ 7.

(3) Evaluation
France ruled over 282 cases, 111 cases cured result, 112 cases of obvious, effective 44 cases, 15 cases ineffective, the total efficiency 94.7% [20 to 23].

【Cervical spondylosis non-surgical treatment:

The treatment of cervical disease can be divided into surgical and non-surgical therapy for two. Current treatment for cervical spondylosis, most of the medical experts that non-surgical treatment, only a few cases required surgery. Non-surgical therapy is the combination of Chinese and Western Medicine Integrated therapy, under different circumstances can choose one or two to three methods, purposes. Each is described below:

▲ practices Massage Therapy

TCM is the main treatment of cervical disease, cervical disease is a more effective treatment measures. It is the role of the neck and shoulder muscles to ease the tension and spasms, cervical resume activities, releasing the nerve root and soft tissue adhesion to alleviate symptoms.

▲ cervical traction therapy

This is more effective cervical disease and broader application of a treatment, this therapy applies to all types of cervical disease, in the early cases more effective.

▲ physiotherapy

In the treatment of cervical disease, physical therapy can play multiple roles. Generally, the acute phase of viable long Pu Iontophoresis, ultrasonic, ultraviolet or the current dynamic; After alleviate pain by ultrasound, iodine Iontophoresis, sensors, or other hyperthermia.

▲ temperature heat

Such treatment could improve blood circulation, ease muscle cramps, to reduce the swelling of symptoms after treatment practices to help with vertebral stability. This Act may be hot towel and bottle of local application, it is best to use the medicine Steaming hot compress. Acute pain patients unsuitable for heavier when temperature heat treatment.

▲ drug treatment

Drugs in the treatment of the disease can play a supporting role in the symptomatic treatment, choice of analgesics, sedatives, vitamins (B1, B12), vasodilator agents and herbs, right alleviate symptoms of a certain effect. Another approach in the treatment of cervical disease, while patients on TCM-On governance, can enhance the effectiveness and shorten the course of treatment to alleviate the suffering of patients. Now clinical experience and common-prescription described below.

(1) TCM categories: cold dampness of resistance Tongxinluo
(Common in this type of cervical disease and cervical nerve root type): After the occipital headache or pain, stiff neck, traveled unfavorable one or both sides arm and fingers acid pain anesthesia; Low back pain or headaches involved supremacy, cold wet skin, chills – hi heat, next to be hit cervical soft tissue swelling nodules. Tongue red, white moss thin, thin string clock. Huoxue governance to the temperature, relieving dehumidification, Tongluo painkillers.

Recipe: Sichuan Guizhi, Rhizoma et Radix Notopterygii, Clematis, Gentiana, Chuanxiong, Angelica Mei, puerarin, Tianma, artillery – A, speculation Divine Comedy, TPG.

Prescriptions Rhizoma et Radix Notopterygii, Ling cents Tianma, Gentiana, relieving pain desiccant; Chuanxiong, Tianma cure a headache. Guizhi, Chuanxiong, in the end, TPG, artillery A-temperature by activating blood, Tongluo; Puerarin spasm, and the Divine Comedy Jianpi stomach, licorice reconcile various drugs.

(2) TCM categories: qi deficiency type folder Stasis
(This type is common in cervical vertebral artery disease): dizziness, vertigo, visual or, as head of the pain, he is soft fatigue, anorexia, pain in the neck or shoulders pain. Tongue red light or fat, while a stick. Moss Run thin and white. Shen Fine veins powerless. Qi Yangxue to governance, Xingnao-God, Huoxue Tongluo.

Recipe: Tianma, Sunburn Astragalus, Zhigancao, Lu Dangshen speculation macrocephalae, ready land, Amomum, Angelica, TGP, Spatholobus suberectus.

Prescriptions Sunburn Astragalus, Zhigancao, Lu Dangshen speculation macrocephalae Air; Ready land, Chuanxiong, TGP, Angelica nourishing; Tianma, Chuanxiong, Spatholobus suberectus Anshen Jiannao, Huoxue Tongluo, Amomum rationale regulate gas and stomach.

(3) TCM categories: Qi-folder Stasis
(The type commonly found in the vertebral artery disease and cervical sympathetic): Vertigo repeated attack, dozens of patients on the 1st, even bedridden also depending on rotation, with nausea, vomiting, fatigue are soft, unstable walking, or palpitations, shortness of breath, irritable irritability, sore mouth suffering, poor sleep and dream. GC, mossy stones and thin white or dry, or of no moss-stripping, sublingual vein swell. Shen and small veins, or string a few. Yiqiyangyin to governance, Anshen Xingnao reconcile qi.

Recipe: Tianma, Chuanxiong, Hangzhou chrysanthemums, Chinese wolfberry son, Shashen, Zhigancao, Zaoren speculation, speculation Oriental, Sunburn Polygalaceae, TGP, Salvia, Dragon in the evening, cross vine.

Prescriptions Zhigancao, Shashen, TGP, Medlar of Qi Yin; Tianma, Hang chrysanthemums, Zaoren speculation, speculation Oriental, Sunburn Polygalaceae, rattan Xingnao informative reference to the night, Yang Xin soothe the nerves; Chuanxiong, Salvia, Dragon Huoxue Tongluo painkillers.

(4) TCM categories: spleen – Kidney-folder Stasis
(This type is common in patients with cervical spondylotic myelopathy surgical complications or kept); Not completely paralyzed limbs (hard paralysis or palsy), incontinence, chills-warming, restaurants normal or pathological. Tongue red, white or micro-thin moss tired, thin veins Shen string, or was Shen. Bushen Jianpi to governance, and the temperature-, gluten-bone.

Recipe: ready land, -, artillery Dried Ginger, plastic turtle shell, Colla, artillery A Chu, Seeds of Brassica alba, speculation Eucommia, blood, medicine yam, speculation Divine Comedy, TGP, Sichuan Guizhi, cinnamon, Zhigancao.

Prescriptions ready land speculation Eucommia, Bushen nourishing blood; Colla, turtle shells filled plastic Lean pulp, gluten-bone; – - Liver and kidney, or astringent only survived; Chuan Guizhi, the cinnamon-and-yang; Dried Ginger guns, drugs yam, Zhigancao speculation Divine Comedy Spleen and stomach, Wenyang Qi; Seeds of Brassica alba expectorant Sanjie; A gun-Ruanjian Sanjie, on the active.

References [main]

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     [2] – the Kingdom. Acupuncture Treatment with 160 cases of cervical disease clinical observation. Chinese acupuncture 1988; 8 (6): 9.
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     Xu Mingyang, England [14]. Point injection of triamcinolone acetate is a treatment of 70 cases of cervical disease clinical observation. Chinese acupuncture 1987; 7 (2): 37.
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     [20] WANG Tie-bing, etc. He – Ne laser in the treatment of cervical nerve root type of observation. China physiotherapy magazine 1989; 12 (2): 89.
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