Role of Cervical Soft Tissue Lesion in Cervical Spondylosis and Tuina Intervention

Cervical spondylosis is markedly characterized by degenerative changes. The studies in recent years on the role of cervical soft tissue lesion in cervical spondylosis indicated that cervical soft tissue lesion runs through the whole process of cervical spondylosis and is dominantly responsible for varieties of clinical symptoms. Cervical osseous lesion can be regarded as a result of soft tissue lesion and subordinated to soft tissue lesion in the course of cervical spondylosis.     

Cervical Spondylosis Treated by Acupuncture at Ligou （LR 5） Combined with Movement Therapy

Objective： To compare therapeutic effects of acupuncture at Ligou （LR 5） plus movement therapy and conventional acupuncture on cervical spondylosis. Methods： The therapeutic effect of acupuncture at Ligou （LR 5） plus movement therapy on 57 cases of cervical spondylosis （Group Acup.＋M） was observed and compared with that of conventional acupuncture （Group Acup.） on 65 cases of cervical spondylosis with the same types of the disease during the same observation period as those treated by the former therapy. Results： The cured rate, effective rate and total effective rate were 52.63%, 45.61% and 98.24%, respectively in Group Acup.＋M; 46.15%, 50.77% and 96.92%, respectively in Group Acup. There were no significant differences in therapeutic effects between the two groups, shown by Ridit test （P〉0.05）. Conclusion： Both acupuncture plus movement therapy and conventional acupuncture were similarly effective in treating cervical spondylosis, but the former was superior to the latter in shorter treatment course and fewer points used.     

微创埋线治疗带状疱疹后遗神经痛

Herpes zoster is a kind of acute herpes viral dermatosis induced by infection of varicella zoster virus, and is characterized by a painful skin rash with blisters. It often occurs in the areas innervated by intercostal, cervical, trigeminal, and lumbosacral nerves. As a feature of this disease, neuralgia happens before or together with the rash, radiating along the innervated areas. Elderly patients commonly suffer from a long-time residual neuralgia     

针刺颈项部阿是穴为主治疗颈性眩晕

Cervical vertigo is mainly caused by neck soft tissue lesions or bone and joint disease of cervical vertebrae.It is one of the most common diseases in acupuncture department.Though there are a variety     

TREATMENT OF RADICULAR TYPE CERVICAL SPONDYLOSIS BY PUNCTURING YUJI-POINT - -

Cervical spondylosis is one of the commonly seen diseases in clinic. It is characterized by high morbidity, sluggish development, longer course and higher recurrence rate. In order to improve the therapeutic effect and lower the recurrence rate, the author treated 116 cases of radicular type cervical spondylosis by puncturing Yuji (LU 10) from 1997 to 1999. Here is the report.     

TCM Diet Therapy for Bronchial Asthma

Bronchial asthma is a disease with reversible tracheospasm and tracheostenosis due to excessively increased tracheal-bronchial reactivity induced by sensitinogen or non-sensitinogen. Although its etiology is complicated, the disease is generally caused by internal injury resulting from accumulation of phlegm in the lungs, damage to the spleen by improper diet and impairment of the kidneys by overstrain and excessive coitus; or it can be caused by six exogenous pathogenic factors, with obstruction of the airways by phlegm and upward adverse flow of the lung-qi.     

Clinical Research on Treatment of Vertebroarterial Type of Cervical Spondylosis with 5-step Manipulation and Traction

To observe the therapeutic effect of 5-step manipulation and traction of cervical vertebrae on vertebroarterial type of cervical spondylosis and probe its mechanism. Methods： The 120 patients were randomly divided into a treatment group （manipulation group） and a control group （traction group） with 60 cases in each. The curative effects in the two groups were evaluated after treatment. Results： The curative rate and the total effective rate is 26.7% and 93.4% respectively in the treatment group, and 13.3% and 86.7% respectively in the control group, with statistical significance in the total effective rate of the two groups （P〈0.05）. Conclusion： Manipulation and traction of cervical vertebrae can effectively improve the clinical symptoms of vetebroarterical type of cervical spondylosis with a good therapeutic effect.     

LECTURE ON ACUPUNCTURE Part Ⅰ Clinical Acupuncture Lecture Thirty-five Cervical Spondylopathy

Cervical spondylopathy, also known as cervical syndrome, is a commonly encountered disease in the middle-aged and elderly people. This disease mostly results from the retrograde affection of the cervical intervertebral disc and hyper osteogeny of the cervical vertebrae. This hyper plastic substance may stimulate and give rise to oppression to the surrounding spinal cord, nerve     

LECTURE ON ACUPUNCTURE Part I Clinical Acupuncture Lecture Thirty-five Cervical Spondylopathy

Cervical spondylopathy, also known as cervical syndrome, is a commonly encountered disease in the middle-aged and elderly people. This disease mostly results from the retrograde affection of the cervical intervertebral disc and hyperosteogeny of the cervical vertebrae. This hyperplastic substance may stimulate and give rise to oppression to the surrounding spinal cord, nerve roots, blood vessels and sympathetic nerves, re-     

Analysis on the Effect of Acupuncture in Treating Cervical Spondylosis with Different Syndrome Types

Objective: To observe the clinical effect of acupuncture in treating cervical spondylosis with different syndrome types. Methods: One hundred and seventeen patients were randomized into the treated group: (59 cases), treated with normal acupuncture, and the control group (58 cases), treated with sham acupuncture, operated once every other day, 9 times in total (in 18 days) as one therapeutic course, and a succeeding 3-month follow-up study was carried out after terminating the therapy. The efficacy of treatment was evaluated with the Northwick Park Neck Pain Questionnaire (NPQ) and Visual Analogue Scale (VAS), and the scores gained in patients with different syndrome types were analyzed with a general linear model. Results: The NPQ and VAS: scores showed a linear decreasing tendency in both groups at the time of ending treatment and the 1st month of follow-up, but showed a secondary curve increasing tendency in the 3rd month of follow-up. Multivariate analysis showed the difference was of statistical significance (P<0.05). However, the analysis through lead-in of syndrome type as an individual influencing factor showed that syndrome type exerts a significant influence on VAS score (P<0.05), but has insignificant influence on the NPQ score (P>0.05). Conclusion: Acupuncture shows: good immediate effect in treating cervical spondylosis, but its long-term effect is not satisfactory. The difference in syndrome type may have some impact on the effects of acupuncture in alleviating pain, but exerts no evident influence on the comprehensive effect.     

CERVICAL PLEXUS PUNCTURING PLUS MOXIBUSTION FOR TREATMENT OF 78 CASES OF CERVICAL VERTIGO

Cervical vertigo is also called as vertebralartery type cervical sPOndylopathy and is a com-mon disease in clinic. Currently, it is frequentlytreated with acupuncture, moxibustion, mas-sage, physiotherapy, medication, etc.. Regard-ing the cIinical therapeutic effect, acupuncture,moxibustion and massage are definite. Sincel999, we have treated 78 inpatients usingacupuncture plus moxibustion of cervical plexusand achieved satisfied results. Here is the re-POrt.1 CLINICAL DATAA total of 7…     

颈曲改变的神经根型颈椎病手法治疗研究

为观察有颈曲改变的神经根型颈椎病的临床特点及手法治疗效果。临床选有颈曲改变的神经根型颈病60例为观察组，无颈曲改变的神经根型颈椎病60例为对照组，将其临床特点分别记录，并进行手法治疗，后进行评分及统计学处理，结果显示，观察组与对照组在病因，病程，病情，椎间孔变化，肌电图变化及疗效等方面有差异，表明有颈曲改变的神经根型颈椎病与无颈曲改变的神经根型颈椎病在病因病理，临床特点及疗效等方面有所不同。前者病程较长，病情较重，疗效较差。     

CLINICAL OBSERVATION ON AURICULAR ACUPUNCTURE COMBINED WITH LOCAL ANAESTHESIA IN CERVICAL LAMINOPLASTY FOR CERVICAL SPONDYLISIS

INTRODUCTIONCervicalsPOndylosisisacommonly,frequent-lyencountereddiseasewhichusuallyoccursinthemiddleageandsenium-Inthepast,generalanaes-thesiawasoftenusedforposterioroperationofcervicalsPOndylosis.Thepatientswereuncon-sciou$musclesrelaxedandthereforelackofself-protection.Cervicalspinalcordcanbeeasilydam-agedduringtheoperationandit'sverydifficulttobefound.Inrecentyears,wehaveusedauricularacupuncturecombinedwithlocalanaesthesiain7ocasesofcervicallaminoplastyandobtainedsatis-factoryresult…     

牵引对颈椎椎间关节作用的有限元分析

为探讨不同角度下牵引对颈椎椎间关节的作用,采用建立完整的颈段脊柱三维空间有限元模型,对前屈、后伸0～30°共11种不同牵引体位下的椎间关节应力分布及其运动情况进行分析.结果显示正常颈椎椎间关节所受应力主要为垂直轴上的压应力,力值从上到下逐渐增大,尤以C5～6、C6～7为主,在牵引作用下,前屈位可将其转变为拉压力,后伸位仍为压应力,二者都随角度的加大而逐渐加大.表明颈椎牵引早期应在前屈或后伸0～10°下,后期应结合临床、影像学诊断选择合适的角度.     

葛根素注射配合颈椎牵引治疗颈性眩晕疗效观察

为观察葛根素注射液合颈椎牵引治疗颈性眩晕的疗效,选择颈性眩晕患者199例,随机分为两组,治疗组117例,予葛根素注射并配合颈椎牵引治疗;对照组82例,仅予葛根素注射液治疗.观察疗效及痊愈时间.结果显示,治疗组临床疗效明显优于对照组(P＜0.01);痊愈率明显高于对照组(P＜0.001);治疗组中有效者临床症状改善时间较对照组明显缩短(P＜0.001);治疗组1～5天内的痊愈率和6～10天内的痊愈率均明显高于对照组(P＜0.005);治疗组椎动脉和基底动脉平均流速的改善均明显优于对照组(P＜0.001).表明葛根素注射液合颈椎牵引治疗颈性眩晕比单纯应用葛根素注射液疗效确切且起效迅速.     

椎管外颈神经阻滞加手法治疗颈神经后支卡压综合症

为探讨评价颈神经后支卡压缩合症的诊治方法,根据YabukiS等对颈神经解剖学的研究,结合临床回顾性地分析了89例颈神经后支卡压缩合症患者椎管外颈神经阻滞及手法治疗的效果。经平均6个月随访,结果47例纯行颈神经阻滞术者,治愈38例,占80．1％,42例配合手法治疗者,全部治愈,占100％,组间比较（P＜0．05）,两组治愈率有明显差异,提示对病因不明及无明显神经体征的头、颈肩痛患者、应诊断为颈神经经手支卡压缩合症,与颈神经后支在关节突出部位的卡压有关。椎管外颈神经阻滞配合手术治疗,是一种针对性强、有效的治疗方法。     

颈前路钢板结合钛网植骨在脊髓型颈椎病治疗中的应用

为观察颈前路钢板结合钛网植骨对脊髓型颈椎病的疗效和钛网植入后融合及沉降情况.对23例行颈前路椎体次全切减压、钛网植骨、颈前路钢板内固定术的脊髓型颈椎病患者进行了10～18个月(平均15个月)的随访,以观察其神经功能恢复情况、钛网植骨融合率及钛网沉降率.结果显示,23例患者神经功能改善情况依据JOA评定标准评定优15例,良4例,中4;JOA评定由术前8.6±1.4分升至术后15.5±2.8分;均存在显著差异(P＜0.05).结合Zdeblick影像学判定椎体间融合的标准,术后6个月钛网植骨融合率达到89%,1年达到91%.术后6个月沉降出现率11%,1年13%.表明应用颈前路减压、钛网植骨、颈前路钢板系统内固定术治疗脊髓型颈椎病具有术后颈椎即时稳定性好,沉降率低,没有供骨区并发症,钛网植骨融合率高的优点.     

颈椎牵引的一般性原则

为给颈椎病的牵引治疗提供理论依据,从生物力学观点出发,通过应力对颈椎病致病机理的研究,探讨了颈椎压力的产生及其,对颈椎牵引的作用进行了较深入的研究。认为颈椎牵引的作有生是克服头部重力;二是减轻或消除颈部肌群对椎体的残余压力;三是牵引塑型。     

COMBINED TREATMENT OF 43CASES OF CERVICAL SPONDYLOPATHY

Ｃｅｒｖｉｃａｌｓｐｏｎｄｙｌｏｐａｔｈｙｉｓｒｅｆｅｒｒｅｄｔｏａｃｏｍｐｌｅｘｓｙｎｄｒｏｍｅｉｎｄｕｃｅｄｂｙｓｔｉｍｕｌａｔｅｄａｎｄｏｐｐｒｅｓｓｅｄｔｉｓｓｕｅｓａｒｏｕｎｄｔｈｅｖｅｒｔｅｂｒａｌｂｏｄｉｅｓｄｕｅｔｏｒｅｔｒｏｇｒａｄｅａｆｆｅｃｔｉｏｎｏｆｉｎｔｅｒｖｅｒｔｅｂｒａｌｄｉｓｃｓａｎｄｉｔｓｓｕｂｓｅｑｕｅｎｔｐａｔｈｏｌｏｇｉｃａｌｃｈａｎｇｅｓ.Ｉｔｉｓｔｈｕｓｃａｌｌｅｄａｓｃｅｒｖｉｃａｌｓｐｏｎｄｙｌｏｔｉｃｓｙｎｄｒｏｍｅ.Ｉｎｃｌｉｎｉｃ,ｉｔｉｓｇｅ…     

全自动颈椎牵引器的临床应用

为观察全自动颈椎牵引器对治疗神经根型颈椎病的临床疗效，为临床合理应用提供依据。选择神经根型颈椎病患者60例，随机分为治疗组和对照组各30例，分别用该牵引器和普通四头带坐位牵引，牵引重量为5kg，牵引角度为前屈100，牵引时间为30分钟，每天1次，牵引2周。牵引前和牵引2周摄颈椎侧住片，量出C2—C7各椎间隙之间最大距离。两组比较，并对每组病人牵引前后进行症状评分比较。结果显示，两组各椎间隙牵引前后的变化均有极显著性的差异（P〈0．01）；两组之间比较有显著性差异（P〈0．05）；两组之间症状评分比较有极显著性差异（P〈0．01）。表明全自动颈椎牵引器治疗神经根型颈椎病有良好效果，疗效优于普通四头带牵引。