Clinical Study on Treatment of Cervical Spondylotic Radiculopathy by Electroacupuncture plus Tuina简

Objective： To observe the clinical effects of electroacupuncture（EA） plus tuina for cervical spondylotic radiculopathy. Methods： One hundred and twenty cases with cervical spondylotic radiculopathy were divided randomly by the digital table into the observation group and control group. The patients in an observation group were treated by EA plus tuina techniques. The patients in the control group were treated by simple tuina techniques. Results： The total effective rate was 91.7% in the observation group and 78.3% in the control group. The effective rates in the two groups were statistically different（P〈0.05）. Conclusion： EA plus tuina therapy is better than simple tuina therapy in the treatment of cervical spondylotic radiculopathy.     

Observation on the therapeutic efficacy of acupuncture plus tuina for cervical vertigo

Objective

To observe the clinical efficacy and action mechanism of Jin’s three-needle acupuncture plus Long’s chiropractic tuina manipulations in treating cervical vertigo.

Methods

By adopting a randomized controlled method, 80 eligible patients were randomized into an observation group of 41 cases and a control group of 39 cases. The control group was intervened by Jin’s cervical three-needle acupuncture plus acupuncture at the vertigo-pain points and Fengchi (GB 20); the observation group was by Long’s chiropractic tuina manipulations in addition to the treatment given to the control. For both groups, the intervention was given once a day, 7 sessions as a treatment course, with a 1-day interval after a course, for 2 courses in total. The therapeutic efficacy was evaluated after the first session and the second treatment course, at the 3-month and 6-month follow-ups.

Results

After the first session, the recovery plus markedly effective rate of the observation group was significantly higher than that of the control group (P<0.01); the rate was markedly higher in the observation group than that in the control group after 2 treatment courses (P<0.01); at the 3-month follow-up, the relapse rate was 2.5% in the observation group versus 13.5% in the control, and the between-group difference was statistically insignificant (P>0.05); the 6-month follow-up study showed that the relapse rate was 5.0% in the observation group versus 21.6% in the control group, and the between-group difference was statistically significant (P<0.05); at the 6-month follow-up, the total relapse rate was 7.5% in the observation group versus 35.1% in the control group, and the inter-group difference was statistically significant (P<0.01).

Conclusion

The two treatment protocols are both effective in treating cervical vertigo. However, due to its more significant efficacy, more efficient action and lower relapse rate compared to acupuncture alone, acupuncture plus tuina can be regarded as a verified protocol for cervical vertigo.

     

灸药结合治疗颈性眩晕临床观察

目的：观察艾灸联合盐酸倍他司汀治疗颈性眩晕的临床疗效。方法：将 120 例颈性眩晕患者随机分为两组,观察组 60 例,予艾灸结合静脉滴注盐酸倍他司汀治疗;对照组 60 例,予单纯静脉滴注盐酸倍他司汀治疗。观察治疗前后患者临床症状及功能评分变化,比较两组临床疗效。结果：与本组治疗前比较,两组患者治疗后眩晕症状及功能评分均有明显改善（P〈0.01）。治疗后组间比较,观察组眩晕症状及功能评分改善明显优于对照组（P〈0.01）。两组愈显率及总有效率亦有统计学差异（均P〈0.05）,提示观察组疗效优于对照组。结论：灸法联合盐酸倍他司汀治疗颈性眩晕疗效优于单纯盐酸倍他司汀治疗。     

Clinical study on tuina combined with auricular point sticking for cervical radiculopathy

Objective： To observe the clinical effect of tuina combined with auricular point sticking on cervical radiculopathy and evaluate in health economics. Methods： Using randomized single-blind controlled clinical design, a total of72 cases with cervical radiculopathy were randomly allocated into an observation group or a control group by the ratio of 1：1, 36 in each group. Cases in the observation group were treated with tuina combined with auricular point sticking, whereas cases in the control group were treated with tuina alone. Then the clinical effects in the two groups were observed and the cost of health economics was evaluated. Results： The drop-out, recovery, improvement and failure cases, recovery rate and total effective rate in the observation group were 1, 15, 20, 0, 42.9% and 100% respectively, versus 2, 6, 23, 5, 17.6% and 85.3% in the control group, showing significant differences in recovery rate and total effective rate （P〈0.05）. As for health economics, the cost-effect in the observation group was better than that in the control group. Conclusion： Compared with tuina alone, tuina combined with auricular point sticking can obtain better effect and lower cost in health economics for cervical radiculopathy.     

Therapeutic observation of acupuncture plus tuina for cervical vertigo

Objective

To evaluate the clinical efficacy of acupuncture plus tuina in treating cervical vertigo (CV).

Methods

One hundred CV patients were randomized into an observation group and an acupuncture group by the random number table, with 50 cases in each group. The acupuncture group received acupuncture at Xiang Ba Zhen (eight acupoints on the nape); the observation group received tuina treatment in addition to the Xiang Ba Zhen acupuncture. The two groups were both treated once every other day for 10 sessions in total. The two groups were examined by transcranial cerebral Doppler (TCD) before and after the treatment, and their therapeutic efficacies were evaluated.

Results

After the treatment, the mean velocity (Vm) of vertebral artery (VA) and basilar artery (BA) showed significant improvement in both groups (all P<0.001); there were significant differences in the Vm of VA and BA between the two groups (both P<0.05). The total effective rate was 100.0% in the observation group versus 82.0% in the acupuncture group, and the difference was statistically significant (P<0.01).

Conclusion

Xiang Ba Zhen acupuncture as a monotherapy or used together with tuina can improve CV, but Xiang Ba Zhen plus tuina can produce a more significant efficacy.

     

Clinical observation on oblique Ban-pulling tuina manipulation plus acupuncture for cervical vertigo

Objective

To explore the clinical efficacy of rotating-lifting oblique Ban-pulling tuina manipulation plus acupuncture in treating cervical vertigo (CV).

Methods

Seventy-three CV patients were divided into two groups by block randomization, 50 cases in each group. The observation group was intervened by rotating-lifting oblique Ban-pulling tuina manipulation plus acupuncture, while the control group was by the same acupuncture treatment alone. The tuina treatment was given once every other day and the acupuncture treatment was given once every day. The symptom score was observed before and after 20-day treatment, and the therapeutic efficacies were compared between the two groups.

Results

During the intervention, 14 subjects in the observation group and 13 subjects in the control group dropped out. Finally, 36 cases in the observation group and 37 cases in the control group were involved into the data analysis. After 20-day treatment, the symptom scores were significantly increased in both groups (P<0.05), and the symptom score in the observation group was significantly higher than that in the control group (P<0.05). The total effective rate was 91.7% in the observation group versus 83.8% in the control group, and the difference was statistically insignificant (P>0.05). The recovery and markedly effective rate was 69.4% in the observation group versus 32.4% in the control group, and the difference was statistically significant (P<0.05).

Conclusion

Rotating-lifting oblique Ban-pulling tuina manipulation plus acupuncture can significantly improve the clinical symptoms of CV patients, and its clinical efficacy is superior to that of acupuncture alone.

     

Acupuncture combined with tuina treatment for infantile diarrhea

Objective: To observe the effect of acupuncture combined with Tuina for infantile diarrhea. Methods: One hundred and twenty patients met the inclusion criteria were randomly divided into two groups at the ratio of 2:1, and there were 80 cases in the treatment group while 40 cases in the control group. The patients in the treatment group were treated with acupuncture combined with tuina, while those in the control group were treated with medication. The effects of two groups were compared after a 3-day treatment. Results: The total effective rate was 97.5% in the treatment group, versus 87.5% in the control group, and the difference was statistically significant (P<0.05). After 48-hour treatments, the antidiarrheal effect of the treatment group was better than that of the control group (P<0.05). Conclusion: Acupuncture combined tuina treatment is effective for infantile diarrhea and works fast.     

Therapeutic efficacy observation on combining acupuncture, tuina and functional exercise for transverse process syndrome of the third lumbar vertebra

Objective： To observe the clinical effect of combining acupuncture, tuina and functional exercise for transverse process syndrome of the third lumbar vertebra. Methods： A total of 90 cases were randomly allocated into an observation group and a medication group. The 48 cases in the observation group were treated with acupuncture, tuina and functional exercise, whereas the 42 cases in the medication group were treated with Ibuprofen sustained release capsules. Before and after treatment, the short-form McGill pain questionnaire （SF-MPQ） was employed to observe the changes in pain rating index （PRI）, visual analogue scale （VAS） and present pain intensity （PPI）. In addition, therapeutic efficacies were compared between two groups. Results： The total effective rate in the observation group was 97.9%, versus 61.9% in the medication group, showing a statistical difference （P〈O.05）. After treatment, there were statistical differences between the two groups in sensory PRI score, affective PRI score, total PRI score, VAS score and PPI score （P〈O.05）; and there were also statistical differences between two groups in clinical sign scoring （P〈O.05）. After 4 and 8 weeks of treatment, there was a statistical difference between the two groups in re~apse rate （P〈O.05）. Conclusion： Combining acupuncture, tuina and functional exercise can obtain better effects and has a lower relapse rate than Ibuprofen sustained release capsules for transverse process syndrome of the third lumbar vertebra.     

推拿结合温针治疗腰椎间盘突出症临床观察

目的:观察推拿结合温针治疗腰椎间盘突出症的疗效.方法:将90例腰椎间盘突出症患者随机分为两组,观察组45例,采用推拿结合温针治疗;对照组45例,采用单纯推拿治疗.结果:观察组的总有效率为88.9％,对照组的总有效率为75.6％,两组总有效率具有统计学差异(P＜0.01).结论:推拿结合温针治疗腰椎间盘突出症疗效优于单纯推拿手法治疗.     

Tuina for leg length discrepancy and lumbosacral pain due to sacroiliac joint subluxation

Objective： To observe theclinical effect of tuina reduction manipulation on leg length discrepancy and lumbosacral pain due to sacroiliac joint subluxation. Methods： A total of 60eligible cases were randomly allocated into an observation group and a control group, 30 in each group. Cases in the observation group were treated with conventional tuina plus reduction manipulation of sacroiliac joint subluxation; whereas cases in the control group were treated with conventional tuina plus acupuncture. The clinical effects were observed after 10 times of treatment. In addition, the relapse rates were observed 2 months after treatment. Results： The total effective rate in the observation group was 80.0%, versus 50.0% in the control group, showing a statistically significant difference （P＆lt;0.05）. The relapse rate of lumbosacral pain in the observation group was 12.5%, versus 66.7% in the control group, showing a statistically significant difference （P＆lt;0.01）. The relapse rate of leg length discrepancy in the observation group was 16.7%, versus 80.0% in the control group, showing a statistically significant difference （P＆lt;0.01）. Conclusion： Tuina reduction manipulation can obtain substantial therapeutic effect for leg length discrepancy and lumbosacral pain due to sacroiliac joint subluxation, coupled with a low relapse rate.     

Effect of electroacupuncture combined with tuina on lumbar muscle tone in patients with acute lumbar sprain

Objective： To observe the clinical effect of electroacupuncture（EA）combined with tuina on acute lumbar sprain and lumbar muscle tone before and after treatment. Methods： A total of 130 acute lumbar sprain cases were randomly allocated into an observation group and a control group, 65 in each group. Cases in the observation group were treated with EA combined with tuina, whereas cases in the control group were treated with Diclofenac Sodium Dual Release Enteric-coated capsules. The muscle tones in two groups were tested before and after treatment. Results： The recovery rate and overall response rate in the observation group were 66.2% and 93.8% respectively, versus 56.9% and 87.7% in the control group, showing no between-group statistical significances（P〉0.05）. After treatment, the force-displacement area under curve（AUC） in both groups showed a significance difference（P〈0.05）. Conclusion： Both EA combined with tuina and aforementioned oral medication have remarkable effects for acute lumbar sprain, and the former can better improve the lumbar muscle tone in patients with acute lumbar sprain.     

推拿结合温针灸治疗粘连性肩关节周围炎疗效观察

目的：观察推拿手法结合温针灸治疗粘连性肩关节周围炎的临床疗效。方法：将182例粘连性肩关节周围炎患者随机分为2组,观察组93例,予推拿手法松解结合温针灸治疗;对照组 89 例,予温针灸治疗。两组均隔日治疗1次,10次为1个疗程。观察治疗前及治疗1个疗程后肩关节功能及活动度评分。结果：观察组治愈率为 65.6%,总有效率为 97.9%;对照组治愈率为11.2%,总有效率85.4%,两组治愈率和总有效率比较,差异均有统计学意义（P〈0.01）。治疗后,两组患者的肩关节功能评分和肩关节活动度评分均有明显增加（P〈0.01,P〈0.05）,且观察组各项评分高于对照组（P〈0.01）。结论：推拿结合温针灸治疗粘连性肩关节周围炎疗效优于单纯的温针灸治疗。     

推拿结合灸法治疗慢性疲劳综合征临床研究(英文)

目的:观察推拿结合灸法治疗对慢性疲劳综合征患者的影响。方法:将60例符合纳入标准的慢性疲劳综合征(Chronic Fatigue Syndrome,CFS)患者,随机分为2组,治疗组30例予推拿结合雷火灸治疗,对照组30例予普通针刺治疗。治疗4星期后进行临床疗效比较。结果:治疗组治愈率为36.7%,总有效率为93.3%,对照组治愈率为16.7%,总有效率为76.7%,两组治愈率和总有效率差异均有统计学意义(P<0.01)。结论:推拿结合雷火灸治疗CFS疗效优于普通针刺。     

Clinical observation on acupuncture at Jiaji (EX-B 2) points plus tuina in treating thoracic facet joint disorder

Objective

To observe the clinical effects of acupuncture at Jiaji (EX-B 2) points plus tuina manipulation for thoracic facet joint disorder, and get new clinical evidence for treatment of thoracic facet joint disorder.

Methods

Totally 106 patients with thoracic facet joint disorder were randomly allocated into an observation group and a control group based on the random number table. Patients in the control group were treated by tuina manipulation, while those in the observation group were treated by acupuncture at Jiaji (EX-B 2) points before tuina manipulation. Patients in the two groups were treated once a day. The improvements of signs and symptoms and the efficacy were observed after 3 treatments.

Results

After treatment, there were intra-group statistical differences in scores of 8 signs and symptoms in both groups (P<0.01); the score of each item in the observation group was lower than that in the control group, and there was statistical significance in the inter-group difference (P<0.05). The cure rate of the observation group was 50.9%, versus 26.4% in the control group, and there was a significant difference between the two groups (P<0.05).

Conclusion

In treating thoracic facet joint disorder, acupuncture plus tuina manipulation can restore the biomechanical balance of thoracic vertebrae, fully maximized the combined effect, and significantly improve the clinical efficacy.

     

Clinical observation on tuina therapy for congenital muscular torticollis

Objective： To observe the clinical effect of spleen-strengthening and kidney-benefiting tuina therapy for congenital muscular torticollis. Methods： A total of 63 cases who met the inclusion criteria were randomly allocated into an observation group and a control group. Cases in the control group were treated with tuina manipulation on the local area, whereas cases in the observation group were treated with local tuina plus manipulation that acts to strengthen the spleen and benefit the kidney. Cases in both groups were treated three times a week, 20 times for a course of treatment. The clinical effects were observed after three courses. Results： There was no between-group significant difference in the total effective rate. However, the recovery and marked effect rate in the observation group was 63.3%, versus 33.3% in the control group, showing a significant difference （P〈0.05）. Conclusion： Combining local tuina with spleen-strengthening and kidney- benefiting tuina manipulation could obtain better effect in congenital muscular torticollis than local tuina alone.     

Traditional Chinese medicine treatment selection for straightened cervical curvature and therapeutic observation

Objective

To observe the clinical efficacy of different therapies in treating straightened cervical curvature.

Methods

A hundred patients with straightened cervical curvature were randomized into 5 groups to receive corresponding treatment. The clinical efficacies and the changes of cervical curvature in the five groups were compared.

Results

Different therapies all produced certain effectiveness in treating cervical spondylosis patients. The total effective rates in the acupuncture group and tuina group were both 100%, and the rates in the traction group, oral medication group and Chinese medicinal application group were all lower than the rates in the acupuncture group and tuina group (P<0.05). It was shown that the more significant the change of cervical curvature, the more significant the clinical efficacy.

Conclusion

Correcting the straightened cervical curvature is a way to swiftly release pain brought by cervical spondylosis; the optimization of different therapies ensures the achievement of long-term effectiveness; acupuncture and tuina are both effective in restoring the cervical curvature.

     

Clinical observation on acupuncture combined with hyperbaric oxygenation in treating patients with cervical spondylosis of nerve root type in acute phase

Objective: To observe the therapeutic efficacy of acupuncture combined with hyperbaric oxygenation for cervical spondylosis of nerve root type in acute phase. Methods: One hundred cases with cervical spondylosis of nerve root type in acute phase were randomly divided into two groups, with 50 patients in each group. The patients in the treatment group were treated by acupuncture combined with hyperbaric oxygenation, and those in the control group only received the same acupuncture therapy as the treatment group. The therapeutic efficacy was evaluated after 2 courses of treatment. Results: In the treatment group, 27 cases were cured, 9 cases showed markedly effective, and 4 cases were invalid, and the recovery rate was 67.5%, the total effective rate was 90.0%; in the control group, 18 cases were cured, 17 cases showed markedly effective, 15 cases were invalid, and the recovery rate was 36.0%, the total effective rate was 70.0%. There were statistically significant differences between two groups in the recovery rate and the total effective rate(both P0.05). The average cure time of the treatment group was(15.56±7.13) d, and that of the control group was(22.13±7.78) d, which also had significant difference between the two groups(P0.05). Conclusion: Acupuncture combined with hyperbaric oxygenation has rapid and reliable effects for cervical spondylosis of nerve root type in acute phase.     

Therapeutic effect observation on combining electroacupuncture and tuina for migraine

Objective： To observe the clinical effect of combining electro- acupuncture and local tuina for migraine. Methods： A total of 94 migraine cases were randomly allocated into an observation group and a medication group, 48 cases in each group. Electroacupuncture and local tuina were used for cases in the observation group, whereas oral Flunarizine Hydrochloride capsules were used for cases in the medication group. Then the frequency of attacks, severity of the pain, duration of the headache, and associated symptoms of headache before and after treatment in the two groups were observed and compared. Results： The total effective rate in the observation group was 93.8%, versus 63.0% in the medication group, showing a statistical significant difference （P〈0.05）. There were statistical significant differences in frequency of attacks, severity of the pain, duration of the headache and associated symptoms between the two groups （P〈0.05）. In addition, there were statistical significant differences in relapse rates after 4 and 8 weeks of treatment （P〈0.05）. Conclusion： Combining electroacupuncture and local tuina can obtain better effect and lower relapse rate than oral Flunarizine Hydrochloride capsules in migraine patients.     

Therapeutic observation on tuina plus electroacupuncture for lateral humeral epicondylitis

Objective： To observe the clinical efficacy of tuina combined with electroacupuncture（EA） in treating lateral humeral epicondylitis. Methods： Totally 118 patients were randomly allocated into a treatment group and a control group, 59 cases in each. The patients in the treatment group were treated with tuina combined with EA treatment, while those in the control group were treated by EA alone. Clinical efficacies of the two groups were compared after the treatment. Results： The total effective rate was 93.2% in the treatment group, versus 84.7% in the control group, and the difference was statistically significant（P〈0.05）. Conclusion： Tuina combined with EA treatment for lateral humeral epicondylitis has a significant effect.     

针刺治疗后循环缺血性眩晕临床疗效观察(英文)

目的:观察针刺治疗后循环缺血性眩晕的临床疗效。方法:将 71 例后循环缺血性眩晕患者按就诊顺序随机分为2组,针刺组37例,采用针刺治疗;药物组34例,采用口服盐酸氟桂利嗪治疗。治疗6星期后观察疗效。结果:治疗后,针刺组椎动脉(Vertebral Artery ,VA)、基底动脉(Basilar Artery,BA)的平均血流速度(Mean Blood Flow Velocity, VM) 均明显增加,与本组治疗前比较,差异有统计学意义(P<0.05);血管搏动指数(Pulsatility Index,PI) 虽有降低,但与治疗前差异无统计学意义。治疗后,药物组VA、BA的平均血流速度有所增加,与本组治疗前比较,差异有统计学意义(P<0.05);PI与治疗前比较差异无统计学意义(P>0.05)。针刺组VM的改善程度优于药物组,两组差异有统计学意义(P<0.05);两组 PI改善程度差异无统计学意义。从临床疗效上分析,针刺组及药物组均有效,但针刺组要优于药物组,差异有统计学意义(P<0.05)。结论:针刺治疗后循环缺血性眩晕疗效优于口服盐酸氟桂利嗪。