| In recent years, with the quality of life improves, we start to care about the discomfort of our body. The Jin's three-needle is fairly effective by stimulate the acupuncture point, facilitate body's inherent resistance, and adjust body organs, Ying, Wei, Qi, and Blood. The Jin's three-needle does not attack the lesion point directly as the drugs act, but make the body to heal itself by "Fu Zheng Qu Xie" through adjusts the Jing-Luo and Zheng Qi into balance. The rehabilitation medicine is also accepted to the popular with a scientific physical examination and standard manipulation. Myofascial release is one of these kinds of therapies which are very popular in clinic, and it is good work in myofascial pain syndrome. These two kinds of therapies are more innovative treatment for clinical practice.1. Literature ReviewThis article was mean to explore the clinical efficacy of the neck and shoulder myofascial pain syndrome treated by the Jin's three-needle combined with Myofascial Release from the literature and clinical research. To observe, categorize, and summarize the experimental result.The incidences of this disease are the body tired for a long time and a sense of exogenous pathogens complex. Chinese traditional medicine's view on this disease is attributed to paralysis disease areas. The human body under these three pathogens made temperature to drop, surface blood vessels to expanse, and deep blood vessels to dilate. These caused liquid to exudates and accumulated in the body to get muscle spasm, and cause pain. While modern medicine has not yet have a clear diagnosis, but more generally accepted theory is the Dr. Simons and Dr. Travell's theory, "The pathophysiology of myofascial pain syndrome is due to changes in the neuromuscular endplate release too much acetylcholine, resulting sarcomere continued to shrink, making local blood poor circulation, and increased energy consumption. After deterioration sustains for a long time, the formation of muscle becomes ischemia and hypoxia. Body will release a number of activation materials, such as bradykinin, serotonin, histamine and capsaicin, etc, to compensate such a state of ischemia and hypoxia. And these substances activate sensory nerve fibers to cause pain and discomfort."General treatment of pain relived is often done for the location at lateral phase. Different nature of pain is defined the therapeutic principle after a physician distinguishes symptoms, and is treated by drug therapy, or massage, or acupuncture. Acupuncture treatment emphasizes to cure primary pain location, even if there had been pain free, and acupuncture should be practiced to prevent recurrence. Otherwise, hot iron, plaster, fumigation, cupping are very widely used in clinical also 2. Clinical Application2.1 Investigation ObjectThis clinical study was started from January 2008 and ended atFebruary 2010. We acquainted 60 cases as between the Guangzhou University of Chinese Medicine First Affiliated Hospital Acupuncture and the Guangdong Provincial Hospital Rehabilitation outpatients who meet the diagnostic criteria of this issue. And to divide these cases into two groups as Treatment groups and Control group for clinical observation. The divided method was to decide in two different wards under CACIO-fX4500p calculator on the random number, and to meet the standards of the patients were randomly divided into Treatment group as Acupuncture and rehabilitation group and Control group as General rehabilitation group. There was no significant difference in gender, age, duration, and so on between the two groups, and they were comparable.2.2 MethodsThe main points of acupuncture were the three neck points and the three shoulder points, and in accordance to the syndrome increase auxiliary points as Ge-Shu poits, Xue-Hai points, Shen-Shu points, Guan-Yuan points, Yin-Ling-Quan points, Zu-San-Li points, and A-Shi points. To pick out needles as usual after 20 minute. And let the patient to rest for 5 minutes. Then, asked the patient transfer position from prone to supine to accept myofascial release technique. Treatment time was about 10～15 minutes. And expect to achieve the same degreed of muscle tension after that. Treatment was designed to two courses. The first course practiced as 1 treatment every two days, a total of 4 times, and assessed patient's status after 4th treatment. The second course practiced as 1 treatment every two days, a total of 8 times, and assessed patient's status after 8th treatment. Otherwise, to assess patients'vital sign changes after each treatment with "Damage assessment". And the sustained efficacy of each treatment was tracked and recorded.SPASS15.0 statistical software was used to analyze data. The constitution between the two groups was compared with the t test. The average between the two groups was compared with the t test. The difference of each group before and after treatment was compared with the paired t test. And the treatment effects of the two groups were compared by Ridit to analyze.2.3 Clinical ResultTo compare the efficacy of these two groups, the treatment group was better than the control group (P<0.05). To compare the TCM syndromes, the 12 cases of the treatment group were cured. To compare the pain index, the 26 patients of the treatment group were recovered. To compare the range of motion and muscle strength in response levels comparison, the 22 cases of the treatment group were cured. To compare the Pakistani-style quality of life assessment, the result showed the scores of the treatment group was increased average of 25.32±7.41 points.2.4 DiscussionThis study completed under the guidance of Professor Chai, Tie-Qu. The treatment of Jin three needles as Chinese traditional medicine combined with myofascial release as modern medical rehabilitation has a significant improvement on patients who got the neck and shoulder myofascial pain syndrome. This treatment can accelerate the treatment process, avoid the aggravation of symptoms, and effectively reduce the patient's pain.In this investigation, I observed the process of a profound experience. Even acupuncture has a significant effect for this disease, but patients with this symptom often related to personal living habits. They often felt better after treatment and felt the improvement every time in the clinic room. But it became worse after they go home due to improper force posture, or inappropriate to give symptoms to recurrent. This was because the muscle strain was not been cured effectively. And the above-mentioned pathogenic factor still leaded to the accumulation of the symptoms. So we tried to effectively relieve muscle tension through the myofascial release technique, and to maintain the effect of acupuncture treatment.3. Conclusion and AdviceThrough this clinical study suggests that the treatment as the Jin's three-needle combined with myofascial release of the neck and shoulder myofascial pain syndrome has clinical significance. Through this study, I had realized that how this symptom transferred was related to personal life. People often improved a lot after treatment in the clinic room, and it recurrent due to improper posture or improper to force model for symptoms after they went home.Sometimes the symptom might be worse. There were two reasons why these happened, one was the patient did not recover the sprain, and the other was that the patients often feel no pain was cured. Resulting in some patients the root cause was not eliminated, only by short-term treatment and the current discomfort and pain lifting. It is only a temporary improvement in symptoms. Therefore, this disease health education needed to test the communication between doctor and patient meet in order to truly prevent the recurrence of the disease. |
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