Clinical Study On Treatment Of Vertebral Artery Type Cervical Spondylosis From Acupuncture And Moxibustion

Purpose:To assess the clinical efficacy of acupuncture and moxibustion for cervical vertigo and Neck Pain of Cervical Spondylosis from Treatment of heart and hepar,to shed new light on Traditional Chinese Medicine Treatment of organs for Cervical Spondylosis Neck Pain.Materials and methods:Seventy patients with cervical spondylosis neck pain were randomly divided into two groups with PEM5.1 Software: Treatment of heart and hepar group(Heart and Hepar Group) and general acupuncture treatment group(General Group) with thirty five cases each. Heart and Hepar Group received treatment of heart and hepar while General Group received general acupuncture treatment.Heart and Hepar Group:Choose Jiaji(Ex17)double,Waiguan(HT7) double and Quchi(LI11) single and Hegu(LI4), then penetrate into these points with a depth about 10~30mm, each point retaining the needle for 30 minutes long after getting the Qior the feeling of acupuncture,then manipulating the needle once every 10 min, meanwhile proceed direct moxibustion to Fengchi(BG20),Ganshu(BL18) double, Shenshu(BL23) double five times each, At the end, place intradermal needles at the following ponits:Dazhui(GV14) double, Ganshu(BL18) single, Shenshu(BL23) single.General Group:Choose Jiaji(Ex17)double,Waiguan(HT7) double and Quchi(LI11) single and Hegu(LI4), then give direct moxibustion to Dazhui(DU14),Bailao(Ex HN15) double, Jianzhongshu(SI15) double, finally inset intradermal needles at Bailao(Ex HN15) double, Jianzhongshu(SI15) double,as all the operations described in the Heart and Hepar Group. Each group received two or three periods of treatment once a week, ten times for a course,then observe therapeutic effect after one course of the treatment.Evaluate Short-term and long-term efficiency based on the Clinical standards for TCM Syndrome Clinic. Use chi-square test to compare the differences of overall efficiency and markedly effective rate between two groups. Patients were examined by NPQ and Mc Gill before treatment, at the end of the fifth treatment, immediately after the course, one month and three months later. Inter-group comparison was made by Variance Analysis. SNK-q test and t-test were used to compare the difference before and after treatment,as well as the difference between the two groups.Results:The short-term(immediately after treatment) difference was not significant between the wo groups, according to the result of Ridit Analysis(P>0. 05).Neither the cured rate nor the markedly effective rate in both groups has significant difference according to X2Analysis(P>0.05).As to the overall efficiency of long-term(three months after treatment) both groups, Heart and Hepar Group overall efficiency is superior to General Group, according to Ridit Analysis(P<0.05),with the rates of 65.63%and 39.4%, separately. Nevertheless, the cured and markedly effective rates of Heart and Hepar Group were much higher than General Group when comparing results of immediately three months after treatment, according to X2 Analysis(P<0. 05).The NPQ scores of General Group were higher than Heart and Hepar Group at the end of the fifth treatment, one month and three months after treatment.And there were significant differences between the two groups, at the end of the fifth treatment and one month(P<0. 05) and three months(P<0.0l) after treatment according to t-test Analysis. The NPQ scores of the fifth treatment,immediately after treatment, one month after treatment and three months after treatment of the two groups were less than they were before the treatment, according to SNK-q Analysis(P<0. 01).The Mc Gill scores of General Group were greater than Heart and Hepar Group at the time immediately after treatment, one month after treatment and three months after treatment. And there was significant difference between the two groups, after treatment(P<0.05),one month after treatment and three months after treatment(P<0.01) according to t-test Analysis. The Mc Gill score the fifth end of treatment, immediately after treatment, one month after treatment and three months after treatment of two groups was less than before treatment respectively. There was significant difference between two groups(P<0.01).Conclusions:On the release of cervical spondylosis neck pain, both groups have certain therapeutic effect. No significant difference in curative effect,But the long-term effect of Heart and Hepar Group is superior to General Group.