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Study On The Correlation Between Sensory Transmission And Curative Effect Of Moxa Stick Warm Acupuncture In The Treatmentre Of Cervical Spondylotic Radiculopathy

Posted on:2023-01-03Degree:MasterType:Thesis
Country:ChinaCandidate:D H KongFull Text:PDF
GTID:2544306788998219Subject:Acupuncture and massage to learn
Abstract/Summary:PDF Full Text Request
Objective:This study is based on the legislation of“ Wen yang Tong du”,by observing the difference in curative effect between moxa stick warm acupuncture and moxa-duan warm acupuncture in the treatment of cervical spondylosis of nerve root type,and to explore the effect of sensation stimulated by moxa stick warm acupuncture in the treatment of this disease.In order to provide a new warm acupuncture therapy for the clinical treatment of this disease.Methods:Sixty cases of cervical spondylotic radiculopathy included in this study were all from the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine.In this study,a parallel control,randomized grouping,non-blind design method was used.Sixty cases of cervical spondylotic radiculopathy were divided into “ai strip warming acupuncture” group(experimental group)(30 cases)and “ai segment warming acupuncture” group(control group)(30 cases).Patients with basic diseases such as diabetes and hypertension in the two groups were given basic treatments such as blood glucose control and blood pressure control.1.Treatment(1)Experimental group: Treatment with Moxibustion with Wormwood temperature.Main acupoint: Fengchi,Tianzhu,Dazhui,Cervical jiaji(C3-7),Jianyu,Jianliao,Binao,Quchi,Waiguan,Hegu,Houxi.Acupoints: the main manifestations of numbness and weakness of limbs and muscle atrophy can be added with corresponding acupoints locally.Du Yang deficiency,vein stasis type plus take waist Yang guan,mingmen;For the deficiency type of shenqi,add Taixi,Shenshu and Zusanli;for the type of muscle and bone strain,choose Dazhu,Xuanzhong and Yanglingquan:Wind-cold dampness pathogenic obstruction type chooses Fengmen and Yinlingquan.Operation method: All the above points are punctured with 0.3×40mm filigree needles.The patient is placed in the prone position/or lateral position,and acupuncture is performed after local disinfection of the acupoints.After acupuncture at all acupoints,the method of leveling,replenishing,and reducing qi is applied.When acupuncture at Fengchi Point,the needle tip must be slanted0.8-1.2 cun toward the nose tip.Acupuncture with moxa sticks and warm acupuncture after acupuncture in Dazhui and Quchi(The moxa sticks are fixed on the moxa stick hanging moxibustion rack or operated manually.).As long as the patient perceives a sense of warmth entering the deep acupoints or stimulates the sense of transmission,remove the ashes of moxa at intervals of 3 to 5 minutes,and ensure that the moxibustion acupoints have a continuous sense of warmth.30 minutes of moxibustion each time.(2)Control group: treated with Ai Duan Wen acupuncture and moxibustion.The main points and auxiliary points were the same as the experimental group.Operation method: Acupuncture is the same as the experimental group.In addition,Dazhui and Quchi were given acupuncture with moxa-warm acupuncture and moxibustion at the same time.(Note: Put a moxa segment about 2cm long on the needle handle for moxibustion until it burns out and remove the ashes.Each acupoint can be moxibustion 2 times each time.It is also necessary to stop the moxibustion if the combustion is not complete,and remove the needle after the moxibustion is completed.In order to prevent the ash from falling off and burning the skin and clothing during application,or applied to ash temperature too high burn skin and clothing,a square cardboard of about 4cm×4cm should be placed at the acupuncture point.)2.Course of treatment and observation indicators.Course of treatment: Both groups were treated continuously for 15 days as a course of treatment,and both groups were treated for one course of treatment.Observation indicators: Clinical Evaluation Scale for Cervical Spondylosis(CASCS Scale);Pain Visual Scale(VAS Scale);Symptoms and Signs for Comprehensive Evaluation of Efficacy Phenomenon.IBM SPSS 26.0 software was used for statistical analysis of all data in this study.result:1.Baseline comparison: There was no significant difference in age,gender,and main observation indicators(CASCS scale and VAS scale)between the two groups before treatment(P>0.05),indicating that the distribution of baseline data between the two groups was balanced and comparable.sex.2.Comparison of VAS scale score,CASCS scale score and comprehensive efficacy:(1)Comparison within the group: after treatment,the CASCS scale scores of the experimental group and the control group were improved compared with before(P<0.05);the VAS scale scores of the two groups were decreased after treatment(P<0.05);(2)Comparison between groups: After treatment,the VAS score of the experimental group decreased more than that of the control group,P<0.05,suggesting that moxa-tipped warm acupuncture was better than moxa-segment warm acupuncture in improving the VAS score of patients;the increase of CASCS score in the experimental group was higher.In the control group,P<0.05,suggesting that moxa-striped warm acupuncture was better than moxa-segment warm acupuncture in improving the CASCS score of patients.(3)Comprehensive curative effect comparison: In this experiment,12 people in the test group were cured,8 were markedly effective,8 were effective,and2 were ineffective,with a total effective rate of 93.33%.In the control group,4 were cured,11 were markedly effective,7 were effective,and 8 were ineffective,with a total effective rate of 73.33%.Comparing the comprehensive efficacy between the two groups,the total effective rate of the experimental group was significantly higher than that of the control group(P<0.05).It is suggested that both moxa-striped warm acupuncture and moxa-striped warm acupuncture have better therapeutic effects on cervical radiculopathy,and the curative effect of moxa-striped warm acupuncture on the disease is significantly better than that of moxa-striped warm acupuncture.3.Sensing excitation rate comparisonDuring the treatment process,9 people in the experimental group were infected throughout the whole process,16 people were partially infected,and 5 people were not infected,and the incidence rate of infection was 93.30%;In the control group,there were 3 people with full-time infection,11 people with partial infection,and 16 people without infection,and the incidence rate of infection was 46.70%.The comparison of the occurrence rate of sensory perception between the two groups,P<0.05,indicated that both moxa stick warm acupuncture and moxa segment warm acupuncture could stimulate sensory phenomenon,but moxa stick warm acupuncture was more likely to stimulate sensory phenomenon.4.Research on the correlation between curative effect and sensingThe spearman correlation analysis showed that there was a correlation between the curative effect and sensing in the two groups,P<0.05;and the correlation coefficient r values between the curative effect and sensing in the experimental group and the control group were 0.782 and 0.650,respectively,suggesting that There was a positive correlation between efficacy and sensing in both groups.In addition,in this study,the correlation coefficient of the experimental group was greater than the correlation coefficient of the control group,indicating that the correlation between the curative effect and sensing of the moxa-stripe warming acupuncture group was greater than that of the moxa-stripe warming acupuncture group,indicating that compared with moxa-stripe warming acupuncture,the use of moxa-stripe warming acupuncture Acupuncture treatment of cervical radiculopathy has a higher sensory excitation rate and better curative effect.in conclusion:1.From the legislation of “Wen yang Tong du”,moxa-striped warm acupuncture and moxa-segmented warm acupuncture have better curative effect in treating cervical radiculopathy,and the curative effect of moxa-striped warm acupuncture is obviously better than that of moxa-segmented warm acupuncture.2.Compared with moxa segment warm acupuncture,moxa stick warm acupuncture is more likely to stimulate the movement of yang-qi and stimulate the phenomenon of sensory transmission.3.Acupuncture with moxa sticks in the treatment of cervical spondylosis of nerve root type,the sensory phenomenon stimulated by it is positively correlated with the comprehensive curative effect.
Keywords/Search Tags:cervical spondylotic radiculopathy, Mugwort warm acupuncture, Wen Yang tong Du, Sensory transmission, Yang qi, The correlation
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