| Objective:Through randomized controlled clinical observation,to clarify the immediate effect of Zhuang medicine line moxibustion combined with Zhuang medicine acupuncture on nerve root type cervical spondylosis,to provide simple,convenient and verified Zhuang medicine treatment plan for the clinical treatment of cervical spondylosis,and to enrich Zhuang medicine characteristic treatment.Methods: A total of 60 patients and volunteers who met the diagnostic criteria of radiculopathy in Guangxi International Zhuang Medical Hospital from January 2022 to October 2022 were collected and randomly divided into treatment group and control group,with 30 cases in each group.The treatment group was treated with Zhuang medicine line moxibustion combined with Zhuang medicine acupuncture.Points were selected: umbilical ring point,Jiaji point,Meihua point,Ashi point(umbilical ring point: inner umbilical ring point 12 points,1.5 points,3 points,4.5 points,6 points,7.5 points,9points,10.5 points,outer umbilical ring point 12 points,3 points,6 points,9points,9 points.Jiaji point: The subspinous process of the cervical vertebra with the most serious lesions opened 0.5 inches.Plum Point: Select a group of acupoints along the periphery and midpoint of the pain area.A Shi point is the pain point).After routine disinfection of all acupoints,the subjects were asked to take a deep abdominal breath before acupuncture umbilical ring point,and then 3 needles were injected at 12 o ’clock in the day.The needles were pointed outwards and in a radial flat shape of 15°.The needles were injected0.5 ～ 0.8 inches,slightly and slightly twisted and turned into the needles,and the needles were left directly after injection without twisting,lifting and inserting.Then in the left and right side of the needle open 0.5 inch into each needle,the method is the same as before.Then,in a clockwise direction,one needle is injected from 1.5 o ’clock,3 o ’clock,4.5 o ’clock,7.5 o ’clock,10.5o ’clock in turn(the injection method is the same as before).After the injection is complete,continue to breathe deeply in the abdomen for 5min to adjust the qi machine.After the injection of other acupoints,leave the needle for about 30 min,and then acupuncture and moxibustion.Light one end of the medicine thread,shake out the flame,leave only the beadlike charcoal spark,quickly burn the charcoal spark moxibustion at the acupuncture point,the spark is extinguished into 1 strong,each point(Huanxuan point,Jiaji point,Meihua point,A Shi point)continuously point moxibustion 1-3 strong.The control group was given ibuprofen orally,0.6g/ time.Both groups received a single course of treatment.VAS was observed at five time points before treatment and 30 min,1h,2h,6h,12 h and 24 h after treatment.The score of Yasuhisa Tanaka Symptom Scale and the comprehensive clinical effect were observed before and 30 min after treatment.The adverse reactions of the two groups were observed at the same time for safety evaluation.SPSS26.0software package was used for data processing.Results:1 Comparison of general data between the two groups before treatment:There was no significant difference between the treatment group and the control group in gender,course of disease,and condition(visual analogue scale of pain(VAS)and Yasuhisa Tanaka Symptom Scale)(P>0.05).2 Comparison of visual analog scale(VAS)after treatment between the two groups:The visual analog scale(VAS)of the two groups after treatment decreased gradually,with statistical significance(P<0.05).Comparison between groups: The decrease of visual analog scale(VAS)in the treatment group at 30 min and 24 h after treatment was greater than that in the control group,and the therapeutic effect in the treatment group was better than that in the control group(P<0.05).Both groups had pain relief 30 minutes after treatment,and the analgesic effect of the treatment group was better than that of the control group(P<0.05).3 Comparison of Yasuhisa Tanaka Symptom Scale scores after treatment between the two groups:There were statistically significant differences in Yasuhisa Tanaka Symptom scale scores between the two groups after treatment(P<0.05).4 Comprehensive clinical effect of the two groups after treatment:Both groups showed good clinical efficacy after treatment,and the efficacy of treatment group was better than that of control group(P<0.05).5 Safety evaluation:In the process of this study,no abnormalities were observed in the monitoring of various safety indicators in the two groups,and no related adverse reactions were observed.Conclusion(s): The clinical discomfort symptoms of radiculopathy were significantly improved in both Zhuang medicine acupuncture group and western medicine group,and the Zhuang medicine acupuncture group showed better efficacy than the western medicine group in terms of visual analog scale of pain(VAS),Yasuku Tanaka Symptom scale and comprehensive clinical efficacy improvement,without serious adverse reactions.Zhuang medicine line moxibustion combined with Zhuang medicine acupuncture in the treatment of cervical spondylosis of nerve root type has unique Zhuang medicine characteristics,effective,safe,with the advantages of "simple,convenient,clean,test",worthy of promotion and popularization in clinical practice. |
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