| BackgroundThe epidemiological surveys showed that the incidence of cervical spondylosis in China was about 3.8%-17.6%, and with an annual increase of about 1 millions of cervical spondylosis patients. With the progress of society and the improvement of people's life and society increasingly fierce competition, the cervical vertebra disease have increased rapidly and there is the trend of younger, which bring great pain and inconvenience to the patient's normal life and work. It would be one of the disease with the highest incidence rates in the 21th century.The cervical spondylotic radiculopathy accounted for 60%-70%. The vast majority of the cervical spondylotic radiculopathy can be cured or alleviated by non-surgical treatment, so take more security, good efficiency, low cost,less side effects of treatment to cure the disease is very important. In the learning with the master and my own clinical practice, on the basis of years of clinical experience and inheritance of "The Thought of Comprehensive Treatment of Cervical disease" from my tutor Professor Guo Jianhua, I hope to further improve the curative effect of Traditional Chinese Medicine(TCM) comprehensive treatment, and further clarify the mechanism of TCM in the treatment of cervical spondylotic radiculopathy.Objective:This research traced professor Guo Jianhua's academic origin of the treatment of muscle injury diseases, it sorted, concluded and summarized the academic thoughts and clinical experience of professor Guo Jianhua in the treatment of tendon and muscle injury diseases.It emphatically summarized professor Guo Jianhua on normal cervical vertebra physiology, etiology and pathogenesis of traditional Chinese medicine on cervical spondylotic radiculopathy, and the clinical experience of combined treatment of traditional Chinese medicine. It summarized the experience in the treatment of cervical spondylotic radiculopathy with the meridian of Foot Taiyang, and verified the effectiveness of the treatment in cervical spondylotic radiculopathy by transport needling in the cervical segment of the Blader meridian of Foot Taiyang and also explored the security, effectiveness of this treatment. This research hopes to further improve the treatment of traditional Chinese medicine therapy with reliable effect, unified standard, strong operability and high safety in cervical spondylotic radiculopathy, in order to provide guiding clinical application, and further improve the clinical curative effect of TCM comprehensive therapy.Method:The experience summarizing was based on learning with the professor and my own clinical practice, learning classics of traditional Chinese medicine and acupuncture, and consulting the relevant medical literature, so as to sum up the academic thought and experience of professor Guo Jianhua in tendon injury diseases.Then in the clinic research,60 cases of outpatients with the diagnosis of tendon injury in Chongqing Traditional Chinese Medicine Orthopaedic Hospital from October 2014 to April 2015 had been selected, according to the inclusion and exclusion criteria of CSR.These divided into treatment group A and control group B, each 30 cases, by the method of random number table according to the initial treatment order.Treatment group A used the transport needling, selected main acupuncture points corresponding to the lesion segment and the next segment of Bladder Meridian according to MRI prompted Cervical Intervertebral Disc portion. Then upper limb acupoints:C5:Binao, C6: Shousanli, C7:Hegu, C8:Zhongzhu (e.g.:C4/5 intervertebral disc herniation, main points located in 1.3cun beside the Spinous process of C4 and C5, and the upper limb acupoint C5:Binao)Control group B were treated with acupuncture cervical Jiaji points (located 0.5cun next to the lower edge of spinous process corresponding to the lesion segment and the next segment). The upper limb dialectical acupoints were Shu points selected in the meridians, according to the symptoms, the Sanjian in hand Yangming, Taiyuan in hand Taiyin, Yangxi in hand Taiyang, hand Shaoyin choose Shenmen, hand Shaoyang selects Zhongzhu and hand Jueyin use a Dal ing.This research adopted clinical symptoms and signs score and Visual Analogue Scale(VAS) to assess patients'pain degree before and after the treatment. Signs and symptoms, the cervical range of motion and the decline of mean integral were compared before and after treatment. Significant efficiency was compared between the two groups.Result:1. Professor Guo Jianhua's academic thoughts origin:the thoughts maily origins from the 4 great classics of TCM and all previous dynasties classical acupuncture classics, such as Huangdi Nei Jing, Synopsis of Golden Chamber, Treatise on Febrile Diseases, Treatise on Differentiation and Treatment of Epidemic Febrile Diseases, A-B Classic of Acupuncture and Moxibustion and Compendium of Acupuncture and Moxibustion etc. He learned from Zhangzhongjing, and systematically studied the classical Chinese Medicine, absorbed the understanding of modern medicine on cervical vertebra disease, and also had a good study of modern medical examination and inspection methods. In long-term clinical practice,He kept eclectic and mastery, and formed his own unique academic thoughts. He thought that the reason of disease of cervical spondylosis of nerve root type basedon cervical imbalances, the key of pathogenesis is the meridian Qi of Taiyang becomes not easy.2. Professor Guo Jianhua's main academic point of view in the treatment of tendon injury disease:(1) Integrate ancient and modern, with harmoniousness as the law; (2) Combination of Chinese and Western medicine, so as the disease and syndrome; (3) Familiar with classics and classical prescriptions; (4) Put forward the principle of "when curing recurring illness of tendons?adhere to the combination of disease and syndrome, synthesize treatment, equal emphasis on prevention and treatment"; (5) Used simultaneously acupuncture and moxibustion, so as acupuncture and medicine, combination of internal governance and external treatment, cooperation between doctors and patients?3. Professor Guo Jianhua's experience of disease treatment in CSR: (1)A variety of pathogenic factors can lead to CSR, vital qi is the internal cause of disease, the invasion by exogenous pathogenic wind, cold and dampness, strain, bad neck posture, trauma and other factors can lead to the occurrence of CSR;(2) Cervical internal dynamic balance has been broken is the key to the onset of CSR, all kinds of pathogenic factors to the neck of the long-term, as quantitative change causes the qualitative change, eventually leading to cervical dynamic imbalances; (3) The key of the pathogenesis of CSR is the disturbance of meridian Qi of Taiyang. Cold dampness, blood stasis, phlegm wet, phlegm retention, obstruction in the channels and qi stagnation, these all are symptoms, also the pathological products, a variety of pathogenic products eventually lead to the disturbance of meridian Qi of Taiyang (4) The theory of governance from the meridian Taiyang is an important method for the treatment of CSR; (5) CSR has many pathogenic factors, with complex etiology and pathogenesis, and is easy to relapse, treatment must be combined therapy;(6) Recovery cervical dynamic equilibrium, and achieve the state of "yin and yang in equilibrium" is the goal of the treatment of cervical spondylosis.4.The results of a clinical trial:(1) In this study, the treatment group A and control group B, each complete 30 cases; completed a total of 60 cases. (2)The sex, age and the course of disease of the two groups patients, after x2 test, p values>0.05, showed no statistical significance, therefore, the contrasts of sex, age and the course of disease all have no significant statistical difference, the two groups can be contrasto (3) The comparison of clinical curative effect, the treatment group and control group in the efficiency of 80% and 56.7% respectively, p<0.05, comparing the two groups have significant differences, suggests that tTreatment group improved clinical signs and symptoms of the disease than the control group. (4) Two treatment methods can take effect, both have good clinical efficacy.Conclusion:The results of this study showed that the two groups in the treatment of cervical spondylotic radiculopathy have received good effect, the treatment with the transport needling mainly in the cervical segment of the Blader meridian of Foot Taiyang to treat the cervical spondylotic radiculopathy is superior to acupuncture Jiaji,Transport needling in the cervical segment of the Blader meridian of Foot Taiyang has characteristics of standardized processes, regardless of syndromes, and is easy to grasp and spread, and with good repeatability in clinic. Cervical Blader meridian of Foot Taiyang may have important reserves of Needling points, and may exist even acupuncture points, it is worth exploring and further research. |
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