| ObjectivesTo observe the clinical effect of abdominal acupuncture and LinShi manipulative reduction in treating cervical spondylosis. We treated the participants in Observation group with abdominal acupuncture and LinShi manipulative reduction, Control groupl with abdominal acupuncture, Control group2 with LinShi manipulative reduction,Control group3 with body acupuncture, and then compared the differences between four groups from effects, compliance, recurrence rate and so on. We discussed literature study about cervical spondylosis in two points, and this offered a new kind of ideas for the treatment of cervical spondylosis.MethodsAccording to the diagnosis criteria on《Criterion of Diagnosis and Therapeutic effect in TCM》and《Summary of TCM of the Second National Conference on Cervical Cpondylosis》.We randomized the participants in four groups:the Observation group and the Control groupl, Control group2 and Control group3. Each group had 30 cases. The Observation group was treated with abdominal acupuncture and LinShi manipulative reduction, Control groupl with abdominal acupuncture, Control group2 with LinShi manipulative reduction, and Control group3 with body acupuncture. Every group was treated once every day, and 7 times are a course of treatment, and that's all the treatment. And the treatment lasted for three courses. The Observation group was given the LinShi manipulative reduction at the beginning of every treatment and then the Abdominal acupuncture. Control groupl was just treated with abdominal acupuncture, Control group2 was just treated with LinShi manipulative reduction, and Control group3 was just treated with body acupuncture(the acupuncture points were based on the book《science of acupuncture and moxibustion》edited by ShiXueMin.). Efficiency evaluation:According to the efficiency evaluation criteria on《Summary of TCM of the Second National Conference on Cervical Cpondylosis》, the efficiency evaluation as follows: cured:symptoms and signs were disappeared, myodynamia was normal and the function of neck, shoulder and pantomime were normal, and patients could take part in ordinary works. NPQ and McGill scored 0. Significant effective: symptoms were relieved significantly. NPQ scored less than 10% or McGill scored less than 5. Effective:symptoms and signs were relieved, state of illness or pains were relieved, but not significantly. NPQ scored 10% to 20% or McGill scored 5 to15. Ineffective:no improvements after treatment. NPQ scored more than 20% or McGill scored more than 15. The total effective rate was the cured rate add the significant effective rate add effective rate. We observed the NPQ and McGill integral scores of the four groups, and compared the pre-scores with post-scores in each group, then compared the differences between the four groups. We observed the recurrence of the symptoms and signs three month after the treatment.ResultsAfter the treatment, there were 29 cases in Observation group (one case had dropped), and 7 cases were cured,12cases were significant effective, 9cases were effective and 2 cases were ineffective. So the total effective rate was 93.20%. There were 29 cases in control group1, and 3 cases were cured, 8cases were significant effective, 14cases were effective and 5 cases were ineffective. So the total effective rate was82.76%. There were 30 cases in control group2, and 5cases were cured,8 cases were significant effective, 11cases were effective and 4 cases were ineffective. So the total effective rate was 86.67%. There were 28 cases in control group3, and 4 cases were cured, 9 cases were significant effective,10 cases were effective and 5 cases were ineffective. So the total effective rate was 82.14%. The total effective among in all the four groups have no statistically significance, which means that the Observation group cannot be certificated more effective than the other groups.Four groups were treated three times in the overall NPQ scale scores decreased significantly, indicating that treatment after three times in four groups all have significant effects, of which the most obvious effect of the Observationgroup; ALL overall trend decline in NPQ score after treatment of seven times, indicating that four groups had a certain effect; Observation group and control group 2 and group 3 decline more than control group 1, indicating that these three groups have a certain long-term efficacy; and control 1 NPQ score after the end of treatment in three months, the general trend with the last score rather, that long-term poor control group 1, but no significant difference between all the groups (P> 0.05). But the total scores among all the four groups have no statistically significance, (P> 0.05), which means that the control group 1 cannot be certificated less effective than the other groups in long-term.The McGill scores in four groups after being treated three times in the overall scale decreased significantly, indicating that after treatment of three times in four groups all have significant effects, of which the most obvious effect is the Observation group; overall trend of four groups decline in McGill score after treatment of seven times, indicating that four groups had a certain effect; Observation group and control group 2 and group 3 decline more than control group 1, indicating that these three groups have a certain long-term efficacy; and control group in McGill score after the end of treatment in three months, control group 1 shows poor in the general trend in the last score, but no significant difference between all the groups (P>0.05). But the total scores among all the four group have no significance in statistical, (P>0.05) which means that the control group 1 cannot be certificated less effective than the other groups in long-term.ConclusionThe abdominal acupuncture and LinShi manipulative reduction were significantly effective in treating cervical spondylosis. The result showed that the Observation group can keep long clinical effect. In summary, the abdominal acupuncture combining with LinShi manipulative reduction acupuncture has significantly clinical effect, and this offer a new way in treating cervical spondylosis.
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