The Past Five Years, Chinese Medicine Treatment Of Nerve Root Type Cervical Spondylosis Progress

With the rapid changing of working and living stile, the incidence of cervical spondylosis is rising up, more and more young people suffer from it. Now, we all think the regressive change of cervical intervertebral disk and secondary cases of intervertebral joint regressive changes cause this disease. It may injure spinal cord, nerve root, vessel and cause some clinical sings and symptoms. In clinical practice, we classify it as neck type, nerve root type, vertebral artery type, spinal cord type, and sympathetic type, etc.. And the nerve root type is more commonly. In this thesis, we review the classical record views and modern treatment.Nerve root type of cervical spondylosis belongs to bizheng, neck-shoulder pain, and vertigo category. This disease is asthenia in origin and sthenis in superficiality. The origin cause of this symptom is liver-kidney, qi and blood deficiency, the superficiality cause is wind, cold, and dampness invade meridian, and blood stasis stagnation. And at the same time, strain and external injury are also important causes. The most common symptoms are:neck pain, neck stiff, back-shoulder pain, limb numbness, etc.. The common treatments are:acupuncture, warming, paste, massage, and herbal medicine. In this thesis, I review classical and recent 5 years of modern progressions in acupuncture, massage, and herbal medicine fields.Filiform acupuncture, electroacupuncture, fluid acupuncture, and needle knife are all applied in treating this disease. filifrom acupuncture and electroacupuncture are more common used. Abdomen needle and magnetic pole needle are also applied. Local point selection includes: neck-jiaji, fengchi, quchi, waiguan, hegu, and ashi points.Tractate may release the muscle spasm, stiffness. It may enlarge the intervertebral space; reduce the internal pressure of disc, and interbertebral foramen. And release the nerve root irritations, and correct the small joint indiscriminates. The common methods like:spinal traction, manipulation therapy, etc.. They all report good results.Pain, stiffness, and numbness are the main clinical symptoms of nerve root type of cervical spondylosis. Etiological of it is cold-wind invade meridians and collaterals. So in herbal prescriptions the main differentiating zheng method is treating qi and blood, phlegm and blood stagnations are treated together. Fufang gutai injection, gentongping tablets, jingtong powder, and gegen tang, are commonly applied.They all have good treatment effectiveness.