[Clinical effect of grain-moxibustion combined with acupuncture in treating cervical spondylosis with neck pain].
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To observe the differences in the clinical effects on cervical spondylosis with neck pain between the grain-moxibustion combined with acupuncture and simple acupuncture.Eighty-eight cervical spondylosis patients with neck pain who met the inclusion criteria were randomly divided into an observation group and a control group, 44 cases in each one. The patients in the control group were treated with conventional acupuncture, and grain-moxibustion was applied on the basis treatment of the control group in the observation group. The treatment was given 3 times a week, once every other day, 10 times as one course, and followed up after 6 months. Northwick Park neck pain inventory (NPQ) and the McGill pain questionnaire (MPQ) of the two groups before and after treatment and 6 months follow-up were observed. The clinical efficacy was compared.After one course of treatment in both groups, the effective rate was 84.1% (37/44) in the control group and 86.4% (38/44) in the observation group; after 6 months follow-up, the effective rate was 79.5% (35/44) in the control group, and 81.8% (36/44) in the observation group. There was no significant difference in overall efficacy between the two groups (both P>0.05). Compared before treatment, the NPQ scores and MPQ scores were decreased at the end of one course of treatment and after 6 months follow-up in the two groups (all P<0.05). There was no significant difference in NPQ scores and MPQ scores between the two groups after one course of treatment (both P>0.05), but the NPQ scores and MPQ scores in the observation group were significantly lower than those in the control group after 6 months follow-up (both P<0.05).The immediate efficacy of grain-moxibustion combined with acupuncture for cervical spondylosis with neck pain is similar to that of simple acupuncture, however, the long-term curative effect is better.Keywords:
Cervical spondylosis
Moxibustion
Neck pain
McGill Pain Questionnaire
Clinical efficacy
Therapeutic effect
This paper aims to find the main cause of the impefection of acupuncture therapy on neck pain through analysing the current situation of clinical trails of neck pain with acupuncture.Then,directing to those impefection,propound opinions to enhence the long-term effect of acupuncture therapy on neck pain.The impefection of acupuncture therapy on neck pain exist in mainly two aspects,one is that moxibustion therapy is paid less attention than acupuncture,another is that the syndrome differentiation of viscera is paid less attention in clinic.Moxibustion can remove pathogenic wind and dampness and Strengthening Yang to Benefit Kidney.Traditional Chinese medicine considers that kidney control bone and produce marrow.Heart control mental activities and govern blood,Nourishing heart and tonifying kidney can enhence the vital qi.So we can conclude that the key to to enhence the long-term effect of acupuncture therapy on neck pain is to combine the syndrome differentiation of viscera and the differentiation of channels and collaterals,especially to nourishing the heart and kidney.The Acupuncture methods should be on the basis of the acupuncture reuse moxibustion.
Cervical spondylosis
Moxibustion
Neck pain
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To evaluate the short-term and long-term effects on treatment of neck pain caused by cervical spondylosis with the combination of acupuncture and moxibustion with seed-size moxa cone.One hundred and forty-five patients of neck pain were randomly divided into an acupuncture-moxibustion group (49 cases), an acupuncture group (48 cases) and a moxibustion group (48 cases). Acupoints of Bailao (Extra), Dazhui (GV 14), Jianzhongshu (SI15) and Zhongzhu (TE 3) were adopted for all the 3 groups. Acupuncture was applied at all the acupoints with 20 min needling retention for the acupuncture group. Moxibustion with seed-size moxa cone was used with 5 cones on each point for the moxibustion group. And both acupuncture and moxibustion with seed-size moxa cone were adopted for the acupuncture-moxibustion group. The treatment was applied once every 3 days, and 10 treatments should be finished within 4 weeks. Follow-up should be carried out for 3 months. The short-term and long-term effects were evaluated with the scores of Northwick Park Pain Questionnaire (NPQ) and McGill Pain Questionnaire (MPQ) as the indices of therapeutic effect.The NPQ score and MPQ score of all the 3 groups after the treating course and the 3-month follow-up were both decreased when compared with those before the treatment (all P<0. 05). The scores of NPQ and MPQ the acupuncture-moxibustion group were lower than that of the other two groups. And the difference had obvious significance (P<0. 05). High efficiency of pain relieving for cervical spondylosis could be found in all the 3 groups, which showed that short-term and long-term effects were good for all the 3 groups. And the highest curative effect could be found in acupuncture-moxibustion group.Combination of acupuncture and moxibustion with seed-size moxa cone has reached a superior effect in short-term and long-term for neck pain caused by cervical spondylosis.
Moxibustion
Cervical spondylosis
Dry Needling
Neck pain
McGill Pain Questionnaire
Therapeutic effect
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Objective To objectively evaluate the effect of acupuncture plus wheat-grain size cone moxibustion on cervical pressure pain threshold in patients with cervical spondylosis neck pain. Method A total of one hundred and fifty eligible subjects satisfying the inclusion and exclusion criteria were allocated, in order of visits, to acupuncture-moxibustion, acupuncture and moxibustion groups. The acupuncture-moxibustion group received acupuncture and subsequent moxibustion; the acupuncture group, acupuncture treatment alone; the moxibustion group, moxibustion treatment alone. All the three groups of subjects were treated once every other day, 10 times as one course. Cervical pressure pain threshold was measured using an M-tone pressure algometer in the subjects before and after every treatment. Result Pressure pain threshold increased in all the three groups after treatment. From the third treatment, pressure pain threshold increased more in the acupuncture-moxibustion group of patients than in the acupuncture and moxibustion groups(P0.05). Throughout the course of treatment, pressure pain threshold increased the most in the acupuncture-moxibustion group and did next to it in the acupuncture group and the moxibustion group in order of range. A comparison of pre- /post-intervention difference values of pressure pain threshold showed that the time to reach the peak value varied among the three groups. It occurred earliest in the acupuncture-moxibustion group and next in the acupuncture and moxibustion groups. Conclusion Acupuncture plus wheat-grain size cone moxibustion can markedly raise cervical pressure pain threshold and has clinically a better therapeutic effect in patients with cervical spondylosis neck pain.
Moxibustion
Cervical spondylosis
Neck pain
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Objective To evaluate the short-term and long-term effects on treatment of neck pain caused by cervical spondylosis with the combination of acupuncture and moxibustion with seed-size moxa cone.Methods One hundred and forty-five patients of neck pain were randomly divided into an acupuncture-moxibustion group(49cases),an acupuncture group(48cases)and a moxibustion group(48cases).Acupoints of Bailao(Extra),Dazhui(GV 14),Jianzhongshu(SI 15)and Zhongzhu(TE 3)were adopted for all the 3groups.Acupuncture was applied at all the acupoints with 20min needling retention for the acupuncture group.Moxibustion with seed-size moxa cone was used with 5cones on each point for the moxibustion group.And both acupuncture and moxibustion with seed-size moxa cone were adopted for the acupuncture-moxibustion group.The treatment was applied once every 3 days,and 10treatments should be finished within 4weeks.Follow-up should be carried out for 3months.The short-term and long-term effects were evaluated with the scores of Northwick Park Pain Questionnaire(NPQ)and McGill Pain Questionnaire(MPQ)as the indices of therapeutic effect.Results The NPQ score and MPQ score of all the 3groups after the treating course and the 3-month follow-up were both decreased when compared with those before the treatment(all P0.05).The scores of NPQ and MPQ the acupuncture-moxibustion group were lower than that of the other two groups.And the difference had obvious significance(P0.05).High efficiency of pain relieving for cervical spondylosis could be found in all the 3groups,which showed that short-term and long-term effects were good for all the 3groups.And the highest curative effect could be found in acupuncture-moxibustion group.Conclusion Combination of acupuncture and moxibustion with seed-size moxa cone has reached a superior effect in short-term and long-term for neck pain caused by cervical spondylosis.
Moxibustion
Cervical spondylosis
Dry Needling
Neck pain
Therapeutic effect
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Objective To observe the clinical effect of parallel-acupuncture on neck type of cervical spondylosis.Methods 118 patients with neck type of cervical spondylosis were randomly divided into a treatment group(61 patients) and a control group(57 patients).The treatment group was treated by parallel-acupuncture on neck.And the control group was treated by routine acupuncture therapy.The therapeutic effect was evaluated after one course of treatment.Results The cure effective rate was 98.4% in the treatment group versus 89.5% in the control group,and the difference was significant(P 0.05).Conclusion Parallel-Acupuncture can strengthen the neck acupuncture effect,adjust the meridian Qi and blood,improve blood supply of neck muscles,accelerate the repair of damaged tissues,relieve muscle spasm and pain so as to clear and activate the channels,collaterals,Qi and blood flow.
Cervical spondylosis
Neck pain
Clinical efficacy
Neck muscles
Therapeutic effect
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Objective To investigate the clinical efficacy of pressing moxibustion on point Baihui(GV 20) plus acupuncture at cervical Huatuojiaji(Ex-B2) points in treating cervical vertigo.Method Eighty-eight patients were randomly allocated to two groups.The treatment group received pressing moxibustion on point Baihui plus acupuncture at cervical Huatuojiaji points and the control group,conventional acupuncture.The therapeutic effect was evaluated in the two groups.Result The cure and marked efficacy rate was 66.7% in the treatment group and 42.5% in the control group;there was a statistically significant difference between the two groups(P0.05).Conclusion The cure and marked efficacy rate of pressing moxibustion on point Baihui plus acupuncture at cervical Huatuojiaji points is significantly higher than that of conventional acupuncture in the treatment of cervical vertigo.
Moxibustion
Clinical efficacy
Cervical spondylosis
Therapeutic effect
Cure rate
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Objective: To observe the clinical curative effect of acupuncture and moxibustion, acupuncture and Chinese medicine Duhuojisheng decoction combined with treatment of cervical spondylotic radiculopathy. Methods: 50 cases of nerve root cervical spondylosis acupuncture, acupuncture combined with traditional Chinese medicine comprehensive treatment and simple acupuncture and moxibustion treatment of 50 cases of cervical spondylopathy of nerve root as thecontrol group, after 3 courses of treatment were statistically analysis of therapeutic effect was compared between the twogroups. Results: all patients after treatment, the clinical symptoms were improved after, VAS, NDI scores were decreased at the same time, the treatment group was superior to the control group, and two groups have efficiency compared with significant difference(P 0.05). Conclusion: acupuncture, acupuncture combined with oral Chinese medicine treatment methodeffectively combines the advantages of three kinds of treatment alone, through internal and external conditioning, strengthening the body resistance to eliminate pathogenic factors significantly improved the clinical symptoms of the patients withcervical spondylosis of nerve root type, to achieve the effective treatment of cervical spondylopathy of nerve root.
Cervical spondylosis
Moxibustion
Decoction
Therapeutic effect
Clinical efficacy
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To observe the differences in the clinical effects on cervical spondylosis with neck pain between the grain-moxibustion combined with acupuncture and simple acupuncture.Eighty-eight cervical spondylosis patients with neck pain who met the inclusion criteria were randomly divided into an observation group and a control group, 44 cases in each one. The patients in the control group were treated with conventional acupuncture, and grain-moxibustion was applied on the basis treatment of the control group in the observation group. The treatment was given 3 times a week, once every other day, 10 times as one course, and followed up after 6 months. Northwick Park neck pain inventory (NPQ) and the McGill pain questionnaire (MPQ) of the two groups before and after treatment and 6 months follow-up were observed. The clinical efficacy was compared.After one course of treatment in both groups, the effective rate was 84.1% (37/44) in the control group and 86.4% (38/44) in the observation group; after 6 months follow-up, the effective rate was 79.5% (35/44) in the control group, and 81.8% (36/44) in the observation group. There was no significant difference in overall efficacy between the two groups (both P>0.05). Compared before treatment, the NPQ scores and MPQ scores were decreased at the end of one course of treatment and after 6 months follow-up in the two groups (all P<0.05). There was no significant difference in NPQ scores and MPQ scores between the two groups after one course of treatment (both P>0.05), but the NPQ scores and MPQ scores in the observation group were significantly lower than those in the control group after 6 months follow-up (both P<0.05).The immediate efficacy of grain-moxibustion combined with acupuncture for cervical spondylosis with neck pain is similar to that of simple acupuncture, however, the long-term curative effect is better.
Cervical spondylosis
Moxibustion
Neck pain
McGill Pain Questionnaire
Clinical efficacy
Therapeutic effect
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Citations (2)
Objective To contrast the clinical efficacy of traditional Chinese medicine practices of moxibustion and acupuncture on patients with cervical spondylosis,and to provide clinical evidence for optimizing the treatment schemes of cervical spondylopathy.Methods One hundred and twenty hospitalized patients and outpatients of department of acupuncture and moxibustion of the Affiliated Hospital of Gansu TCM College were randomly divided by registration order into moxibustion group and acupuncture group of 62 cases and 58 cases.The objective indices included the main symptoms of cervical neck,the classification and quantification score sheet of signs,and the neck pain NPQ scale.Then statistical analysis of efficacy was made after 5 days and 10 days' treatment.Results After one course of treatment,the recovery rate in moxibustion group was 20.97% and the apparent efficient rate was 56.45%.The recovery rate in the acupuncture group was 12.07% and the apparent efficient rate was 34.48%.The difference between the two groups was statistically significant(P0.05).After 2 courses of treatment,the recovery rate in moxibustion group was 55.74% and the apparent efficient rate was 90.16%.The recovery rate in the acupuncture group was 53.45% and the apparent efficient rate in it was 87.93%.There was no significant statistical difference between the two groups.Side effect rates and recurrence rates of the two groups were low.Conclusion The clinical efficacy of moxibustion is more positive,and the short-term outcome was better.The process of treatment is more relaxed and comfortable.
Moxibustion
Cervical spondylosis
Clinical efficacy
Recovery rate
Neck pain
Cure rate
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Abstract Background Neck pain caused by cervical spondylosis has become a common health problem worldwide among >40-year-old adults. Acupuncture intervention is one of the most popular treatment measures for this disorder. However, evidence for its efficacy in relieving neck pain and recovering neck physiological function has not been established in randomized, placebo-controlled trials. The primary aim of this trial is to assess the efficacy and safety of active acupuncture compared with sham acupuncture intervention for neck pain caused by cervical spondylosis. Methods/Design We will conduct a randomized, double-blind, parallel-group, placebo-controlled trial comparing active acupuncture with placebo (sham acupuncture). A total of 456 patients with neck pain caused by cervical spondylosis who meet the eligibility criteria from outpatient clinics of the Second People’s Hospital of Fujian Province and the Affiliated Rehabilitation Hospital, Fujian University of Traditional Chinese Medicine will be recruited and randomized into an active acupuncture or sham acupuncture group. The participants will undergo treatment sessions with either active or sham acupuncture intervention five times a week for 2 weeks. Evaluation by blinded assessors at baseline and at intervention for 1 and 2 weeks will include demographic characteristics, validated questionnaires (Northwick Park Neck Pain Questionnaire (NPQ) scale, Short-Form 36 (SF-36) scale, and McGill pain scale), examination of neck physiological function, and adverse events. All included patients will be followed up and investigated for relapse of neck pain at 4, 8, and 12 weeks after intervention. Discussion This paper describes the rationale and design of a randomized double-blind, placebo-controlled trial that aims to determine the efficacy and safety of acupuncture intervention for neck pain caused by cervical spondylosis. The primary outcomes are changes in the NPQ score and neck physiological function. Secondary outcome measures include quality of life, adverse events, and relapse of neck pain. If successful, this project will provide evidence of the efficacy and safety of acupuncture for neck pain caused by cervical spondylosis. Trial registration Chinese Clinical Trial Registry: ChiCTR-TRC-12002206 . Registration date: 11 May 2012.
Neck pain
Cervical spondylosis
McGill Pain Questionnaire
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