[Clinical observation of acupotomy combined with warm needling for cervical spondylotic radiculopathy of qi and blood stagnation syndrome].
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To observe the clinical effect of acupotomy combined with warm needling on cervical spondylotic radiculopathy (CSR) of qi and blood stagnation syndrome.A total of 90 CSR patients were randomly divided into an acupotomy group, a warm needling group and a combined treatment group, with 30 cases in each group. The patients in the acupotomy group were treated with acupotomy, once every 7 days, consecutively for 3 times. The patients in the warm needling group received warm needling, once daily, at the interval of 2 days after consecutive treatments for 5 days, 7 days as one session of treatment and 3 consecutive sessions were required. The patients in the combined treatment group were treated with acupotomy and warm needling, and the methods and the treatment session were same as the the previous two groups. Before and after the treatment, the pain rating index (PRI) of McGill pain questionnaire (MPQ) and the 20-point scale of CSR developed by Yasuhisa Tanaka (CSR20) were adopted in the assessment. The changes of clinical symptoms and functions of patients were observed and the clinical efficacy was assessed in each group.After the treatment, the PRI score was decreased (P<0.05) and the CSR20 score was increased (P<0.05) in the 3 treatment groups when compared with those before the treatment. After the treatment, compared with the acupotomy group and the warm needling group, the PRI score was decreased (P<0.05) and the CSR20 score was increased (P<0.05) in the combined treatment group. The total effective rate was 83.3% (25/30) in the acupotomy group, 76.7% (23/30) in the warm needling group and 93.3% (28/30) in the combined treatment group. The total effective rate in the combined treatment group was higher than those in the acupotomy group and the warm needling group (P<0.05).The combined treatment with acupotomy and warm needling may obviously improve the clinical symptoms and physical signs, e.g. pain and numbness in the patients with CSR of qi and blood stagnation syndrome. Its efficacy is remarkably higher than that of the simple application of acupotomy or warm needling.目的:观察针刀联合温针灸治疗神经根型颈椎病(CSR)气滞血瘀证的临床疗效。方法:将90例CSR患者按随机数字表法分为针刀组、温针灸组、联合组, 每组30例。针刀组单独应用针刀治疗, 每7 d治疗1次, 连续治疗3次;温针灸组单独应用温针灸治疗, 每天1次, 连续治疗5 d后休息2 d, 7 d为1个疗程, 连续治疗3个疗程;联合组给予针刀联合温针灸治疗, 方法及疗程同前。分别于治疗前后采用McGill疼痛问卷表中的疼痛分级指数(PRI)、田中靖久颈椎病量表20分法(CSR20)进行评分, 并评价各组患者的临床疗效。结果:与本组治疗前比较, 治疗后各组CSR患者PRI评分均降低(P<0.05), CSR20评分均升高(P<0.05)。治疗后与针刀组、温针灸组比较, 联合组PRI评分降低(P<0.05), CSR20评分升高(P<0.05)。针刀组总有效率为83.3%(25/30), 温针灸组总有效率为76.7%(23/30), 联合组总有效率为93.3%(28/30), 联合组总有效率高于针刀组及温针灸组(P<0.05)。结论:针刀联合温针灸治疗CSR气滞血瘀证可明显改善患者疼痛麻木等临床症状和体征, 疗效明显优于单纯针刀或温针灸。.Keywords:
Dry Needling
Clinical efficacy
McGill Pain Questionnaire
Cervical spondylosis
Therapeutic effect
To observe the clinical effect of acupotomy combined with warm needling on cervical spondylotic radiculopathy (CSR) of qi and blood stagnation syndrome.A total of 90 CSR patients were randomly divided into an acupotomy group, a warm needling group and a combined treatment group, with 30 cases in each group. The patients in the acupotomy group were treated with acupotomy, once every 7 days, consecutively for 3 times. The patients in the warm needling group received warm needling, once daily, at the interval of 2 days after consecutive treatments for 5 days, 7 days as one session of treatment and 3 consecutive sessions were required. The patients in the combined treatment group were treated with acupotomy and warm needling, and the methods and the treatment session were same as the the previous two groups. Before and after the treatment, the pain rating index (PRI) of McGill pain questionnaire (MPQ) and the 20-point scale of CSR developed by Yasuhisa Tanaka (CSR20) were adopted in the assessment. The changes of clinical symptoms and functions of patients were observed and the clinical efficacy was assessed in each group.After the treatment, the PRI score was decreased (P<0.05) and the CSR20 score was increased (P<0.05) in the 3 treatment groups when compared with those before the treatment. After the treatment, compared with the acupotomy group and the warm needling group, the PRI score was decreased (P<0.05) and the CSR20 score was increased (P<0.05) in the combined treatment group. The total effective rate was 83.3% (25/30) in the acupotomy group, 76.7% (23/30) in the warm needling group and 93.3% (28/30) in the combined treatment group. The total effective rate in the combined treatment group was higher than those in the acupotomy group and the warm needling group (P<0.05).The combined treatment with acupotomy and warm needling may obviously improve the clinical symptoms and physical signs, e.g. pain and numbness in the patients with CSR of qi and blood stagnation syndrome. Its efficacy is remarkably higher than that of the simple application of acupotomy or warm needling.目的:观察针刀联合温针灸治疗神经根型颈椎病(CSR)气滞血瘀证的临床疗效。方法:将90例CSR患者按随机数字表法分为针刀组、温针灸组、联合组, 每组30例。针刀组单独应用针刀治疗, 每7 d治疗1次, 连续治疗3次;温针灸组单独应用温针灸治疗, 每天1次, 连续治疗5 d后休息2 d, 7 d为1个疗程, 连续治疗3个疗程;联合组给予针刀联合温针灸治疗, 方法及疗程同前。分别于治疗前后采用McGill疼痛问卷表中的疼痛分级指数(PRI)、田中靖久颈椎病量表20分法(CSR20)进行评分, 并评价各组患者的临床疗效。结果:与本组治疗前比较, 治疗后各组CSR患者PRI评分均降低(P<0.05), CSR20评分均升高(P<0.05)。治疗后与针刀组、温针灸组比较, 联合组PRI评分降低(P<0.05), CSR20评分升高(P<0.05)。针刀组总有效率为83.3%(25/30), 温针灸组总有效率为76.7%(23/30), 联合组总有效率为93.3%(28/30), 联合组总有效率高于针刀组及温针灸组(P<0.05)。结论:针刀联合温针灸治疗CSR气滞血瘀证可明显改善患者疼痛麻木等临床症状和体征, 疗效明显优于单纯针刀或温针灸。.
Dry Needling
Clinical efficacy
McGill Pain Questionnaire
Cervical spondylosis
Therapeutic effect
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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 investigate the efficacy of pricking bloodletting plus cupping in treating cervical vertigo.Methods Ninety-two patients with cervical vertigo including outpatients and inpatients,who had suffered a faint during acupuncture or were very afraid of acupuncture,were recruited and randomly allocated to two groups.The treatment group received plum-blossom needle tapping first at bilateral points Neiguan,Zusanli and Taichong and then along the Du Meridian,bilateral meridians of foot-shaoyang and bilateral Bladder Meridians of Foot-Taiyang.They were tapped until local oozing of blood.The nape was cupped immediately after the tapping.The control group took Betahistine tablets.Results Both the cure rate and the total efficacy rate were higher in the treatment group than in the control group;there was a statistically significant difference(P0.05).Conclusion Pricking-cupping bloodletting has an exact therapeutic effect on cervical vertigo and is a good way to treat cervical vertigo patients who have suffered a faint during acupuncture or are very afraid of acupuncture.
Bloodletting
Zusanli
Therapeutic effect
Cure rate
Betahistine
Dry Needling
Clinical efficacy
Cervical spondylosis
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Objective To investigate the clinical efficacy of Shi's warm needling moxibustion plus acupoint application in treating cervical spondylotic radiculopathy. Method Sixty patients satisfying the criteria were allocated to treatment and control groups, 30 cases each. The treatment group received Shi's warm needling moxibustion plus acupoint application and the control group, conventional acupuncture plus acupoint application. The changes of VAS, PRI, and PPI after treatment were observed in the two groups. Result After treatment, various observation indices were higher in the treatment group than in the control group(P 0.01). The cure and marked efficacy rate was higher in the treatment group than in the control group(P0.01). Conclusion Warm needling moxibustion plus acupoint application has a marked therapeutic effect on cervical spondylotic radiculopathy.
Dry Needling
Moxibustion
Clinical efficacy
Therapeutic effect
Cervical spondylosis
Acupuncture therapy
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Objective To observe the effect of deferent needling depths on the treatment efficacy during acupuncture at cervical Jiaji points(Ex-B 2) in treating cervical spondylosis.Method Sixty patients with cervical spondylosis were randomized into a treatment group and a control group,30 in each group.The two groups both received acupuncture at cervical Jiaji points(Ex-B 2), 0.3～0.6 of depth in the treatment group versus 1.0～1.3 cun in the control group.The two groups were compared with each other in treatment efficacy.Result After treatment,there were no significant differences between the two groups in comparing cervical function and total effective rate(P0.05).Conclusion Given that there is needling sensation,changes of acupuncture depth at cervical Jiaji points(Ex-B 2) do not make any obvious differences to the therapeutic efficacy in treating cervical spondylosis.
Cervical spondylosis
Dry Needling
Therapeutic effect
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Objective To investigate the clinical efficacy of acupuncture plus behavior therapy for cervical spondylosis and cervical spondylotic radiculopathy.Methods Patients with cervical spondylosis or cervical spondylotic radiculopathy were randomly allocated to four groups: simple electroacupuncture,electroacupuncture plus acupuncture point injection,warm needling plus acupuncture point injection,and medication control.Cupping and behavior therapy(often perform the action of looking up at the moon and get out of bad sleep habits) were given in addition to acupuncture treatment.The clinical therapeutic effects were compared between different groups using the symptom and sign assessment scale.Results The clinical control rate was 30.0% in the simple electroacupuncture group,36.7% in the electroacupuncture plus acupuncture point injection group and 33.3% in the warm needling plus acupuncture point injection group at 4 weeks after treatment.They were significantly higher than 10.0% in the medication control group.At 8 weeks after treatment,the clinical control rates were 60.0%,80.0% and 73.3%,respectively,and significantly higher than 30.0% in the medication control group.At 4 months after treatment or of follow-up,the clinical control rates were 76.7%,86.7% and 80.0%,respectively,and significantly higher than 50.0% in the medication control group.Conclusion Acupuncture plus behavior therapy is an effective way to prevent and treat cervical spondylosis and cervical spondylotic radiculopathy.This method is characterized by simplicity,convenience,easiness and cheapness.It is suitable for clinical application.
Cervical spondylosis
Dry Needling
Clinical efficacy
Therapeutic effect
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Objective To observe the clinical efficacy of combining acupuncture and along-meridian tapping-needling in treating cervical spondylosis of vertebral artery type.Method Eighty-two patients with cervical spondylosis of vertebral artery type were randomized into a treatment group(n=44) and a control group(n=38).The treatment group was intervened by acupuncture plus along-meridian tapping-needling and the control group was by ordinary acupuncture.The therapeutic efficacies were evaluated after 3 treatment courses.Result The recovery rate and total effective rate were respectively 68.2% and 100.0% in the treatment group versus 26.3% and 86.8% in the control group,and the differences were both statistically significant(P0.01,P0.05).Conclusion Combining acupuncture and along-meridian tapping-needling is an effective approach in treating cervical spondylosis of vertebral artery type.
Cervical spondylosis
Dry Needling
Meridian (astronomy)
Therapeutic effect
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Objective Observation of cervical spondylosis of nerve root treated by deep acupuncture cervical paravertebral point with long needle. Method 45 cases of cervical spondylosis of nerve root treated by deep acupuncture cervical paravertebral point with long needle. 35 cases treated by warm needling therapy. Results The therapeutic effect in the group of acupuncture cervical paravertebral point with long needle was superior to that of warm needling therapy(P 0.05） ,It is all the same to the course of treatment（ P 0.01） and clinical symptoms（ P 0.05） .Conclusion the therapeutic effect of cervical spondylosis of nerve root is related to the depth of acupuncture and of propagated needling sensation to the affected area.
Cervical spondylosis
Dry Needling
Cervical Nerve
Therapeutic effect
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Objective To investigate the efficacy of traditional proximal needling in treating cervical spondylosis of nerve root type. Methods Sixty-six patients were randomly allocated to a treatment group (proximal needling plus electroacupuncture) and a control group (conventional needling plus electroacupuncture), 33 cases each. The therapeutic effects were evaluated using the simplified McGill pain scale, the cervical spinal function assessment table and the conventional criteria of the therapeutic effect after 20 days' treatment. Results The pain and neck function improved to a certain degree in both the treatment and control groups (P0.05). But the neck symptoms and signs, activities of daily living and the pain index improved more in the treatment group; there was a statistically significant difference between the two groups (P0.05). Conclusion Traditional proximal needling plus electroacupuncture can obviously improve the pain and neck function in patients with cervical spondylosis of nerve root type.
Dry Needling
Cervical spondylosis
Therapeutic effect
Neck pain
McGill Pain Questionnaire
Clinical efficacy
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Objective:To observe the clinical therapeutic effect of acupuncture and acupoint injection therapy on cervical spondy lopathy of nerve root type.Methods: 120 cases suffered from were randomly divided into treatment group of acupuncture and acupoint injection treatment and control group of acupuncture treatment.Then changes of symptom,physical sign and pain of two groups were analyzed before and after treatment.Results : 1.Effects of clinical symptoms: The effective rate of the treatment group was 100%.The effective rate of the control group was 90%.There were significant differences between the two groups(P0.05).The treatment group made a better than the control group.2.Points of clinical symptoms between before the treatment and after the treatment: There were significant differences between the two groups in points of clinical symptom improvements(P0.05).The treatment group made a better than the control group.Conclusion:Both needling method for treating nerve-root CS have certain therapeutic effect,but acupuncture and acupoint injection treatment made a better effect.
Dry Needling
Cervical spondylosis
Therapeutic effect
Clinical efficacy
Acupuncture therapy
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