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TREATMENT_7

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TREATMENT_7

    TREATMENT

?

    ;36?WorldJ.Acup-Mox.Vo1.11.No.1,March,2001 ;TREATMENToFRADICULARTYPECERVICALSPoNDYLOSlS ;BYPUNCTURINGYUJI-PoINT

    ;DongJian(董建)

    ;DepartmentofAcupuncture,AffiliatedHuguosiTCMHospitalof

    ;BeijingUniversityofTCMandPharmacy,Beijing100035,China

    ;Cervicalspondylosisisoneofthecommonly ;seendiseasesinclinic.Itischaracterizedbyhigh ;morbidity,sluggishdevelopment,longercourse ;andhigherrecurrencerate.Inordertoimprove ;thetherapeuticeffectandlowertherecurrence ;rate,theauthortreated116casesofradicular ;typecervicalspondylosisbypuncturingYuji ;(LU10)from1997to1999.Hereisthereport. ;1CLINICALDATA

    ;lthe116caseswerefromout.patientde

    ;partment,including51malesand65females. ;Theiragesrangedfrom31to65yearswithan

    ;averageof51years.Thedurationofdisease ;rangedfromhalfayeartofiveyearswithanav- ;erageof3years.Thepatientswerediagnosed ;accordingtotheTCMStandardsforClinicalDi

    ;agnosisandAssessingtheCurativeEffect. ;The116caseswererandomlyandevenlydi. ;videdintoshort-termandlong.termtreatment ;groupswith58casesineachgroup.

    ;2THERAPEUTICMETHoDS

    ;2.1Selectionofpoint

    ;Yi(LU10):Locatedatthemidpointof

    ;thefirstmetacarpalboneontheradialside,and ;atthejunctionoftheredandwhiteskin. ;2.2Manipulation

    ;Thepatientswereaskedtotakeasupineor ;sittingpositionwiththepalmfacingupward. ;Afterlocatingthepoints.sterilizedthelocalskin ;with75%alcoho1.insertedNo.30filiformnee

    ;die1.5cunlongquicklyandperpendicularlyin- ;toYuji(LU10)toadepthofabout0.5Curt. ;Whentherewasheavyandtensefeelingbeneath ;theneedletip,liftedandthrusttheneedlefor5

;

    ;10times.Whenthepainfulfeelingdecreased. ;twistedandrotatedtheneedlewithsmallampli. ;tudeandafrequencyof20———30timesper

    ;minute.Duringacupuncture,thepatientwas ;orderedtorotatetheheadandtheaffectedaim ;slowlyuntilthepainandothersymptomswere ;relievedremarkably.Thentheneedlewasre. ;tainedfor10minutes,andthebilateralpoints ;wereusedalternativelyforeachtreatment,10 ;sessionsoftreatmentwereconsideredasone ;ColrSe.

    ;3oBSERVATIoNoFTHERAPEUTIC

    ;EFFECTS

    ;3.1Criteriaoftherapeuticeffect

    ;3.1.1Criteriaoftherapeuticeffectfor ;shorttermtreatmentgroup:Thetherapeuticef- ;fectwasanalyzedafteronecourseoftreatment ;withoneyear’sfollowupafterthetreatment.

    ;Cured.Aftertreatment,symptomsand ;signsdisappeared,functionsoftheneckand ;limbsrecovered,andthepatientcouldgoto

;workasusua1.

    ;Remarkableimprovement:Symptomsand ;signsdisappearedbasically;andfunctionsofthe ;neckandlimbswereimprovedobviously. ;Effective:Symptomsandsignswereim- ;provedtoacertaindegree.

    ;Ineffective:Noanyimprovementofthe ;symptomsandsignswerefoundaftertreatment. ;3.1.2Criteriaoftherapeuticeffectforlong ;termtreatmentgroup:After3coursesoftreat- ;ment,thetherapeuticeffectwasanalyzedwith ;oneyear’sfollow.uDthereafter.

    ;Cured:Aftertreatment,symptomsand ;signsdisappearedwithoutrecurrence,andthe ;patientcouldhaveanormalwork.

    ;Markedimprovement:Symptomsandsigns ;disappearedbasicallywithanoccasionalrecur

    ;rence,butmayrecoverbythemselves. ;Effective:Symptomsandsignswereim

    ;proved;functionsoftheneckandlimbswere ;improvedtoo.

    ;Ineffective:Noimprovementofsymptoms

;

    ;WorldJ.Acup-Mox.Vo1.11,No.1,March,2001?37? ;andsignswasfoundaftertreatment.Compari

    termtreat ;sonbetweentheshorttermand10ng

    ;mentgroupswasmadefromtwoaspects:1)the ;therapeuticeffectsofthetwogroupsafterone ;and3courses’treatment(seeTable1);and2)

    ;thetherapeuticeffectsafteroneyear’sfollowup

    ;(seeTable2).

    ;3.2Rasults

    ;Table1.ComparisonoftheTheraoeutieEfftbetweenTwoGrou ;Table2.ComparisonoftheTherapeuticEffectbetweentheTwoGroupsafter

    OneYear’sFollow.

    ;Outofthe116casestreatedbythis

    ;method,112caseshadimprovement,withato

    ;taleffectiverateof96.6%.ResultsinTable1 ;showsthatthetherapeuticeffectoflongterm

    ;treatmentgroupisbetterthanthatofshortterm

    ;treatmentgroup.FromTable2.itcanbeseen ;thatthereisnosignificantdifferencebetween ;thetwogroupsinthetherapeuticeffectofone ;year’sfo11owup.Itprovesthatthetherapeutic

;effectofthismethodisstable.

    ;4TYPICALCASE

    ;WangXX,female,aged61years,ateach

    ;er.HerfirsttreatmentwasundertakeninMarch ;of1998.Complaints:uncomfortablefeelingsof ;theneckformorethanfouryearswithnumbness ;intheleftupperlimb;thepainbeingontheleft ;sideoftheneckandshoulderforfivedayswith

     ;limitedmovement.Therewasnoobviousim

    ;provementafterthetreatment.Examination: ;tendernessonthespinousprocessesofC7ver

    ;tebraewhichradiatedtowardstheleftupper ;1imb;stretchtestandheadpressingtestwere ;positive.X-raytestshowed:hypertrophyofthe ;C46vertebralbodies;narrowingoftheinterver

    ;tebralspaceandintervertebralforamen.After ;onecourseoftreatmentwiththemethodmen

    ;tionedabove,sherespondedwithremarkable ;painrelief.Afterthreesuccessivecoursesof ;treatment,thepainattheneckandupperback ;totallydisappeared;themovementfunctionwas ;backtonormal,andthenumbnessoftheupper

    ;1eft1imbdisappeared.Thestretchtestandhead ;pressingtestwerenegative.Oneyear’sfollow

    ;upshowednoanyrecurrence.

    ;5DISCUSSIoN

    ;Theaboveresultsshowthatacupunctureof ;Yuji(LU10)aloneworkswellinthetreatment ;ofradieulartypeofcervicalspondylosis,espe? ;ciallyinthelongtermtreatmentgroup.Yuji

    ;(LU10),they/ng(spring)point,oneofthe ;fiveShupoints,belongstotheLungMeridian ;andservestoinvigoratethemeridianqiandyen. ;tilate1ungqi.Incaseoffreeflowofqiandnor. ;malcirculationofblood(i.e.noobstruction). ;therewillbenopaln.Accordingtomodem ;medicine,puncturingYuji(LU10)ismainlyto ;stimulateandactivatetheperipheralnerve.By ;adjustmentofthenervesystem,thebloodcircu ;1ationisimproved.thelocalinflammationand ;tissueedemaaredispelledandthevertebraldisc ;andhyperplastictissuerecovered.Thismethod ;hastheadvantagesoflesspoint,simplemanipu

    ;lation,quickerandstabletherapeuticeffectand

    ;nosideeffect.Therefore,theeffectsofacupunc ;tureofsinglepointinanalgesiaanddualadjust ;mentaregivenwithfullplay. ;

    ;

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