Research On Scraping Cooperate With Cupping To Treatment Neck Shoulder Syndrome

Scraping therapy is a very widespread therapy which is widely used, in clinic and folklore. It has the following features:wide indications, obvious curative effect, convenient operation, economic security and other advantages, welcoming by the broad masses of people and patients.1ancient literature researchThe earliest record of scraping therapy was written in the Song Dynasty, but its origin may be traced back to the stone-needle therapy in ancient times. However,"Sha" appeared for the first time refers to the "sha syndrome", namely by external treatment can make the skin of patients with purple-red spots, the so-called "get Sha make", later developed by the treatment method that fricting on patients'skin to get sha make with ramie dipped in water. And "van fang xin bian" said:scraping is a scraping on limbs wetted by cold water or sesame oil gently with a round coin without breakage. If there is sha, after slightly scrape the ten or twenty times, there will be a purple spots in the peel, suggesting that the disease has eruptived. If the disease is still unabated and the sha toxin is too deep, puncture the purple spots slightly with a porcelain knife to release a little black blood, ill will be palliated without a knife."It can be seen that the original meaning of "scraping" is "to export" the "Sha toxin" and the "Sha qi" thoroughly in "sha disease" through scraping. Consequently,"Sha disease" is a kind of ill can be achieved by "scraping" treatment. Therefore,"scraping" and "Sha disease" appeared to be two, but one, closely and inseparably. That is why in the exploration of "scraping" mechanism and action, must not be cut the contaction between "scraping" and "Sha disease".2modern literature researchScrapping is one kind of external treatment of traditional Chinese medicine. It can role in skin of people's body by Scrapping plate and give people's body a Benign stimulation. The stimulation can make sha mark and into body by meridian or reflection. It can also adjust physiology function, make qi, blood, yin and yang change balance. So Scrapping can cure disease and Enhance immunity.Modern medicine thinks of scraping therapy in essence is a kind of special physical therapy. First, it can give a stimulation to central system and Adjust the autonomic nervous by neural reflex, curb illness and produce coordination function on each part of the body. Second, it-can make the circulation of the blood and lymph circulation, so that the nerves and muscles receive adequate nutrition, promote the body functions of the new supersedes the old. Third, it can make circulation, breathing and central system has a sedative effect. Fourth, it can stimulates nerve endings, adjusts the nerve and endocrine systems, Strengthens the cell immunity and enhances defense capabilities. Fifth, it can make the local local produce heating, expansions microvascular and capillary, Increases blood volume, accelerates lymph circulation and repairs damaged tissue.Scrapeing principle effect are summarized as follows:(1) the immune function:antibodies to all sorts of bacteria attacks, a role of resistance. Scrapping belongs to the stimulator therapy, and stimulate function, can increase the cellular immune function, produce more antibodies. Immune functio(2) the antiphlogistic antiseptic effect:all external cause disease, most have pathogen infection, and various factors stimulate produce inflammation phenomenon, but also physical natural antibodies and defend the role of strain, but can cause pain, fever, and strengthen the physical consumption and anorexia, but the resistance down. Scrapping the virus to organization treatment to appease stimuli, reduce pain, unobstructed lesions blood circulation, have indirect antiseptic antiphlogistic effect. (3) nutritional role:mainly is to stimulate digestive function of nerve hosted, strengthen the function and digestive function of the intake. So is not directly provide nutrients, but the spleen appetizers, improve digestion function.(4) the dredge JinLao:joint capsule, ligament, muscle attachment point soft was damaged, they give off the pain signals, the pain signals through the nervous system to reflect the regulating function, make muscle tissue is in nervous condition, muscles tense contraction even convulsion is tense state of the external performance, it is human body self protection function, its purpose is to reduce the body mobility, and ease of the illness. This state if not in time to treatment, tissue damage can form different degree of adhesion, cause nerve system forth harmful impulse signal, aggravating pain or muscle tense contraction, and then in the surrounding tissue can cause secondary pain lesions, form the metabolism and barriers, accentuate further pain. The special function is to boost local blood circulation, the local temperature rise, multiple stimuli, improve pain threshold, because the skin more exciting is the role of free venation and relieve muscle tension and convulsion, and then reach the purpose of eliminating pain.(5) own hemolytic effect:scrapping the process of measles is a capillary burst, blood spill, local form of passive congestion skin phenomenon. This short time suitable to dissipate, and produce their own hemolysis. Their own hemolysis is a slow process of benign weak stimulation, can adjust the immune function, and can rise to adjust the brain of excitement and suppression and adjusting endocrine system the effect of the balance.At the same time, scraping by widespread application, such as, the clinical subject than.3. Neck shoulder syndromeNeck shoulder syndrome is a sickness that neck and shoulders to the muscle ache and muscle elbow happens, certified or fatigue feeling pain, and dysfunction of the clinical manifestations. Neck shoulder syndrome is a common chronic disease in old people, it comes on slowly, and has higher incidence and had a long course. Neck shoulder syndrome generally caused by long-term chronic strain or cervical especially. For example: Cervical spine bone hyperplasia, vertebra gap narrowed, between vertebra smaller hole, soft tissue around congestion edema, aseptic inflammation, neck shoulder department of the muscle spasm and muscle group lost balance. The patient has a neck shoulder pain lead to activities function obstacle. The serious illness upper the linen. Now there are a variety of clinical therapy for example that drug therapy, acupuncture, massage therapy, traction treatment, physical therapy and scrapping treatment.4The meta analysis of scraping treating neck shoulder syndromeThe meta analysis of scraping treating neck shoulder syndrome found: the quality of accepted literatures are low:only1randomized method made clear, most of the random test method was unclear, only1trials were randomly hidden; no trial by blind, the reason may be due to scraping therapy is difficult to take a blind method, all test results no sample size estimation; most test no case exclusion criteria, shedding and eliminating standard; all tests were not introduced research and patient compliance; most test follow-up time were not clear.Clinical comparison of the total effective rate of Meta analysis revealed, single scraping or scraping combined with acupuncture for treatment of cervical spondylosis compared with acupuncture for treatment of cervical spondylosis is clinical significance and statistical significance, P<0.0001, RR=1.19,95%CI=(1.09,1.29); P<0.0001, RR=1.18,95%CI=(1.09,1.26), having a good precision degree, and sensitivity analysis showed that Meta analysis result is stable and reliable.Good safety,1trials reported safety evaluation, there were no adverse reactions, the other test no registration.The main factors led to clinical heterogeneity are course of treatment, dosage, the quality of the studies and the baseline condition of research object. Such factors in the accepted literature expression are not complete or difficult to quantify, so the clinical heterogeneity led by which could not be quantitative analysis.Funnel plot asymmetry mainly related to methodology of low quality and publication bias. Publication bias as a possible cause of:the small sample size lead to exaggerated curative effect; as a multicenter study center, report partal results, resulting in multiple publication bias; clinical trials get negative results and unpublished. 5. Clinical trialsPurpose:Proving scraping treatment neck shoulder syndrome to be advanced and scraping is worth promoting.Methods:This research makes177cases of neck shoulder syndrome patients divided into treatment group and scrapping Cooperate with electropuncture therapy group for treatment and observing the Curative effect, Symptoms and signs integral, NPQ neck pain rating scale, Pain score and Safety evaluation before treatment,2weeks after treatment,4weeks after treatment and3month after treatment.The results:1. The neck shoulder syndrome in patients with female predominance. The patients often are35years old of above. And they are often hurt by wind, cold, damp and have a Qi stagnancy and blood stasis.2. The treatment for neck shoulder syndrome by scraping cooperate with electropuncture therapy has an efficient that93.26%. it better than the efficient of simple electropuncture therapy.(72.73%). The scraping Cooperate with electropuncture has more obvious advantages than simple electropuncture therapy in Neck shoulder pain, neck stiff upper limbs, neck shoulder heavy, alleviate tenderness point, upper limbs numb and improve pain and everyday life of patients.Conclusion:scraping cooperate with electropuncture therapy has good effective for the neck shoulder syndrome and has operational. So, it is worth promoting. But there is many limit in time and Sample size and other constraints. So it is better to make a group of patients that treatment only by scraping and expanding the sample size, adding the time of observation to determining the long-term outcome. Then, the result will more rigorous and can Provide more evidence for clinical treatment. Now, the mechanism of scraping cooperate with electropuncture therapy treat of neck shoulder syndrome is only a hypothesis and need some support from basic research.