| Background:Cervical Spondylotic Radiculopathy (CSR) is caused by cervical disc disease and surrounding structures degeneration, hyperosteogeny or syndromes by altered cervical curve which irritates or compresses cervical nerve. CSR represents the proportion of cervical diseases by about 50%-60%,80% of patients with radicular pain. The major symptom of CSR is radicular pain, symptom of pain mainly manifested with severe neck pain and limited mobility, pain radiating to the shoulder(s), arm(s)and fingers, while with upper limb(s) weakness, numbness of the fingers and pain, the patient can not even sleep, whatever any position, some patients have dizziness, headache, tinnitus, severe cases can cause dysfunction, and can demonstrate long-term repeated depression, anxiety and other psychological damage. World Health Organization (WHO) recently released top ten chronic and stubborn diseases, of which cervical disease is listed as the world’s second one; according to China First International Symposium on Cervical Endoscope in September 2012, some experts mentioned that the incidence of cervical disease in China exceeded 20%; between fifty and sixty was 50%; over seventy was nearly 100%; age of onset dropped by 16 years within 20 years, leading to 1.6 million persons with dysfunction. The incidence was drawn widespread attention by the medical profession, More and more clinical research on it is advanced.CSR’s pathogenesis and aetiology is not of singleness, on which Chinese and other foreign medical profession did research. The onset features are slow and it recurs. Younger is a trend of onset. The high-risk are the white-collar and phubbers, who are engaged in work by longterm excessive-curved neck. Therefore, the medical profession pay more attention to the treatment of CSR. CSR is treated by different ways, some patients with pain who choose antiinflammatory or analgesic pain medications to relieve pain, but most of the medications have some side effects. The recurrence of CSR is extremely possible. The neck with complex structure, interrelate with the whole body, is the important part of human, which consists many important nerves, blood vessels, the central nervous system. Thus the surgery operation of CSR requires advanced technology of operation, because the slight mistake will cause an irreversible paralysis. CRS is a degenerative problem, even surgery can not treat it well. Currently, the clinical treatment of CSR, beside minimally invasive surgery, most based on conservative therapy. Traditional Chinese medicine has certain advantages in its treatment. At present, TCM treats CSR by means of massage, acupuncture, herbal medicine, physiotherapy and other methods. Oral TCM prescription medicine treatment is based on differentiating the cause of CSR, treating not only the symptoms but also improving the self-healing capacity, which is good for overall recovery for CSR and long-term effect but no immediate effect, thus less often used alone. Massage therapy is easily accepted by patients because its direct lesion therapy can rectify joint dislocation, nerve entrapment and compression, and relieve pain faster. CSR with structure degradation is not treated well by massage, and of more possible recurrence. Acupuncture has quick pain-relief with fewer side effects, but the less effective for small joint dislocation and local tissue adhesions poor. Therefore combination acupuncture and massage improve efficacy obviously, however frail elderly and long duration patients less effective. Academic research and clinical research guided by Professor Wang Xinghua, acupuncture, traditional Chinese medicine and massage techniques combined with the use of Natural Torsion Field Energy Device, which is invented and innovated by joining modern technology and Chinese ancient treasure culture, explores methods to improve the efficacy of CSR treatment. Bo’s abdomen acupuncture therapy, HuangQiGuizhi Decoction modified oral,Clinostatic rotating manipulation and natural torsion field energy device are designed to make use one of them or one plus another or more, the effective rate goes up gradually. We want to find a kind of more effective method which can control the clinical symptoms of CSR promptly, improve the quality of CSR patient life and restore function of CSR patient.Objective:The exploration of the above four therapies is to find if the effective rate will go up gradually by one method or one plus one or more, to investigate their efficacy mechanism and to compare the clinical efficacy of each therapy group and the difference of treatment practice, searching for a comprehensive treatment which is significant clinical effective, durable, safe and of less recurrence rate. We hope to find a prompt non-surgical treatment for clinical application, which is worth to be spread, fewer side effects and lower recurrence rate. Methods: Patients were selected at Time Traditional Chinese Medical Acupuncture Centre in Singapore from March of 2013 to March of 2014. Will meet the inclusion criteria 100 patients were randomly divided into four groups, the proportion of 1:1:1:1 was assigned to treatment groups A (HuangQiGuiZhi decoction group), the treatment group B (HuangQiGuiZhi decoction group+ abdominal acupuncture group), the treatment group C (HuangQiGuiZhi decoction group+ abdominal acupuncture group+ Clinostatic rotating manipulation group), the treatment group D (HuangQiGuiZhi decoction+ abdominal acupuncture group+ Clinostatic rotating manipulation group+ natural torsion field energy device group). There were 25 cases in each group. Continuous five times of treatment in each group, five times per week for a course, then two days of rest, three weeks courses were observed. The evaluation was taken by CSR 20 points efficacy evaluation and functional chart, and McGill Pain Scale simplified first to observe and compare four groups in clinical symptoms and signs scores, and changes in pain scores before and after treatment, then to observe their different syndromes, course and the comparison of average numbers which achieve the same therapeutic effectiveness.Methods:Results:(1) This study used a randomized controlled trial methods for clinical trials.100 cases were randomly selected, which were randomly divided into four groups. There were 25 cases in each group. The four groups before treatment for age, gender, duration showed no significant difference (P> 0.05), were comparable. The four groups after treatment for symptoms and signs total score and PRI score, VAS scores on self-ratings and PPI scores were not of statistically significant different (P> 0.05), comparable.(2) In this study, of 25 cases in Group A, excluding 2 cases, completion of 23 cases; of 25 cases in Group B, excluding 1 case, completed 24 cases;of 25 cases in Group C, excluding 2 cases, the completion of 23 cases; of 25 cases in Group D, excluding lcse, completed 24 cases; completed a total of 94 cases.Conclusion:The study data results suggest that these four groups for CSR treatment all have effect, and the effect increased gradually by combination the two, the three or four methods. The comprehensive therapy can significantly improve patients’ pain scale by PPI score, which has a better therapeutic effect in reducing clinical symptoms and signs, and decreases the scale of the SF-MPQ pain index score significantly. The study shows the above comprehensive therapy is the best way to treat CSR. The younger of the age and the shorter of the duration, the better effective of the therapy. Studies established Quadruple combination therapy treatment of CSR has a good effect with high efficacy, low treatment treatment times, regardless of syndromes and types. The comprehensive treatment plays a synergistic combination of various therapies, which obviously has higher clinical efficacy, improves and strengthens the effect. The clinical application of the therapy can be promoted widely. |
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