Clinical Research Of Acupuncture And Moxibustion For Neck Pain Of Cervical Spondylosis Gudided By TCM Heart And Kidney Theory

ObjectiveTo assess the clinical efficacy of acupuncture and moxibustion for the Neck Pain of Cervical Spondylosis from Treatment of heart and kidney, to shed new light on Traditional Chinese Medicine Treatment of organs for Cervical Spondylosis Neck Pain.MethodsSeventy patients with cervical spondylosis neck pain were randomly divided into two groups with PEM3.1 Software:Treatment of heart and kidney group (Heart and Kidney Group) and general acupuncture treatment group (General Group) with thirty five cases each. Heart and Kidney Group received treatment of heart and kidney while General Group received general acupuncture treatment.Heart and Kidney Group:Choose Bailao (ExHN 15) double, Shenme(HT7) single and Wangu(SI4) single, then penetrate into these points with a depth about 10-30mm, each point retaining the needle for 30 minutes long after getting the Qior the feeling of acupuncture, then manipulating the needle once every 10 min, meanwhile proceed direct moxibustion to Dazhui(DU14), Xinshu(BL15) double, Shenshu (BL23) double five times each, At the end, place intradermal needles at the following ponits:Bailao(ExHN15) double, Xinshu(BL15) single, Shenshu(BL23) single.General Group:Choose Bailao(ExHN15)double and Zhongzhu (SJ3) double, then give direct moxibustion to Dazhui (DU14), Bailao(EXHN15) double, Jianzhongshu (SI15) double, finally inset intradermal needles at Bailao(ExHN 15) double, Jianzhongshu(SI15) double, as all the operations described in the Heart and Kidney Group. Each group received two or three periods of treatment once a week, ten times for a course, then observe therapeutic effect after one course of the treatment.Evaluate Short-term and long-term efficiency based on the Clinical standards for TCM Syndrome Clinic. Use chi-square test to compare the differences of overall efficiency and markedly effective rate between two groups. Patients were examined by NPQ and McGill before treatment, at the end of the fifth treatment, immediately after the course, one month and three months later. Inter-group comparison was made by Variance Analysis. SNK-q test and t-test were used to compare the difference before and after treatment, as well as the difference between the two groups.ResultsThe short-term (immediately after treatment) difference was not significant between the two groups, according to the result of Ridit Analysis(P>0.05). Neither the cured rate nor the markedly effective rate in both groups has significant difference according to X2Analysis(P>0.05). As to the overall efficiency of long-term (three months after treatment) both groups, Heart and Kidney Group overall efficiency is superior to General Group, according to Ridit Analysis(P<0.05), with the rates of 65.63% and 39.4%, separately. Nevertheless, the cured and markedly effective rates of Heart and Kidney Group were much higher than General Group when comparing results of immediately three months after treatment, according to X2 Analysis (P<0.05).The NPQ scores of General Group were higher than Heart and Kidney Group at the end of the fifth treatment, one month and three months after treatment. And there were significant differences between the two groups, at the end of the fifth treatment and one month (P<0.05)and three months (P<0.01) after treatment according to t-test Analysis. The NPQ scores of the fifth treatment, immediately after treatment, one month after treatment and three months after treatment of the two groups were less than they were before the treatment, according to SNK-q Analysis(P<0.01).The McGill scores of General Group were greater than Heart and Kidney Group at the time immediately after treatment, one month after treatment and three months after treatment. And there was significant difference between the two groups, after treatment (P<0.05), one month after treatment and three months after treatment (P<0.01) according to t-test Analysis. The McGill score the fifth end of treatment, immediately after treatment, one month after treatment and three months after treatment of two groups was less than before treatment respectively. There was significant difference between two groups(P< 0.01).ConclusionsOn the release of cervical spondylosis neck pain, both groups have certain therapeutic effect. No significant difference in curative effect, But the long-term effect of Heart and Kidney Group is superior to General Group.