| Objective:This thesis aims to analysis the characteristics and advantages of clinical application of director Wang Jianmin’s "Jin Gu Tong Zhi", according to the results of the clinical treatment, by using the "Jin Gu Tong Zhi" method to treat the-myofascial pain syndrome in waist and hip.Methods:The myofascial pain syndrome patients in waist and hip who came to the massage departpment of the second hospital of Jiangsu province during March 2014 to June 2015, are divided into two parts:There are the treatment and control group respectively. Each group has 35 cases. The treatment group were treated by the method Wang Jianmin’s "Jin Gu Tong Zhi" which carry on the comprehensive treatment.The control group were treated with the treatment methods of myofascial pain syndrome which is commonly used:muscle passive pull method, stretching with massage technique and mechanical stretching method. For involvement of skeletal muscle and related muscle group, when pull to the limits of patients,holding for a 15 to 30 seconds; Pull the spine by using the electric and mechanical bed, duration of treatment for 20 minutes at a time.Treatment group and control group:7 times for 1 course of treatment, treatment of two consecutive period of treatment. Collect the curative effect of the two groups after treatment, such as symptom and function of evaluation points, and then using SPSS 13.0 software to process the data, statistical analysis and results.Results:(1) The clinical efficacy of two groups of myofascial pain syndrome in waist and hip after the treatment:the clinical curative effect of treatment group improved significantly,. The treatment group:a total of 33 patients cured by VAS curative effect evaluation, there are 15 patients who were cured, the total effective rate was 100%; Control group:a total of 30 patients,none of them is cured, it is effective for 21 patients and 9 patients have no effective, with the total effective rate was 70%;. JOA curative effect evaluation:The treatment group,there are 15 patients were cured,2 patients have no effective, the total effective rate was 93.9%;In the control group, there are 5 patients who are cured,4 patients who were ineffective, the total effective rate was 86.6%. There is a quiet clearly difference between the two groups (P< 0.05).The curative effect of the treatment group is better than that of the control group.(2) Compare the two groups before and after the treatment on itself respectivelyThe VAS curative effect evaluation:The treatment group’s integral mean befor treatment was 5.75±0.71, pain score was 1.54± 0.62 after treatment, the total period of 0.73±0.10; The control group’s integral mean before treatment was 5.57±0.63. Integral mean was 3.53±0.89 after treatment, the total period of 0.36±0.16. The difference of two group after treatment compared with before treatment (P< 0.05) is quiet clearly;The JOA curative effect evaluation:The treatment group’s integral mean was 19.67±2.10 before treatment, integral was 26.55±1.00 after treatment, the total period of 0.69±0.19; The control group’s integral mean was 19.63±3.44 before treatment, integral mean was 25.08± 1.03 after treatment, the total period of 0.56±0.23. Within the group after treatment compared with before treatment (P< 0.05) difference is quiet clearly;Conclusion:Compare with the muscle of the traditional traction treatment, the curative effect of "the physique development" method to treat the waist or hip myofascial pain syndrome directed by Wang Jianmin is more apparent, having certain advantages. In reflect the extent to which patients pain symptoms improve contrast, the "Jin Gu Tong Zhi" method in improving patients’pain significantly better than that of control group therapy. In VAS score evaluation, healing and effect in the comparison of two evaluation projects especially had marked significantly suggesting that the patient’s pain has large degree of change after two weeks of treatment.Innovative:Based on the understanding of the concept of "whole" of traditional Chinese medicine, director of Wang Jianmin from multi-angle, multi-dimensional height puts forward the treatment thought of combinating needle, pushing with chiropractic, to guide the adjustment of group of the types of airframe imbalances and widely used in the treatment of spinal diseases. The "Jin Gu Tong Zhi" method is a clinical method which dividing into the muscle and bone, integrating application of acupuncture, message,chiropractic technique for a variety of types of ailments,in dealing with five body, viscera and pathological changes in the process of causal and cause of the spine. Wang Jianmin attaches great importance of du meridian to the adjustment function of viscera function, emphasized the importance of ridge overseers one. The core of the "Jin Gu Tong Zhi" method is" regulate the body’s overall balance to solve the problem. In clinical practice, the integrated application of acupuncture and massage can play groupial function of dredge meridians, invigorate the circulation of qi and the body function of temperature raising, channels, and reconcile blood, thus achieving the purpose of supporting, so as to promote to the benign disease outcome of treatment effect. Massage combined with chiropractic:both can pull a muscle or muscle group affected, relaxation tension band, and can be corrected "tendons out of the tank", "break", having the effect of Richard reinforcement technique, making the body’s bone to be reinforced soft, jet flow.In many treatments, "the physique development" has obvious advantages. Using the method of ""Jin Gu Tong Zhi"" treatment can be largely solved myofascial pain syndrome in the pathogenesis of multiple links and fundamentally achieve offers the potential to cure and prevent recurrence, the clinical treatment of the disease, reduce the pain of patients is of great significance. "The physique development of spine related diseases" also has obvious curative effect, such as headache, insomnia related to cervical segment; asthma, stomach pain, diarrhea, constipation, associated with thoracic segment; urinate, impotence, irregular periods, menstrual cramps associated with lumbar segment. ""Jin Gu Tong Zhi"" method is worthy of our younger doctors to study and inheritance, promoting the important thoughts. |