Clinical Observation On Treating Cervical Spondylosis Of Vertebral Artery Type With Acupuncture From Liver

Objective: This study shows the treatment of Cervical Spondylosis of Vertebral Artery type(CSA),through combining the therapy of liver theory with the conventional acupuncture,compared with conventional acupuncture treatment.To observe and compare their curative effect,and to find a feasible and effective treatment plan,so as to improve the problem of low cure rate in clinical treatment of this disease.Methods: Seventy patients who met the inclusion criteria were randomized into a treatment group and a control group,with 35 patients in each group.The control group was given acupuncture at Fengchi,Cervical Jiaji,Tianzhu,Jianjing,Houxi,Hegu,and Waiguan.On the basis of the control group,the treatment group was treated with Warm needle moxibustion at bilateral Taichong point for 30 minutes each.The curative effect was evaluated by the evaluation scale for cervical vertigo(ESCV),the vertebral basilar artery(VBA),the mean velocity(Vm),and the criteria of diagnostic efficacy of TCM,then statistical analysis was made to compare the differences between the two methods.Results :(1)A total of 67 cases were completed in this trial,of which 2 cases were excluded from the treatment group and 1 case was excluded from the control group.The two groups were comparable for there were no statistical differences in gender,age,duration of disease,pre-treatment ESCV total score,and vertebral-basal artery Vm,etc.(P>0.05)(2)After treatment,the total score of ESCV and Vm of vertebrobasilar artery within the group were significantly different from those before treatment(P < 0.05),and the result indicated that both groups were effective in improving symptoms and Vm of vertebrobasilar artery.(3)After treatment,the total scores of ESCV and the Vm of vertebral-basal artery were obvious difference between the two groups(P<0.05).The results showed that the treatment group had advantages over the control group in improving vertigo and other symptoms and increasing the average blood flow velocity of vertebrobasilar artery.(4)After treatment,the cure rate of the treatment group was 57.58%,and that of the control group was 32.35%.According to the comparison of the cure rates of the two groups,P<0.05,it indicated that the cure rate of the treatment group was higher than the control group.Conclusion:Treating the Cervical Spondylosis of Vertebral Artery type(CSA)by the method of liver treatment combined with conventional acupuncture can effectively regulate the average blood flow velocity of the vertebral-basal artery,improve the clinical symptoms of patients,and improve the cure rate of patients.Therefore,the treatment of the Cervical Spondylosis of Vertebral Artery type with liver treatment combined with conventional acupuncture is an effective method,which is worthy of further research and application.