Clinical Study on Wenyang Tongdu Acupuncture Method Combined with Qianghuo Shengshi Decoction and Traction for Cervical Spondylotic Radiculopathy with Wind- Cold Obstruction Syndrome
Abstract:Objective:To observe the clinical effect of Wenyang Tongdu acupuncture method combined with oral administration of modified Qianghuo Shengshi Decoction and traction for cervical spondylotic radiculopathy(CSR) with wind- cold obstruction syndrome. Methods:A total of 110 cases of CSR patients with wind-cold obstruction syndrome were selected as the study subjects and divided into the observation group and the control group according to the random number table method,with 55 cases in each group. Both groups were treated with traction;the control group was treated with oral administration of modified Qianghuo Shengshi Decoction,and the observation group was treated with oral administration of modified Qianghuo Shengshi Decoction combined with Wenyang Tongdu acupuncture method. Both groups were treated for 2 weeks. Before and after treatment, cervical spine function was evaluated by Japanese Orthopaedic Association(JOA) and Clinical Assessment Scale for Cervical Spondylosis(CASCS), the pain degree was evaluated by the Short- Form McGill Pain Questionnaire(SF- MPQ),the cervical physiological curvature and cervical range of motion were detected,upper- limb somatosensory evoked potential(SEP) was measured, and levels of interleukin- 1β(IL- 1β), endothelin- 1(ET- 1) and substance P(SP) in serum were detected. The clinical effects in the two groups were evaluated. The incidence of adverse reactions in the two groups was counted. Results:After two-week treatment,the total effective rate was 98.18% in the observation group and 85.45% in the control group, the difference being significant(P<0.05). The scores of JOA in cervical vertebrae and CASCS in the two groups were increased when compared with those before treatment(P<0.01),SF-MPQ scores were decreased(P<0.01);the scores of JOA in cervical vertebrae and CASCS in the observation group were higher than those in the control group(P<0.01),and SF-MPQ score was lower(P<0.01). The cervical physiological curvature and cervical range of motion in the two groups were increased when compared with those before treatment(P<0.01), and cervical physiological curvature and cervical range of motion in the observation group were larger than those in the control group(P<0.01). Conclusion: Wenyang Tongdu acupuncture method combined with oral administration of modified Qianghuo Shengshi Decoction and traction for CSR with wind- cold obstruction syndrome can more effectively inhibit the inflammatory reactions in the body of patients, promote local blood circulation, improve nerve conduction, thus increasing the cervical physiological curvature and cervical range of motion,improving the function of the cervical spine,speeding up symptom relief,and has good safety.