Acupuncture and massage for treatment

of proliferative efficacy spondylitis 
  
    


  

  


 
Li Ping, Shiyan City, Hubei Province, People's Hospital orthopedic Maojian District 

  

  

  

  

      [Abstract] Objective: To observe acupuncture, moxibustion and Massage Chinese garlic proliferation spondylitis clinical efficacy. Methods: 98 patients with proliferative spondylitis were randomly divided into two groups, the treatment group 56 patients received acupuncture, Chinese garlic moxibustion combined with massage therapy; observation group, 42 patients received acupuncture, massage therapy. Observed after 3 courses of treatment. Results: The cure rate and total effective rate was significant difference (P <0.05). Conclusion: Acupuncture, Chinese garlic moxibustion combined with massage therapy is effective proliferation of spondylitis, is worth promoting.

        [MeSH] proliferation spondylitis; acupuncture therapy; Chinese garlic moxibustion; massage
Proliferation spondylitis is a kind of cartilage degeneration, degeneration of spinal soft tissue, bone hyperplasia mainly osteoarthritis. The clinical manifestations of lower back pain, inflexible and even dull discomfort or sense of restraint, at night, light weight, early morning or when sedentary, the pain and discomfort is more obvious, since October 2002 the author has been using acupuncture, Chinese garlic Moxibustion and Massage Treatment of 56 cases of proliferative spondylitis are reported as follows:

      1. Clinical Data
      98 cases of proliferative spondylitis were randomly divided into two groups, treatment group 56 cases, 17 patients were male, 39 cases of female patients, the youngest, 27 years old, maximum, 67 years old, the longest duration of 7 years, shortest 2 months; the control group, 42 patients, 15 patients were male, 27 cases of female patients, the youngest, 25 years old, maximum, 65 years old, the longest duration of 6 years and the shortest in 2 months; under the lumbar spine X-ray and clinical symptoms and signs are in line with the proliferation of clinical diagnosis of spondylitis. Two groups were age, duration were statistically the difference was not statistically significant (P> 0.05), comparable.

       2. Treatment
       2.1 treatment group
       Taken before treatment frankincense 10g, myrrh 5g, turmeric 15g, Chuan Xiong 10g, 10g white and grind the end of the reserve with the amount of garlic and mix well. All patients taking pain location Jiaji, routine disinfection, the use 1.5-2 inch stainless steel needles for acupuncture, was followed by Hua Tuo Brand G6805 gas electric acupuncture apparatus, the choice of continuous wave, frequency 80-120HZ, stimulation of 30min, each Japan 1; taking Needle prone position after the visions were taken along the spine on both sides of the bladder smooth muscle tendon through the line straighten out the lower back muscles repeatedly practice 8-10 times, then switch to repeatedly plucked thumb ligament lumbar spine 8-10 times, then press with both hands, pain in the thumb area superimposed acupuncture Jiaji about 2min (soreness in the lumbosacral re-appear better numbness), then alternate and thenar palm Kneading Rolling back muscle to relax, the last lumbar side pull method, so each 1; massage after the visions were prone position, take the Yaoyangguan Du, Vital, Yang points to the bladder and the liver bilateral Yu, Shenshu, Geshu point, the standby The Yaomo garlic spreads were flat on top of the above points, the diameter 10mm, 10mm, moxa cone high were placed on top of Chinese garlic lit, when patients have a strong burning sensation when the moxa cone was replaced immediately, such as moxibustion method with three strong, one day .
        2.2 in control group
        Use of acupuncture and massage therapy, acupoints and massage followed.
        The two groups are treated as a 10d course of treatment, observed after 3 courses of treatment.

        3. Treatment Outcome
        3.l efficacy standards
Cure: lower back pain, spine was normal, waist muscle strength increased.
Improvement: lower back pain significantly reduced, spinal and lower back muscle strength has improved.
Invalid: no significant improvement in symptoms.
        3.2 Efficacy Results
Table I the results of two groups (10%)
Invalid number of cases cured group total efficiency improvement
Treatment group 56 30 (53.57) 21 (37.50) 5 (8.93) 91.07%
The control group 42 14 (33.33) 16 (38.10) 12 (28.57) 71.43%
Treatment group and control group, the cure rate and total effective rate was significant difference, P <0.05.

        4. Typical case
       Liu, F, 40 years old, workers, visiting time was August 15, 2003. Private prosecution of more than three years of back pain, morning stiff lower back pain is not the time, about 3 minutes after activity pain, pain worsened whenever the weather changes, sedentary, or pain after bending over a very long time to change the position after the mitigation, the last two months for no apparent reason, the symptoms get worse, episodes of pain every night, should get out of bed a few minutes before going to bed to sleep about two hours after the pain was underway, so repeatedly. Check: L1-L5 spine on both sides of the gap and widespread muscle tenderness, percussion tenderness. Diagnosis: proliferative spondylitis. Take L1-L5 and Yaoyangguan Jiaji, the Gate of Life, to Yang, bilateral liver Yu, Shenshu, Geshu points, according to the above treatments, once a day. Week after treatment, pain was significantly reduced symptoms disappeared after two courses, to continue to consolidate a course of treatment, discharged. Follow-up six months without recurrence.

        5. Discussion
       Proliferation spondylitis is a Chinese medicine "arthralgia syndrome", the "via" said: "reinforcement of liver, blood reservoir; renal bone, possession of fine." Kidney Kansui the dirty, cold gas of the evil in the kidney with a sense of deep invasive kidney, kidney can not run Liver wood, bones from osteoporosis dystrophy spasms of the disease, with liver and kidney Expelling complement, support the principle of the same essence and blood. Du Jia Ji points in between with the bladder full sun, acupuncture can be adjusted Jiaji Du, full sun and even the body of the yang meridians, organs and meridians to pass notes the purpose of the stasis may pass, righteousness may help . Massage can release muscle spasm of local, small facet joint restoration of the shift, improve local blood circulation, the timely removal of damaged parts of the metabolic products, to reduce the pain of local nerve stimulation. Du sea of yang to the body, the Governor's life yang, waist for the Foot Shao Yin Kidney House, and the bladder full sun compared with the table, so when moxibustion to main acupoints of Governor Vessel and Bladder, moxibustion waist Yang Guan, Vital to positive propaganda from all points were yang and kidney yang effect of truth; renal vein intersection ridge [1], take the adjustable kidney Shenshu moxibustion gas, eliminate dampness; the liver Yu can nourish liver and muscles to support; Geshu the blood will, moxibustion to sparse interest of the bladder through the air, elimination of stasis in the network. Moxibustion with moxa cone above the temperature of various points were played by the cold, expelling wind and dampness, Shujin network, Xuan Yang Sanjie effect, help to improve local microcirculation, improve tolerance to body tissues. Party to take blood circulation, among Shujin has Xinsan Nobumichi Yaomo and the role of garlic separated moxibustion total of goods, with hot lead hot, asking for a light to help Yang, the air-blood pass notes to cure the disease.

       References
      [1] Qiumao Liang, Zhang Shanchen so, Acupuncture [M] first edition, Shanghai; Shanghai Science and Technology Press, 1996; 20.