The cervical vertebra is located between the head, chest and upper limbs, and it is the section of the spine with the smallest volume, the highest mobility and the heaviest load. Because it does not bear all kinds of loads, strain and even trauma, it is easy to degenerate. Around the age of 30, the cervical intervertebral disc began to degenerate gradually, and the water content decreased, which became more obvious with age, and induced or promoted the degeneration of other parts of the cervical spine. From the biomechanical point of view, the 5th-6th and 6th-7th cervical vertebrae are the most stressed, so the occurrence of cervical spondylosis is more common in these segments. Statistics show that about 25% of people around 50 years old have suffered or are suffering from this disease, 50% at 60 years old and almost 100% at 70 years old, which shows that this disease is a common and frequently-occurring disease among middle-aged and elderly people.
clinical symptoms
The clinical symptoms of cervical spondylosis are complicated. Mainly neck and back pain, upper limb weakness, finger numbness, lower limb weakness, difficulty in walking, dizziness, nausea, vomiting, and even blurred vision, tachycardia and dysphagia. The clinical symptoms of cervical spondylosis are related to the lesion site, the degree of tissue involvement and individual differences.
1. Neck type: complained of abnormal sensation such as head, neck and shoulder pain, accompanied by corresponding tenderness points. The manifestations are stiff neck, discomfort, pain and inflexible movements, which are also the most common types.
2. Nerve root type: the patient's palm or arm is numb and painful, and the grip strength is weakened. Sometimes he feels weak even holding a cup. When the illness is serious, it hurts hard to sleep all night.
3. Vertebral artery type: The patient's symptoms are migraine, dizziness or chest tightness and chest pain. Every vertigo attack is related to neck rotation.
4. Sympathetic nerve type: The clinical manifestations are dizziness, dizziness, tinnitus, numbness of hands, tachycardia, precordial pain and a series of sympathetic nerve symptoms.
treat cordially
Modern acupuncture is used to treat cervical spondylosis, and there are few articles in 1950s and 1960s. By the end of 1970s, with the development of gerontology, this disease began to attract the attention of acupuncture and moxibustion circles at home and abroad. In less than 20 years, thousands of cases were treated with acupuncture in China medical and other medical journals. A variety of acupoint stimulation methods, such as electroacupuncture, warming needle, cake-separated moxibustion, bamboo pot, acupoint laser irradiation, acupoint injection, magnetic needle and beryllium needle, should be used for the treatment of this disease. Abroad, such as Romania, Japan, the United States, the Netherlands, Ireland and other countries also carry out this work. Foreign acupuncture workers often use filiform needles or electroacupuncture for treatment, and Japanese scholars have also used ginger-separated moxibustion. The neck and shoulder points are mainly used, but the original Dao and Ashi points are also used.
According to statistics at home and abroad, the effective rate of acupuncture for this disease is about 90%. In order to verify the curative effect, someone observed the effect of warm acupuncture on cervical spondylosis with electromyography. It is found that with the disappearance of positive signs, the fibrillation wave and positive phase wave of EMG at rest disappear, the muscle strength of injured nerve returns to normal, and the motor potential voltage tends to normal, which proves the effect is exact.
▲ body acupuncture therapy
(1) acupoint selection
Key points: Divide into 2 groups. 1, 4 ~ 7 to clamp the spinal neck; 2, dumb 1 ~ 4, Fengchi, Tianzhu, Dazhui.
Acupoint matching: nerve root type plus shoulder well, scapular suture, meandering pool, Hegu, Houxi and pension; Vertebral artery type: Jiabaihui, Sishencong, Taiyang, Head Position, Sanyinjiao, Taixi and Intermittent; Sympathetic plus Baihui, Sishencong, Xinshu, Ganshu, Danshu and Taichong; Spinal cord type plus Zusanli, Taiyang, Waiguan, Weizhong, Yanglingquan and Huantiao.
Location of dumb 1 ~ 4: dumb 1, dumb 2 and dumb 4 are located on the Du meridian, dumb 1 is between the spinous processes of the 2nd and 3rd cervical vertebrae (under the dumb door 1 inch), dumb 2 is between the spinous processes of the 3rd and 4th cervical vertebrae, and dumb 4 is between the spinous processes of the 6th and 7th cervical vertebrae. Dumb 3 is 0.5 inches (on both sides) next to Dumb 2.
Location of scapula suture point: tenderness point at the inner edge of scapula.
(2) treatment
You can select 1 group at one time, and you can select them in turn. In the 1 group, generally, 5 ~ 6 acupuncture points on the spine and neck are selected, and if the neck and shoulders are numb to the wrists and fingers, all of them can be selected; In the second group, only 1 of the dumb (1 ~ 4) points is selected at a time, and the rest points are selected at 1 ~ 2 points. According to different syndromes, choose 2 ~ 4 acupoints.
Jiaji point operation: Take a 28 ~ 30 # 1.5 ~ 2 inch millineedle, pierce it in the direction of spine at an angle of 75 degrees or open Jiaji point at an angle of 45 degrees, and then return the needle for 5 points until the needle tip is resistant. Lifting and inserting combined with small-amplitude torsion are adopted to promote needle sense conduction. If the pain is severe, lift it tightly and slowly. If the limbs are numb and cold, lift it tightly and slowly. Generally, reinforcing and reducing methods are used. Dumb point 1, 2, 4 are straight points 1 ~ 2 inches, repeatedly inserted, without twisting. Dumb 3-needle method is the same as Jiaji point. Need to choose accurate points. Gently insert it for 3 ~ 5 minutes or tamp the needle for 2 ~ 3 minutes after getting angry. It is required that the feeling of dumb 3 needles is electric shock to the upper limbs, and the rest points should reach electric shock to the limbs. Acupuncture induction is gradually obtained from weak to strong, and no sharp needling is allowed. If the needle feel is not satisfied, you can adjust the direction. If you still don't feel the needle on it, you don't have to force it. Take out the needle slowly, and then press the acupoint for a while. Dazhui point, fast needle insertion, slow needle insertion to a depth of 1.5 inch. The needle tip is slightly upward when the needle is inserted and slightly downward when the needle is inflated. Then pinch the needle handle with thumb and forefinger, and twist it quickly and slightly, so that the patient feels sore and numb, descend along the Du meridian, and then twist the needle body rhythmically from top to bottom (that is, thumb up and forefinger down), and transport the needle for half a minute. Retract the needle under the skin, then point the needle tip to the affected side and twist it for 1 min, so that the acid and numbness can reach the shoulder arm without leaving the needle. Fengchi point, the needle is about 1.5 inches to the tip of the nose, so that the needle sensation radiates to the head and neck, and Tianzhu point is slightly inclined to the spine, so it is appropriate to release the needle sensation to the neck. All methods are used for reinforcing diarrhea. The reinforcing and reducing method is also used after matching points and taking qi by acupuncture. Among them, it is advisable to inject 3 ~ 5 points into scapula points to have local soreness; When the elderly take acupuncture points, the palm faces the chest, the needle tip pierces inward, and the needle sensation radiates to the shoulders, elbows and wrists. All the above points are kept for 20 minutes except those without needles. Every day or every other day 1 time, 10 ~ 12 times is a course of treatment, and the interval of treatment is 3 ~ 5 days.
(3) Evaluation of curative effect
Curative effect standard: clinical recovery: symptoms completely disappeared, cervical mobility was normal, but the X-ray film of the neck did not improve significantly; The effect is remarkable: the clinical symptoms are obviously relieved, and the neck feels slightly uncomfortable after fatigue, and the rest are the same as above; Effective: clinical symptoms are relieved, and light work can be done, and the rest are the same as above; Ineffective: Symptoms and signs have not improved.
* * * 199 1 case was treated. In which 174 1 example. According to the above criteria, 778 cases were clinically cured (44.7%), 566 cases were markedly effective (29.6%), 40 1 case (23. 1%) and 46 cases were ineffective (2.6%).
The improvement rate of neck and shoulder pain in the other 250 cases was 965,438 0.6%, and the effective rates of finger anesthesia and neck and shoulder dyskinesia were 89.5% and 94.2% respectively [8]. From the overall treatment situation, nerve root acupuncture has the best effect, while spinal needle has the worst effect.
▲ electroacupuncture
(1) acupoint selection
Key points: 2 ~ 7 of cervical vertebra.
Matching points: Pension, Tianzhu, Dazhui, Shenshu, Dachangshu, Quchi, Waiguan, Hegu, Yanglingquan and Ranji 'an.
(2) treatment
Main point, according to the hyperplasia site, choose the corresponding Jiaji point. Score 4 ~ 5 points at a time. The main point pierces the spine with a 2-inch filiform needle at a 45-degree angle, and conducts the needle feeling when transporting the needle, and cooperates with the point to get qi. Diarrhea 1 min, then turn on the electroacupuncture instrument, with the negative pole connected to the main point and the positive pole connected to the matching point, continuous wave, frequency 120 ~ 250 times/min, and current intensity suitable for patients' comfort, generally 1 ~ 1.5mA ... daily/kloc.
(3) Evaluation of curative effect
* * * 168 cases were treated with some Chinese and western medicines, and the total effective rate was 93.3 ~ 96.4%.
▲ Cupping
(1) acupoint selection
Key points: Divide into 2 groups. 1, Ashi point or Dazhui; 2. Raft and damper.
Matching points: Tianzong, Shoujing and Shouzhen.
Ashi point location: neck tenderness point.
(2) treatment
The first group of essentials is pricking collaterals and cupping, and the second group is bamboo cupping. One group at a time, you can choose alternately. If the curative effect is not obvious only by using the main point, 1 ~ 2 additional points can be used instead.
Collateral puncture and cupping operation: firstly, the beryllium is directly pricked inside and outside the periosteum, and a small amount of blood will flow out (generally less than 5 ml) after the needle is taken out, or the skin is partially pricked with a skin needle until the skin is slightly bleeding. Add cupping after acupuncture and keep cupping for 15 minutes. After cupping, local massage and head rotation were performed for 3 ~ 5 days 1 time, and 3 times were 1 course of treatment. The treatment interval was 65438 0 weeks.
Bamboo pot method: put bamboo pots of different sizes into boiling water pot for 2 ~ 3 minutes, throw away all the medicines after taking them out, and then quickly put them on acupuncture points for skin absorption, and take them off after 7 ~ 10 minutes, taking ecchymosis or congestion as the degree. Every day or every other day 1 time,1time is a course of treatment. The treatment interval is 3 ~ 5 days.
The liquid medicine is prepared by wrapping 65,438+00g of Folium Artemisiae Argyi, Eucommiae Cortex, Radix Saposhnikoviae, Herba Ephedrae, Fructus Chaenomelis, Fructus Zanthoxyli, Squama Manis, Eupolyphaga Seu Steleophaga, Notopterygii Rhizoma, Rhizoma Atractylodis, Radix Angelicae Pubescentis, Lignum Sappan, Carthami Flos, Semen Persicae, Caulis et Folium Gaultheriae Yunnanensis, Rhizoma homalomenae and Cortex Erythrinae with cloth.
(3) Evaluation of curative effect
* * * 300 cases were treated. Results: 54 cases were clinically cured, 2 15 cases were markedly effective and 3 10 cases were ineffective, with a total effective rate of 86. 7%[ 15, 16, 18]。
▲ Acupoint injection
(1) acupoint selection
Key points: Xinshe, Ashi, Dazhui and Tianzong.
Point matching: nerve root type plus zenith, vertebral artery type, sympathetic type plus wind pool.
Location of new point: directly below Fengchi point, under hairline 1.5 inch.
Ashi point location: neck tenderness point.
(2) treatment
Liquid medicine: mixed injection (salvia miltiorrhiza injection 2ml+5 ~ 65,438+00% glucose injection); Wild papaya injection, compound Danshen injection.
Choose 1 point as the main point every time, and choose 1 point according to the symptoms. Ashi points are mostly around the cervical vertebrae and need to be carefully explored. It is best to find the pain point of rope or nodule. Before injecting the liquid medicine, insert it slightly to make the air feel obvious. Tianding acupoint should make the needle feel better on the affected arm and finger, and then slowly inject it. Choose one of the above medicinal liquids at each point and inject 1 ml (2 ml of medicinal liquid can be injected at Ashi point). Every other day 1 time,1time is a course of treatment.
(3) Evaluation of curative effect
* * * 489 cases were treated, and the clinical cure was 184 cases (247 cases were markedly effective, 45 cases were effective, and 3 cases were ineffective 13 cases, and the total effective rate was 97.3%. If cervical spondylosis is divided into three stages, 1 stage is the stage of cervical instability, the second stage is the stage of osteophyte stimulation, and the third stage is the stage of osteophyte compression, 1 and the second stage of acupoint injection have the best effect.
▲ pick and cure
(1) acupoint selection
Main acupoints: Ashi point.
The location of Ashi point: the reaction point. Most of them appear on the back of the neck, which is the change of the skin lesions of Codonopsis pilosula. Generally, it is round or oval, with large beans or peanuts, neat edges, slightly darker color than normal skin and weak reflection. More common in the hyperplasia of vertebrae and cervical vertebrae.
(2) treatment
Choose 3 ~ 4 Ashi points at a time. After routine disinfection, 2% procaine was used for local anesthesia. First, the epidermis was broken with a thin triangular needle, and then the superficial skin fibers were broken. When picking fiber silk, the needle tip should stick to the skin and stab it flat. First, slide it forward in parallel, and then gently lift the needle upward to pick off the fiber silk and clean it. When picking next time, cut off the fiber head exposed outside the skin after the last picking. 1 once every 5 days, 5 times is a course of treatment. Note that every time you choose a treatment point, you must have one on the cervical spine.
(3) Evaluation of curative effect
560 cases were treated with * * * *. As a result, 504 cases were clinically cured, 38 cases were markedly effective, and 8 cases were effective 100%[ 17].
▲ Cupping plus acupoint injection
(1) acupoint selection
Main acupoints: Jiaji point on the neck.
Matching points: Fengchi, Tianzong, Shoujing, Shouyi, Hegu, Waiguan and Zhongzhu.
(2) treatment
First take the main points, then acupuncture to get qi, and then cupping by holding fire or suction. Generally, 1 ~ 2 pairs of Jiaji points are selected at one time. Choose 2 ~ 3 pairs of acupoints, and apply the Xie Ping maneuver after getting angry. The time to leave the can is determined by local skin redness and purple. Leave the needle 15 minutes. The next day, two pairs of Jiaji points can be taken alternately and injected with vitamin B 12250 g/ 1ml (0.5ml per point) and angelica parasitic injection 2ml (kloc-0/ml per point) respectively. Once a day, alternately, two months as a course of treatment. The treatment interval was 65438 0 months.
(3) Evaluation of curative effect
3 12 cases were treated by the above method. Results 62 cases were clinically cured, 235 cases were markedly effective, 32 cases were effective and 3 cases were ineffective. The total effective rate was 93.65438 0%. 60 cases were followed up for 6 months to 4 years, only 1 case recurred.
▲ Acupoint laser irradiation
(1) acupoint selection
Main acupoints: Ashi point.
Matching points: Fengchi, Shouyi, Hegu, Quchi and hand therapy.
Location of Ashi point: Jiaji point in the focus area.
(2) treatment
The main points must be taken and supplemented as appropriate. The following two methods can be used for irradiation.
1. He-Ne laser irradiation: A He-Ne laser irradiator with an output power of 25 MW, an irradiation distance of 100 cm and a spot diameter of 2 cm is used to directly irradiate Ashi point, and the point close to the skin is irradiated with the end of optical fiber. Ashi point can also be vertically penetrated by a special acupuncture needle connected with optical fiber for 3 ~ 5 cm, and irradiated after a strong swelling feeling. Ashi acupoint irradiation, each time 10 ~ 15 minutes; Acupoint irradiation for 5 minutes.
2.CO2 laser irradiation: irradiate with a CO2 therapeutic machine at a distance of 25-30 cm from the acupoint area, with a spot diameter of 4 cm, and irradiate each acupoint vertically out of focus for 15-20 minutes, depending on the thermal sensation.
The above methods are 1 time every day,1time is a course of treatment, and 5-7 days is a course of treatment.
(3) Evaluation of curative effect
282 cases were treated by the above method, and the results showed that11cases were cured,1/2 cases were markedly effective, 44 cases were effective, and 5 cases were ineffective. The total effective rate was 94.7% [20-20].
Non-surgical treatment of cervical spondylosis
The treatment of cervical spondylosis can be divided into non-surgical treatment and surgical treatment. At present, most medical experts advocate non-surgical treatment of cervical spondylosis, and only a few cases need surgical treatment. Non-surgical therapy is a comprehensive therapy combining traditional Chinese and western medicine, and one or two or three methods can be selected according to different situations and implemented at the same time. They are introduced as follows:
▲ Manual massage therapy
This is the main method of treating cervical spondylosis in traditional Chinese medicine, and it is also an effective treatment measure for cervical spondylosis. Its therapeutic effect is to relieve the tension and spasm of neck and shoulder muscles, restore the activity of cervical vertebrae, relieve the adhesion between nerve roots and soft tissues, and relieve symptoms.
▲ Cervical traction therapy
This is a more effective and widely used treatment for cervical spondylosis. This therapy is suitable for all types of cervical spondylosis and is more effective for early cases.
▲ physical therapy
Physical therapy can play a variety of roles in the treatment of cervical spondylosis. It is generally believed that the acute phase is feasible due to ion penetration, ultrasound, ultraviolet light or intermittent current; After the pain was relieved, ultrasound, iodine ion penetration, induction electricity or other hyperthermia were used.
▲ Warm and hot compress
This therapy can improve blood circulation, relieve muscle spasm, eliminate swelling, relieve symptoms, and help stabilize the affected vertebrae after manual treatment. This method can be applied locally with hot towels and hot water bottles, and it is best to smoke and wash with traditional Chinese medicine. Warm and hot compress is not suitable for acute patients with severe pain symptoms.
▲ Drug therapy
Drugs can play an auxiliary role in symptomatic treatment of this disease. Painkillers, sedatives, vitamins (such as B 1 and B 12), vasodilators and Chinese herbal medicines can be used to relieve symptoms to some extent. In addition, while treating cervical spondylosis by manipulation, TCM syndrome differentiation and treatment can improve the curative effect, shorten the course of treatment and relieve the pain of patients. Common clinical types and experience are introduced as follows.
(A) TCM syndrome differentiation: cold and dampness blocking collaterals
(This type is common in cervical spondylosis and nerve root type): headache or occipital pain, stiff neck, which is not conducive to lateral rotation, and one or both shoulders, arms and fingers are sore, swollen, painful and numb; Or headache involves upper back pain, wet and cold skin, fear of cold and love of heat, and soft tissue swelling nodules can be touched beside the cervical vertebra. The tongue is red, the fur is thin and white, and the pulse is slender. The main treatments are warming channels and promoting blood circulation, dispelling cold and removing dampness, dredging collaterals and relieving pain.
Prescription: Ramulus Cinnamomi, Notopterygii Rhizoma, Radix Clematidis, Radix Gentianae Macrophyllae, Rhizoma Chuanxiong, angelica tail, Radix Puerariae, Rhizoma Gastrodiae, Carapax Trionycis, Massa Medicata Fermentata, and Radix Paeoniae Rubra.
Notopterygii Rhizoma, Radix Clematidis, Rhizoma Gastrodiae and Radix Gentianae Macrophyllae are used in the prescription to dispel cold, remove dampness and relieve pain. Chuanxiong rhizome and gastrodia tuber treat headache. Ramulus Cinnamomi, Rhizoma Chuanxiong, Radix Angelicae Sinensis, Radix Paeoniae Rubra and Carapax et Plastrum Testudinis warm meridians, promote blood circulation and dredge collaterals; Pueraria lobata spasms, medicated leaven strengthens the spleen and stomach, and licorice harmonizes various drugs.
(2) TCM syndrome differentiation: deficiency of both qi and blood and blood stasis.
(This type is common in cervical spondylosis of vertebral artery type): dizziness, dizziness, blurred vision or pain, weakness, anorexia, neck pain, or shoulder pain. The tongue is reddish or chubby, with teeth marks on the edge. Moss is thin, white and wet. The pulse is heavy and weak. Treatment is to replenish qi and nourish blood, refresh the mind and soothe the nerves, promote blood circulation and dredge collaterals.
Prescription: Gastrodia elata, Radix Astragali Preparata, Radix Glycyrrhizae Preparata, Radix Codonopsis, fried atractylodes, Radix Rehmanniae Preparata, Fructus Amomi, Radix Angelicae Sinensis, Radix Paeoniae Alba and Caulis Spatholobi.
In the prescription, Radix Astragali Preparata, Radix Glycyrrhizae Preparata, Radix Codonopsis and fried atractylodes are used for invigorating qi; Radix Rehmanniae Preparata, Rhizoma Chuanxiong, Radix Paeoniae Alba and Radix Angelicae Sinensis nourish blood; Gastrodia elata, Ligusticum Chuanxiong and Spatholobus Spatholobus have the functions of calming the nerves, strengthening the brain, promoting blood circulation, dredging collaterals, regulating qi with Amomum villosum, regulating stomach and relieving depression.
(3) TCM syndrome differentiation: deficiency of both qi and yin and blood stasis.
(This type is common in cervical spondylosis of vertebral artery type and sympathetic nerve type): Vertigo occurs repeatedly, even dozens of times a day. Even if you stay in bed, you will see things rotate, accompanied by nausea, vomiting, fatigue, unstable walking, or palpitation, shortness of breath, irritability, dry throat, bitter taste, poor sleep and dreaminess. The tongue is red, the coating is thin and white or yellowish and dry, or there is no coating on the tongue surface, and the sublingual collaterals are swollen. The pulse is thin and counted, or the number of chords. Treatment means benefiting qi and nourishing yin, calming the nerves and refreshing the brain, and harmonizing qi and blood.
Prescription: Rhizoma Gastrodiae, Rhizoma Chuanxiong, Flos Chrysanthemi, Fructus Lycii, Radix Adenophorae, Radix Glycyrrhizae Preparata, Semen Ziziphi Spinosae, Semen Platycladi, Radix Polygalae Preparata, Radix Paeoniae Alba, Radix Salviae Miltiorrhizae, Lumbricus and Caulis Polygoni Multiflori.
Radix Glycyrrhizae Preparata, Radix Adenophorae, Radix Paeoniae Alba and Fructus Lycii in the prescription can benefit qi and nourish yin; Gastrodia elata, Flos Chrysanthemi, Semen Ziziphi Spinosae, Semen Platycladi, Cortex et Radix Polygalae, and Caulis Polygoni Multiflori for refreshing brain and improving intelligence; Chuanxiong, Salvia Miltiorrhiza and Lumbricus promote blood circulation, dredge collaterals and relieve pain.
(D) TCM syndrome differentiation: spleen and kidney yang deficiency with blood stasis.
(This type is common in patients with cervical spondylotic myelopathy after surgery or long-term treatment); Quadriplegia (hard paralysis or flaccid paralysis), incontinence, aversion to cold and warmth, normal diet or poor appetite. The tongue is red, the fur is thin and white or slightly greasy, and the pulse is heavy or thin. The treatment is to tonify kidney and spleen, warm channels and help yang, and strengthen tendons and bones.
Prescription: Radix Rehmanniae Preparata, Jujube Peel, Rhizoma Zingiberis Preparata, Colla Plastri Testudinis, Colla cornus Cervi, Tortoise Shell, Semen Sinapis Albae, Eucommiae Cortex, Achyranthis Radix, Rhizoma Dioscoreae, Massa Medicata Fermentata, Radix Paeoniae Alba, Ramulus Cinnamomi and Radix Glycyrrhizae Preparata.
Radix Rehmanniae Preparata, parched Eucommiae Cortex and Achyranthis Radix are used for tonifying kidney and nourishing blood. Colla cornus Cervi and Colla Plastri Testudinis are used to replenish marrow, strengthen tendons and bones; Jujube peel supplements liver and kidney and stops astringency; Ramulus Cinnamomi and Cortex Cinnamomi warm meridians and regulate yang; Dried ginger, yam, roasted licorice, fried Massa Medicata Fermentata, spleen and stomach strengthening, warming yang and benefiting qi; White mustard seed can resolve phlegm and dissipate stagnation; Artillery armor beads are soft and firm, activating meridians.
prevent
First, the prevention of cervical spondylosis
(1) Read books about cervical spondylosis and master scientific means to prevent and treat diseases.
(2) Stay optimistic, establish the idea of fighting against diseases, and cooperate with doctors to reduce recurrence.
(3) Strengthen the exercise of neck and shoulder muscles. At work or after work, doing flexion, extension and rotation of the head and upper limbs can not only relieve fatigue, but also develop muscles and enhance toughness, thus contributing to the stability of the cervical spine and enhancing the adaptability of the neck and shoulders to sudden changes in the neck.
(4) Avoid the bad habit of sleeping on a high pillow. The high pillow bends the head forward, which increases the stress of the lower cervical spine and may accelerate the degeneration of the cervical spine.
(5) Pay attention to keep the neck and shoulders warm, avoid heavy objects on the head and neck, avoid excessive fatigue, and don't doze off when riding.
(6) Early and thorough treatment of soft tissue strain of neck, shoulder and back to prevent it from developing into cervical spondylosis.
(seven) to prevent flash and contusion when working or walking.
(8) Those who work at their desks for a long time should change their head position regularly and do neck and shoulder muscle exercises on time.
(9) Pay attention to the correct posture of head, neck, shoulders and back, and don't shrug, talk or look straight when reading. Keep your spine upright.
(10) Chinese medicine believes that walnut, dogwood, rehmannia root and black sesame have the functions of tonifying kidney and promoting marrow. If eaten in a reasonable amount, it can strengthen bones and muscles and delay the degeneration of kidneys and joints.
Second, the bed for patients with cervical spondylosis
All kinds of beds have their own advantages and disadvantages, which are related to personal residence, climate, living habits and economic situation. However, from the perspective of preventing cervical spondylosis, it is better to choose a bed that is conducive to the stability of the disease and the balance of the spine. Therefore, it is best to choose an elastic Simmons mattress on the bed board. It can be adjusted with the physiological curve of the spine.
3. Pillows for patients with cervical spondylosis
Pillow is the main tool to maintain the normal position of head and neck. This "normal" position refers to maintaining the physiological curve of the head and neck section itself. This weight curve not only ensures the external muscle balance of the cervical spine, but also maintains the physiological and anatomical state in the spinal canal. Therefore, the ideal pillow should meet the requirements of physiological curvature of cervical spine, with soft texture and good air permeability, especially the middle and low-end ingot shape. Because this shape can maintain the physiological curvature of the cervical spine by using the concave part in the middle, it can also play a relative role in braking and fixing the head and neck, which can reduce the abnormal activities of the head and neck during sleep.
Secondly, the choice of pillow contents is also very important, commonly used are:
Buckwheat skin: cheap and breathable, and the height of the pillow can be adjusted at any time. ② Pu Rong: Soft texture and good air permeability, which can be adjusted at any time. ③ Mung bean shell: not only breathable, but also cool and relieve summer heat. It would be better to add a proper amount of tea or mint, but it is mainly used in summer. Others, such as duck feathers, are also good, but the price is higher.
The pillow should not be too high or too low, and it is best to relax at the back. Generally speaking, the pillow height should be 8 ~ 15 cm, or calculated according to the formula:
(Shoulder width-head width) ÷2.
Cervical pillow can also play a preventive or therapeutic role.
Main references
[1] Song, et al. To detect the curative effect of warm acupuncture at Jiaji point on cervical spondylosis by electromyography. Shanghai Journal of Acupuncture1983; (2):34。
[2] Wang Guoxiong. Clinical observation on 60 cases of cervical spondylosis/kloc-0 treated by acupuncture combined with manipulation. China Acupuncture1988; 8(6):9。
Zhou Zhijie et al. 1 ~ 4 deep needling for cervical spondylosis 1337 cases. Shaanxi Traditional Chinese Medicine1988; 9(5):204。
[4] Observation on the therapeutic effect of acupuncture and moxibustion in Wei Yi on 36 cases of cervical spondylosis. Shaanxi Traditional Chinese Medicine1988; 9(5):204。
[5] Zhang Ren, et al. Clinical observation on treatment of cervical spondylosis by Zhang Tongqing's manipulation of getting rid of qi. journal of traditional chinese medicine, Liaoning1985; (3):28。
[6] Zhao Guilan. Clinical observation on 52 cases of cervical spondylosis treated by acupuncture. Journal of Guiyang College of Traditional Chinese Medicine1986; (3):34。
[7] Wu. Clinical observation on cervical spondylosis 136 cases treated mainly by acupuncture. China Acupuncture1988; 8(3): 19。
[8] Zhou Yunpeng. Clinical observation on 250 cases of cervical spondylosis treated by acupuncture. China Acupuncture1986; 6(2): 14。
[9] Lin Yingchun. Acupuncture plus chiropractic and providing for the aged treat cervical spondylotic radiculopathy 138 cases. Journal of traditional chinese medicine, Zhejiang1987; 22(2):69。
[10] Zhang Wenming et al. Observation on therapeutic effect of electroacupuncture on 30 cases of cervical spondylosis. Shanghai Journal of Acupuncture1985; ( 1):9。
[1 1] 202 cases of cervical spondylosis treated by acupoint injection of papaya at Xu, et al. and its influence on acupoint temperature and pain threshold. Selected Papers on Acupuncture (Chinese Acupuncture Society), 1987: 1 16, Beijing.
[12] Zhou Jipu. 60 cases of cervical spondylosis treated by water acupuncture at Dazhui point. Journal of traditional chinese medicine, Zhejiang1986; 2 1(7):3 10。
Broad-minded. Treatment of cervical spondylosis by acupoint injection of vitamin E combined with massage. Sichuan Traditional Chinese Medicine1986; 2 1(2):24。
[14] Xu Mingying. Clinical observation on 70 cases of cervical spondylosis treated by point injection of triamcinolone acetonide: 7(2):37.
Treatment of cervical spondylosis with beryllium needle puncture and cupping 100 cases. Journal of traditional chinese medicine1984; 5(3):34。
Zhang Yaowei, etc. Preliminary observation on 50 cases of cervical spondylosis treated by bamboo tube therapy. Tianjin Traditional Chinese Medicine1985; 2(3):22。
[17] Cao Shurun. 560 cases of cervical spondylosis treated by pricking therapy. China acupuncture1991; 1 1(2):5
[18] heavy rain. Treatment of early cervical hyperplasia 150 cases with plum blossom needle cupping and moxibustion. Journal of Acupuncture1990; 6(2):22。
Sun Lijun. Clinical observation on 3 12 cases of cervical spondylosis treated by acupoint injection and cupping. China Acupuncture1988; 8( 1): 12。
[20] Wang Tiebing, et al. Observation on the therapeutic effect of He-Ne laser on cervical spondylotic radiculopathy. Chinese Journal of Physical Therapy1989; 12(2):89。
Late, wait. Treatment of cervical spondylosis with He-Ne laser irradiation. Chinese Journal of Physical Therapy1990; 13( 1):25。
[22] Ma Shigong. CO2 laser treatment of cervical spondylosis 100 cases. Chinese Journal of Physical Therapy1988; 1 1(2):67。
[23] Shan Qiuhua. Clinical observation on treatment of cervical spondylosis 102 cases by laser acupuncture at Jiaji point. China Acupuncture1993; 13(3): 15。
[24] Luo. China Acupuncture 1997 Compound Danshen Injection was used to treat 87 cases of cervical spondylosis. 17(8):4 1。