Clinical observation on the treatment of nerve root type cervical spondylosis (cold dampness obstruction syndrome) with the combination of relaxing muscles and bone setting techniques under the theory of muscle bone balance and traditional Chinese medicine directional penetration therapy
GUO Long,HU Yu-hui,ZHOU Yue-hui
Chengdu Bayi Orthopedic Hospital Orthopedics Department, Chengdu, Sichuan610075, China
Abstract:
Objective To explore the clinical effect of combining the theory of muscle bone balance with targeted traditional Chinese medicine for the treatment of cervical spondylotic radiculopathy (CSR) caused by cold dampness obstruction syndrome. Methods 92 patients with cold dampness obstruction syndrome CSR admitted to our hospital from January 2024 to December 2024 were selected as the study subjects and randomly divided into an observation group and a medication group. The medication group used a self-designed Sanhan Zhitong Poutler for targeted medication penetration, while the observation group used the Shujin technique, which combines the strengths of the Qinggong Zhenggu technique and the Chuanpai He's technique, on the basis of the medication penetration group. Observe the traditional Chinese medicine symptom scores (neck pain, upper limb numbness, limb cold aversion, head and neck heaviness), cervical active joint range of motion (flexion, extension, lateral flexion, rotation), cervical dysfunction index (NDI), infrared imaging temperature difference, interleukin-6 (IL-6), lipoprotein associated phospholipase A2 (LpPLA2) before and after 2 weeks of treatment, and evaluate the clinical efficacy of both groups after treatment. Results In terms of traditional Chinese medicine symptom scores, the observation group had lower scores in neck pain, upper limb numbness, and head and neck heaviness than the transparent medicine group (P <0.05). There was no statistically significant difference in the score of limb cold and chills symptom between the two groups (P >0.05); In terms of functional impairment, the observation group had lower NDI than the drug permeable group, and higher joint range of motion (flexion, extension, lateral flexion, and rotation) than the drug permeable group (P <0.05). In terms of physical and chemical indicators, the observation group had lower levels of infrared imaging temperature difference, IL-6, and LpPLA2 than the transdermal group (P <0.05). In terms of clinical efficacy, there was no significant difference in the effective rate between the two groups (χ2=1.425, P >0.05). In terms of overall clinical efficacy, the observation group was higher than the transdermal group (Z=3.212, P <0.05). Conclusion Under the theory of muscle bone balance, the combination of relaxing muscles and bone setting techniques with traditional Chinese medicine targeted penetration therapy can alleviate symptoms such as pain and numbness in patients with cervical spondylotic radiculopathy (cold dampness obstruction syndrome), improve functional impairment, and correct temperature symmetry imbalance and inflammatory reactions.
