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| Clinical effect of warming needle moxibustion combined with Shentong Zhuyu Decoction in the treatment of cervical spondylotic radiculopathy with qi stagnation and blood stasis type |
| LIU Xiaoli LI Yingying YE Wenping |
Division Two, Department of Traditional Chinese Medicine, Huizhou Central People’s Hospital, Guangdong Province, Huizhou 516000, China
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Abstract Objective To investigate the clinical effect of warming needle moxibustion combined with Shentong Zhuyu Decoction in the treatment of cervical spondylotic radiculopathy (CSR) with qi stagnation and blood stasis type. Methods A total of 120 patients with CSR admitted to Huizhou Central People’s Hospital of Guangdong Province from May 2020 to May 2022 were selected and divided into acupuncture and moxibustion group, decoction group, and combination group according to random number table method, with 40 cases in each group. The acupuncture and moxibustion group was treated with conventional+warming needle moxibustion, the decoction group was treated with conventional+Shentong Zhuyu Decoction, and the combined group was treated with conventional+warming needle moxibustion+Shentong Zhuyu Decoction. All patients were treated for a course of 30 days and three courses. The traditional Chinese medicine syndrome score, vertebrobasilar artery hemodynamics indexes, clinical efficacy, and treatment safety of the three groups were compared. Results After treatment, the scores of neck pain stiffness, dizziness, upper limb numbness, and fear of cold and cold limbs in the three groups were lower than before treatment, and the combined group was lower than acupuncture and moxibustion group and decoction group (P＜0.05). After treatment, the vertebrobasilar artery peak systolic velocity (PSV), end diastolic flow velocity (EDV), and vascular pulsatility index (PI) of the three groups were higher than those before treatment, and the vascular resistance index (RI) of the three groups were lower than before treatment, and the vertebrobasilar artery PSV, EDV, and PI of the combined group were higher than acupuncture and moxibustion group and decoction group, and RI was lower than acupuncture and moxibustion group and decoction group (P＜0.05). The curative effect of combination group was better than acupuncture group and decoction group (P＜0.05). No serious adverse reactions occurred in the three groups. Conclusion Warming needle moxibustion combined with Shentong Zhuyu Decoction has significant curative effect in the treatment of CSR, which can improve patients’ traditional Chinese medicine symptoms and vertebrobasilar artery hemodynamics.
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