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Clinical effect on milli-fire needle acupuncturing at the focus of tendon knot in treating cervical headache |
LIANG Shufen1 FU Min2 LYU Yanan3 |
1.Graduate School, Guangxi University of Chinese Medicine, Guangxi Zhuang Autonomous Region, Nanning 530200, China;
2.Rehabilitation Centre, the People′s Hospital of Guangxi Zhuang Autonomous Region, Guangxi Zhuang Autonomous Region, Nanning 530021, China |
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Abstract Objective To observe the clinical effect of milli-fire needle acupuncturing at the focus of tendon knot in treating cervical headache under the guidance of Jingjin region theory. Methods Fifty-nine patients with cervical headache who were admitted to the Rehabilitation Centre, the People′s Hospital of Guangxi Zhuang Autonomous Region from November 2017 to December 2018 and met the inclusion criteria for cervical headache were selected as the subjects. They were divided into milli-fire needle acupuncturing at the focus of tendon knot group (29 cases) and milli-fire needle acupuncturing at the conventional point group (30 cases) by the random number table method. In the milli-fire needle acupuncturing at the focus of tendon knot group, the hand and foot Taiyang Jingjin, hand and foot Shaoyang Jingjin, hand and foot Yangming Jingjin proximal and distal ganglion lesions around the head and neck were selected treated with millimite acupuncture under the guidance of Jingjin theory. In the milli-fire needle acupuncturing at the conventional point group, tianzhu point, fengchi point, gungu point, shouljing point, hegu point, taichong point, and zulinqi point were routinely selected for mile-fire acupuncture treatment. Once every 3 days, 9 days was a course of treatment. The digital headache score, headache duration, headache frequency, neck range of motion and clinical effect before and after treatment were compared between the two groups after 2 courses of treatment. Results After treatment, per week on average headache, headache every time duration, and degree of headache digital score of the two groups was significantly decreased before treatment, and milli-fire needle acupuncturing at the focus of tendon knot group was lower than milli-fire needle acupuncturing at the conventional point group (P < 0.05). After treatment, the neck range of motion score of the two groups was significantly higher than those before treatment, and milli-fire needle acupuncturing at the focus of tendon knot group was hihger than milli-fire needle acupuncturing at the conventional acupoint group (P < 0.05). The clinical effect of milli-fire needle acupuncturing at the focus of tendon knot group was higher than that of milli-fire needle acupuncturing at the conventional acupoint group (P < 0.05). Conclusion The curative effect of milli-fire needle acupuncturing at the focus of tendon knot in treating cervical headache is significant, which can obviously improve the clinical symptoms of patients with cervical headache.
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[1] 王家双,高崇荣. 神经性疼痛诊疗学[M].郑州:郑州大学出版社,2006:274-276.
[2] Sjaastad O,Saunte C,Hovdahl H,et al.“Cervicogenic”he-adache. An hypothesis [J]. Cephalalgia,1983,3(4):249-256.
[3] 徐静.颈源性头痛的发病诱因分析及预防[J].中国现代药物应用,2015,9(4):222-223.
[4] Gu T,Lin L,Jiang Y,et al. Acupuncture therapy in treating migraine:results of a magnetic resonance spectroscopy imaging study. [J]. J Pain Res,2018,11:889-900.
[5] Shen YF,Zhou QY,Li SL,et al. Clinical manifestations and imaging analysis of cervicogenic headache [J]. Zhongguo Gu Shang,2019,32(2):130-135.
[6] 董有康,徐磊,李桂平,等.从“筋”论刺治疗颈源性头痛思路探析[J].针灸临床杂志,2019,35(1):75-77.
[7] 罗正广.中医治疗颈源性头痛的研究进展[J].临床合理用药杂志,2018,11(9):172-174.
[8] Rana M. Managing and Treating Headache of Cervicogenic Origin [J]. Med Clin North(Am),2013,97(2):267-280.
[9] 张海荣,薛立功.经筋理论与临床疼痛诊疗学[M].北京:中国中医药出版社,2002:388-408.
[10] 石学敏.针灸学[M].2版.北京:中国中医药出版社,2007:4-6.
[11] 德瑾,王军,刘志存.针刺镇痛临床评价指标的选择[J]. 中华中医药杂志,2008,23(12):1053-1056.
[12] 姚旭,林咸明.温针灸治疗颈源性头痛:随机对照研究[J].中国针灸,2016,36(5):463-466.
[13] 国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:36-37.
[14] 杨超洁,陈丹萍,冯龙浩,等.理筋正骨调颅三步法对颈源性头痛的疗效观察及机理分析[J].广州中医药大学学报,2019,36(2):226-231.
[15] 陈丽平,李金霞.林咸明教授治疗颈源性头痛经验[J].浙江中医药大学学报,2012,36(11):1228-1230.
[16] 马奎云.颈源性疾病诊断治疗学[M].郑州:河南科学技术出版社,2005:330.
[17] 罗金寿,王勇军,徐金美,等.项八针疗法治疗颈源性头痛的疗效及预防复发分析[J].上海针灸杂志,2018,37(6):660-664.
[18] 薛立功,张海荣.经筋理论与临床疼痛诊疗学[M].北京:中国中医药出版社,2002:7-14.
[19] 张文超,王理德,汤美芳,等.针刺与针刀松解项七针在颈源性头痛中的疗效比较[J].中国医药科学,2018,8(21):51-53.
[20] 谢宇锋,陈赟,吴云天,等.压敏点恢刺法治疗颈源性头痛的随机对照试验[J].针灸临床杂志,2017,33(4):36-39.
[21] 薛立功.中国经筋学[M].北京:中国古籍出版社,2009:58.
[22] 胡兰,凌敏.温针灸治疗肱骨外上髁炎疗效的Meta分析[J].中国临床新医学,2018,11(1):39-43.
[23] 范正全,刘海永,高连中,等.毫火针点刺结合新医正骨治疗青少年颈源性头痛的疗效分析[J].河北中医药学报,2018(4):55-57.
[24] 王程,吕亚南,陈玉钊,等.经筋理论指导下毫火针治疗寒湿型腰肌劳损的临床效果[J].中国医药导报,2019, 16(9):154-157.
[25] 姚文平,李明,杨励.毫火针针刺筋结点治疗足底筋膜炎的临床疗效观察[J].针灸临床杂志,2017,33(9):37-40.
[26] 谢建谋,虞露长,陈庆辉,等.毫火针治疗项背肌筋膜炎的临床疗效观察[J].中医外治杂志,2016,25(5):7-8.
[27] 欧阳泠星,方鑫楷,黄壑霏.毫火针治疗神经根型颈椎病疗效观察[J].上海针灸杂志,2013,32(8):662-663.
[28] 毛湄,黄石玺,王映辉.“毫火针”的临床观察及安全性探讨[J].针灸临床杂志,2008,24(7):32-33. |
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