摘要翻译|梅花针与快针综合疗法治疗神经根型颈椎病（风寒湿型）

梅花针与快针综合疗法治疗神经根型颈椎病（风寒湿型）
The Combination Therapy of the Plum-Blossom Needle and the Fast Needle for the Treatment of Cervical Spondylotic Radiculopathy（Wind-Cold-Damp Type）

目的：采用梅花针与快针综合疗法治疗神经根型颈椎病（风寒湿型）进行临床观察，综合评价其疗效及安全性。
Objective: This paper studies the combination therapy of the plum-blossom needle and the fast needle for the treatment of cervical spondylotic radiculopathy（wind-cold-damp type）through clinical observation, and comprehensively evaluates its effectiveness and security.

所有病例均来自2011年2月至2012年3月北京中医药大学附属护国寺中医医院针灸科门诊部，正虚为本，邪实为标之虚实夹杂证的神经根型颈椎病（风寒湿型）患者接受以扶正为主的梅花针疗法与以祛邪为主的快针疗法的综合疗法，进行观察治疗前、1个疗程后、2个疗程后。
All the cases are data from the outpatient department of Chinese Acupuncture of Huguosi Hospital of Chinese Medicine affiliated to Beijing University of Chinese Medicine between February, 2011 and March, 2012, about patients of radiculopathic type Cervical Spondylosis（Wind-cold-damp type）, principal and secondary aspects causing syndrome of intermingled deficiency and excess, who accept the plum-blossom needle treatment strengthening vital qi and the fast needle treatment eliminating pathogen. Clinical observation is conducted before treatment, after one period of treatment and after two period of treatment.

治疗组75例，梅花针疗法取穴在督脉与足太阳膀胱经在第3胸椎至第4腰椎部的腧穴轻度叩刺7次20编。
There are 75 cases in the treatment group in which the plum-blossom needle treatment selects points from governor meridian and bladder meridian, with 7 times of light tapping on acupuncture point between the third thoracic vertebra and the fourth lumbar vertebra in each of 20 rounds.

而快针疗法取穴在颈夹脊穴（C3－7）、大椎、颈百劳、风池、天柱、天宗、本神、肩髃、臂臑、悬钟、曲池、手三里、外关、合谷、阿是穴等，采用重提轻插的提插泻法或平补平泻法的快针直刺或斜刺0.3～0.5寸，让患者无痛的针刺感。
However, the fast needle treatment selects points from cervical jiaji point（C3－7）, Dazhui (GV 14), Point EXHN15 (Jingbailao), Fengchi (G 20), t'ien chu, Tianzong（SI11），Benshen (G 13)，Jianyu (LI 15), Binao (LI 14), Xuanzhong (G 39）, Quchi (LI 11), Shousanli (LI 10), wai kuan, ho ku, Ashi point and others takes 0.3～0.5 inch perpendicular insertion or oblique insertion of the fast needle with lifting-thrusting reinforcing-reducing method or even reinforcing-reducing method characteristic of quick insertion and slow lifting which brings patients no feeling of sting.

每日1次，1个疗程10次，治疗一共2个疗程，2个疗程后进行统计分析。
Such therapy is conducted once a day. A period of treatment consists of 10 days and the whole treatment consists of two periods. Statistic analysis is conducted after two periods of treatment.

观察疗效指标参考中国中医药管理局颁布的《中医病证诊断疗效标准，颈椎病的疗效评定》与姜宏等提出的《颈椎病疗效评定的研讨》，采用临床症状、体征和功能状态的临床评分20分法量表与疼痛分级指数（PRI）与现有疼痛强度（PPI）进行评定，而采用安全性评定。
The indicators of efficacy refer to Criteria of Diagnosis and Therapeutic Effect of Diseases and Syndromes in Traditional Chinese Medicine, Treatment Effectiveness Evaluation of Cervical Spondylosis released by China Administration of Traditional Chinese Medicine and Research on Treatment Effectiveness Evaluation of Cervical Spondylosis by Jiang Hong et al., evaluating clinical symptoms, signs, and functional status with clinical 20 hours of symptom scale, PRI and current PPI. Security evaluation is also adopted.

1. 梅花针与快针综合疗法治疗神经根型颈椎病（风寒湿型）75例中的1个疗程后临床治愈为00.00%，显效为37.33%，好转为40.00%，无效为22.67%，总有效率为77.33%，2个疗程后临床治愈为36.00%，显效为38.67%，好转为20.00%，无效为5.33%，总有效率为94.67%，经卡方检验，x2=40.065，P<0.01，说明治疗2个疗程的总有效率显著高于治疗1个疗程。

2. after one period of treatment, of the 75 cases of combination therapy of the plum-blossom needle and the fast needle treatment for cervical spondylotic radiculopathy（Wind-cold-damp type）, the cured rate is 00.00%, obvious effective rate is 37.33%, the improvement rate is 40.00%, the invalid rate is 22.67%，the total effective rate is 77.33%; after two periods of treatment the cured rate is 36.00%，obvious effective rate is 38.67%，the improvement rate is 20.00%，the invalid rate is 5.33%，the total effective rate is 94.67%，according to chi-square test，x2=40.065，P<0.01，indicating that the total effective rate of two periods of treatment is higher than one period of treatment.

3. 梅花针与快针综合疗法治疗神经根型颈椎病（风寒湿型）的疗效测定采用临床症状、体征和功能状态的临床评分与疼痛分级指数（PRI）与现有疼痛强度（PPI）进行研究观察，经方差分析，治疗前、治疗1个疗程后、2个疗程后比较均有显著差异（P<0.01）。其中对恶风畏寒、上肢部疼痛与麻木疗效最高而快，但肩背部疼痛与麻木、头有沉重感疗效最低而慢。而进一步采用LSD方法进行两两比较发现：1个疗程后与治疗前比较P<0.05，有1个疗程后、2个疗程后与1个疗程后比较均有统计学意义（P<0.05），说明治疗前各项目得分显著低于治疗1个疗程，而治疗1个疗程的各项目得分又显著低于治疗2个疗程。但其中颈部僵硬，活动不利经比较治疗前得分与治疗1个疗程没有显著差别。

4. The curative effect evaluation of combination therapy of the plum-blossom needle and the fast needle treatment for cervical spondylotic radiculopathy（Wind-cold-damp type）adopts clinical score system, PRI and PPI of clinical symptoms, signs, and functional status, according to chi-square test，the curative effects before treatment, after one period of treatment and two periods of treatment have significant difference（P<0.01）. Among all the effects, this therapy is the most effective for aversion to wind and cold, upper limb pain and numbness, and the least effective for shoulder back pain and numbness and heaviness in the head. Further comparisons between the results of the three phase with LSD, it turns out that after one period of treatment and two periods of treatment, P<0.05; the comparisons between results after one period of treatment and two periods of treatment are all statistically significant （P<0.05）, indicating that the indicators before treatment is significantly lower than that after one period of treatment which is significantly lower than that after two periods of treatment. However, as for the curative efficacies on stiff neck and motor dysfunction before treatment and after one period of treatment have no significant difference.

5. 梅花针与快针综合疗法治疗神经根型颈椎病（风寒湿型）75例中安全性评定75例均1级，没有任何不良反应，具有安全性。

6. Security evaluation of 75 cases of combination therapy of the plum-blossom needle and the fast needle treatment for cervical spondylotic radiculopathy（Wind-cold-damp type）all turns out grade 1, secure and without adverse reaction.

梅花针与快针综合疗法治疗神经根型颈椎病（风寒湿型）具有很好的疗效，其中祛风散寒、消除上肢部疼痛与麻木有明显的治疗作用，而且为临床提供了一种安全有效的方法。
The combination therapy of the plum-blossom needle and the fast needle turns out to be a promising clinical technique with satisfactory efficacy and safety for the treatment of cervical spondylotic radiculopathy（Wind-cold-damp type）, especially for relieving rheumatism cold, invigorating blood circulations topping pains, and eliminating the upper limb pains and numbness.