Cervical hyperostosis and cervical spondylosis are not the same thing. Cervical hyperosteogeny is a state, and cervical spondylosis is a disease. In the case of long-term chronic injury of cervical vertebra, cervical intervertebral disc disease, ligament injury, facet joint disorder, hyperosteogeny, etc. It may happen and lead to a series of clinical manifestations before it can be called cervical spondylosis. According to the degree and location of cervical neurovascular compression by hyperplastic cervical vertebrae, it can be divided into five types:
(1) nerve root type: the cervical nerve root is compressed by hyperplastic bone, resulting in corresponding manifestations. The incidence of cervical spondylosis accounts for 60%. Diagnostic points: ① Most of them are between 40 and 60 years old, with more males than females. ② It has typical root symptoms, such as neck, shoulder and arm pain, numbness and wrist and finger radiation pain, and its range is consistent with the area innervated by cervical spinal nerve. ③ The kinetic energy of neck movement is impaired, especially the function of extension and rotation is limited. ④ Tenderness of spinous process, compression test of intervertebral foramen and traction test of brachial plexus were positive. ⑤ X-ray film of cervical vertebra showed hyperosteogeny of posterior edge of vertebral body and uncinate process joint.
(2) Vertebral artery type: Vertebral-basilar artery spasm and insufficient blood supply caused by hyperplastic bone compression or stimulation of vertebral artery. The incidence of cervical spondylosis is about 10% ~ 15%. Diagnostic points: ① Patients over middle age often have dizziness, migraine, visual impairment, dysphonia, tinnitus, deafness, cataplexy and other symptoms due to head and neck changes. ② At the onset, the patient's neck movement is often limited, and the neck rotation induction test is positive. ③ Anterior and oblique X-ray films of cervical vertebra showed hyperosteogeny of uncinate joint and displacement of diseased vertebral body.
(3) Spinal cord type: It is mostly caused by hyperplastic bone and degeneration of cervical intervertebral disc protruding into spinal canal and compressing spinal cord, accounting for about 65,438+00% ~ 50%. Diagnostic points: ① Patients over middle age have numbness, soreness and burning pain in their limbs, and feel "stepping on cotton" when walking, with unstable body center of gravity and easy to fall. ② Muscle tension of limbs is increased, muscle strength is weakened, tendon reflex is hyperactive, knee reflex is weakened, and pathological reflex appears. ③ Comparative examination of cervical X-ray films showed hyperosteogeny, stenosis and obstruction of cervical spinal canal at the posterior edge of vertebral body.
(4) Esophageal type: It is caused by hyperosteogeny in the front of cervical vertebra pressing the posterior wall of esophagus. This type is rare. Diagnostic points: ① Age above middle age. ② The patient has throat discomfort, foreign body sensation and dysphagia. ③X-ray film showed hyperosteogeny at the anterior edge of vertebral body.
(5) Sympathetic nerve type: hyperosteogeny compresses the sympathetic nerves on both sides of the cervical spine. This type is also rare. Diagnostic points: ① Age above middle age. (2) one side of the eye fissure is big and the other side is small, the pupils are unequal, and sometimes things are not clear. Half of the face is dry, sweating less, etc. ③X-ray film showed hyperosteogeny of cervical vertebra.
How to prevent and treat cervical hyperosteogeny?
(1) Prevention: Because hyperosteogeny is related to age, sex, race, occupation, type of work, physique, poor posture and other factors. The so-called prevention refers to the measures taken by human beings against the factors that can be intervened. For example, try to avoid bowing, bowing and tilting for a long time. After work, you should do proper neck exercise, slowly, not too much. Massage yourself on your neck. Physical exercise and weight control.
(2) Treatment: Physical therapy and cervical traction include cervical support and traction frame. Drug treatment: while cooperating with physical therapy and traction, take some non-steroidal anti-inflammatory drugs appropriately.
(3) Introduce a kind of health-care neck pillow: Through the introduction of diseases such as hyperosteogeny and osteoarthritis, let patients have a certain understanding of the diseases. We can't change factors such as aging, heredity and gender, but we can focus on preventing acquired factors such as occupation, physique and bad posture. About13 of our life is spent in bed, and the neck is closely accompanied by the pillow, but how many people have noticed the influence of the pillow on the cervical spine? At present, many pillows do not meet the physiological requirements of the cervical spine, which makes the cervical spine in a state of suspension and abnormal stress for a long time, leading to chronic injury of the cervical spine. After years of research and development, someone has obtained the national patent of health-care neck pillow (patent number 942 174-437). Its characteristics are as follows: ① Due to the arc surface structure consistent with the curved surface of the neck, the traditional pillow has been changed, and the neck has been damaged by external forces that do not conform to the biomechanical characteristics for a long time. ② The pillow core with definite curative effect has the functions of nourishing the heart and strengthening the brain, inducing resuscitation with fragrance, promoting blood circulation and calming the nerves. When people sleep, they play a role in preventing and treating diseases to a certain extent. Of course, its preventive function exceeds its therapeutic function.
How to treat cervical hyperosteogeny based on syndrome differentiation in TCM?
Traditional Chinese medicine generally advocates that it can be divided into two categories: liver and kidney yin deficiency and qi and blood deficiency. Liver and kidney yin deficiency and qi and blood deficiency include the invasion of rheumatism and cold evil, phlegm-dampness internal resistance, qi stagnation and blood stasis.
(1) exogenous pathogenic block
After middle age, liver and kidney deficiency, qi and blood deficiency, external defense is not solid, rheumatism and cold evil invade deficiency, and qi and blood stagnate, leading to neck and bones obstruction, meridians obstruction, qi and blood loss of temperature and nutrition.
Symptoms: pain in the head and neck, shoulders, back and limbs, local pain, aversion to heat and cold, stiff neck, limited movement, cord-like tenderness point in the back neck, heavy and weak upper limbs, accompanied by heavy head, chest tightness, anorexia, normal or dull tongue, fat tongue or tooth marks, slow or slippery pulse and other symptoms.
Treatment: expelling wind and cold, relaxing meridians and dredging collaterals, and relieving arthralgia.
Prescription: Juanbi Decoction. Notopterygii Rhizoma 15g, Radix Saposhnikoviae 12g, Radix Angelicae Sinensis 12g, Radix Glycyrrhizae Preparata 6g, Radix Paeoniae Alba 12g, Radix Astragali Preparata 15g, Rhizoma Curcumae 12g, Rhizoma Zingiberis Recens 6g, and lignum sappan/kloc-0.
This prescription is designed for those who are more numb and have stronger wind evil than others. If the pain is severe and the cold pathogen is strong, Radix Aconiti Preparata, Radix Aconiti Lateralis Preparata, Asari and Ramulus Cinnamomi are added to dispel cold and relieve pain; If dampness is superior to the winner, Erythrina bark can be added. Weed Passepartout dispels wind and dehumidifies, dredging meridians.
(2) Phlegm-dampness block
After middle age, the kidney qi gradually weakens, the gasification is weak, and the water can't turn into qi, that is, stop hiding and drinking phlegm; Moreover, physical weakness is easy to attract evil wind invasion, wind and phlegm fight each other, blocking the neck meridians and getting sick.
Symptoms: severe pain in the head and neck, discomfort in the shoulders and arms, heavy limbs, head swelling and brain swelling, chest tightness, eating less and sleeping more, white and greasy fur, and heavy and slippery pulse.
Treatment: eliminating dampness and phlegm, regulating qi and dredging collaterals.
Prescription: it refers to the flavored Fuling pill. Poria cocos 12g, Scutellariae Radix 10g, Pericarpium Citri Reticulatae 12g, Schisandra chinensis 10g, Platycodon grandiflorum 6g, Jiang Banxia 9g, Semen Sinapis Albae 10g, Lumbricus 12g, Arisaema cum bile/kloc-0.
This recipe eliminates dampness and phlegm, and regulates qi and collaterals. If you see that meridians are blocked at the same time, you can add Notoginseng Radix, Squama Manis and Lumbricus to help them promote blood circulation, remove blood stasis, dredge collaterals and relieve pain. If you see cold at the same time, you can add cassia twig, notopterygium root, Lingxian, etc. Expelling wind and removing dampness, stopping arthralgia. If dizziness occurs at the same time, Rhizoma Gastrodiae and Atractylodis Macrocephalae are added; Radix Salviae Miltiorrhizae, Fructus Trichosanthis and Radix Curcumae are added for patients with thoracic obstruction.
(3) Qi stagnation and blood stasis
Due to trauma and strain, the gap between the tissues at the edge of the vertebral body bleeds, forming blood stasis, which blocks the meridians.
Symptoms: numbness, tingling, pain in the head, neck, shoulders, back and limbs, refusal to press, aggravated at night, accompanied by dizziness, blurred vision, insomnia, forgetfulness, anxiety, chest tightness, chest pain, irritability, dull complexion, purple tongue, or ecchymosis, thready and astringent pulse.
Treatment: promoting blood circulation, removing blood stasis and dredging meridians.
Prescription: Huayu Tongbi Decoction. Angelica sinensis 18g, Radix Salviae Miltiorrhizae 30g, Caulis Spatholobi 2 1g, Radix Salviae Miltiorrhizae 9g, Rhizoma Corydalis 12g, Radix Puerariae 18g, Caulis et Folium Gaultheriae Yunnanensis 2 1g, Curcuma longa 12g, Pangolin/kloc-.
This recipe promotes blood circulation, removes blood stasis, promotes qi circulation and relieves pain. Ramulus Cinnamomi, Radix Aconiti Kusnezoffii Preparata and Asari are added for common cold; Herba Patriniae and Cortex Moutan are added for those who are hot. Astragalus membranaceus is added for patients with qi deficiency; If phlegm-dampness is seen at the same time, white mustard seed and Arisaema cum bile are added; Bulbus Allii Macrostemon, Radix Curcumae, Fructus Trichosanthis and Rhizoma Pinelliae are added for patients with thoracic obstruction.
(4) Deficiency of both qi and blood
Old age and infirmity, deficiency of qi and blood, dense pathogenesis caused by deficiency of qi, invasion of cold and pathogenic factors, obstruction of meridians, poor circulation of qi and blood, and malnutrition of bones and muscles due to blood deficiency can all cause diseases.
Symptoms: headache and discomfort, numbness in shoulders and arms, less sleep and more dreams, spontaneous sweating and night sweats, dizziness, palpitation, shortness of breath, and pale complexion. Female patients have aggravated symptoms after each menstruation, or menstrual disorder, pale tongue with thin white fur and weak pulse.
Treatment: Yiqi Yangxue, Tongluo Huobi.
Prescription: Huangqi Guizhi Wuwu Decoction. Radix Astragali 1 5g, Radix Paeoniae Rubra 12g, Ramulus Cinnamomi 10g, cornu Cervi Pantotrichum 6g (points), Caulis Spatholobi 15g, Rhizoma Zingiberis Recens 6g, and 4 Chinese dates.
This recipe is beneficial to warming the meridians, harmonizing the camp and removing arthralgia. Patients with rheumatism can choose Lingxian, Caulis et Folium Gaultheriae Yunnanensis, Radix Puerariae, Notopterygii Rhizoma, and parched Fructus Xanthii. Expelling wind, removing dampness and stopping arthralgia should be added. Lumbricus, Semen Persicae, Carthami Flos, and angelica tail are added for blood stasis patients to help them promote blood circulation and remove blood stasis. Kidney deficiency, epimedium, dodder, cibotium, etc. It is advisable to strengthen kidney-yang and dredge the governor.
(5) Deficiency of liver and kidney
Kidney stores essence and governs marrow; Liver stores blood, main reinforcement. Old age and physical decline, liver and kidney essence and blood are getting less and less, and bones and muscles are losing light.
Symptoms: shoulder and neck discomfort, brain swelling and pain, dizziness and tinnitus, inability to turn sideways, accompanied by mental fatigue, forgetfulness and insomnia, soreness of waist and knees, pale tongue with little or no coating, and thready pulse.
Treatment: nourishing yin and tonifying kidney, nourishing yin and calming wind.
Prescription: Zuogui Pill. Radix Rehmanniae Preparata 15g, Rhizoma Dioscoreae 15g, Fructus Corni 12g, Fructus Lycii 15g, Semen Cuscutae 10g, Radix Paeoniae Alba 12g, Concha Haliotidis 15g, Radix Angelicae sinensis 9g, Radix Angelicae Sinensis.
This recipe can nourish liver and kidney and stop wind. If there is rheumatism, add the immortal. Weeds and Pyrola can dispel wind, remove dampness and stop arthralgia.
What Chinese patent medicines are there to treat cervical hyperosteogeny?
(1) Kanggu Zengsheng Pill
Pharmaceutical composition: 3 parts of Radix Rehmanniae Preparata, 2 parts of Cistanche deserticola, 2 parts of Pyrola, 2 parts of Rhizoma Drynariae, 2 parts of Herba Epimedii, 2 parts of Spatholobus Spatholobus, and 0/part of radish seed/kloc.
Efficacy: nourishing liver and kidney, dredging meridians, strengthening tendons and bones.
Indications: Degenerative cervical spondylosis.
Usage and dosage: 5g each time, 2 ~ 3 times a day.
(2) Guci Pill
Pharmaceutical composition: Radix Rehmanniae Preparata, Rhizoma Drynariae, Semen Strychni Preparata, Caulis Spatholobi and Herba Cistanches each 60g, Radix Notoginseng, Olibanum, Myrrha and Rhizoma Chuanxiong each 30g.
Efficacy: tonify liver and kidney, dredge channels and activate collaterals.
Indications: hyperosteogeny.
Administration and dosage: each time 1 capsule (9g), morning and evening 1 time.
(3) Tianma pill
The medicine comprises Rhizoma Gastrodiae, Radix Aucklandiae, Ginseng Radix, Poria, Notopterygii Rhizoma, Radix Angelicae Dahuricae, Polygoni Multiflori Radix, Rhizoma Chuanxiong, Radix Angelicae Sinensis, Herba Ephedrae, Zaocys, Rhizoma Typhonii, Borneolum Syntheticum, Colla cornus Cervi, Flos Chrysanthemi, Radix Rehmanniae, Asari, Calculus Bovis, and Moschus.
Efficacy: Yiqi Qufeng, Xu Anbi to relieve pain.
Indications: Deficiency of wind, weakness of hands and feet, dryness of limbs and numbness of wind.
Usage and dosage: Pills as big as buttonwood, each time 10 pills, three times a day, taken with warm wine.
(4) Liuwei Dihuang Pill
The medicine comprises Radix Rehmanniae Preparata, Corni Fructus, Rhizoma Dioscoreae, Alismatis Rhizoma, Cortex Moutan and Poria.
Efficacy: nourishing yin and essence, nourishing liver and kidney.
Indications: Yin deficiency of liver and kidney, soreness and weakness of waist and knees.
Administration and dosage: each time 1 capsule (9g), three times a day.
(5) Qian Hu Pills
Pharmaceutical composition: Carapax et Plastrum Testudinis, Radix Rehmanniae Preparata, Cortex Phellodendri, Rhizoma Anemarrhenae, Tiger Bone, Herba Cynomorii, Zingiberis Rhizoma, and Pericarpium Citri Tangerinae.
Efficacy: tonify liver and kidney.
Indications: deficiency of liver and kidney, weakness of bones and muscles.
Usage and dosage: wine or porridge paste is a pill, and Jatropha curcas is large, each time 10 pill, three times a day.
(6) Jin Shu Huoluo Pills
The pharmaceutical composition comprises Radix Angelicae Sinensis, Fructus Chaenomelis, Rhizoma Chuanxiong, Ramulus Cinnamomi, Herba Taxilli, Radix Gentianae Macrophyllae, Radix Clematidis, Lumbricus, Radix Angelicae Pubescentis, Radix Paeoniae Rubra, Radix Aconiti, Rhizoma Drynariae, Radix Saposhnikoviae, Rhizoma Gastrodiae, Tiger Bone Glue, Cortex Acanthopanacis, Arisaema cum bile, Olibanum, Myrrha and Radix Rehmanniae Preparata.
Efficacy: relax muscles and promote blood circulation, dispel wind and dredge collaterals.
Indications: rheumatism, cold joint pain, muscle pain, numbness and contracture.
Usage and dosage: 6g each time, 3 times a day.
What are the soil prescriptions for treating cervical hyperosteogeny?
(1) cervical spondylosis prescription
Pharmaceutical composition: cornu Cervi Pantotrichum, cornu Cervi degelatinatum 10g, Herba Epimedii 30g, Radix Rehmanniae, Herba Cistanches, Radix Achyranthis Bidentatae, Rhizoma Chuanxiong, Radix Puerariae 10g, Rhizoma Drynariae, Radix Paeoniae Rubra, Fructus Chaenomelis, Eucommiae Cortex 15g, Rhizoma Alismatis 20g and Poria 12g.
Efficacy: Warming yang and dredging channels, promoting blood circulation and expelling wind, relaxing muscles and tendons and relieving pain.
Indications: cervical spondylosis.
Usage and dosage: Take water as pills, 6g each time, 3 times a day.
(2) He's prescription for cervical spondylosis
Pharmaceutical composition: Radix Rehmanniae Preparata 15-25g, Radix Salviae Miltiorrhizae, Ramulus Mori, Fructus Hordei Germinatus, angelica tail each10g, Pyrola10g, Rhizoma Drynariae15g, and Herba Cistanches 6-/kloc. Rhizoma Corydalis, Olibanum and Myrrha are added for pain,10g; Each; Hypertension reduces cistanche deserticola; For limb pain and dyskinesia, Herba Lycopodii 10 ~ 15g and Radix Notoginseng 2g are added. Neck soft tissue and upper limb ache, add 2ml of ligustrazine, 2 ml of angelica and 2 ml of Ding Gongteng for local injection.
Efficacy: tonifying liver and kidney, nourishing blood and dredging menstruation, expelling wind and relieving pain.
Indications: cervical spondylosis.
Administration and dosage: decoction, daily 1 dose.
(3) Yiqi Huoxue Sanfeng Decoction
Medicine composition: Radix Astragali, Radix Codonopsis, Radix Salviae Miltiorrhizae, Rhizoma Chuanxiong, Radix Paeoniae Alba, Radix Rehmanniae, Semen Persicae, Carthami Flos, Rhizoma Cyperi, Lumbricus, Radix Puerariae, Squama Manis, Eupolyphaga Seu Steleophaga and Radix Clematidis 9- 12g each. Pangolin, Olibanum and Myrrha are added for patients with severe blood stasis; Add hawthorn and medicated leaven to the stomach. Weak pulse plus Polygonatum sibiricum.
Efficacy: Yiqi Huoxue, Qufeng Tongluo.
Indications: cervical spondylotic radiculopathy.
Administration and dosage: decoction, daily 1 dose.
(4) Tonghua Conditioning Decoction
Pharmaceutical composition: Radix Salviae Miltiorrhizae, Radix Puerariae, Radix Astragali, Fructus Jujubae each 65438±08g, Ramulus Cinnamomi 6g, Radix Paeoniae Rubra 65438 02g, Radix Angelicae Dahuricae 9g, Notopterygii Rhizoma 65438 02g, Lumbricus 9g, and Radix Glycyrrhizae 6g.
Efficacy: Yiqi Yangxue, Huoxue Tongluo.
Indications: cervical spondylosis.
Administration and dosage: decoction, daily 1 dose.
(5) Lu Dan soup
Composition: Pyrola, Salvia Miltiorrhiza, Radix Rehmanniae Preparata, Radix Angelicae Sinensis, Radix Paeoniae Alba, Rhizoma Chuanxiong, Coicis Semen and Radix Clematidis each 12g. White complexion, sore waist and knees, Eucommia ulmoides, Psoralea corylifolia, Radix Aconiti Lateralis Preparata, Cinnamon, etc. Radix Aucklandiae, Rhizoma Corydalis, Fructus Aurantii, Radix Linderae, etc. Chest tightness, costal swelling and limb discomfort can be added; The pain is fixed, tingling, and the tongue has petechiae. Peach kernel, safflower, milk, etc. Be added; The pathogenic wind, cold and dampness cannot be eliminated. If the symptoms are wandering pain, or aggravated cold pain, or weight, Radix Saposhnikoviae, Radix Gentianae Macrophyllae, Ramulus Cinnamomi, Notopterygii Rhizoma, Radix Angelicae Pubescentis, etc. Be chosen.
Efficacy: tonify kidney and dredge collaterals, nourish blood and strengthen tendons.
Indications: cervical spondylosis.
Administration and dosage: decoction, daily 1 dose.
(6) Guizhi Gegen Decoction
Composition: Ramulus Cinnamomi 18g, Radix Paeoniae Alba 18g, Radix Glycyrrhizae 12g, Radix Puerariae 25-40g, Rhizoma Zingiberis Recens 6g and Fructus Jujubae 6g.
Usage: decoct in water for 20 days, with a course of treatment of 1.
Efficacy: relax tendons and activate collaterals, and harmonize camp and health.
Indications: cervical spondylosis.
Addition and subtraction: local cold, aconite; Stiff neck plus Notopterygium and Radix Angelicae Pubescentis; Radix Angelicae Sinensis, Rhizoma Chuanxiong and Radix Cyathulae are added for arm numbness; Gastrodia elata, Scorpio and Lumbricus are added for patients with longer course of disease; Kidney deficiency plus cornu Cervi Degelatinatum, Cornus officinalis and Epimedium.
(7) Qingyun drink for cervical diseases.
Ingredients: Rhizoma Gastrodiae, Ramulus Uncariae cum Uncis (lower back), Fructus Viticis, Radix Paeoniae Alba, Polygoni Multiflori Radix, Radix Salviae Miltiorrhizae, Flos Chrysanthemi, Semen Celosiae, Os Draconis, Rhizoma Corydalis, Curcuma Rhizome, Herba Taxilli 12g, Radix Angelicae Sinensis 9g, Rhizoma Chuanxiong 9g, Concha Ostreae 15g, Concha Haliotidis 20g, and Eucommia ulmoides 65438.
Usage: decoct in water. Decoct 1 dose for 3 times, decoct raw Os Draconis, oysters and Concha Haliotidis for 15 minutes, then add Rhizoma Gastrodiae, Fructus Viticis, Rhizoma Chuanxiong, Radix Angelicae Sinensis, Radix Paeoniae Alba, Polygoni Multiflori Radix, Radix Salviae Miltiorrhizae, Semen Celosiae, Rhizoma Corydalis, Curcuma Rhizome, Eucommiae Cortex and Herba Taxilli, and boil.
Efficacy: regulate blood circulation, promote blood circulation, suppress yang and inhibit adverse reactions.
Indications: Cervical spondylosis of vertebral artery type.
Add bamboo shavings 12g to vomit, and prepare Pinellia ternata12g; Adding amber 15g after stirring, grinding and taking; Urine yellow red plus plantain 12g, Poria cocos 12g.
Source: Department of Orthopaedics and Traumatology, China 100 Prescription Essence1990 65438+February.
(8) Pueraria Erteng Decoction
Composition: Radix Puerariae 30-60g, Caulis Spatholobi 30-60g, Uncaria rhynchophylla10-30g.
Usage: decoction, daily 1 dose, 15 days for 1 course of treatment.
Efficacy: promoting blood circulation, removing blood stasis, dredging collaterals, relieving spasm and relieving pain.
Indications: cervical spondylosis.
Add or subtract: Gastrodia elata, Atractylodes macrocephala, Pinellia ternata and Poria each 10g for dizziness and nausea, and bamboo shavings, orange peel and immature bitter orange each10g for yellow fur; Occipital headache, Ligusticum chuanxiong and Notopterygium incisum each 65438 00 g; ; Neck pain plus Bombyx Batryticatus10g; ; Top pain plus Ligusticum10g; ; Acorus calamus 10g and chrysanthemum10g were added for dizziness; For bilateral headache, Ligusticum chuanxiong and Vitex negundo each 10g, and for frontotemporal and orbital pain, Radix Angelicae Dahuricae10g; Scorpion 10g and centipede 1 ~ 2 should be added if they have long-term pain or have a history of trauma; Notopterygii Rhizoma, Curcuma Rhizome, Atractylodis Rhizoma10g for back pain; Each; Salvia miltiorrhiza 15g, Trichosanthes kirilowii 3 0g, Allium macrostemon10g; Added to chest pain and back; Mulberry branch15 ~ 30g, Lycopodium15 ~ 30g; For arm pain, Eupolyphaga Seu Steleophaga10g and Lumbricus10g are added; Cervical hyperosteogeny plus Lingxian 20g or pangolin10 ~15g; Ramulus Cinnamomi, Herba Epimedii, Herba Cistanches, and cornu Cervi Degelatinatum are selected for limb cold and back cold.
Source: Shandong journal of traditional chinese medicine 199 1 No.65438 +0.
(9) Huoxue Tongluo Decoction
Composition: 20g of Radix Angelicae Sinensis, 20g of Radix Puerariae, 6g of Radix Paeoniae Rubra15g, 0g of Rhizoma Chuanxiong10g, 0g of Semen Persicae and Carthami Flos10g, 30g of Caulis Spatholobi, 8g of Radix Cyathulae18g, 6g of Ramulus Cinnamomi, 0g of Lumbricus12g of Radix Clematidis.
Usage: decoction, daily 1 dose, 30 days for 1 course of treatment.
Efficacy: promoting blood circulation, dredging collaterals, removing arthralgia and relieving pain.
Indications: cervical spondylosis.
Addition and subtraction: Eucommia ulmoides Oliv. 18g for deficiency of kidney-qi, 24g for parasitism, and15g for Dipsacus; ; Codonopsis pilosula, Radix Rehmanniae Preparata each 15g, Astragalus membranaceus 24g, Radix Aconiti, Herba Epimedii each 65438 00g, dried ginger 8g; Orange 10g, Poria cocos 15g and Atractylodes macrocephala 12g are added for spleen deficiency and dampness excess.
Source: journal of anhui traditional chinese medical college, issue 199 1
(10) Chubi Zhuyu Decoction
Composition: Radix Puerariae 30g, Radix Angelicae Sinensis15g, Rhizoma Chuanxiong12g, Flos Carthami 9g, Curcuma rhizome12g, Herba Artemisiae Scopariae15g, Fructus Lipuidambaris 30g, Radix Angelicae Pubescentis 9g, Radix Angelicae Dahuricae12g, and Radix Clematidis.
Usage: decoct in water, daily 1 dose, and stop taking 1 day after taking 6 doses, and 1 day is a course of treatment.
Efficacy: expelling wind, dispelling cold and removing dampness, removing blood stasis and dredging collaterals.
Indications: Cervical spondylosis with rheumatism, cold phlegm blocking collaterals, shoulder and arm pain and finger numbness caused by it.
Addition and subtraction: Qi deficiency plus Astragalus membranaceus 30g；; Heat-depressed meridians and double-flowered vines 30g；; Internal heat, yellow fur and bitter taste, adding Scutellariae Radix 9- 15g, Gardenia Fructus 9-65438 and Radix Gentianae 9-65438; The cold is obvious, 9g of Radix Aconiti Preparata and 9 g of Radix Aconiti Kusnezoffii Preparata are added.
Source: Shandong journal of traditional chinese medicine 1984 1 issue.
What external plasters are there for treating cervical hyperosteogeny?
(1) Stork Grass Ointment
Composition and preparation method of the medicine: Geranium geranium 27g, raw tiger bone 72g, Saposhnikovia divaricata 27g, safflower18g, papaya 27g, Achyranthes bidentata18g, Rhizoma Drynariae 27g, Sinomenium sinomenii 27g, Mahonia leaf18g, Angelica sinensis 27g, etc.
Efficacy: expelling wind and promoting blood circulation, removing blood stasis and relieving pain.
Indications: cervical spondylosis of qi stagnation and blood stasis type.
Usage: Stick it on the affected part.
(2) Dendrobium paste
Pharmaceutical composition and preparation method: 60g Dendrobium, raw tiger bone 120g, 45g Radix Paeoniae Rubra, 30g Rhizoma Bletillae, 30g Rhizoma Chuanxiong, 45g Notopterygii Rhizoma, 60g Ramulus Cinnamomi, 45g Cortex Eucommiae, 30g Radix Rehmanniae 120g, 30g Radix Aconiti, 30g Radix Ampelopsis, 30g Squama Manis, 45g Radix Angelicae Pubescentis, 30g Herba Ephedrae and Tougu. Mix with cinnamon powder 45g, frankincense powder 30g, myrrh powder 30g, Moschus1.5g, Sanguis Draxonis powder 45g, Radix Aucklandiae powder1.5g and Flos Caryophylli powder1.5g.. Stir well. 30 ml of cleaning oil for each large sheet, and 0/5 ml of cleaning oil for Xiao Zhang/KLOC.
Efficacy: expelling wind and cold, relaxing muscles and activating collaterals, promoting blood circulation and relieving pain.
Indications: Cervical spondylosis with meridian obstruction.
Usage: Stick it on the affected part.
(3) Bone spur ointment
The composition and preparation method of the medicine comprise Radix Clematidis, Cortex Acanthopanacis, Curcuma Rhizome, Rhizoma Sparganii, Radix Angelicae Pubescentis, Squama Manis, Asari, Radix Gentianae Macrophyllae, Rhizoma Osmundae, Rhizoma Curcumae, Fructus Chaenomelis, Achyranthis Radix, Carthami Flos, Fructus Gleditsiae Abnormalis, Fructus Tribuli, Olibanum, Myrrha, Radix Rubiae, Rhizoma Ligustici Chuanxiong, Caulis et Folium Gaultheriae Yunnanensis and Linderae. Moschus, Sanguis Draxonis, Borneolum Syntheticum and Notoginseng Radix are ground and sealed for later use. Soak Semen Strychni, Radix Aconiti Kusnezoffii, Rhizoma Cyperi and Squama Manis in an oil pan for 1 week, and then decoct with slow fire. When the residue turns black, put the remaining medicine into the pot, fry it with slow fire until the oil can drop into a ball, and keep stirring. When the oil turns from red to crimson, leave the fire, and when the oil temperature is cooled to about 60 degrees, put in the finely ground and sealed medicine. Continue to stir until it is solidified, and spread it on a cloth (about 0.2cm thick).
Efficacy: Eliminate bone spurs and relieve pain.
Indications: cervical spondylosis.
Usage: Apply externally to the affected area, each tablet can be applied for 5-7 days, 5- 10 tablets 1 course of treatment.
What medication methods are commonly used to treat cervical hyperosteogeny?
(1) Jingkang hot compress prescription
Pharmaceutical composition: Notopterygii Rhizoma, Radix Angelicae Pubescentis, Ramulus Cinnamomi, Radix Gentianae Macrophyllae, Radix Angelicae Sinensis, Caulis Piperis Kadsurae, Olibanum, Myrrha, Radix Aucklandiae each/kloc-0.5g, and Ramulus Mori 30g.
Efficacy: expelling wind and dredging collaterals, promoting blood circulation and removing blood stasis.
Indications: Cervical spondylosis with meridian obstruction.
Usage: fry with hot cloth for half an hour each time, 2 ~ 3 times a day.
(2) Hyperplasia hot compress powder
The medicine composition: 6 grams of safflower, 6 grams of peach kernel, 6 grams of rosin, 65,438 02 grams of angelica sinensis, 6,438 02 grams of rhizoma arisaematis, 6,438 05 grams of camphor, 9 grams of radix aconiti, 9 grams of notopterygii Rhizoma, 9 grams of radix Angelicae Pubescentis, 3 grams of white mustard seed, 3 grams of borneol, 4 grams of Asari and 4 grams of Gleditsia sinensis.
Efficacy: promoting blood circulation and removing blood stasis, resolving phlegm and dredging collaterals, dispelling cold and relieving pain.
Indications: hyperosteogeny.
Usage: Take * * * as fine powder, stir-fry with wine, and apply hot compress to the affected area. After cooling for 7-8 hours each time, continue heating, once a day/kloc-0.
(3) Salt hot compress prescription
Pharmaceutical ingredients: salt.
Efficacy: promoting blood circulation, dispelling cold and relieving pain.
Indications: Cervical spondylosis, numbness of head, chest, back, shoulders, arms and upper limbs.
Usage: fry for 30 minutes before going to bed every night.
What is the mechanism of traction therapy for cervical hyperosteogeny?
Cervical traction is one of the effective measures to treat cervical hyperosteogeny, and it is a commonly used clinical treatment method. Its action mechanism is:
(1) Restricting neck movement is beneficial to the regression of congestion and edema.
(2) relieve neck muscle spasm and relieve pain.
(3) Enlarge intervertebral space and intervertebral foramen, and relieve the compression of nerve root, vertebral artery and spinal cord caused by bone spur.
(4) Open the synovium of impacted facet joints.
(5) Restore the normal position of cervical intervertebral joint. Under pathological conditions, the affected joints may have posture changes such as rotation, distortion and trapezoid. Through traction, the head and neck can be in a normal physiological curve state, and the curve of cervical vertebra can be restored to normal.
(6) Reduce the local inflammatory reaction of bone spur. Edema, congestion, exudation, etc. occur due to the stimulation and oppression of hyperplastic bone spurs on surrounding tissues. Can be produced locally, causing pain symptoms. The fixation and braking caused by traction can make it quickly fade away, thus relieving symptoms.
What traction therapies are commonly used to treat cervical hyperosteogeny?
(1) Sitting traction: The patient sits on a stool, fixes the mandible and occipital bone with four headbands, and draws vertically upwards. The body weight can reach 10 ~ 20kg, 1 ~ 2 hours each time, 1 ~ 2 times a day. The traction time and weight can be increased or decreased according to the patient's reaction.
(2) Recumbent traction: The patient lies on his back on the bed, and the foot of the bed on his head is raised. He uses four headbands to draw at an angle of 300 with the longitudinal axis of his body, weighing 3kg, and rests every 2 hours 1 hour, which can be repeated 1 day. 1 month is the course of treatment.
Most patients with cervical spondylotic radiculopathy can be cured by traction. In order to limit the movement of the neck, you can wear a collar.
What are the scalding therapies for treating cervical hyperosteogeny?
(1) Hot ironing of Kanlisha: Take Herba Ephedrae, Radix Angelicae Sinensis, Radix Aconiti Lateralis Preparata, Herba speranskiae tuberculatae, Carthami Flos, Rhizoma Zingiberis, Ramulus Cinnamomi, Radix Achyranthis Bidentatae, Radix Angelicae Dahuricae, Herba Schizonepetae, Radix Saposhnikoviae, Fructus Chaenomelis, Folium Artemisiae Argyi, Notopterygii Rhizoma and Radix Angelicae Pubescentis, add enough vinegar, fry them in vinegar water to get thick juice, and then heat and stir the iron ore. 65438+ 0 ~ 2 times a day, applied continuously until the disease is cured.
(2) Take 90g of Zanthoxylum bungeanum, Ramulus Cinnamomi, Radix Aconiti, Herba Polygoni Avicularis, Radix Stephaniae Tetrandrae, Notopterygii Rhizoma, Rhizoma Acori Graminei and angelica tail, 45g of Carthami Flos, Notoginseng Radix, Olibanum and Myrrha, and each18g of hematoxylin and Caulis Spatholobi, and soak them in 20kg of 50% alcohol. Soak the soaked liquid medicine in multi-layer gauze, apply it to the affected area, and then heat it with a hair dryer and rotate it to make the heat uniform and prevent burns. Each time 15 ~ 20 minutes, 10 times is a course of treatment.