This therapy can improve blood circulation, relieve muscle spasm, eliminate swelling, relieve symptoms, and help stabilize the affected vertebrae after manual treatment. This method can be applied locally with hot towels and hot water bottles, and it is best to smoke and wash with traditional Chinese medicine. Warm and hot compress is not suitable for acute patients with severe pain symptoms.
Cervical spondylosis is a common and frequently-occurring disease, which can lead to paralysis in severe cases. The author has realized in the clinical practice of massage for many years that the treatment of cervical spondylosis based on TCM syndrome differentiation can improve the curative effect, shorten the course of treatment and relieve the pain of patients. Now the common TCM syndrome differentiation and experience are introduced as follows.
Cold-dampness blocking collateral type (this type is more common in cervical spondylosis and nerve root type): headache or occipital pain, stiff neck, unfavorable lateral rotation, acid, swelling, pain and numbness in one or both shoulders, arms and fingers; Or headache involves upper back pain, wet and cold skin, fear of cold and love of heat, and soft tissue swelling nodules can be touched beside the cervical vertebra. The tongue is red, the fur is thin and white, and the pulse is slender. The main treatments are warming channels and activating blood circulation, dispelling cold and removing dampness, dredging collaterals and relieving pain.
Prescription: Ramulus Cinnamomi, Notopterygii Rhizoma, Radix Clematidis, Radix Gentianae Macrophyllae, Rhizoma Chuanxiong, angelica tail, Radix Puerariae, Rhizoma Gastrodiae, Carapax Trionycis, Massa Medicata Fermentata, and Radix Paeoniae Rubra.
Notopterygii Rhizoma, Radix Clematidis, Rhizoma Gastrodiae and Radix Gentianae Macrophyllae are used in the prescription to dispel cold, remove dampness and relieve pain. Chuanxiong rhizome and gastrodia tuber treat headache. Ramulus Cinnamomi, Rhizoma Chuanxiong, Radix Angelicae Sinensis, Radix Paeoniae Rubra and Carapax et Plastrum Testudinis warm meridians, promote blood circulation and dredge collaterals; Pueraria lobata spasms, medicated leaven strengthens the spleen and stomach, and licorice harmonizes various drugs.
Deficiency of both qi and blood with blood stasis (this type is more common in cervical spondylosis of vertebral artery type): dizziness, dizziness, blurred vision or pain, weakness, anorexia, neck pain or shoulder pain. The tongue is reddish or chubby, with teeth marks on the edge. Moss is thin, white and wet. The pulse is heavy and weak. Treatment is to replenish qi and nourish blood, refresh the mind and soothe the nerves, promote blood circulation and dredge collaterals.
Prescription: Gastrodia elata, Radix Astragali Preparata, Radix Glycyrrhizae Preparata, Radix Codonopsis, fried atractylodes, Radix Rehmanniae Preparata, Fructus Amomi, Radix Angelicae Sinensis, Radix Paeoniae Alba and Caulis Spatholobi.
In the prescription, Radix Astragali Preparata, Radix Glycyrrhizae Preparata, Radix Codonopsis and fried atractylodes are used for invigorating qi; Radix Rehmanniae Preparata, Rhizoma Chuanxiong, Radix Paeoniae Alba and Radix Angelicae Sinensis nourish blood; Gastrodia elata, Ligusticum Chuanxiong and Spatholobus Spatholobus have the functions of calming the nerves, strengthening the brain, promoting blood circulation, dredging collaterals, regulating qi with Amomum villosum, regulating stomach and relieving depression.
Syndrome of deficiency of both qi and yin and blood stasis (this type is common in cervical spondylosis of vertebral artery type and sympathetic nerve type): Vertigo occurs repeatedly, even dozens of times a day, and even if you stay in bed, you will see things rotate, accompanied by nausea, vomiting, fatigue, unstable walking, palpitation, shortness of breath, irritability, dry throat and bitter taste, poor sleep and dreaminess. The tongue is red, the coating is thin and white or yellowish and dry, or there is no coating on the tongue surface, and the sublingual collaterals are swollen. The pulse is thin and counted, or the number of chords. Treatment means benefiting qi and nourishing yin, calming the nerves and refreshing the brain, and harmonizing qi and blood.
Prescription: Rhizoma Gastrodiae, Rhizoma Chuanxiong, Flos Chrysanthemi, Fructus Lycii, Radix Adenophorae, Radix Glycyrrhizae Preparata, Semen Ziziphi Spinosae, Semen Platycladi, Radix Polygalae Preparata, Radix Paeoniae Alba, Radix Salviae Miltiorrhizae, Lumbricus and Caulis Polygoni Multiflori.
Radix Glycyrrhizae Preparata, Radix Adenophorae, Radix Paeoniae Alba and Fructus Lycii in the prescription can benefit qi and nourish yin; Gastrodia elata, Flos Chrysanthemi, Semen Ziziphi Spinosae, Semen Platycladi, Cortex et Radix Polygalae, and Caulis Polygoni Multiflori for refreshing brain and improving intelligence; Chuanxiong, Salvia Miltiorrhiza and Lumbricus promote blood circulation, dredge collaterals and relieve pain.
Spleen and kidney yang deficiency and blood stasis type (this type is more common in patients with cervical spondylotic myelopathy after operation or after long-term treatment); Quadriplegia (hard paralysis or flaccid paralysis), incontinence, aversion to cold and warmth, normal diet or poor appetite. The tongue is red, the fur is thin and white or slightly greasy, and the pulse is heavy or thin. The treatment is to tonify kidney and spleen, warm channels and help yang, and strengthen tendons and bones.
Prescription: Radix Rehmanniae Preparata, jujube peel, Rhizoma Zingiberis Preparata, Colla Plastri Testudinis, Colla cornus Cervi, Squama Manis, Semen Sinapis Albae, Eucommiae Cortex, Achyranthis Radix, Rhizoma Dioscoreae, Massa Medicata Fermentata, Radix Paeoniae Alba, Ramulus Cinnamomi and Radix Glycyrrhizae Preparata.
Radix Rehmanniae Preparata, parched Eucommiae Cortex and Achyranthis Radix are used for tonifying kidney and nourishing blood. Colla cornus Cervi and Colla Plastri Testudinis are used to replenish marrow, strengthen tendons and bones; Jujube peel supplements liver and kidney and stops astringency; Ramulus Cinnamomi and Cortex Cinnamomi warm meridians and regulate yang; Dried ginger, yam, roasted licorice, fried Massa Medicata Fermentata, spleen and stomach strengthening, warming yang and benefiting qi; White mustard seed can resolve phlegm and dissipate stagnation; Artillery armor beads are soft and firm, activating meridians.