Can cervical spondylosis drink donkey-hide gelatin to improve the condition?
Treatment of cervical spondylosis Treatment of cervical spondylosis, lumbar disc herniation, femoral head necrosis and degenerative osteoarthropathy in Jinan Tianzhi Hospital Targeted clustering to find receptor multi-target regulatory gene 1. At present, there are many methods to treat cervical spondylosis at home and abroad, which are divided into non-surgical treatment and surgical treatment. In China, many methods of combining traditional Chinese and western medicine are used to treat cervical spondylosis. Most patients can get better curative effect through non-surgical treatment, and it is very popular with less money and less pain. Only in a few cases, the symptoms of nerve, blood vessel and spinal cord compression gradually worsen or recur, which seriously affects work and life and requires surgical treatment. Non-surgical therapy includes manual therapy, Chinese and Western medicine therapy, cervical collar, cervical pillow, cervical traction, local closure, physical therapy, acupuncture and functional exercise. Surgical treatment includes posterior laminectomy and decompression, anterior discectomy, interbody bone grafting, bone spur resection and vertebral artery decompression. Appropriate methods should be selected according to the patient's condition during treatment. Second, the non-surgical treatment of cervical spondylosis Non-surgical treatment is also called comprehensive treatment of integrated traditional Chinese and western medicine. It is the most basic treatment for cervical spondylosis. Including cervical traction, physical therapy, manual massage, acupuncture, medicine, neck support, medical exercise and self-treatment. Non-surgical treatment can alleviate, obviously improve or even cure the symptoms of cervical spondylosis. It is especially beneficial to patients with early cervical spondylosis. In addition, non-surgical therapy can also lay a good foundation for surgical therapy. Because cervical spondylosis is accelerated by various additional factors on the basis of human degeneration. Therefore, in order to stop, slow down or reverse this process, a series of preventive and therapeutic measures must be taken, which is the most basic and effective measure for cervical spondylosis. Therefore, non-surgical treatment is the basic treatment of this disease. Indications for non-surgical treatment (1) cervical disc herniation; (2) Cervical spondylosis of nerve root type, sympathetic nerve type and vertebral artery type; (3) Early cervical spondylotic myelopathy; (four) old and weak or heart, liver, renal insufficiency, can not tolerate surgery; (5) severe neurosis or mental disorder accompanied by cervical spondylosis; (6) The diagnosis of cervical spondylosis is uncertain and needs to be observed during the treatment; (seven) patients in the recovery period after surgery. Fourth, cervical traction therapy cervical traction therapy is a more effective and widely used treatment method for cervical spondylosis. This therapy is suitable for all types of cervical spondylosis and is more effective for early cases. Cervical traction is rarely used to treat cervical spondylotic myelopathy with a long course of disease, which sometimes aggravates the symptoms. The mechanism of cervical traction is that (1) limiting cervical motion is beneficial to the regression of tissue congestion and edema. (2) Relieve the neck muscle spasm, thus reducing the pressure on the intervertebral disc. (3) Enlarging intervertebral space and intervertebral foramen can reduce the stimulation and compression of nerve roots, and the adhesion between nerve roots and surrounding tissues may also be relieved. (4) Buffer the pressure of intervertebral disc tissue on the surrounding area, and strengthen the swelling of the fibrous ring tissue that has protruded outward. (5) Vertebral artery twisted between transverse foramen can be stretched. (6) traction impacted facet joint synovium. Traction method: pillow-jaw cloth belt traction method is usually used. Mild patients were treated with intermittent traction, 1~3 times a day, each time 1/2~ 1 hour; In severe cases, traction can be continued for 6-8 hours every day. Traction weight can start from 3~4 kg, age, physical strength, neck muscle development and patients' response to traction treatment. , and appropriately increase the traction weight and prolong the traction time. Course of treatment: 30 times of light weight traction is a course of treatment. If effective, continuous traction 1~2 courses or longer. Rest for 7~ 10 days between two courses of treatment. In traction treatment, if we can cooperate with other treatment measures, the curative effect can be improved. Five, the role of physical therapy on cervical spondylosis: in the treatment of cervical spondylosis, physical therapy can play a variety of roles, but also a more effective and commonly used treatment. Its mechanism is: 1. Eliminate inflammatory edema of nerve roots and surrounding soft tissues. 2. Improve the blood supply and nutritional status of spinal cord, nerve root and neck. 3. Relieve neck muscle spasm, enhance neck traction effect and improve blood circulation of neck soft tissue. 4. Delaying or reducing calcification and ossification of intervertebral joints, joint capsules and ligaments. 5. Enhance muscle tension and improve facet joint function. 6. Improve systemic calcium and phosphorus metabolism and autonomic nervous system function. Its methods are: 1. Iontophoresis: various Chinese and western medicines (procaine hydrochloride, potassium iodide, aged vinegar, glacial acetic acid, clematis, etc. ) all of them are treated by direct current introduction, which has a certain therapeutic effect. 2. High-frequency electrotherapy: commonly used ultrashort wave, short wave and microwave. Through its deep electrothermal effect, it can improve the blood circulation of spinal cord, nerve root, vertebral artery and other tissues and promote their functional recovery. 3. Paraffin therapy: Apply heated paraffin to the affected area. After the tissue is heated, the local blood vessels dilate, the circulation is accelerated, and the cell permeability is increased, which is beneficial to the dissipation of tissue edema and the absorption of hematoma. 4. Others: such as glacial acetic acid, introduction of other traditional Chinese medicines, electric shock therapeutic apparatus, etc. , have a certain effect on relieving the symptoms of cervical spondylosis. Six, cervical spondylosis massage, massage therapy massage, massage therapy is a more effective treatment of cervical spondylosis. Its therapeutic effect on cervical spondylosis is: 1. Dredge meridians, relieve pain and numbness. 2. Enlarge intervertebral space, enlarge intervertebral foramen, reduce spondylolisthesis and relieve nerve compression. 3. Relieve the adhesion between nerve root and soft tissue and relieve symptoms. 4. Relieve muscle tension and restore cervical spine activity. 5. Massage paralyzed limbs can reduce muscle atrophy and prevent joint stiffness and joint deformity. It can be roughly divided into two categories: 1. Traditional massage and massage techniques; 2. Rotational reduction technique: applied to cervical facet joint disorder, cervical subluxation and other diseases. Clinically, spinous process deviation was found, and X-ray films showed cases of biconvex, biconcave and bilateral spinal rotation. The doctor stood behind the patient, holding the joint of a T-shaped percussion hammer with rubber head in his left hand. The handle of the hammer is backward to the left, one end of the hammer is inclined to the right of the spinous process of the affected neck, and the tip is pointed forward to the right. The doctor holds the other end of the hammer with his thumb, and makes the patient bend his neck, lean back against the doctor's chest and abdomen, and relax the neck muscles. The doctor puts the palm of his right hand on the patient's left mandibular angle and rotates his head to the left. At the same time, the hammer was pushed to the left by the strength of his left thumb and body. In the process of rotation, you can generally hear the crisp sound. At this time, the spinous process deviation has disappeared, indicating that the spinous process deviation has been corrected and the patient's sensory symptoms have improved. After rotation, press and massage the neck muscles on both sides and massage the wind pool points on both sides. If the spinous process deviation has been corrected, the patient still has some symptoms, which can be further improved by passively rotating the head and neck left and right and bending the neck left and right. Seven, the drug treatment of cervical spondylosis can play an auxiliary role in symptomatic treatment in the treatment of cervical spondylosis. Commonly used drugs are: (1) antipyretic and analgesic drugs: those with severe pain can take aspirin, indomethacin, Yantongjing, prednisone, Xiaoyan Ling and so on. (2) Vasodilators: such as nicotinic acid, vasodilators, dibazole, etc. It can dilate blood vessels and improve the blood supply to the spinal cord. (3) Spasmodic drugs: Antan tablets, phenytoin sodium and other drugs can relieve muscle spasm, which is suitable for patients with increased muscle tension and severe clonus. (4) Drugs for nutritional regulation of nervous system: Commonly used drugs include oryzanol, Acanthopanax senticosus sugar-coated tablets, Jiannao mixture, Zhusha Anshen pills, Bai Zi Yangxin pills, etc. , can regulate the function of the nervous system. Vitamin B 1 and vitamin B 12 are helpful to the recovery of neurodegenerative diseases. Eight, cervical spondylosis local application of drugs 1. Water acupuncture therapy: "water acupuncture" refers to acupoint injection or pain point injection of drugs, which is a symptomatic treatment measure and has a good effect on eliminating pain, numbness, dizziness, insomnia and other symptoms, and is often used in conjunction with other treatment methods. Commonly used drugs are: 0.25~ 1% procaine hydrochloride plus prednisolone suspension, vitamin B 1, vitamin B 12, 5% glucose injection, 50~ 100% salvia miltiorrhiza injection, 50% Tzu Chi injection, etc. Among them, vitamin B 1 and vitamin B 12 are applied to patients with numbness as the main symptom, and Danshen injection has good curative effect on patients with pain and autonomic nervous system dysfunction. 2. Analgesic liniment for external use: The local application of this kind of medicine has a good effect on relieving the pain caused by muscle fasciitis and muscle strain. Commercially available Chinese patent medicines include turpentine, holly paste, bonesetting water, etc. When in use, first clean the affected area and apply hot compress, and then apply a little medicine or ointment to the affected area with your fingers, which can relieve pain and numbness and make people feel relaxed. 3. Topical drugs and fumigants: This method also has a certain effect on eliminating muscle soreness. The patented drug on the market is Kanglisha. Nine, Chinese medicine treatment of cervical spondylosis according to syndrome differentiation, Chinese medicine often uses methods such as expelling wind and removing dampness, promoting blood circulation and removing blood stasis, relaxing muscles and tendons and relieving pain, which has certain curative effect on relieving pain, numbness, dizziness and other symptoms. Commonly used Chinese medicines include Mugua Pill, Fengshibitong Tablet, Gu Huandan, Yangxue Jin Rong Pill, Wantong, Jingfukang Granule, etc. Commonly used prescriptions are: Siwu Zhitong Decoction, Duhuo Jisheng Decoction, Taohong Siwu Decoction, Guci Decoction, Jinshen Huoxue Decoction, Juantong Pill, etc. X. Jingfukang Granules Jingfukang Granules are based on the principles of benefiting qi and nourishing blood, promoting blood circulation and dredging collaterals, and expelling wind and relieving pain. It is made from more than 20 authentic Chinese herbal medicines such as Radix Astragali, Radix Salviae Miltiorrhizae, Radix Paeoniae Alba, Rhizoma Chuanxiong, Semen Persicae, Carthami Flos, Olibanum, Myrrha, Eupolyphaga Seu Steleophaga, etc. according to Japanese China pharmaceutical technology. Clinical observation shows that the total effective rate is 92.7%. Pharmacological research shows that Jingfukang Granule can obviously alleviate ear inflammation caused by xylene in mice, and can obviously improve inflammation caused by swelling of middle toe in rats caused by egg white. It can obviously reduce the writhing times of mice caused by acetic acid. It can obviously prolong the licking time of mice's hind feet caused by hot plate, suggesting that Jingfukang has a clear analgesic effect. Jingfukang granule can obviously increase cerebral blood flow, reduce vascular resistance and slightly lower blood pressure in anesthetized dogs. It may be because it dilates blood vessels and the vascular resistance decreases, so the blood flow increases obviously, which is beneficial to the relief and disappearance of clinical symptoms. Xi。 Jingfukang Granule is a good medicine for cervical spondylosis. Cervical spondylosis is a common and frequently-occurring disease in middle-aged and elderly people, and it is also an occupational disease in electronics, science and technology, culture, education and institutions for a long time. According to the dialectical analysis of the clinical symptoms of cervical spondylosis observed by traditional Chinese medicine, it belongs to arthralgia syndrome. Especially for middle-aged and elderly people, due to qi deficiency, weak resistance, wind, cold and dampness invading the neck and shoulders, combined with long-term strain and trauma, it is easy to cause stagnation of qi and blood, a series of symptoms such as stiff neck, dizziness, tinnitus, shoulder pain, numbness of arms and fingers, and decreased vision, which will seriously cause muscle atrophy and spastic paralysis. For a long time, there has been no effective medicine for cervical spondylosis in the medical field. In recent ten years, Professor Mi Weizhen, a chiropractor in the 42nd Hospital of the Ministry of Electronic Industry, has accumulated many clinical experiences and developed Jingfukang Granules, which won the first prize of scientific and technological progress of the Ministry of Electronic Industry and the famous brand product of traditional Chinese medicine in China. Protected varieties of traditional Chinese medicine in China. Through observation of 533 cases in Beijing Sheikh Hospital, Jishuitan Hospital, Xuanwu Chinese Medicine Hospital and Guang 'anmen Hospital, the total effective rate is 92.7%. More than 40 experts, scholars and doctors were invited to attend the special meeting organized by Beijing Branch of Chinese Pharmaceutical Association, and the prescription, compatibility, technical quality standard, toxicity, pharmacological test and clinical observation of Jingfukang were repeatedly demonstrated and commented, and it was considered that Jingfukang was a good medicine for treating cervical spondylosis in China at present. Twelve. Pharmacology and Toxicity of Jingfukang Granules Jingfukang Granules produced by Chengde Traditional Chinese Medicine Group is a large compound preparation composed of Radix Astragali, Radix Codonopsis, Radix Salviae Miltiorrhizae, Rhizoma Chuanxiong, etc. It has the effects of invigorating qi and nourishing blood, promoting blood circulation to remove blood stasis, activating collaterals and relieving pain, and can be used for treating dizziness, stiff neck and numbness of shoulders and arms caused by hyperosteogeny of cervical vertebra and insufficient blood supply to the brain. The main ingredients of the prescription are drugs for promoting blood circulation and removing blood stasis. The principle of promoting blood circulation and removing blood stasis and its prescription have many therapeutic effects, and promoting cardiovascular function and blood circulation is one of the important aspects. The improvement of heart function and blood circulation will alleviate the symptoms of cerebral blood supply deficiency. We studied the effects of Jingfukang granule on experimental myocardial ischemia in rabbits, coronary flow and hematocrit in isolated guinea pig hearts. It is suggested that Jingfukang granule can obviously improve the experimental ischemic myocardium formed by coronary artery ligation in rabbits, narrow the ischemic range and reduce the degree of injury. Moreover, the changes of ST segment of epicardial electrogram after coronary artery ligation are parallel to the range of 24-hour myocardial necrosis. It can obviously increase the coronary flow of isolated guinea pig heart. The toxicity test showed that the dose of Jingfukang given to healthy mice by gavage was 100-200 times that of adults. After 48 hours of observation, there was no adverse reaction or death in mice. 13. The cervical brace can play a braking role, protect the cervical spine, reduce nerve wear, reduce the traumatic reaction of intervertebral joints, help to eliminate tissue edema, consolidate the curative effect and prevent recurrence. The neck brace can be used for all kinds of patients with cervical spondylosis, especially those with acute attack, especially those with cervical disc herniation, sympathetic nerve type and vertebral artery type. Collars are widely used. Because it is simple to make, you can cut ordinary cardboard into strips according to the height and circumference of the neck, cover it with knitwear, and assemble the two ends into strips. Wear it during the day and take it off at rest. The manufacture of neck brace is very complicated. Generally, patients with cervical spondylosis seldom use it. Wearing neck brace and collar for a long time will cause muscle atrophy and joint stiffness in the neck and back, which is not beneficial, but harmful, so it is not advisable to wear it for too long, and medical physical exercise should be carried out frequently during wearing. After the symptoms are gradually relieved, the neck brace should be removed in time to strengthen muscle exercise. Fourteen, medical exercise All kinds of patients with cervical spondylosis can appear obvious muscle atrophy due to neurotrophic disorder or disuse, and cause symptoms such as muscle strain and myofascia. The joint capsule, ligaments, muscles and other tissues around the cervical spine can also adhere and become stiff due to inflammatory reaction and insufficient activity, so patients should be encouraged to actively carry out medical physical exercise. The effects of medical exercise on cervical spondylosis are: (1) improving the function of cervical intervertebral joint. (2) Enhance the tension of muscles, ligaments, joint capsules and other tissues, and strengthen the stability of cervical spine. (3) Improve cervical qi and blood. (4) correct bad posture. Long-term medical physical exercise is helpful to improve the symptoms of cervical spondylosis, consolidate the curative effect and reduce the long-term recurrence. Therefore, medical sports play an important role in the prevention and treatment of cervical spondylosis. The methods of medical exercise vary from person to person. Those who take the strain of neck and back muscles as the main symptom should exercise the neck and back muscles. Those with muscle atrophy and weakness of upper limbs mainly exercise upper limb movements; If you are limping, you should practice walking and squatting; Quadriplegic patients lose their ability to move independently. In addition to strengthening nursing to prevent various complications, we should also massage the muscles of paralyzed limbs and carry out all-round quilt exercise for each joint two or three times a day, which can reduce muscle atrophy and prevent joint stiffness and joint deformity. Fifteen, magnetic therapy meridian magnetic field therapy is the use of magnetic fields as stimulating energy to treat certain diseases. Treating cervical spondylosis with muscle strain and myofascitis and a few cases with obvious pain of cervical spondylotic radiculopathy has a certain effect on relieving pain. The magnetic materials used are: Ce-Co-Cu-Fe alloy or Sm-Co alloy. The treatment method can be that the magnet acts directly on the affected part or acupoint, or it can be treated by magnetic therapy machine. Sixteen, acupuncture therapy is a valuable legacy of traditional Chinese medicine. The treatment of cervical spondylosis can achieve obvious curative effect, and the equipment is simple and easy to operate. Acupuncture is mainly used to relax meridians and promote blood circulation. Juegu and Houxi are often selected, and local acupoints such as Vertebra, Fengfu, Tianji, Tianmu and Tianzhu are added. Generally, once a day, the needle is kept for 20-30 minutes each time, and two weeks is a course of treatment. Because the broken bone point is the foot of Shaoyang gallbladder meridian, the foot of Sanyang collaterals and the intersection of marrow; Houxi point belongs to the small intestine meridian of the sun, which is one of the intersection points of eight veins and passes through the Du meridian. Behind the neck is the du meridian, which is the bladder meridian of the sun and the only way for shaoyang gallbladder meridian; On the other hand, the small intestine meridian of the hand sun and the triple energizer meridian of the hand shaoyang pass through the lateral neck, so it can play the role of dredging meridians, regulating qi and blood, relaxing tendons and relieving pain. 17. mud therapy mud therapy is to heat mud with medical function to about 37~43℃ for whole body mud therapy or local mud therapy of neck, shoulders and back once a day or every other day. Finally, rinse with warm water and stay in bed for 30~40 minutes. Because of its small heat capacity and high plastic viscosity, mud can affect molecular movement without convection, so it has low thermal conductivity, slow heat dissipation, good thermal insulation and can keep constant temperature for a long time. Secondly, because the mud contains all kinds of fine sand grains and a large number of colloidal substances, when it is in close contact with the skin, it can produce certain pressure and friction stimulation to the body, resulting in a mechanical effect similar to massage. In addition, there are some chemical effects and weak radiation effects in the soil, which have a comprehensive effect on the body through nerve reflex, body fluid conduction and direct action. Eighteen, wax therapy wax therapy is to apply heated paraffin to the affected area, so that local tissues are heated, blood vessels are dilated, circulation is accelerated, and cell permeability is increased. Because of the long duration of heat energy, it is beneficial to the dissipation of deep tissue edema, anti-inflammatory and analgesic. This method is simple and can be used by families. Nineteen. Surgical treatment 1. Indications (1) After non-surgical treatment of cervical disc herniation, the root pain has not been relieved or continues to worsen, which seriously affects life and workers. (2) Cervical spondylosis has symptoms of spinal cord involvement, and the shadow is partially or completely blocked by iodized oil through the spinal cord. (3) Patients with cervical spondylosis have acute limb spastic paralysis due to sudden neck trauma or no obvious trauma. (4) Cervical vertigo, syncope or multiple sudden falls caused by cervical spondylosis are ineffective after non-surgical treatment. (5) Cervical spondylosis has clear sympathetic symptoms, which seriously affects workers after non-surgical treatment is ineffective. (6) Cervical spondylosis causes the symptoms that osteophyte in front of vertebral body compresses esophagus or recurrent laryngeal nerve. Second, contraindications (1) have serious cardiovascular disease or liver and kidney insufficiency. (2) the elderly and infirm. (3) Patients with severe neurosis. (4) 20 patients with mental illness. What role does cervical spondylosis rest have? Patients with cervical disc herniation and various types of cervical spondylosis in acute attack or initial stage should pay due attention to rest. Those who are seriously ill should stay in bed for two to three weeks. After the symptoms in the acute phase are basically relieved, the patient can get out of bed gradually under the protection of the collar and actively exercise the function of the back muscles. In addition, the function of bed rest is to relax the neck muscles, reduce the pressure on the intervertebral disc caused by muscle spasm and head weight, reduce the neck activity, and help the tissue congestion and edema to subside, especially for the swelling of the protruding intervertebral disc. It is better to cooperate with hyperthermia, cervical traction and drug treatment when resting in bed. However, it is worth noting that the bed rest time should not be too long, so as to avoid muscle atrophy, muscle, ligament, joint capsule adhesion, joint stiffness and other changes, resulting in chronic pain and dysfunction, which is not easy to recover. It should also be emphasized that in the intermittent and chronic stages of various types of cervical spondylosis, except for patients with severe symptoms of spinal cord type, appropriate work should be arranged according to the specific conditions of patients, and long-term rest should not be taken.