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项痹(Xiangbi)
项痹(Xiangbi)
Chinese medicine treatment program for arthralgia syndrome (nerve root type of cervical spondylosis)
I. diagnosis
(1) disease diagnosis
Referring to the guidelines for the diagnosis, treatment and rehabilitation of cervical spondylosis, Chinese Academy of rehabilitation medicine, cervical spondylosis, Specialized Committee, 2009.
1. have radicular distribution of symptoms (numbness, pain) and signs.
2. Spurling test (test positive coping) and / or brachial plexus Dallas test.
3. imaging findings were consistent with clinical findings.
(two) stage of disease
1. acute period: the main clinical manifestations of neck and shoulder pain, limitation of activity of cervical vertebra, slightly activities can make the arm neck and shoulder pain more severe pain when to sit, to hold the healthy limb passive limb, the impact of sleep.
2. remission: the main clinical manifestations of stiff neck, neck and back of acid precipitation, limitation of activity of cervical vertebra, limb on pain, can endure.
The 3. stage of recovery: neck shoulder and upper limb pain symptoms disappeared, but the shoulder and upper limb symptoms of acid precipitation still, cold or tired after symptoms.
(three) syndrome diagnosis
1. cold Bizu neck, shoulder and upper limb pain numbness, pain, head heaviness, neck stiffness, adverse events, aversion to cold fear wind, pale tongue, thin white fur, wiry and tight.
2., qi stagnation and blood stasis in the neck, shoulder and upper limb tingling, sore place fixed, accompanied by numbness of limbs, dark tongue, pulse string.
3. phlegm dampness obstruction dizzy, head such as wrap, limb numbness, poor appetite, dark red tongue, thick and greasy fur, slippery pulse string.
4. liver and kidney deficiency vertigo, headache, tinnitus and deafness, insomnia, numbness of the limbs, red eyes, red tongue, less moss, pulse string.
5. the deficiency of Qi and dizzy, pale complexion, palpitation and shortness of breath, numbness of limbs, lassitude, tongue
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