[Therapeutic observation on Fu's acupuncture for cervical spondylosis of vertebral artery type based on Tongtuo method].

To verify the superiority of Fu's acupuncture for cervical spondylosis of vertebral artery type (CSA) based on Cheng's Tongtuo method.A total of 150 patients with CSA were randomly divided into a Tongtuo Fu's acupuncture group, a Tongtuo acupuncture group and a conventional Fu's acupuncture group, 50 cases in each group. Under the guidance of the theory of Tongtuo method, the Tongtuo Fu's acupuncture group was treated with Fu's acupuncture, the distal Tong method was performed at the distal myofascial trigger point (MTrP) of the dorsal forearm, and then the Tuo method was performed at the proximal MTrP of the cervical muscle group. In the Tongtuo acupuncture group, acupuncture was given at distal acupoints (Neiguan [PC 6], Quchi [LI 11], Taichong [LR 3], Xingjian [LR 2], etc.), and then at proximal acupoints (Fengchi [GB 20] and Baihui [GV 20]). In the conventional Fu's acupuncture group, Fu's acupuncture was only performed at the MTrP of cervical muscle group. Each group was treated once a day, 3 days were taken as one course, and 2 courses were given. The score of cervical vertigo symptoms and function evaluation scale, peak systolic velocity (PSV) and resistance index (RI) of vertebral artery were observed before and after treatment in the 3 groups.After treatment, the scores of cervical vertigo symptoms and function evaluation scale and PSV in each group were higher than those before treatment (P<0.01), and the RI was lower than that before treatment (P<0.01). The score of cervical vertigo symptoms and function evaluation scale and PSV in Tongtuo Fu's acupuncture group were higher than those in the other two groups (P<0.01), and the RI was lower than that in the other two groups (P<0.01).Fu's acupuncture based on Tongtuo method could improve the symptoms of cervical vertigo and the blood flow state of vertebral artery in patients with CSA, and the curative effect is better than Tongtuo acupuncture and conventional Fu's acupuncture.目的：验证运用程氏“通脱法”理论指导浮针治疗椎动脉型颈椎病（CSA）的优效性。方法：将150例CSA患者随机分为通脱法浮针组、通脱法针刺组、常规浮针组，每组50例。通脱法浮针组在“通脱法”理论指导下予浮针治疗，先在前臂背侧远端肌筋膜激发点（MTrP）行远端“通”法，再在颈部肌群MTrP行近端“脱”法；通脱法针刺组先循经远端取穴（内关、曲池、太冲、行间等）针刺，再在近端取风池、百会穴针刺；常规浮针组仅在颈部肌群MTrP行浮针治疗。各组均每日1次，3 d为一疗程，治疗2个疗程。于治疗前后观察各组颈性眩晕症状与功能评估量表评分、椎动脉收缩期血流峰值流速（PSV）和阻力指数（RI）。结果：治疗后，各组患者颈性眩晕症状与功能评估量表评分、PSV均较治疗前升高（P<0.01），RI较治疗前降低（P<0.01），且通脱法浮针组颈性眩晕症状与功能评估量表评分、PSV高于其余两组（P<0.01），RI低于其余两组（P<0.01）。结论：“通脱法”理论指导浮针治疗CSA能改善患者的颈性眩晕症状及椎动脉血流状态，疗效优于“通脱法”针刺和常规浮针治疗。.