Exploration on Clinical Efficacy of Neck Seven Needles Therapy on Migraine with Blood Stasis Obstruction Type Based on Theory of"Qi Street and Four Seas"

ZHANG Yimei; HAN Xingjun; JIAO Fengli; WU Yue; JIA Hongling

doi:10.16295/j.cnki.0257-358x.2025.06.010

Abstract：Objective:To observe the effectiveness of Neck Seven Needles in the treatment of migraine with blood stasis and obstruction of collaterals type based on the"Qi Street and Four Seas"theory.Methods:Sixty-four patients with migraine of blood stasis and obstruction of collaterals type were included and divided into treatment group and control group,with 32 cases in each group according to the random number table method(1 case dropped out in the treatment group and 2 cases dropped out in the control group).The treatment group received acupuncture at the seven acupoints on the neck and the Ashi points,while the control group received acupuncture at Shuaigu(GB8),Fengchi(GB20),Waiguan(ST5),and other acupoints.Both groups of patients were treated once a day,five times a week,for four consecutive weeks.The follow-up was conducted after eight weeks.The Visual Analogue Scale(VAS)scores of the two groups of patients were observed before treatment and 30 minutes after treatment.The changes in clinical symptom scores,Migraine Specific Quality of Life Questionnaire(MSQ)scores,and Self-Rating Anxiety Scale(SAS)scores of the two groups were observed before treatment,4 weeks after treatment,and 8 weeks after treatment(during the follow-up)respectively.The changes in blood flow velocity of the anterior cerebral artery(ACA),posterior cerebral artery(PC A),middle cerebral artery(MCA),vertebral artery(VA),and basilar artery(BA)of the two groups were measured before treatment and 4 weeks after treatment,and the clinical efficacy of the two groups was evaluated.Results:After 30 minutes of treatment,the VAS scores of the two groups were higher than those before treatment(P＜0.05),and the decrease in the treatment group was more significant than that in the control group(P＜0.05).After 4 weeks and 8 weeks after treatment(the follow-up),the clinical symptom scores,MSQ scores,and SAS scores of both groups were better than those before treatment(P＜0.05),and the treatment group was better than the control group(P＜0.05).After treatment,the blood flow velocities of ACA,PCA,MCA,VA and BA were significantly accelerated compared with those before treatment(P＜0.05),and the difference was statistically significant between the treatment group and the control group(P＜0.05).In terms of clinical efficacy evaluation,the cure rate of the treatment group was 87.09％,and compared with the control group,the difference was statistically significant(P＜0.05).Conclusions:Under the guidance of the"Qi Street and Four Seas"theory,Neck Seven Needles has a remarkable and stable therapeutic effect in the treatment of migraine with blood stasis and obstruction of collaterals type.It has obvious immediate analgesia and stable long-term efficacy.It can alleviate the anxiety psychological state and improve the quality of life of patients.Its mechanism may be related to regulating cerebral blood flow velocity and improving cerebral hemodynamic state.