Observation on Therapeutic Effect of Traditional Chinese Medicine Directional Drug Penetration in Treatment of Cervical Spondylotic Radiculopathy of Qi Stagnation and Blood Stasis Type
HU Ye
LI Sha
LIAO Ruoyi
LI Zhaoyong
LIU Wenqian
Abstract：Objective:To observe the therapeutic effect of traditional Chinese medicine(TCM)directional drug penetration on cervical spondylotic radiculopathy(CSR)of the qi stagnation and blood stasis type and its influence on the hemodynamics of the vertebral artery.Methods:A total of 128 patients with CSR of the qi stagnation and blood stasis type were divided into an observation group and a control group,with 64 cases in each group,according to the random number table method.The control group received conventional treatments with Chinese and Western medications and cervical traction,while the observation group received TCM directional drug penetration therapy in addition to the treatment given in the control group.Both groups received treatment for 4 weeks.The therapeutic effect,TCM syndrome score,levels of the vertebral artery hemodynamic indicators,cervical spine range of motion,Visual Analogue Scale(VAS)score for pain,and adverse reactions of the two groups were compared.Results:After treatment,the total effective rate of the observation group(95.31％)was higher than that of the control group(82.81％),and the difference was statistically significant(P＜0.05).After 4 weeks of treatment,the main symptom score,secondary symptom score and total score of the TCM syndrome in both groups were lower than those before treatment(P＜0.05),and the scores in the observation group were lower than those in the control group(P＜0.05).The peak systolic blood flow velocity(Vs)and peak mean blood flow velocity(Vm)of the left vertebral artery(LVA)and right vertebral artery(RVA)in both groups were increased compared with those before treatment(P＜0.05),and the values in the observation group were higher than those in the control group(P＜0.05).The cervical spine range of motion in both groups increased compared to that before treatment(P＜0.05),and it was higher in the observation group than in the control group(P＜0.05).After 1 week,2 weeks,and 4 weeks of treatment,the pain VAS scores of the patients in both groups were lower than those before treatment(P＜0.05).After 2 weeks and 4 weeks of treatment,the pain VAS scores of the patients in both groups were lower than those after 1 week of treatment(P＜0.05).After 4 weeks of treatment,the pain VAS scores of the patients in both groups were lower than those after 2 weeks of treatment(P＜0.05).After 1 week and 2 weeks of treatment,the pain VAS scores of the patients in the observation group were lower than those in the control group(P＜0.05).No obvious adverse reactions occurred in both groups of patients during the treatment period.Conclusions:Based on Chinese and Western medications as well as cervical traction therapy,the TCM directional drug penetration for CSR of the qi stagnation and blood stasis type has a definite therapeutic effect.It can improve the clinical cure rate,relieve symptoms such as neck pain and limb numbness in patients,improve the blood flow velocity in the vertebral artery,and increase the range of motion of the cervical spine.
Keywords：traditional Chinese medicine directional drug penetrationqi stagnation and blood stasiscervical spondylotic radiculopathytraditional Chinese medicine syndrome scorehemodynamics of the vertebral arterycervical spine range of motion
Publication Date：2025-09-05
Online Publishing Date：2026-05-22(First online date of this platform, not the publication date of the document)
Pages：7( 1016-1022 )