Objective

2

To observe the clinical efficacy of

Fu

's subcutaneous needling based on "multi-joint muscle spiral balance chain" theory for cervical vertigo (CV) and its effect on blood flow velocity of vertebral artery.

Methods

2

A total of 60 patients with CV were randomized into a Fu's subcutaneous needling group and a medication group

30 cases in each one. In the Fu's subcutaneous needling group

Fu

's subcutaneous needling was delivered at Dazhui (GV14)

the flexible tube was retained for 5 min after sweeping manipulation

and the treatment was given once every other day

3 times a week for 3 weeks. In the medication group

betahistine mesylate tablet and diclofenac sodium dual-release enteric capsule were taken orally for continuous 3 wee

ks. Before treatment

after treatment

and in follow-up of one month after treatment completion

the scores of dizziness handicap inventory (DHI) and visual analogue scale (VAS) were observed; before and after treatment

the blood flow velocity of vertebral artery was measured by transcranial Doppler

and the clinical efficacy was evaluated after treatment in the two groups.

Results

2

After treatment and in follow-up

each item scores and total scores of DHI were decreased compared with those before treatment in the two groups (

P

<

0.05); the VAS scores after treatment in the two groups

as well as the VAS score in follow-up of the Fu's subcutaneous needling group

were decreased compared with those before treatment (

P

<

0.05). In the Fu's subcutaneous needling group

after treatment and in follow-up

the physical scores and the total scores of DHI

and the VAS scores were lower than those in the medication group (

P

<

0.05); in follow-up

the emotional and functional scores of DHI were lower than those in the medication group (

P

<

0.05). After treatment

the mean blood flow velocity (Vm) of the left vertebral artery (LVA) and the right vertebral artery (RVA) was increased compared with that before treatment in the two groups (

P

<

0.05)

and the Vm of LVA and RVA in the Fu's subcutaneous needling group was higher than that in the medication group (

P

<

0.05). The total effective rate was 100.0% (30/30) in the Fu's subcutaneous needling group

which was superior to 73.3% (22/30) in the medication group (

P

<

0.05).

Conclusion

2

Fu

's subcutaneous needling based on the "multi-joint muscle spiral balance chain" theory can effectively alleviate the vertigo and neck pain

and improve the blood flow velocity of vertebral artery in CV patients

and has a long-term therapeutic effect.