ABSTRACT
Objective To study the safety and effectiveness of Tiaodu Tongmai Zhengji method in the treatment of cervical cardiac syndrome,and to provide a choice for the clinical treatment of cervical cardiac syndrome.Methods From January 2020 to January 2022,45 patients with cervical cardiac syndrome diagnosed clinically in the outpatient department of geriatrics of our hospital were randomly divided into"Tiaodu Tongmai Zhengji"group,routine massage group and routine acupuncture group,with 15 patients in each group.Three methods were used in the"Tiaodu Tongmai Zhengji"group:acupuncture,massage and chiropractic therapy.The routine massage group adopted the massage treatment scheme of sympathetic cervical spondylosis,while the routine acupuncture group adopted the treatment scheme of cervical spondylosis and palpitation.Three times a week for four weeks.One month later,the treatment effect was evaluated from the main symptoms,secondary symptoms,follow-up symptoms and TCM syndrome score.Results In alleviating the main symptoms of patients with cervical cardiac syndrome,including palpitation,chest tightness and chest pain,the treatment of regulating Du,Tongmai and Zhengji was superior to the conventional massage treatment(P<0.05),while the conventional massage treatment was superior to the conventional acupuncture treatment(P<0.05).Acupuncture,Tuina and Tiaodu Tongmai Zhengji treatment can improve the secondary symptom of cervical heart syndrome,that is,neck and scapular pain.However,in terms of alleviating neck and scapular pain,Tiaodu Tongmai Zhengji treatment is significantly better than conventional acupuncture and Tuina treatment(P<0.01),while there is no difference between acupuncture and Tuina treatment(P>0.05).In improving the anxiety of cervical heart syndrome,acupuncture is better than regulating Du Tongmai Zhengji,while regulating Du Tongmai Zhengji is better than massage(P<0.05).The total effective rate of acupuncture and massage treatment was the same,but the total effective rate of Tiaodu Tongmai Zhengji treatment was better than that of acupuncture and massage treatment(P<0.05).Conclusion Tiaodu Tongmai Zhengji method is a feasible method obtained by summing up experience in clinical practice.It focuses on the manipulation of the spine and its small joints,meridians and acupoints,in order to balance yin and yang,dredge the meridians and dredge the collaterals,regulate the tendons and repair,regulate the qi and blood,restore the muscle mechanical balance,and restore the balance of visceral functions.while Tiaodu Tongmai Zhengji method has obvious advantages in relieving palpitation,chest tightness,chest pain and neck shoulder pain of patients with cervical heart syndrome.The total effective rate is also better than massage method and acupuncture method.Tiaodu Tongmai Zhengji method is a therapeutic method worthy of clinical promotion.