Clinical observation of acupuncture, Tuina and acupoint injection on cervicogenic headache

Abstract

Objective: To investigate the clinical effect of acupuncture therapy and Tuina therapy in treating cervicogenic headache.Method: Forty inpatients, were divided into acupuncture and Tuina group (experiment group,n=20), and Tuina and acupoint injection group (controlled group,n=20) with random number table. Patients in the experimental group were firstly needled Fengchi (GB 20, major acupoint), Taiyang (Ex-HN 5), Baihui (GV 20), Shuaigu (GB 8), and Jiaji (Ex-B 2) around the affected cervical vertebrae, and applied Tuina treatment. Patients in the controlled group were treated with Tuina treatment, and then injection in Fengchi (GB 20) with 500 μg of Methycobal. Before and after treatment, all patients in both groups were evaluated with Evaluation Scale for Cervicogenic Headache.Result: After treatment, score of each item of patients in both two groups were enhanced (P<0.01), and compared with patients in the controlled group, patients in the experimental group had higher scores of headache(13.1±3.02 vs 10.8±2.36,P<0.01), daily life and working (3.3±0.66 vs 2.6±0.79,P <0.01), mental state and social adjustment (3.1±0.75,P<0.05), and total points (24.6±4.36 vs 20.3±2.53,P<0.01).Conclusion: Acupuncture combining with Tuina had better effects than acupoint with Tuina, and could effectively relieve pain, and enhance quality of life and ability of social adjustment in patients with cervicogenic headache.