Study on the Treatment of C/S of Qi Stagnation and Blood-stasis Type by Moving Cupping with Bloodletting
NCT ID: NCT06093997
Last Updated: 2025-02-03
Study Results
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Basic Information
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RECRUITING
NA
62 participants
INTERVENTIONAL
2024-02-28
2025-06-30
Brief Summary
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Detailed Description
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Walking cupping has the function of unblocking meridians and regulating qi and blood. Compared to massage, kneading, and pressing to stimulate acupoints, walking cupping also increases the scope of stimulation. If it is not clear, it will cause pain, while if it is clear, it will not cause pain. By pricking the meridians and releasing blood, it can activate the meridians, dispel blood stasis, and relieve pain. After cupping, pricking and bleeding can increase the amount of bleeding. The combination of the two can further alleviate symptoms such as neck and shoulder pain and stiffness in patients, and improve the therapeutic effect.
Based on this, this project randomly divided 62 patients with cervical spondylosis of qi stagnation and blood stasis type into a control group and an experimental group. The control group received massage treatment, while the experimental group received cupping combined with bloodletting therapy. Using the Northwick Park Neck Pain Scale score as the primary outcome measure; Cervical mobility measurement, traditional Chinese medicine syndrome score, and adverse reactions are secondary outcome indicators. Objectively evaluate the efficacy of cupping combined with bloodletting puncture in the treatment of cervical spondylosis patients with qi stagnation and blood stasis, promote suitable techniques with traditional Chinese medicine characteristics for treating cervical spondylosis, and help cervical spondylosis patients recover their daily life and work abilities as soon as possible.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Experimental Group
Cupping and bloodletting therapy
Cupping
Use a 4-5cm diameter suction cupping for cupping. The treatment area is coated with glycerol, and the cupping is aspirated and adsorbed on the skin. The cupping is slowly pushed along the patient's neck, along the urinary bladder channel of Foot-Taiyang and governor's meridians from top to bottom, repeating back and forth 9 times. Once a week, for a total of 4 weeks of treatment.
Bloodletting
the doctor takes JianZhongShu, one on the left and one on the right, with a total of 2 acupoints. After disinfecting with 75% alcohol cotton balls, the patient is quickly pricked 5 times with a blood collection needle, and cupping is performed at the needle hole. After 5 minutes, remove the jar, wipe the blood clean, and disinfect the needle hole. Once a week, for a total of 4 weeks of treatment.
Control Group
Massage treatment
Massage treatment
The patient sits upright and the neck naturally relaxes. The doctor uses techniques such as pressing and kneading to relax the soft tissues of the neck, and massages points such as FengMen, FengChi, JingJiaji, JianJing,Tianzong and so on. The focus is on using muscle relaxation techniques around the soft tissues of spasms and pain areas to relax the patient's neck and shoulders. All procedures were performed from mild to severe, once a week for 15 minutes each time, for a total of 4 weeks of treatment.
Interventions
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Massage treatment
The patient sits upright and the neck naturally relaxes. The doctor uses techniques such as pressing and kneading to relax the soft tissues of the neck, and massages points such as FengMen, FengChi, JingJiaji, JianJing,Tianzong and so on. The focus is on using muscle relaxation techniques around the soft tissues of spasms and pain areas to relax the patient's neck and shoulders. All procedures were performed from mild to severe, once a week for 15 minutes each time, for a total of 4 weeks of treatment.
Cupping
Use a 4-5cm diameter suction cupping for cupping. The treatment area is coated with glycerol, and the cupping is aspirated and adsorbed on the skin. The cupping is slowly pushed along the patient's neck, along the urinary bladder channel of Foot-Taiyang and governor's meridians from top to bottom, repeating back and forth 9 times. Once a week, for a total of 4 weeks of treatment.
Bloodletting
the doctor takes JianZhongShu, one on the left and one on the right, with a total of 2 acupoints. After disinfecting with 75% alcohol cotton balls, the patient is quickly pricked 5 times with a blood collection needle, and cupping is performed at the needle hole. After 5 minutes, remove the jar, wipe the blood clean, and disinfect the needle hole. Once a week, for a total of 4 weeks of treatment.
Eligibility Criteria
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Inclusion Criteria
* The course of the disease is more than 3 months;
* Gender unlimited ④ Age 18-80 years old; ⑤ No history of neck and shoulder surgery; ⑥ Those who have not received relevant treatment in the past month; ⑦ Those who voluntarily participate in this study and sign an informed consent form.
Exclusion Criteria
* Patients with a tendency to bleed;
* Pregnant and lactating women;
* Concomitant with serious primary diseases such as heart, cerebrovascular disease, liver, kidney, etc;
* Individuals with severe mental illness or cognitive impairment;
* Individuals with acute infection or local skin damage due to local trauma; ⑦ Patients with infectious diseases transmitted through blood; ⑧ Those who cannot persist in receiving treatment according to the prescribed time.
18 Years
80 Years
ALL
No
Sponsors
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Shanghai University of Traditional Chinese Medicine
OTHER
Responsible Party
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Gao Mingli
Attending Doctor
Principal Investigators
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Feng Xu, chief
Role: STUDY_DIRECTOR
Shanghai Qigong Institute
Locations
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Medical Outpatient Department of Shanghai Qigong Research Institute
Shanghai, , China
Countries
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Central Contacts
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Facility Contacts
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MingLi Gao
Role: primary
References
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Cervical Spondylosis Professional Committee of the Chinese Rehabilitation. Medical Association Guidelines for Diagnosis, Treatment and Rehabilitation of Cervical Spondylosis [S]: Beijing: Cervical Spondylosis Professional Committee of the Chinese Rehabilitation Medical Association, 2010.
Jin Y. The clinical research progress of traditional Chinese medicine characteristic therapy in the treatment of cervical spondylosis. Chinese folk therapy. 2017. 25 (09): 103-104.
Lian L, Zhang S. Clinical observation on the treatment of vertebral artery type cervical spondylosis with heat sensitive moxibustion combined with bloodletting. Journal of Modern Integrated Traditional Chinese and Western Medicine. 2018. 27 (31): 3468-3470.
Chen L, Li M, Fan L, Zhu X, Liu J, Li H, Xu Z, Chen J, Liang Z, Liu Z, Feng L, Chen X, He Q, Chen X, Ou A, He J, Ma R, Ning B, Jiang L, Li S, Fu W. Optimized acupuncture treatment (acupuncture and intradermal needling) for cervical spondylosis-related neck pain: a multicenter randomized controlled trial. Pain. 2021 Mar 1;162(3):728-739. doi: 10.1097/j.pain.0000000000002071.
Wu P, Wang J, Wang W, Gu J, Wu Z. Study on the Optimization of Acupuncture and Bleeding Analgesia Schemes for Cervical Spondylosis of Qi Stagnation and Blood Stasis Type. Chinese Journal of Basic Traditional Chinese Medicine. 2018. 24 (11): 1582-1585.
Hai Q, Zhao L. Clinical observation on the treatment of cervical spondylosis of vertebral artery type with cupping and bloodletting therapy of Mongolian medicine combined with acupuncture and moxibustion. Chinese Journal of Ethnic Medicine. 2020.26 (08): 28-29.
Yang X. Observation on therapeutic effect of Chinese massage combined with acupuncture and moxibustion on cervical spondylotic radiculopathy. Chinese folk therapy. 2014. 22 (07): 26.
Luo G, Tang Z. Observation on the therapeutic effect of moving cupping combined with stasis needle technique on lumbar fasciitis. Journal of Practical Traditional Chinese Medicine. 2015. 31 (11): 1044.
Jiang Q. The combination of cupping and scraping for the treatment of back myofasciitis. Massage and Rehabilitation Medicine June. 2015 (21): 18-19.
Peng T, Gong H, Hu S, Zhou C, Xie G, Xiong J. Clinical observation on the treatment of neck shoulder syndrome with scraping combined with cupping therapy. Shanghai acupuncture and moxibustion Journal. 2016. 35 (06): 713-715.
Jiang M, Peng T. The combination of meridian scraping and cupping therapy for the treatment of neck dorsalis myofascitis. Journal of Traditional Chinese Medicine. 2022. 37 (01): 197-200.
Li H, Ma F, Zhang W, Zhao N, Hai X, Wang J. Clinical study on the treatment of nerve root cervical spondylosis of qi stagnation and blood stasis type with phased differentiation and massage therapy. Chinese Journal of Traditional Chinese Medicine. 2017. 35 (04): 939-942.
Hu Y, Yang J, Li L. Progress in the treatment of vertebral artery type cervical spondylosis with acupuncture, moxibustion and massage. Hebei Medicine. 2015. 21 (08): 1532-1534.
Ma Z, Fu A, Wang Y, Chen Z. The therapeutic effect of acupuncture combined with bloodletting therapy on cervical spondylotic radiculopathy and its impact on pain and blood viscosity. National Medical Forum. 2019. 34 (01): 23-24.
Huang F, Wang H, Sun C, Wang L, Yin J, Zhang Q. Acupuncture and push combined with bloodletting therapy for treating 35 cases of cervical spondylosis with qi stagnation and blood stasis. Liaoning Journal of Traditional Chinese Medicine. 2019. 46 (01): 144-147.
Peng T, Wan G, Shan R. Scraping combined with cupping for the treatment of 180 cases of neck shoulder syndrome. Modern Distance Education of Traditional Chinese Medicine in China. 2014. 12(07): 68-69.
Leak AM, Cooper J, Dyer S, Williams KA, Turner-Stokes L, Frank AO. The Northwick Park Neck Pain Questionnaire, devised to measure neck pain and disability. Br J Rheumatol. 1994 May;33(5):469-74. doi: 10.1093/rheumatology/33.5.469.
Other Identifiers
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I111
Identifier Type: -
Identifier Source: org_study_id
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