The
inheritance of
intelligent and quantifiable
traditional Chinese medicine techniques opens the "human-machine integration" mode
This is a vivid practice of keeping integrity and inheriting the essence of traditional Chinese medicine.
At present, with the popularity of computers and mobile phones, coupled with long hours of work at the desk, the incidence of cervical spondylosis remains high.
Among the world’s top ten chronic diseases announced by the World Health Organization, cervical spondylosis ranked second, second only to cardiovascular and cerebrovascular diseases.
More statistics show that among the more than 6 billion people in the world, there are 900 million people suffering from cervical spondylosis, and there are more than 200 million people in my country.
In my country, traditional Chinese medicine orthopedic manipulation has a long history and distinctive features in the treatment of cervical spondylosis. However, improper manipulation can cause aggravation of the condition. In particular, cervical spinal manipulation can cause serious adverse events such as syncope, fracture and dislocation, and paraplegia.
"This situation must be changed. Orthopedics diseases are mainly non-surgical treatments, but traditional methods are difficult to repeat, difficult to quantify, safety risks, low training efficiency and other bottlenecks, and it is difficult to inherit and innovate." Chinese Traditional Chinese Medicine Said Zhu Liguo, chief researcher of the Academy of Sciences and academician of the International Eurasian Academy of Sciences.
Zhu Liguo is fully aware of the problem after 37 years of experience in orthopedics and traumatology of traditional Chinese medicine.
Taking the road of interdisciplinary, integrating cutting-edge technologies such as bioengineering and artificial intelligence, through presiding over the development of the National Science and Technology Research Plan, the National Natural Science Foundation and other topics, the "manipulations for the treatment of degenerative diseases of bone and joints" that his team has been engaged in for a long time recently ranked Top Ten Academic Progresses of Chinese Medicine in 2020.
Previously, the comprehensive TCM plan and technique evaluation system for cervical spondylotic radiculopathy developed by him won the second prize of the 2017 National Science and Technology Progress Award.
Evidence-based research norms
Clinically, cervical spondylosis is divided into nerve root type, vertebral artery type, spinal cord type, etc. according to its different symptoms.
Among them, the nerve root type is the most common, accounting for 60%-70% of the total cases of cervical spondylosis. The symptoms are mainly pain in the neck and arms, numbness of the upper limbs, and restricted movement of the cervical spine... The clinical treatment of this disease is mainly non-surgical, but There are problems such as insufficient curative effect and easy recurrence.
"Although comprehensive TCM therapy has the characteristics of multiple methods, quick results, and multiple targets, it lacks systematic research and evidence-based evaluation." Zhu Liguo said.
To this end, he and his team summarized years of clinical experience, systematically retrieved relevant scientific research papers, organized nearly 100 Chinese and Western orthopedic experts for multiple rounds of demonstrations, and formulated a comprehensive TCM plan of "internal and external treatment, equal emphasis on muscles and bones, and doctor-patient cooperation".
"Among them, the twisting and lifting technique is the key, which is mainly inspired by the theory of TCM's tendons and bones'." Zhu Liguo said.
Zhu Liguo introduced that the orthopedic process of traditional Chinese medicine is to restore the physiological state of the cervical spine. The rotation-lifting technique changes the previous lateral force, allowing the patient to rotate-flex-rotate again to find the joint noose or stuck place. The doctor gives a preload force and then quickly Lift up to achieve the effect of bone setting.
But how much this strength is used, and when it is strong, can't be explained in a few words.
After many years of research, he and his team independently developed a manual operation mechanics measuring instrument, combined with motion capture technology, to carry out a mechanical quantitative study on cervical spine manipulation.
Compared with the mechanical parameters of the previous cervical spine injury, it is proved that the rotation-lifting technique uses the vertical upward direction as the main force direction, while the traditional cervical spine rotation technique mainly uses the lateral torsion force, which is more likely to cause neck injury than the vertical upward traction force.
The data shows that the comprehensive treatment of Chinese medicine with manipulation as the core has an effective rate of 96.17% in the treatment of cervical spondylotic radiculopathy, and the 6-month recurrence rate has been reduced to 8.46%.
Authoritative experts in the field of Chinese and Western medicine in China commented: "This study provides for the first time high-level evidence-based medical evidence for the comprehensive TCM plan for cervical spondylotic radiculopathy, and has played a leading and exemplary role in similar research in the orthopedics industry."
Inheritance technique robots come to help
"One or two, turn! Okay, this is good." Recently, a group of doctors gathered around a "boy" in a suit and shoes in the scientific research building of the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine to discuss and exchange.
And this "boy" is not an ordinary person. It is the training and assessment system of the spin-and-lift technique developed by Zhu Liguo's team. It has been promoted and applied in 7 universities of Chinese medicine across the country, and is affectionately called "manipulation teaching robot" by many students for training. The clinician operates with the twist and lift technique.
At the training site, Dr. Yin Xunlu from Wangjing Hospital of the Chinese Academy of Chinese Medical Sciences explained and demonstrated the technical points of the twist lift technique. He lifted his neck gently with his elbow and flicked it gently. There was a "click" joint sound, and the robot "patient" The neck was adjusted to the correct position, the "patient" turned the neck, and the small joints returned to normal.
According to Zhu Liguo, there is a high-sensitivity camera on the right pupil of the robot, which can guide the operator to adjust the neck to the exact position required by the twist and lift technique following the fingertip sensor of the operator.
The implementation process of the technique is recorded by the computer. Through detailed analysis of the traction and pulling force, it can instantly judge whether the operator's implementation of the technique is accurate or not, and prompts the shortcomings of the technique.
"The inheritance of the bone setting technique is a very critical point in technical treatments. I saw many beginners practicing CPR on the robot, and I wondered if the bone setting technique can be the same." Zhu Liguo said.
Professor Fujio Ito, the founder and chairman of the Japan Spinal Health Committee and the Minimally Invasive Spine Surgery Summit Forum, commented: Professor Zhu Liguo’s research work on the twist and lift technique and the inheritance model of the technique has led the modern development of TCM orthopedics and promoted the internationalization of TCM techniques. Promotion.