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Objectives: To explore the clinical efficacy of acupressure therapy combined with Tuina and active functional exercise in the treatment of neck-type cervical spondylosis., Methods: Sixty patients with cervical spondylosis were randomly divided into a control group and an experimental group, with 30 cases in each group. The control group was treated with Tuina and active functional exercise. Tuina therapy lasted 10-15 min per session, twice a week for 4 weeks. Functional exercises were performed once in the morning and once in the evening, each session lasting about 10 min, for a total of 4 weeks. The experimental group received the same treatment as the control group combined with ringheaded thumb-tack needle therapy which was applied to 5 Ashi points, with needle retention for 3 days followed by 1 day of rest, for a total of 4 weeks. The neck disability index (NDI) and the short-form of McGill pain questionnaire (SF-MPQ) including visual analog scale (VAS), present pain intensity (PPI) and pain rating index (PRI) were used before treatment, after 2 weeks and after 4 weeks of treatment. The modified Macnab efficacy evaluation criteria were used to assess treatment outcomes, and safety was also evaluated., Results: Compared with baseline, both groups showed significant reductions in NDI, VAS, PPI, and PRI scores after 2 and 4 weeks of treatment ( P <0.01). The improvement in the experimental group was significantly greater than that in the control group ( P <0.05). The clinical efficacy rate (excellent and good) was 60.0% (18/30) in the experimental group, compared to 30.0% (9/30) in the control group, with the experimental group showing better clinical outcomes ( P < 0.05). No adverse reactions were reported during the study., Conclusions: Acupressure therapy combined with Tuina and active functional exercise can effectively improve symptoms such as neck dysfunction and pain in patients with cervical spondylosis with neck syndrome. The addition of acupressure therapy significantly enhances the clinical efficacy of Tuina and functional exercise, with confirmed therapeutic benefits and good safety.

Acute lateral ankle ligament injuries represent a prevalent form of joint sports trauma, with their occurrence increasing alongside the expanding sports demographic. Inadequate initial management of these injuries can precipitate chronic pain, joint instability, and related complications, sometimes necessitating surgical intervention. Chinese medicine, renowned for its long history and extensive experience in treating ligament injuries, is frequently integrated with modern medical practices for a comprehensive treatment approach. Addressing the distinct phases of tissue damage and repair in acute ligament injuries-early, middle, and late-expert group summarizes relevant research evidence and develops a three-stage treatment plan for Chinese medicine, and a new three-phase external treatment protocol was proposed by experts. The focus of the proposed protocol is on "cooling blood to stop bleeding, activating blood circulation and removing stasis, and harmonizing and regenerating new tissue, " tailored to the specific characteristics of each stage. To enhance the diagnostic and treatment capabilities of healthcare professionals and standardize the management of acute lateral ankle ligament injuries, an expert consensus was formulated using a combination of clinical research, practical experience, and the Delphi method. The aim of the consensus is to refine the accuracy and efficacy of diagnosis and treatment through evidence-based practices and expert opinions.

Objective: To evaluate the clinical effect of a new three-phase Chinese medicine (CM) external treatment for acute lateral ankle ligament injuries., Methods: From July to December 2023, 64 patients with acute lateral ankle ligament injuries were randomly assigned to receive either the new three-phase CM external treatment combined with the POLICE(protect, optimal loading, ice, compression, elevation) treatment (observation group) or the POLICE treatment (control group), with 32 cases in each group. The observation group consisted of 17 males and 15 females, with an average age of(30.59±3.10) years old ranging from 25 to 36 years old, while the control group included 14 males and 18 females, with an average age of(30.03±3.19) years old ranging from 24 to 37 years old. Visual analogue scale (VAS) evaluation and Figure of 8 measurement were used to evaluate the degree of ankle joint pain and swelling of the subjects at the initial enrollment and after 1 week and sixth weeks of treatment. At the same time, the American Orthopaedic Foot and Ankle Society (AOFAS) and Karlsson Ankle Function Score System were used to evaluate the improvement of ankle joint function in patients at all stages. MRI imaging was employed to observe the degree of biological healing of the anterior talofibular ligament, with the signal to noise ratio(SNR) indicating the level of healing. A lower SNR suggests better ligament healing, as it represents lower water content in the ligament., Results: All patients completed a 6-week follow-up. There was no significant difference in VAS, AOFAS score and Karlsson score between the two groups before treatment ( P >0.05). After 1 week and 6 weeks of treatment, the VAS, AOFAS score and Karlsson score of the two groups were significantly improved ( P <0.05). After 1 week of treatment, the VAS score of the observation group (3.21±0.87) was lower than that of the control group (4.21±1.50), and the difference was statistically significant ( P <0.05). After 1 weeks of treatment, the AOFAS and Karlsson scores [(50.84±4.70) points, (49.97±4.00) points] of the observation group were higher than those [(46.91±5.56) points, (46.66±5.36) points]of the control group ( P <0.05). MRI images showed that after 6 weeks of treatment, the SNR value of the observation group was significantly lower than that of the control group, and the difference was statistically significant(SNR of the observation group was 75.25±16.59, the contral gruop was 85.81±15.55), ( P <0.05)., Conclusion: Compared with the control group, the new three-phase CM external treatment is significantly effective in reducing pain and swelling, enhancing ligament repair quality, and promoting functional recovery of the ankle joint in patients with acute lateral malleolar ligament injuries.