Journal of Traditional Chinese Medicine ›› 2025, Vol. 45 ›› Issue (6): 1423-1434.DOI: 10.19852/j.cnki.jtcm.2025.06.020

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Clinical practice guideline for Traditional Chinese Medicine: cervical radiculopathy

FENG Tianxiao1, QIN Xiaokuan1, SUN Kai1, WANG Xu1, XIE Yanming2, GE Long3, SU Youxin4, WANG Peimin5, MA Yong6, ZHU Liguo1(), WEI Xu1()   

  1. 1 Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China; Beijing Key Laboratory of Orthopedics of Traditional Chinese Medicine, Beijing 100102, China
    2 Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China
    3 Evidence-Based Social Science Research Centre, School of Public Health, Lanzhou University, Lanzhou 730000, China; Department of Social Medicine and Health Management, School of Public Health, Lanzhou University, Lanzhou 730000, China
    4 Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China
    5 Department of Orthopaedics and Traumatology, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, 210029, China; Jiangsu Province Hospital of Chinese Medicine, Nanjing 210029, China
    6 School of Chinese Medicine, School of Integrated Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing 210023, China
  • Received:2025-03-12 Accepted:2025-07-10 Online:2025-12-15 Published:2025-11-24
  • Contact: Prof. WEI Xu, Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, 100102, China; Beijing Key Laboratory of Orthopedics of Traditional Chinese Medicine, Beijing 100102, China. weixu.007@163.com, Telephone: +86-10-84739223; +86-10-84739223;
    Prof. ZHU Liguo, Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China; Beijing Key Laboratory of Orthopedics of Traditional Chinese Medicine, Beijing 100102, China. tcmspine@163.com
  • About author:Feng Tianxiao and Qin Xiaokuan are co-first authors and contributed equally to this work
  • Supported by:
    National Traditional Chinese Medicine Inheritance and Innovation Team Project: Innovation Team for Traditional Chinese Medicine Prevention and Treatment of Degenerative Bone and Joint Diseases(ZYYCXTDC-202003);2022 Young Qihuang Scholars Training Program (The letter of Department of Personnel and Education, National Administration of Traditional Chinese Medicine [2022] No. 256);Cross Cooperation Project of Beijing Nova Program of Science and Technology: Research on High-Precision Digital Traditional Chinese Medicine Manipulation Therapy Combining Medicine and Engineering(20220484228);Special Project on Evidence-based Clinical Research of Traditional Chinese Medicine in the High-level Traditional Chinese Medicine Hospital Construction Project of Wangjing Hospital, China Academy of Chinese Medical Sciences: Research on the Dose-Effect Regularity of Cervical Rotation Traction Manipulation in Treating Cervical Radiculopathy and Its Mechanism of Regulating Peripheral Muscle-Cerebral Cortex Hemodynamics(WJYY-XZKT-2023-05)

Abstract:

Cervical radiculopathy (CR) poses a significant challenge due to its debilitating impact on physical function, daily activities, psychological well-being, and social engagement. Traditional Chinese Medicine (TCM) has emerged as a valuable approach in managing CR. This study aims to present a comprehensive clinical practice guideline for the management of CR through TCM. Utilizing internationally recognized guideline standards, we meticulously developed this guideline. The Grading of Recommendations Assessment, Development, and Evaluation approach was employed to rigorously assess evidence quality and recommendation strength. Recommendations were formulated through the nominal group technique. Expert consensus identified nine clinical questions and twenty-three outcome indicators. After careful consideration of evidence quality, balance of benefits and harms, patient preferences, costs, clinical feasibility, accessibility, and clinical acceptability, the guideline working group formulated seventeen recommendations. These recommendations encompass various aspects such as diagnosis, TCM syndrome types, Chinese medicine compounds, Chinese patent medicines, acupuncture, manual therapy, traditional exercise therapy, surgical indications, and preventive measures. The majority of recommendations were weakly suggested or consensus-based, with the exception of acupuncture and manual therapy, which received strong recommendations. This guideline serves as a valuable resource for enhancing clinical decision-making and contributing to the comprehensive management of patients with CR.

Key words: radiculopathy, medicine, Chinese traditional, practice guideline, GRADE approach, Recommendations

Cite this article

FENG Tianxiao, QIN Xiaokuan, SUN Kai, WANG Xu, XIE Yanming, GE Long, SU Youxin, WANG Peimin, MA Yong, ZHU Liguo, WEI Xu. Clinical practice guideline for Traditional Chinese Medicine: cervical radiculopathy[J]. Journal of Traditional Chinese Medicine, 2025, 45(6): 1423-1434.