| ObjectiveThe main purpose is to observe the clinical effects of Yin-Yang Tiao Li Moxibustion on improving yang-deficiency constitution for the treatment of knee osteoarthritis.Based on the traditional Chinese medicine constitution identification and physical conditioning theory,under the guidance of the overall concept of "balance between yin and yang",explore the safety and superiority of combined application of Yin-Yang Tiao Li Moxibustion on patients with yang-deficiency.In order to provide superior solutions for the clinical treatment of this disease,and broaden ideas for further related scientific research.MethodsThis study collected patients who had been diagnosed as Knee Osteoarthritis(KOA)from the outpatient and inpatient department of Acupuncture and Moxibustion of Hubei Provincial Hospital of Traditional Chinese Medicine from March 2019 to November 2019.A total of 66 patients were randomly divided into a conventional acupuncture group and a combination of Yin-Yang Tiao Li Moxibustion group using the random number table method of SPSS20.0 statistical software.The acupuncture points in the conventional acupuncture groupwereXuehai,Liangqiu,Heding,Neixiyan,Waixiyan,Yinlingquan,Y anglingquan,Zusanli,Sanyinjiao,and Ashi points.Manually,after the acupuncture point was swollen with acid,suspending moxibustion was applied to the Neixiyan and Waixiyan of the affected side for a total of 30 minutes.The Yin-Yang Tiao Li Moxibustion combined group added the Yin-Yang Tiao Li Moxibustion on the basis of the conventional acupuncture group.The specific operation was: while the affected knee was treated with local acupuncture,self-pharmaceutical box moxibustion was placed on the abdomen’s Shenque and Guanyuan points.After the ventral treatment of the body is completed,the medicine box moxibustion is applied to the Pixu(double),Shenshu(double)and Mingmen on the back of the body.The treatment time of applying medicine box moxibustion on both sides of the abdomen of the body was 30 min.The two groups were treated continuously for 2 courses,one course was 5 times,and the interval between each treatment was 1 day.Patients were evaluated for osteoarthritis index(WOMAC)score,JOA knee osteoarthritis efficacy score,arthritis quality of life scale 2-short volume(AIMS2-SF)score,and positive before and after the last treatment.Deficiency conversion score and yang deficiency symptom score.By recording and statistical analysis of the above data,the safety and superiority of the combination therapy of Yin-Yang Tiao Li Moxibustion for this disease were evaluated.Results1.Dropout: During the period of this study,2 patients lost in the conventional acupuncture group and 1 patient lost in the Yin-Yang Tiao Li Moxibustion combined group.Finally,31 patients in the conventional acupuncture group completed the treatment,and 32 patients in the combined Yin-Yang Tiao Li Moxibustion group completed the treatment.A total of 63 subjects were included in the statistical analysis.The two groups of subjects were included in gender,age,course of disease,WOMAC score before treatment,JOA There were no significant differences in scores,AIMS2-SF scores,and yang deficiency conversion scores(P>0.05),and the two groups were comparable.2.Comparison of curative effect:After treatment,9 cases of Yin-Yang Tiao Li Moxibustion group were cured,12 cases were markedly effective,8 cases were effective,3 cases were ineffective,the curative effect rate was 90.63%;3 cases were cured by conventional acupuncture group,9 cases were markedly effective.There were 11 cases and 8 cases were invalid.The curative effect rate was 74.19%.The total effective rate of Yin-Yang Tiao Li Moxibustion combined group was significantly better than that of conventional acupuncture group,and the difference was statistically significant(P<0.05).3.WOMAC score comparison:(1)Pain score: The WOMAC pain scores of the two groups of subjects were reduced to varying degrees before and after treatment,and the difference was statistically significant(both P<0.05);compared with the two groups,the WOMAC pain scores of the combined Yin-Yang Tiao Li Moxibustion group decreased more significantly(P<0.05).(2)Stiffness score: The WOMAC stiffness scores of the two groups of subjects were reduced before and after treatment,and the difference was statistically significant(both P<0.05);compared with the two groups,the WOMAC stiffness scores of the Yin-Yang Tiao Li Moxibustion combined group decreased more significantly(P < 0.05).(3)Joint function score: The WOMAC joint function scores of the two groups of subjects were decreased before and after treatment,and the difference was statistically significant(bothP<0.05).Comparing the two groups,the WOMAC joint function scores of the Yin-Yang Tiao Li Moxibustion combined group decreased even more significant(P<0.05).4.Comparison of JOA scores: Compared with before the first treatment,the JOA scores of the two groups of subjects increased after the last treatment,and the difference was statistically significant(both P<0.05);The increase of JOA score before and after treatment in the combined moxibustion group was more significant than that in the conventional acupuncture group(P<0.05).5.Comparison of AIMS2-SF scores:Compared with before the first treatment,the AIMS2-SF scores of the subjects in the two groups were relatively increased after the end of the last treatment,and the difference was statistically significant(P<0.05).Comparison between the two groups: Yin and Yang conditioning moxibustion combined group AIMS2-The increase of SF score was more significant than that of the conventional acupuncture group(P<0.05).6.Yang-deficiency conversion score: Compared with before the first treatment,the yang-deficiency conversion score in the combination group of Yin-Yang Tiao Li Moxibustion decreased significantly,and the difference was statistically significant(P < 0.05).There was a decrease,but the difference was not statistically significant(P>0.05);compared between groups: the yang-deficiency conversion score of the Yin-Yang Tiao Li Moxibustion combined group decreased more significantly(P<0.05).7.Symptoms of Yang-deficiency: Compared with before the first treatment,patients in the combined Yin-Yang Tiao Li Moxibustion group experienced chills and cold(Yang-deficiency quality table items 1-4 represent symptoms type),cold susceptibility(yang-deficiency quality table No.5 items represent the type of symptoms)and tolerance to cold food(items 6-7 of the Yang-Deficiency Quality Table represent the types of symptoms).The scores of the three main symptoms were significantly decreased,and the differences were statistically significant(P<0.05).In the conventional acupuncture group,the scores of these three categories of symptoms decreased before and after treatment,but the difference was not statistically significant(P > 0.05).Comparison between groups: Yin-Yang Tiao Li Moxibustion combined group had cold and cold resistance,cold susceptibility,and The improvement of the cold and cold food tolerance scores on these three symptoms was more significant than that of the conventional acupuncture group(P<0.05).ConclusionConventional acupuncture and moxibustion combined with Yin-Yang Tiao Li Moxibustion on this basis have good clinical effects in the treatment of knee osteoarthritis.In comparison,the combination of Yin-Yang Tiao Li Moxibustion on the basis of conventional acupuncture treatments is not only more effective in improving the main symptoms of knee osteoarthritis pain,stiffness,knee dysfunction,but it can also regulate the patient’s overall constitution,improve its cold and cold,easy to catch cold and cold intolerance to food and other symptoms of yang-deficiency,solidify the body’s righteousness,and promote the body to achieve a banlance of yin and yang.At the same time,Yin-Yang Tiao Li Moxibustion,due to its unique advantages of overall conditioning of biased constitution,has significantly improved the quality of daily life of patients with knee osteoarthritis,so it is worthwhile to apply in the clinical process. |
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