Clinical Study Of Balance Acupuncture Combined With Zhuang Medicine Thread Moxibustion In The Treatment Of Knee Osteoarthritis Of The Han Bi Type

Objective: To explore and discuss the effect of balance acupuncture combined with Zhuang medicine thread moxibustion in the treatment of knee osteoarthritis of the han bi type,in order to find a rapid and effective treatment.Methods: 60 patients with koa were randomly divided into observation group and control group,30 cases in each group.The observation group was treated with balance acupuncture at knee pain point combined with local Zhuang medicine thread moxibustion,once a day for 5 consecutive days,rest for 2 days,1 week as a course of treatment,a total of 4 courses of treatment;the control group was treated with oral celecoxib capsule,0.2g/time,1 time a day,7 consecutive days,1 week as a course of treatment,a total of 4 courses of treatment.Visual analogue scale(VAS)was used to evaluate the pain of the observation group and the control group at different time points(before treatment,the first treatment,2 weeks after treatment,4 weeks after treatment and 3 months after follow-up)In order to evaluate the clinical efficacy of the two groups on koa of han bi type,the scores of knee pain,stiffness and range of motion(WOMAC)were compared with TCM symptoms and the recurrence rate of knee pain during follow-up.Results:1.There was no significant difference in gender,age and course of disease between the two groups(P>0.05),and the baseline data were consistent and comparable.2.Comparison of vas scale score: the average VAS score of the observation group decreased earlier than that of the control group,and the decrease range within 2 weeks after treatment was more significant than that of the control group,and the final average VAS score of the treatment group was better than that of the control group(P<0.05).3.WOMAC scale score comparison:(1)WOMAC pain score comparison: the average WOMAC pain score of the observation group decreased earlier than that of the control group,and the decrease within 2weeks after treatment was more significant than that of the control group,and the final average WOMAC pain score was better than that of the control group(P<0.05).(2)Comparison of WOMAC stiffness score: the average WOMAC stiffness score of the observationt group decreased earlier than that of the control group,and the decrease range within 2 weeks after treatment was more significant than that of the control group,and the final average WOMAC stiffness score of the observation group was better than that of the control group(P<0.05).(3)Comparison of WOMAC daily activity score:the average WOMAC daily activity score of the observation group decreased earlier than that of the control group,and the final average WOMAC daily activity score was better than that of the control group(P<0.05).4.Comparison of TCM syndrome curative effect: in the observation group,2 cases were clinically cured,18 cases were markedly effective,8cases were effective,2 cases were ineffective,the total effective rate was93.34%;in the control group,0 cases were clinically cured,10 cases were markedly effective,12 cases were effective,8 cases were ineffective,the total effective rate was 73.33%,the observation group was better than the control group(P<0.05).5.Recurrence rate comparison: after 3 months of treatment,the recurrence rate of the observation group was 10.00%,and that of the control group was 33.67%,the difference was statistically significant(P<0.05),the recurrence rate of the observation group was less than that of the control group.Conclusions: 1.Balance acupuncture combined with Zhuang medicine thread moxibustion and oral celecoxib capsule can effectively improve the VAS score and WOMAC score of KOA patients with Han Bi syndrome,namely joint pain,stiffness and range of daily activities.2.The curative effect of balance acupuncture combined with Zhuang medicine thread moxibustion in the treatment of KOA is better than oral celecoxib capsule,which is reflected in rapid onset,good overall effect and stable long-term effect.However,the interaction effect of balance acupuncture and Zhuang medicine thread moxibustion still needs to be further explored.