Clinical Efficacy Of Acupuncture Target Method Combined With Traditional Chinese Medicine Ironing In The Treatment Of Rheumatic Knee Paralysis

Knee arthralgia is a traditional Chinese medicine diagnosis summarized by famous doctors in the past dynasties.The disease is mainly caused by liver and kidney deficiency,tendon and bone dystrophy,and wind-cold-dampness arthralgia.At present,there are many treatment methods for knee arthralgia,but most of them are not effective.As a conventional treatment method of traditional Chinese medicine,acupotomy has the advantages of small side effects,simple operation,low cost and high efficacy.It has obvious improvement effect on local swelling,joint pain and stiffness of knee arthralgia,and is also one of the main means of clinical treatment of knee arthralgia.Purpose:By exploring the clinical efficacy of acupotomy target method combined with traditional Chinese medicine ironing in the treatment of wind-cold-dampness knee arthralgia,it provides a diagnosis and treatment plan for patients with recurrent knee arthralgia with quick effect,small pain,short course of treatment,not easy to relapse,and no surgical scars.Shorten the treatment time,reduce the number of patients seeking medical treatment,relieve the pain of the majority of patients,and provide a theoretical basis and clinical reference for the application of external treatment of traditional Chinese medicine in wind-cold-dampness knee arthralgia.Material and method:From February 2022 to February 2023,60 patients were selected as the subjects of this study due to knee joint pain and limited activity to the trauma joint disease area of Liuzhou Hospital of Traditional Chinese Medicine(Liuzhou Zhuang Medical Hospital).According to the order of treatment,the subjects were divided into 30 control groups(acupuncture treatment)and 30 treatment groups(needle knife target combined with traditional Chinese medicine ironing treatment).The treatment group was treated with acupotomy target release combined with traditional Chinese medicine ironing.First,acupotomy was used to release adhesions and ligaments,scars,and prepatellar fat pads,7 days as a course of treatment,a total of two courses;after the implementation of traditional Chinese medicine ironing once a day,each time 1 pay,each fumigation treatment time of about 30 minutes,7 days for a course of treatment,a total of two courses.The control group was treated with acupuncture at the knee,Yanglingquan,Liangqiu,Zusanli,Xuanzhong,etc.,once a day,15-20 minutes each time,the same 7 days as a course of treatment,a total of two courses.Inform the patient of the relevant operation process and prognosis.After informed consent of the participants to the content of this study,they need to sign the relevant clinical research informed consent form and voluntarily participate in the consent form,and record the basic data in detail,such as the VAS score,Lysholm score of knee joint function and comprehensive efficacy evaluation on the 7th and 14 th day before treatment.The above results were recorded and analyzed by SPSS 23.0 statistical software.Results:1.Comparison of general data : According to the statistical analysis of the measured data before treatment,it was found that the age,gender,knee VAS score and Lysholm score of the two groups were not statistically significant(P> 0.05).2.VAS score comparison : After 7 and 14 days of treatment,the VAS scores of the two groups were improved(P< 0.05),but the improvement of the treatment group was more obvious,and the difference was statistically significant compared with the control group(P< 0.05).3.Lysholm score comparison : the scores of claudication,pain and activity in the knee function(Lysholm)score of the two groups were improved,and the upward trend of Lysholm score in the treatment group was more obvious.Compared with the control group,the difference was statistically significant(P< 0.05).4.Comparison of clinical efficacy : After treatment,the effective rate of the control group was 36.67 %;the effective rate of the treatment group was63.33 %,and the effective rate of the two groups was 96.67 %.After statistical analysis,there was no significant difference in the effective rate between the two groups,P> 0.05,but the effective rate of the two groups was significantly higher than that of the control group,P< 0.05,with statistical significance.Conclusion:1.The small needle knife combined with traditional Chinese medicine ironing can significantly relieve the clinical symptoms of knee joint pain,swelling and squatting difficulty in patients with wind-cold-dampness knee arthralgia,which is an effective treatment plan.2.The needle knife combined with traditional Chinese medicine ironing is better than acupuncture alone in reducing clinical symptoms such as knee joint pain and swelling and improving knee joint function,which provides certain reference significance for clinical practice.