Clinical Observation Of Cautery Moxibustion In The Treatment Of Rheumatic Knee Arthritis With Wind-cold Arthralgia

Objective: To explore the clinical efficacy of cautery moxibustion in the treatment of rheumatoid knee arthritis with wind and cold obstruction,and to evaluate the clinical effect of cautery moxibustion in the treatment of rheumatoid knee arthritis with wind and cold obstruction,so as to provide theoretical and clinical basis for the treatment of the disease in the future.Methods: According to the method of randomized controlled clinical study,80 patients with rheumatoid knee arthritis of wind-cold obstruction type,which met the diagnostic criteria of traditional Chinese and western medicine,were randomly divided into a caulier-moxibustion treatment group and a common acupuncture control group,40 cases in each group.In the treatment group,the acupoints were bilateral Dubi,Neixiyan,Liangqiu,Yanglingquan,Xuehai,Zusanli,Yinlingquan,Ququan,Sanyinjiao,Xiyangguan,ashi point,etc.In the treatment group,the burn-moxibustion was the main treatment,and the course of treatment was 20 minutes,once a week,twice a week.The treatment lasted for 6 weeks.In the control group,ordinary acupuncture was applied to bilateral Dubi(ST 35),Neixiyan(EX-LE4),Liangqiu(ST 34),Yanglingquan(GB 34),Xuehai(SP 9),Zusanli(ST 36),Yinlingquan(SP 9),Ququan(Ququan),Sanyinjiao(SP 6),Xiyangguan(SP 6),ashi(EX-LE 6),etc.The course of treatment was 30 minutes,once a day,5 times continuously from Monday to Friday,with 2 days off at the weekend.Three weeks was a course of treatment,and a total of 6 weeks of treatment were required.The degree of knee tenderness and swelling,WOMAC knee function score and VAS pain visual analogue scale score were evaluated before treatment and after 3 weeks and 6 weeks of treatment in the treatment group and the control group.Rheumatoid factor(RF),C-reactive protein(CRP)and erythrocyte sedimentation rate(ESR)were detected before treatment and 6 weeks after treatment.The data obtained were statistically analyzed to obtain an objective evaluation.Results:1.There were no significant differences in general data and related efficacy evaluation indexes between the two groups before treatment,which were comparable.2.After 3 weeks and 6 weeks of treatment,the TCM symptom score,WOMAC knee function score,VAS pain visual analogue scale score of the two groups decreased;After 6weeks of treatment,RF,CRP and ESR of the two groups were decreased,and the difference was statistically significant.According to the results,ordinary acupuncture and caulization moxibustion can improve the clinical efficacy of the disease.3.The comparison of TCM syndrome scores showed that the average scores of the two groups at 3 weeks and 6 weeks of treatment were lower than those before treatment,and the difference was statistically significant(P < 0.05).The data of the two groups showed that:After 3 and 6 weeks of treatment,the improvement of cold pain,joint swelling,unfavorable joint flexion and extension,morning stiffness and aversion to wind and cold in the treatment group was better than that in the control group,and the differences were statistically significant(P < 0.05).4.The comparison results of WOMAC knee function score showed that the average scores of the ordinary acupuncture group and the caucher moxibustion group at 3 weeks and 6 weeks of treatment were lower than those before treatment,and the differences were statistically significant(P < 0.05).The data of the two groups showed: After 3 and 6 weeks of treatment,the local pain,swelling,stiffness and daily life of the knee joint in the cautery moxibustion therapy were better than those in the control group,and the differences were statistically significant(P < 0.05).5.Comparison of visual analogue scale(VAS)pain scores: The average scores of the common acupuncture group and the cautery moxibustion group at 3 weeks and 6 weeks of treatment were lower than those before treatment,and the difference was statistically significant(P < 0.05).The data of the two groups showed that the cautery moxibustion therapy at 3 weeks and 6 weeks of treatment had better relief of knee joint pain than the control group,and the difference was statistically significant(P < 0.05).6.The comparison of RF between the two groups showed that after 6 weeks of treatment,the RF of the general acupuncture group and the cauterization moxibustion group were lower than those before treatment,and the difference was statistically significant(P < 0.05).The data of the two groups showed that the decrease of RF of the patients after the cauterization moxibustion was better than that of the control group,and the difference was statistically significant(P < 0.05).7.The comparison of CRP between the two groups showed that after 6 weeks of treatment,the CRP of the general acupuncture group and the cautery moxibustion group were lower than that before treatment,and the difference was statistically significant(P < 0.05).The data of the two groups showed that the decrease of CRP after the cautery moxibustion was better than that of the control group,and the difference was statistically significant(P < 0.05).8.The comparison of ESR between the two groups showed that the ESR of the general acupuncture group and the cautery moxibustion group after 6 weeks of treatment was lower than that before treatment,and the difference was statistically significant(P < 0.05).The data of the two groups showed that the ESR of the patients after the cautery moxibustion therapy was lower than that of the control group,and the difference was statistically significant(P <0.05).9.Comprehensive efficacy evaluation: treatment group and control group after 6 weeks of treatment,total effective rate: treatment group: 88.8%,control group: 78.3%,cure effective rate: treatment group: 52.7%,control group: 32.4%.The difference between the two groups was statistically significant(P < 0.05).The statistical analysis showed that the clinical efficacy of cautery moxibustion in the treatment of rheumatoid knee arthritis with wind-cold-damp obstruction was better than that of ordinary acupuncture.Conclusion:1.Both cauterization moxibustion and common acupuncture have obvious curative effect on rheumatoid knee arthritis of wind-cold obstruction type;2.Cautery moxibustion can significantly improve the clinical symptoms of rheumatoid knee arthritis with wind and cold obstruction,and the improvement effect is better than ordinary acupuncture,which provides certain clinical theoretical support for cautery moxibustion in the treatment of rheumatoid knee arthritis with wind and cold obstruction.