| Background:Periarthritis of shoulder joint was known as Leak shoulder wind,Shoulder coagulation disorder Frozen shoulder or 50 shoulders。It is a common diseases that age of onset was about 50, female more than male. Its main clinical symptoms are the pain, confined activity and partial muscle atrophy of shoulder. The pain of shoulder always expressed among shoulder joint, sometimes radiating arm, exacerbating in night. The diseases make the life of patients unconvenient.Present, antiphlogistic and analgesic is the main method of western medicine. Although getting effect quickly, its effect cannt be permanent and its side effect is big. So the method cannt solve the problems fundamentality. Non-drug treatment(acupuncture, massage) are widly applicated in periarthritis of shoulder joint and get great effect.Periarthritis of shoulder joint was consider as "Bi syndrome" in Traditional Chinese medicine.The mechanism of chronic repeatable pain of shoulder joint is that qi and xue cannt provide the jinmai and musculoskeletal, after the wind cold dampness blocked the meridian, and impacted the running of qi and xue. Acupuncture is the important component of Traditional Chinese medicine. Its characteristics are non-side effect, simply operating and definite effect. Although the reports on the acupuncture treatments of Periarthritis of shoulder joint are more and more, there are some problems in the studies:(1)the clinical effect standard of periarthritis of shoulder joint is not normalization, and then it brings more difficults on efficacy evaluation. (2) It is rare that comparing many therapies. (3)the observation that simple efficacy comparing is not system standardization and cannt embody the different advantages of methods. (4)the studies on single therapy are more than Combined therapy.The third-shoulder points method is the JIANYU, JIANLIAO, JIANQIAN. The pain of periarthritis of shoulder joint always advents in the region of meridian travelling course. The three points of the methods hightly summarized the many meridians symptoms, so the clinical effect is great. Because the effect of singly using it and massage was good, in order to developt the advantage of Traditional Chinese medicine, we would study the clinical effect of the third-shoulder points combined with massage, and scientifically evalue it, then hope to improve the clinical effect of Traditional Chinese treatment, and to provide the evidence for clinical therapy.Objective:Thought a random and controlled trail, after treating Periarthritis of shoulder joint by the third-shoulder points combined with massage, separately the third-shoulder point and massage, the each effects about clinical effect, shoulder joint pain degree and shoulder joint activity degree (abduction motion function of shoulder joint, ante flexion motion function of shoulder joint, distance of pollicis tip and the seventh-cervical, distance of middle finger tip and ear tip) would be compared.we will comprehensive evaluat their clinical effects, and hope providing a new idear and theoretical basis for the treatment of Periarthritis of shoulder joint with multi-therapies collocation.Methods:The 90 patients with periarthritis of shoulder joint were divided into three groups. It is a random, single-blind and controlled trail. The three groups separately using the third-shoulder points, massage and the third-shoulder points combined with massage. At beginning and ending, we will evalue the clinical effect, shoulder joint pain degree,the motion function classification of should-joint, and shoulder joint activity degree.(1) first group (Patients in the treatment group were treated with the third-shoulder points):①points:JIANYU, JIANLIAO, JIANQIAN;②acupuncture tool:the stainless steel pins for single use are tian-xie's, sign:28, size:2.0, manufacturer:the limit company of acupuncture medical equipment Suzhou tian-xie;③operate:the patient site and exposed the disease shoulder, which was be routinely disinfecting. Selecting points,lefts before rights, ups before downs.way:doctor operates the skill of fast perpendicular insertion, the deep of 1～1.5cun, lift thrust Reinforcing Reducing after deQi. Needle Retaining 30min, Needling Manipulation once.(2) The second group (Patients in the treatment group were treated with massage)①relaxing jingo and promoting blood running:patient site and make the shoulder relaxant.the doctor malaxats the pain point by the finger pulp or thenar of thumb.the strength of malaxation is from soft to heavy, and remains 5min;②dredging meridian:the patient's position was same.doctor selects JIANJING, JIANYU, JIANLIAO,JIANZHEN,TIANZONG, which was stimulated lmin;③movementing joint:the position was same.doctor make his one hand hold one hand of patient, vibrating and make abduction motion, ante flexion motion at the same time.the others put on the disease shoulder, malaxating, and movementing from soft to heavy. Dont move joint churlishly. After finishing, doctor combes pation's muscle by foulage and kneading, fixting the shoulder and arm.④bombing and plwking the jinluo:as the patient siting, the doctor bombs and plwks thetendon of long head of biceps brachi, brachycephaly muscle, and supraspinatus tendon, by by thumb and forefinger, middle finger. The strength is from soft to heavy, in order to release the adhesive muscle.(3) The third group (the third-shoulder points combined with massage):the way of acupuncture and massage is same with above.(4) The three groups also have exercise rehabilitation, and be informed that the attention should be paid on keeping warm, avoiding cold and protecting the shoulder joint. Treatment above was be carrid on once every day. One course is ten times. The result value will be carried on after finishing two courses。Results:1. The difference that clinical effect on the third-shoulder points combined with massage, the third-shoulder points and massage had noticeable statistical significance (P<0.01), the difference that clinical effect on the third-shoulder points and massage had no statistical significance (P >0.05).2. Before the treatment, the difference that shoulder joint pain degree of each group by multiple comparing rank sum test had no statistical significance (P>0.05);After the treatment, the difference that shoulder joint pain degree on third group and others had noticeable statistical significance (P<0.01); the difference that shoulder joint pain degree on first group and second group had no statistical significance (P>0.05).3. Before the treatment, the difference that the motion function classification of should-joint by multiple comparing rank sum test had no statistical significance (P>0.05);After the treatment, the difference that the motion function classification of should-joint on third group and others had noticeable statistical significance (P<0.01); the difference that the motion function classification of should-joint on first group and second group had no statistical significance (P>0.05).4. Before the treatment, the difference that shoulder joint activity degree(abduction motion function of shoulder joint, ante flexion motion function of shoulder joint, distance of pollicis tip and the seventh-cervical, distance of middle finger tip and ear tip) by multiple comparing rank sum test had no statistical significance (P>0.05);After the treatment, the difference that shoulder joint activity degree on third group and others had noticeable statistical significance (P<0.01); the difference that shoulder joint activity degree on first group and second group had no statistical significance (P>0.05).Conclusions:1. The therapeutic efficacy of the third-shoulder points combined with massage is great significant and provids a new idear and theoretical basis for the treatment of eriarthritis of shoulder joint with multi-therapies collocation.2. The therapeutic efficacy of the third-shoulder points combined with massage is better than the methods of the third-shoulder points and massage in treating periarthritis of shoulder joint.3. The therapeutic efficacy of the third-shoulder points is no better than the method of massage in treating periarthritis of shoulder joint.
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