Clinical Controlled Research On The Treatment Of Acupuncture And Guiwei Massage Therapy To Treat Periarthritis

Periarthritis(whole name Periarthritis of shoulder)(narrow meaning)is the degeneration and chronic aseprtic inflammation around the shoulder joint surrounding soft tissue(capsula articularis humeri, shoulder joint surrounding ligament,tendon and bursa mucosa).It is commonly called frozen shoulder,coarcoiditis,LouJianFeng,Fifty Shoulder.It is a common and a multiple disease.It always happens in one side.Left side is more common than the right side.There is a few happening in both side at the same time.It is more common to the elderly and higher to female than to male.These patients always feel the shoulder pains and the limitation of shoulder activity which influence normal daily life.After the middle age,paroxysmal shoulder pains and arthrogryposis happen.Acupuncture and massage have a better effect to cure the disease.Its clinical situation is mainly the shoulder pains and different degrees of shoulder motor dysfunction.This essay has carried on the discussion about periarthritis of shoulder' s source, etiological factor,pathogenesis and clinical application method on the literature summary.Also in the clinic we use acupuncture massage and so on synthetic to cure this disease,aiming directly to cure the pains and contracture of joints and get a better therapeutic effect.1.Literature summaryThis essay has discussed on the periarthritis of shoulde' s concept, epidemiology feature in Chinese medicine and western medicine.It summarizes more than ten years' cognition of disease stages,etiological factor,pathology,diagnoses and clinical frequently used therapy in TCM.TCM' cognition to periarthritis of shoulde is of ancient origin and long development.It always has different names such as:humeral callus panodynia,shoulder pain,LouJianFeng,SuoJianFeng and so on. TCM think that periarthritis of shoulder morbility has the internal factor and external factor:internal factor includes liver and kidney deficiency,qi and blood deficiency;external factor includes six exopathogens,impairment caused by overstraining,external injury and so on.Nowadays TCM has many therapies to periarthritis of shoulder,except Chinese medicine,acupuncture and massage therapy method are also varied, especially massage has the effects to periarthritis of shoulder,like: promoting blood flow and removing blood stasis,soothing tendon, stopping pains,reverting ligament flexibility,loosing shoulder surrounding soft tissue,uncovering and saluting conglutination, lubricating joint,reverting Joint function.Acupuncture has many therapies such as:a great many special needling techniques in acupuncture needling method like:great needling,moving needling,resisting force needling,balancing needling,neatly needling,penetrating needling, lateral needling,sticking needling and auricular needling,wrist and ankle needling,extension needling,eye needling;special needling techniques like:needle and knife therapy,new nine forms of needles, fire needle,awn needle,intradermal imbedding needle,small width needle,teasing needle,bee needle,pointer needle and so on. Moxibustion therapy has direct moxibustion,warmed needle with moxibustion,Taiyi moxacone moxibustion.The others have acupoint injection,acupoint Chinese medicine sticking,electric acupuncture, laser and electromagnetic waves acupoint exposure.These are common methods to periarthritis of shoulder.It is reported that they have better effect.Although TCM has many therapies to periarthritis of shoulder,there is few reports about using single method.The reports using more than 2-3 kinds of combined therapy to cure periarthritis of shoulder are more common.There are no significant differences between these therapeutic effects.The majority point of views are varied therapy surpass mono-therapy.Acupuncture and massage therapy are the precious heritage of TCM.To cure many diseases,acupuncture and massage therapy earn a lot of patients' welcome because of its specialty.Massage is a therapy with no pains and it always goes with other therapies.If it can cure the disease alone,it surely can earn more patients' welcome.2.Clinical researchThis thesis makes clinical study on acupuncture and massage therapy of scapulohumeral periarthritis.120 patients with scapulohumeral periarthritis were blocking randomized to observation group(acupuncture and Guiwei massage),acupuncture group,Guiwei massage group and general massage group,with 30 cases each.Clinical conclusion:(1)In compare with first pain degree of the cases in the four groups, it shows there is not obvious differentia in shoulder joint function among each group(P＞0.05),which indicates the cases of different pain grade in the four groups are equilibrated and they are absolutely compatible.(2)Overall index comparison on shoulder joint after treated:The effective rate and shoulder function are getting better after cured for three times in the observation group while the other three groups get no significant improvement,so the observation group is more effective than the other three groups.The effects among them are coordinative after cured for six times.After treated for ten times,the observation group is better than the acupuncture group and the general massage group.There is not.obvious differentia betweenthe acupuncture group and the general massage group,so they have coordinative effect.The general effective rate of the group is 100%.Acupuncture and Guiwei massage is more effective to cure scapulohumeral periarthritis than single method for the effective rate of observation group is better.(3)Pain index comparison on shoulder joint after treated:Four kinds of treatment can ease pain effectively,but the effect on easing pain by single massage for this disease takes longer time than the other two treatments comparatively.In addition to that,the general massage takes more time to get effect,showing that Guiwei massage is better than general massage.(4)Range of motion index comparison on shoulder joint after treated: Four kinds of treatment can improve the range of motion effectively,but the effect on improving the range of motion by acupuncture and general massage for this disease takes longer time than the other two treatments comparatively.(5)Muscle power of shoulder joint after treated:Four groups of treatments do not have obvious influence for muscle power.(6)Comparison on cured times of effective treatment between age, course of diseases and their condition:The age of patient and their course of diseases do not have obvious influence.Patient' s condition has obvious influence for the treatment of this disease.Shorter the condition is,sooner the effect is.Guiwei massage summarized from my long-term clinical treatment experience,a kind of manipulation maneuver created by myself to cure periarthritis of shoulder.Repositioning is to make the shoulder back to to the original condition and recover original normal function. Periarthritis of shoulder patients' tendon,ligament,joint,and scapula are all possible slightly shift or tension changed.If we make the shifting position back and the tension back to the original state,its pains and range of motion can be recovered.The manipulation matching acupuncture and moxibustion can not only relieve periarthritis patients' pains,but also increase and recover patients' limited function.The manipulation has a better effect in loosing tendon and activing blood circulation, inducing menstruation to stop pain,lubricating joint,dissecting accretion.Research is proved that acupuncture and moxibustion and Guiwei massage have better effect to cure periarthritis of shoulder.