| Objective:Foot tendon lesions and osteoarthritis of the knee onset closely,the occurrence of the pain of the jie-jin; long knot of muscles and tendons to become the "caking".Part of the knee and of varying sizes,different parts of the texture of different points of the jie-jin different from the distribution law and Meridian,tangible and intangible,uncertain,this topic is to investigate the distribution characteristics,and to observe and moxibustion traditional meridian point of the jie-jin compared the clinical efficacy of the moxibustion treatment of knee osteoarthritis.Methods:A randomized controlled study and randomly divided into treatment group of the jie-jin points,acupoints control group,to be incorporated into the standard60cases of patients with knee osteoarthritis to observe its knee osteoarthritis jie-jin distribution law,the jie-jin painful lesions statement of the relationship of reinforcement points and Meridian; moxibustion Results tendon point the treatment of knee osteoarthritis and moxibustion Meridian treatment of knee osteoarthritis clinical efficacy,and its statistical Analysis.Results:1Osteoarthritis knot of knee tendon point1.1jie-jin point distribution location:Clinical observation point number of the jie-jin841patients with knee osteoarthritis jie-jin distribution sites were: Yin Ling Quan (56,6.66%); knee knee medial collateral ligament Central synoviae (56,6.66%); the medial femoral condyle starting point of knee collateral ligament (55,6.53%); Ququan (53,6.30%); knee (50,5.95%); the inner side of the tibia,Liriodendron bursa at46(5.47%); crane top (43,5.11%); below the edge of patella the patellar vice support with starting point (21,2.50%); tibia lateral condyle of the patellar collateral ligament ending point (12,1.43%); patellar medial collateral ligament the patellar within the origin point (28,3.33%); patellarat the midpoint of the lateral margin (28,3.33%); patellar medial collateral ligament at the tibial condyle only (27,3.21%); patellar medial edge of the top of the26(3.09%); patellar outside the patella edge midpoint (24,2.85%); the medial geniculate eye (25,2.97%); infrapatellar the lower edge of the patella,patellar tendon starting point (25,2.97%); Committee Yang (25,2.97%); Co-Yang (25,2.97%); Yin Gu (48,5.70%); tibial condyle,femoral muscle pulley turning point (48,5.70%); outside the knee,eye (25,2.97%); a sea of blood (35,4.16%); liangqiu (14,1.66%); the patella outer upper edge of the vastus lateralis only point (14,1.66%); Committee (12,1.43%); Yanglingquan (10,1.19%); fibular fibula small margin of head,knee lateral collateral ligament only at the point (8,0.95%); knee lateral collateral ligament at the midpoint (6,0.71%); femoral lateral condyle of the knee lateral collateral ligament at the starting point (6,0.71%); fibula back of the neck at the edge (5,0.59%); the lower edge of the fibular neck,the trailing edge of the peroneus longus (3,0.36%).1.2Conclusions tendons point form:Knee osteoarthritis tangible jie-jin point shape statistical ranking order of the cable50%; thickening of16.67%; mixing16.67%; invisible8.33%;5%of the sediment-like; miliary3.33%.1.3Conclusions tendon point distribution and Meridian coincidence rate as follows: Yin Ling Quan (56,6.66%); Ququan (53,6.30%); knee (50,5.95%); Yin Gu (485.70%); a sea of blood (35,4.16%); within knee Eye (25,2.97%); Committee Yang (25,2.97%); Heyang (25,2.97%); outside the knee,eyes (25,2.97%); liangqiu (14,1.66%); Committee (12,1.43%); Yanglingquan (10,1.19%).1.4jie-jin point by the tendons in the foot six proportion:Two groups of79knees,of which only type28,two types of36,111and more than15.Various types of jie-jin points the proportion of:Foot Jue Yin jie-jin point:25.45%; of Foot Yangming through jie-jin points:24.14%; sufficient lunar Results and the tendons points:16.05%; by the jie-jin outside acupoint points:11.06%; foot shaoyang the junction tendons points:4.52%; full sun by the jie-jin points:7.37%; foot Shao jie-jin point:11.41%. Results tendons point changes2.Knee osteoarthritis patients:2.1jie-jin points (painful lesions invisible,tangible and non-painful lesions,tangible and painful lesions) before and after treatment changes:The jie-jin distribution of the situation between the two groups before treatment difference was not statistically significant (P>0.05),are comparable. Treatment of two courses,each course of treatment to the end of the distribution of the two jie-jin point:the jie-jin points before and after treatment,with significant differences (P<0.05),Meridian control group before and after treatment,with significantdifference (P<0.05).Each end of treatment,two sets of jie-jin distribution of the situation between the two groups,with significant differences (P<0.05).2.2The two groups Results painful lesion in the tendon point2courses of the changes: Distribution of two groups of painful lesions in the treatment conditions between the two groups the difference was not statistically significant (P>0.05),are comparable. Before and after treatment of two courses,each course of distribution before and after the end of the two groups of painful lesions treatment:jie-jin points before and after treatment,a significant difference (P<0.05),Meridian control group treatment in both groups,with significant difference (P<0.05),the end of the first course,two groups of painful lesions distribution conditions between the two groups of painful lesions distribution,the difference was not statistically significant (P>0.05).The end of treatment,two groups of pain,lesion distribution conditions between the two groups were compared,no statistically significant difference (P>0.05).3visual analog scale pain score (VAS)Group between the two sets of visual analog scale pain score (VAS) before treatment,the difference was not statistically significant (P>0.05),are comparable.Treatment of two courses,each end of treatment,two pain visual analog scale score (VAS):jie-jin points before and after treatment,with significant differences (P<0.05).Acupoints control group before and after treatment in both groups,significant differences (P<0.05),an end of treatment,the pain visual analog scale score (VAS) between the two groups were compared,with a very significant difference (P<0.01).2the end of treatment,two sets of visual analog scale pain score (VAS) were compared between groups,with a very significant difference (P<0.01).4clinical score of the Lysholm knee function comparison:Before treatment,the clinical scores between groups of the Lysholm knee function difference was not statistically significant (P>0.05),comparable. The end of the course:two sets of limp,support,locking,stability,pain,swelling,stair climbing,squatting,the clinical score:before and after treatment:jie-jin points before and after treatment,with significant differences (P<0.05),Meridian control group before and after treatment,with significant differences (P<0.05) after the end of the first course,two groups of the clinical score,with a significant difference (P<0.05),1the end of treatment:two groups of claudication,stability,pain,swelling of the two groups of various clinical score group has a very significant difference (P<0.01).The end of treatment:two sets of limp,support,locking,stability,pain,swelling,stair climbing,squatting,the clinical score:before and after treatment:jie-jin points before and after treatment,with significant differences (P<0.05),Meridian control group before and after treatment,with significant differences (P<0.05) after the end of2courses of clinical scores of the two groups,with significant differences (P<0.05),the end of the first2cycles:two groups between the limp,stability,pain,swelling of the two groups of various clinical score groups,with a very significant difference (P<0.01).Conclusion:1. This research project found that:jie-jin points are distributed near the medial patella around the popliteal fossa. Found patients with node reinforcement points and meridians coincide,the jie-jin distribution to foot Jue Yin the jie-jin point common.Patients with knee osteoarthritis jie-jin point form the main streak.2.This research found:2courses of therapy jie-jin point distribution:the end of the two courses,two sets of jie-jin distribution compared with treatment to reduce the end of the first2cycles,two groups there are still remnants of tangible and non-painful lesions and tangible and painful lesions exist.Treatment group junction tendons points and treatment Results tendon point the end of the first2cycles before and after the jie-jin point of the jie-jin point treatment group compared to the treatment group of the jie-jin point jie-jin of the number of points remaining is less than the Meridian control group.This topic is that short-term analgesic effect of the jie-jin point in the treatment group than the Meridian control group.3.This research project found that:the two groups are effective in reducing the painful lesions,the treatment group of the jie-jin point faster in the short term to reduce the painful lesions.4.The pain visual analog scale score (VAS):two groups in reducing the pain visual analog scale score (VAS) are effective,the treatment group of the jie-jin points faster in the short term pain visual analog scale score (VAS).Compare two sets of short-term analgesic efficacy of the jie-jin point short-term analgesic efficacy of the treatment group than the Meridian control group.5.Lysholm knee function clinical score:two groups improve limp,support,locking,stability,pain,swelling,stair climbing,squatting,the clinical score,a course of treatment and after treatment in improving claudication stability,pain,swelling of the clinical score jie-jin point treatment group than the control group.6.Both moxibustion method can effectively alleviate the clinical symptoms of knee osteoarthritis,compared to Meridian in the control group,the treatment group of the jie-jin point more effectively.The common clinical method for the solution knot with small knife or round sharp needle plucked jie-jin point in the jie-jin points to the subject of the effect of moxibustion can also play Onyang Sanjie,and have achieved a certain degree of clinical effect,invasive therapy compared with a small knife,round sharp needle,with a non-invasive,rich solution knot method of treatment.7.This topic preliminary studies suggest that clinical knee osteoarthritis responsible for the liver,spleen,kidney,selection of points on the Lord to take the foot yin meridians of acupuncture points with the local points,moxibustion treatment,reaching warm the meridians,sparse by analgesic effect. |
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