The Clinica Arch Of Treating Shoulder Periarthritis With “Chuan Jia Re”

Objective: The purpose of this thesis is to observe the clinical effect of “Chuan Jia Re” therapy on shoulder periarthritis. After comparing with the therapy of reducing by lifting and thrusting, the advantages of “Chuan Jia Re” therapy in stopping pain, relieving complications, shortening course of treatment, selecting precise acupoint, and shortening the time of retaining needles were verified. It provides a simple but effective clinical plan in treating shoulder periarthritis.Methods: The method of study is to compare randomly. 90 patients of shoulder periarthritis were divided into two groups, the one is the treating group(“Chuan Jia Re” group of 45 patients) while the other one is the control group(reinforcing and reducing by lifting and thrusting group of 45 groups). All the patients were treated according to the experiment plan. In the treating group, the points of Tianzong, Chize, Waiguan, Hegu, Houxi, Yanglinquan, and Tiaokou were chosen as the treating points. After bringing about the desired sensation by needling Tianzong point with the Wentong needling method, other points were needled with reinforcing and reducing by lifting and thrusting method to bring about the desired sensation. In the comparing group, the patients were treated on the same points. After bringing about the desired sensation, Tianzong point had been needled with reinforcing and reducing by lifting and thrusting for one minute. The time of keeping needles in the two groups was 30 minutes. The two groups were treated once every other day, and ten times is a treating period. The patients must be treated with one period. VAS grading and statistics, shoulder-joint-function grading and statistics and Infrared Thermogram statistics were accomplished respectively before treating, after the first treatment and after a period of treatment. And after the whole period of treatment was finished, the patients were accessed in the respects of curative effect and improvement rate. Finally, the clinical data index collected was analyzed with statistics.Result:1. After a period of treatment was completed, the integrations between the treating group and control group was achieved, its result was P<0.05, there was difference with statistical significance. A comparison about VAS soreness grade on patients’ shoulders was accomplished respectively before and after a period of treatment was finished. The result was P<0.05, there was difference with statistical significance. In the comparison of VAS grading of instant pain-relieving after the first treatment, the excellent rate of treating group was 88.9%, and the excellent rate of control group was 68.9%. The comparing result was P<0.05, there was difference with statistical significance. And the Ridit analysis on the two groups’ rating data showed the result with P<0.05, there was difference with statistical significance.2. After a period of treatment was completed, the inter-group integration comparison show the result was P<0.05, there was difference with statistical significance. Compare the patients grade of their shoulder-joint function before and after treatment, the result was P<0.05, there was difference with statistical significance.3. After a period of treatment was completed, the inter-group integration comparison show the result was P<0.05, there was difference with statistical significance. The inner-group integration comparison of the temperature on shoulders shown in infrared charts after a period of treatment was finished indicated the result was P<0.05, there was difference with statistical significance.4. In comparing the improvement rate, the recovery rate in treating group was 86.7%, and the recovery rate in control group was 51.1%. Compare the two rates, the result was P<0.05, there was difference with statistical significance. In comparing the total curative effect, the treating group was 86.7%, and the control group was 68.9%. The result was P<0.05, there was difference with statistical significance. Ridit analysis on ranking data showed the result was P<0.05, there was difference with statistical significance.Conclusion:1. Both “Chuan Jiare” therapy and common ones have good clinic curative effect on shoulder periarthritis. But “Chuan Jiare” therapy is better than reinforcing and reducing by lifting and thrusting therapy.2. In the respects of improving symptoms, signs and restricted upper-limbs movement, “Chuan Jiare” therapy is better than reinforcing and reducing by lifting and thrusting therapy. Therefore the “Chuan Jiare” therapy is widely applicable in clinical treatment.