Clinical Observation Of Tibia And Knee Elbow Pull Push Clip Massage Combined With Warm Acupuncture Treatment Of Cold Dampness Arthralgia Of Knee

Objective:This study from the point of view of clinical observation, to evaluate the therapeutic efficacy of tibia and push pull clamp elbow kneemassage combined with moxibustion treatment of cold dampness type kneearthralgia syndrome, in order to better application in clinic.Methods:the research object fromall acupuncture and massage clinics andoutpatient department of orthopedics of Jiande city first people’s Hospital of patients. Collected a total of 90 patients met the inclusion criteria wererandomly divided into the clip, push pull knee tibial elbow massagecombined with acupuncture and moxibustion therapy group (30 cases),Celebrex oral group (30 cases), moxibustion group (30 cases), through theclinical observation of the therapeutic effect of three groups of comparisonThe treatment group was treated with the method of tibia and push pullclamp elbow knee massage with warm acupuncture combined with, once a day,7 times for a course of treatment, treatment interval of 2 days, a total of 2 courses of treatment; Celebrex control group:1 tablets daily Celebrex(Pfizer Inc production).7 days for a course of treatment, after 2 courses of treatment the curative effect of statistics. Warm acupuncture control group:1 times a day,7 times the 1 course of treatment, continuous treatment of 2courses. Clinical observation indexes:"Lequesne M G" knee osteoarthritisseverity score standard (Table 1); criteria of knee osteoarthritis treatment effect (table two).Results:of the 1 met the inclusion criteria were a total of 90 cases, including 34 cases of male, female 56 cases, mean age 55.3+10.6 years old, average course of disease was 4.08+1.13 years. The two groups were gender, age, course of disease had no significant difference,comparable (P> 0.05).2 by t test, the three groups before treatment all indexes were no significant difference (P> 0.05). Said three groups ofsamples from the same overall, can be synchronous study.3 in the treatment of clinical control group of 5 people,15 markedly effective,9 effective,1 ineffective, the total efficiency of 96.67%. Celebrex clinical control group of 0 people,4 markedly effective,17 effective,9 ineffective,the total efficiency of 70%. Acupuncture and moxibustion clinical control group of 2 people,8 markedly effective,16 effective,4 ineffective, the total efficiency of 86.67%. The rank sum test, the efficacy of the treatment group was compared with two control groups, compared the effect of significant difference (p & tt; 0.05), indicating the efficacy of tibia and push pull clampelbow knee massage combined with moxibustion treatment of cold dampness type knee arthralgia to compare the therapeutic effect ofCelebrex oral and acupuncture and moxibustion therapy for this disease.Discussion:the etiology of internal dampness type knee arthralgia syndrome is deficiency of liver and kidney, deficiency of Qi and blood,external cause is the chill wet evil invasion of the body or chronic strain, induced dystrophy of muscles and bones. Pathogenesis is stagnation of Qi blood vessels caused by main and collateral channles blocked, Qi and blood stagnation and pain. The incidence of the disease, is a natural phenomenon of human aging, old people, kidney marrow deficiency,followed by cold coagulation tendons, wet condyle, phlegmatic Hygrosiscross resistance and a series of deficiency in origin and excess in superficiality of the card, so the cold damp type knee arthralgia is the mostcommon knee arthralgia. Clip tibialelbowing lead knee massage law indispelling cold, Shujin Huoxue Tongluo, accelerate blood circulation,improve the intra-articular pressure balance, promote the repair of articularcavity contents organization, promote the aseptic inflammation absorption and dissipation, and at the same time with dredge main and collateral channels, releasing adhesion, lubricating joints, relieve knee joint synoviahncarceration, improve the motor function of knee joint effect. Acupuncture and moxibustion can temperature through the main and collateral channels,Qi and blood circulation, eliminating dampness and expel cold, reach thegeneral pain role. The results of the study suggest that clip tibial elbowingpull knee massage combined with moxibustion treatment of cold dampness type knee arthralgia has remarkable curative effect.