Clinical Observation Of Thoracic And Dorsal Myofascitis Treated By Internal Warming Needle And Du Channel Moxibustion Therapy

Backgrounds Thoracic and dorsal myofascitis(TDMS),also known as thoracic and dorsal pain syndrome,is a common kind of clinical disease with pain on the back.The typical clinical symptoms of the disease are muscls soreness,stiffness and pains,which offen occur at the scapula area.With the rapid development of the modern society,electronic facilities such as smart phones and electronic office system have brought great convenience to our lives,but the "Mobile party","Computer group","Phubbing group" are seen everywhere on the street,among which the young generation lead the mainstream.If one remains his position unchanged for a long time,high tension of the muscles on the back will be increased.Due to the chronic aseptic inflammation,there will be adhesions of soft tissue,forming cord-like nodules as time goes by,patients get discomfort anyway.Although the disease will not endanger our lives,but the pain will seriously affect the quality of our life.There exisits a variety of methods to treat TDMS by traditional Chinese medicine therapys curently.The author had treated aboundent of such patients with TDMS in the clinical process,and the observation showed that: internal warming needle can promote the blood circulation,and reduce the tension of muscle,which effectively relieve the pain;Du Channel moxibustion therapy send out mild warm which can eaily penetrate into the skin.The warm effectively stimulate“qi”of meridians to dissipate cold and eliminate dampness.The combination of the two therapy predict a better clinical efficacy.Objective This study aims to investigate the clinical efficacy of internal warming needle and Du Channel moxibustion therapy in the treatment of TDMS for providing basis for aplying this method to clinical use,and to provide new ideas for treating this disease.Methods From January 2015 to December 2016,ninety patients with TDMS treated at the department of rehabilitation clinic in Taihe Hospital were randomly divided into 3 groups:treatment group(internal warming needle and Du Channel moxibustion therapy,TG),while other two control groups just cover with a separate use of internal warming needle therapy(ICG)and Du Channel moxibustion therapy(DCG).Each group cotains 30 patients.The treatment was given once a week and continuous 3 times of such treatment makes a complete course.The clinical efficacy of the patients after treatment were valued;Based on the Clinical Gudience for Soft Tissue Injuries Treatment with New Traditional Chinese Msdicine and the Mc Gill Pain Questionnaire,with adverse reactions taking into consideration,all statistics were analyzed.Results 1.Baseline comparison: There were no differences in sex,age and course of disease between each groups before the treatment.2.Mc Gill pain questionnaire pain rating index(PRI)comparison: The three groups of patients had no difference in PRI before the treatment(p>0.05).After therapy,the PRI of the TG was lower than that of the ICG(p<0.01).There was significant difference between the TG and the TCG(p<0.01).3.Mc Gill pain questionnaire pain visual analogus scale(VAS)comparison: The three groups of patients had no difference in VAS before the treatment(p>0.05).After therapy,VAS of the treatment group was significantly lower than that the ICG and DCG(P <0.01).4.Mc Gill pain questionnaire pain present pain intensity(PPI)comparison: The three groups of patients had no difference in PPI before the treatment(p>0.05).After therapy,PPI in the TG was significantly lower than that in the ICG(p<0.05).The difference between TG and DCG was statistically significant(P<0.01).5.The curative effect of the TG was 86.7%,and was much higher than that of the ICG(66.7%)and the DCG(50%),the difference was statistically significant(p<0.01).Conclusions According to our clinicl research after 3 times treatment,the combination of internal warming needle and Du Channel moxibustion therapy had better effects for the TDMS than single-applied treatment,and no adverse reactions occurred in the test.The combination has played the effect of "Wen Tong",which can better alleviate the clinical symptoms such as pain and discomfort.Besides,soft tissue injury can also be effectively improved,indicating that the combination of internal warming needle and Du Channel moxibustion therapy is a simple and effective treatment for TDMS.