Clinical Observation Of Needle Warming Moxibustion On Lateral Epicondylitis Of Humerus

Objective: To observe the clinical effects of needle warming moxibustion on lateral epicondylitis of humerus of cold resistance network card type and deficiency of qi and blood type.We compare the remission of elbow pain and the improvement of elbow function of the two groups of patients with either therapeutic tool,analyse the acupoint selection,by which to find out a safe,effective,convenient,ecumenical,practical therapy.And this therapy can improve the lateral epicondylitis patients' quality of life.Method: 120 patients with lateral epicondylitis of humerus were randomly divided into control group(n=30)and treatment group(n=30).The patients chosed in strict accordance with the diagnostic criteria and inclusion criteria were from acupuncture clinic of Traditional Chinese Medicine Hospital of Hebei Province from 2015.3 to 2016.8.The patients in the treatment group and the control group were treated with psychological counseling,required to pay attention to rest and nutrition,by which to exclude the factors that induce or aggravate the pain.Patients in treatment group are treated by needle warming moxibustion therapy,acupoints included ashi point Quchi(LI 11),Shousanli(LI 10),Waiguan(SJ 5),Hegu(LI 4),Yanglingquan(GB 34)and adjunct acupuncture points.The cold resistance network card type patients were acupunctured with Fengchi(GB 20),Lieque(LU 7)in addition,while the deficiency of qi and blood type patients were acupunctured Zusanli(ST 36)and Sanyinjiao(SP 6).Counseled the acupoints before acupuncture,the major points and cold resistance network card type are treated with Methods of Regulating Qi,while adjunct acupuncture points and deficiency of qi and blood type are treated with reinforcing method.Add the1.5cm Moxa Cone on the handle of needle that is 2-3cm above skin after bringing about the desired sensation by lifting,thrusting,twirling and rotating.Besides that,put paper around the skin of Ashi and burn the two Moxa Cone one by one,while other points are kept with needle last 30 min.Control group is treated by electroacupuncture with the same points and procedure as treatment group.Moreover,after bringing about the desired sensation by acupuncturing,we treat Ashi and Quchi(LI 11)and Shousanli(LI 10)with longitudinal wave and the needle that is connected with proper electricity for25 min.Both treatment group and control group are treated once a day for two courses,each of which containing 10 day.There is a day for rest between two courses.After two courses of treatment,the clinical effect is evaluated by analgesic effect of the lateral epicondylitis of humerus referenced by Disease of TCM syndrome diagnosis curative standard.The obtained data were analysed by the statistical software named SPSS 21.0.Among them,qualitative data were checked up by chi-square test and quantitative data were checked up by nonparametric test while grade data were checked up by r-ank sum test.If ordinal data conformed to normal distribution and had homogeneity of variance,then adopted the t-test.If ordinal data conformed to normal distribution but had no homogeneity of variance,then adopted the separate variance estimation t'-test.If ordinal data didn't conform to normal distribution,then adopted the nonparametric test.Results:1Through the statistical analysis on the sexy,age,course of a disease,we found that every index had no obvious difference,and could be compared(P >0.05).2 The statistical analysis on the he visual analogue scale(VAS)evaluation of elbow pain before treatment had no obvious difference,and could be compared(P >0.05).Both treatment and control group show that the VAS is obviously decreased before treatment with statistical significance(P <0.05).It showed that both therapeutic methods can relief of elbow pain due to lateral epicondylitis of humerus.Moreover,the VAS of treatment group is lower than control group with statistical significance(P <0.05).It showed that The therapy of treatment group about clinical pain is obviously higher than that of controlgroup(P <0.05).3 According to the disease of TCM syndrome diagnosis curative standard,combining pain intensity,activity level and therapeutic index,in the treatment group,28 cases were cured(46.67%),markedly effective in 20 cases(33.33%),effective in 9 cases(15%),invalid in 3 cases(5%),total effective rate was 95%,while in the control group,18 cases were cured in the control group(n = 30%),markedly effective in 18 cases(30%),effective in 12 cases(20%),invalid in 12 cases(20%).the total effective rate was 80%.It showed that the cure rate and total effective rate in the treatment group were significantly higher than those in the control group,the difference was statistically significant(P <0.05).It also showed that the clinical effect of treatment group was better than that of control group.4 In treatment group,the total effective rate of cold resistance network card type was 96.88%,while was 92.86% in patients with deficiency of Qi and blood;In control group,the total effective rate of cold resistance network card type and deficiency of Qi and blood type were 86.11%,70.83%.The curative effect of cold resistance network card type was superior to that in deficiency of Qi and blood type,with statistical significance(P<0.05).5 In the process of this study,all patients finished this study by actively cooperated and adhered to treatment.But Symptoms of subcutaneous hemorrhage appeared on 3 patients in treatment group,then,disappeared without handling,and it did not interfere the treatment.A patient felt faintng during acupuncture in control group,it also disappeared without handling and did not affect treatment.Treatment in both groups were safe and reliable.Conclusion:Needle warming moxibustion has more significant clinical effect on lateral epicondylitis of humerus than electroacupuncture,which is worthwhile to clinical promotion.Warm acupuncture and electroacupuncture can reduce the VAS score on the elbow pain,and the treatment group is better than the control group,with statistical significance(P<0.05).The curative effect of cold resistance network card type was superior to that in deficiency of Qi andblood type.