Clinical Observation On Treatment Of Periarthritis Of Shoulder(Wind-and-wet Type) By Self-made Xianteng Decoction

Purpose: Through the selection of patients with periarthritis of periarthritis at the Affiliated Hospital of Changchun University of Traditional Chinese Medicine,a randomized controlled clinical study was conducted to observe the efficacy of Xianteng Fang in the treatment of periarthritis of shoulder(wind-chill type),and to explore the use of traditional Chinese medicine and functional exercise to treat shoulders conservatively.The curative effect of Zhou Yan(wind-cold type)provides reference for further optimizing the treatment plan.Method: In this study,a randomized,controlled clinical study was used.Cases were collected from Department of Orthopaedics,Affiliated Hospital of Changchun University of Chinese Medicine between January 2017 and December 2017.Patients with scapulohumeral periarthritis who met the criteria for row exclusion were randomly divided into treatment and control groups.Test group: The patient was given self-made Xian Tengfang Chinese medicine Nong Benfang Pellets(Nanning Peili Pharmaceutical Co.,Ltd.).Usage: 150 ml warm boiled water,one dose a day three times a day for half an hour after meals,and served for 30 days;Group: Give Fengshui Qikang Capsule(Jilin Fangda Pharmaceutical Group Co.,Ltd.,Zhunzi Z10940003);Usage: 0.3g/grain,0.6g/time,3 times daily after meals(according to instructions),even for 30 Days;Outpatients instructed two groups of patients to perform the following functional exercises: 1 Climbing wall exercise: The patient stands on the wall and the body relaxes naturally.The ipsilateral hand slowly climbs up to the ceiling and continues for 15-30 s.Slowly lower it and repeat 10 times.Mark the highest point of each finger and record the results of each exercise.2 combing exercises: the patient's upper body is upright,the patient is combed with the five fingers of the shoulder arm,and the contralateral elbow is supported with the healthy hand,and the combing action is repeated 10 times,requiring the hand to be gradually placed behind the pillow and touched Contralateral tip.3 Front flexion hand touch the opposite ear exercises: lift up the ipsilateral upper limb,the upper arm close to the same side of the ear,suffering from hand touch the opposite ear,and sliding from front to back.The above exercises are practiced about 10 times a day,each time for 3 minutes,and the intensity and amplitude of the exercise range from pain to pain can be increased from small to large.Before treatment and on the 30 th day of treatment,according to the "Shoulder Function Evaluation Scale" developed by Li Haiyan,Yan Bing,Wu Hui [1],the patient's shoulder pain(P),ROM(R),ADL(A),and muscle were recorded.Strength(M)and joint local morphology(F)were scored in 5 areas,and general items such as age,gender,and X-ray of shoulder joints were recorded.If treatment is adjusted,it should be recorded accordingly.The statistical methods used SPSS 23.0 for data processing analysis.The measurement data were tested with t or t?.The measurement data were expressed as "mean ± standard deviation"(X ± S).The count data were analyzed using 2 test,and the grade data were tested with rank sum test.The confidence interval is 95%,P<0.05 indicates that the difference is statistically significant,and P<0.01 indicates that the difference has statistical significance.Result: The total effective rate was 91.43% in the treatment group and 91.18% in the control group.Statistical software analysis showed that there was no significant difference in the effective rate between the two groups(P=1.00>0.05).The two treatment methods had significant differences in improvement of shoulder pain(P),ROM(R),ADL(A),muscle strength(M)and joint local morphology(F)before and after treatment.<0.05).The compliance of the two groups was better,with 1 in the experimental group and 2 in the observation group.Conclusion: Xian Teng Fang's treatment of periarthritis of shoulder(wind and dampness type)is equivalent to Fengshui Qikang Capsule.Both of them can effectively relieve pain in shoulder joints,improve shoulder functional activities,and improve the quality of life of patients.The combination of Xian Teng Fang and functional exercise in the treatment of periarthritis of the shoulder(wind-cold-humid type)can be an ideal treatment for patients with periarthritis of the shoulder,which is worthy of clinical application.