Clinical Observation On Acupuncture And Moxibustion For Gout Of Spleen And Kidney Yang Deficiency Type

Objective: The incidence of gout is increasing year by year,and it is difficult to cure.Western medicine treatment has quick effect,but there are some toxic and side effects.In this study,the clinical efficacy of acupuncture and moxibustion for spleen-kidney Yang deficiency gout was compared with that of western medicine through comparative observation,so as to explore safe and effective clinical acupuncture and moxibustion for spleen-kidney Yang deficiency gout.Methods:Sixty patients who met the inclusion criteria of this subject were randomly divided into treatment group and control group,with 30 patients in each group.Both groups were given basic treatment at the same time.The treatment group was treated with acupuncture and moxibustion which was combined with blood-pricking and cupping therapy,while the control group was treated with allopurinol tablets.If the patient has an acute attack of gouty arthritis during the treatment process,stop taking allopurinol tablets and change to colchicine tablets.After pain relief,stop taking colchicine tablets and replace them with allopurinol tablets.Each course of treatment is 1 week,a total of 4 courses of treatment.In before,2 courses of treatment and after treatment,the relevant clinical information collection.At the same time,combined with clinical symptoms,syndromes,laboratory test data,adverse reactions,and curative effect evaluation standard to comprehensive evaluation,in order to observe and assess of acupuncture in the treatment of spleen and kidney Yang deficiency type gout general curative effect,clinical curativeeffect of TCM syndrome,objective summarize curative effect difference between the two groups.Results:(1)After the treatment course,there was no significant difference in the total effective rate and recovery rate between the treatment group and the control group(p > 0.05),but the significant efficiency was better in the treatment group compared with the control group(p < 0.05).Moreover,after two courses of treatment,the clinical symptom score of the treatment group was better than that of the control group(p < 0.05).After the completion of treatment,the two groups had not significant difference in the treatment of joint swelling,joint tenderness and joint function(p > 0.05),and both were significantly relieved(p < 0.01).However,the treatment group had more advantages than the control group in alleviating joint pain(p < 0.05).Combined with basic treatment,both the treatment group and the control group could effectively improve the serum uric acid concentration(p < 0.01),and the two groups had not significant difference(p > 0.05).Within 3 months after the end of treatment,the two groups had not significant difference in the recurrence rate of gout(p < 0.05).(2)In the curative effect of TCM syndromes,the treatment group could better improve the TCM syndromes of spleen and kidney Yang deficiency syndrome(p < 0.01);after treatment,the TCM syndromes in the two groups was significantly improved(p < 0.01),but the treatment group had greater advantages than the control group in the treatment of gout patients with spleen and kidney Yang deficiency type(p < 0.01).(3)In terms of adverse reactions,the renal function of patients in the two groups was not affected,and there was no significant difference between the two groups(p > 0.05).However,the incidence of gastrointestinal symptoms in the treatment group was significantly lower than that in the control group,andthe two groups had significant difference(p < 0.05).Conclusions:(1)In combination with basic treatment,acupuncture and moxibustion can effectively improve the clinical symptoms,signs and laboratory indicators of gout patients with spleen and kidney Yang deficiency,as well as western medicine treatment.Acupuncture and moxibustion therapy can more quickly and effectively improve the clinical symptoms of pain and swelling.(2)Acupuncture and moxibustion treatment and Western medicine treatment can improve the TCM syndromes of gout patients with spleen and kidney Yang deficiency.However,the effect of acupuncture and moxibustion treatment in improving spleen and kidney Yang deficiency is more better than western medicine.(3)Compared with western medicine treatment,acupuncture and moxibustion therapy is more effective,faster and has fewer adverse reactions.In addition,the acceptance of acupuncture and moxibustion by patients is better.Acupuncture and moxibustion can treat the root of the disease,which is worthy of clinical application and further research.