Clinical Observation Of Qi Huang Therapy In The Treatment Of Shoulder Periodontitis In Pain Period

ObjectiveAt present,foreign preliminary studies[1]showed that women are more likely than men to develop periarthri tis of the shoulder.Two to five percent of the patients are concentrated in the age group of 40-70 years old,and most of them occur on one side of the limh.In the clinical stage of shoulder periarthri tis,the pain period is the early stage in the pathogenesis of shoulder periarthritis.The main cl inical mani festations are shoulder pain,and most of the patients are light during the day and heavy at night,which affects sleep.These symptoms are the main cause of the patient's visit.Qi Huang therapy is a characteri stic therapy technique invented by Di rector Chen Zhenhu of the first affilated Hospi tal of Gunngzhou University of traditional Chinese Medicine in cl inical practice.This Therapy uses Qi Huang acupuncture to find the corresponding Meridian node of disease through the meridian theory,referring to "Guan prick","Hegu thorn" and "transmission prick" technique,and combined with "Azure Dragon's tail swinging" technique to treat pain ofneck,shoulder,waist and leg,etc.The study chooses professor Chen's Qi Huang therapy to treat patients wi th periarthritis of shoulder in pain stage,by comparing the VAS and Constant-Murley shoulder function scale before and after treatment and one month after follow-up to explore its clinical evaluation of periarthri tis of shoulder(luring pain stage.This study provides a reference for the choice of more safe and effective therapy for pat ients with periarthri tis of shoulder during pain period.MethodsFrom March 1,2018 to February 1,2019,60 patients with shoulderperiarthritis at pain stage were selected from the Department of Acupuncture and Moxibustion,the first affiliated Hospital of Guangzhou University of TCM.According to the patient' s order of visits,60 patients were randomly divided into the observation group(Qi Huang therapy group)and the control group(Ordinary acupuncture group),30 cases in each group.According to the theory of meridian tendons and the position of pain in the shoulder of the patients and the direction of limited functional activity,the patients in the observation group were treated with Qi Huang therapy by taking from 2-3 acupoints.The control group was treated with ordinary acupuncture therapy after selecting the corresponding acupoints according to Wang Hua' s editor-in-chief of Acupuncture and moxibustion.The patients in the observation group were treated 3 times a week(Tuesday,Thursday,Saturday),and 3 times were treated as one course of treatment and a total of one course.The patients in this group were treated with Qi Huang Needle by selecting points along the meridian and selecting 2 and 3 acupoints for each treatment.The patients in the control group were treated 5 times a week(from Tuesday to Saturday),and 5 times were treated as one course of treatment and a total of one course.The patients in this group were treated with common acupuncture every time through the main acupoints along the meridian and the combination of acupoints.Follow-up before and after treatment and one month later,VAS scale and Constant-Murley shoulder function scale were used as observation indexes to evaluate the effect of treatment.The scores before and after treatment and between groups were compared,and statistical analysis was carried out.Results1.There was no significant difference between the two groups in general data before treatment,including age,sex,course of disease,shoulder(left or right),VAS pain score and Constant-Murley shoulder function score before treatment(P>0.05),the two sets of data are comparable.2.The VAS scores of the two groups after treatment and one month follow-up were significantly lower than those before treatment,and this difference was statistically significant(P<0.05),which showed that both groups of treatment could relieve the symptoms of shoulder pain.The VAS score in the observation group was significantly lower than that in the control group(P<0.05),and the difference was statistically significant(P<0.05),suggesting that the pain improvement in the observation group was significantly better than that in the control group.3.The scores of Constant-Mur]ey shoulder function scale after treatment and one month follow-up in the two groups were significantly higher than those before treatment,and there was a significant difference between the two groups(P<0.05).The results showed that both groups could improve the shoulder function and relieve pain.The Constant-Mur ley score of the observation group was significantly higher than that of the control group,the difference was significant(P<0.05),suggesti ng that the observation group was significantly better than the control group in improving the activity function of shoulder joi nt.4.Compared with pre-treatment,both groups achieved better resul ts in reducing shoulder pain and improving joint function.In the observation group(Qi Huang therapy),the cure rate was 30%,the obvious effective rate was 40%,the improvement(ef fecti ve)rate was 23.33%,and the total effecti ve rate was 93.33%;In the control group(ordinary acupuncture therapy),the cure rate was 6.67%,the obvious effective rate was 16.67%,the improvement rate was 50%,and the total effective rate was 73.33%.There was significant difference between the two groups in clinical curative effect(P<0.05).It is indicated that Qi Huang therapy is more effective in treating scapulohumeral periarthritis during pain stage than general acupuncture in treating pain stage shoulder periarthritis.ConclusionBoth Qi Huang therapy and ordinary acupuncture therapy can significantly improve the shoulder pai n and shoulder joint functional activity symptoms in patients with shoulder periarthritis.Qi Iluang therapy uses Qi Huang needle to stimulate the lesion through the muscles node,which can effectively increase the treatment range of acupuncture,relieve the pain of the affected side of the shoulder and improve shoulder motion.It's curative effect is obviously superior to the common acupuncture therapy in treating the patients with shoulder periarthritis during pain stage.Qi Huang therapy is simple to operate,no side effects,green and safe,and suitable for popularizing and applying in clinic.