Clinical Observation On The Therapeutic Effect Of Warm Acupuncture And Moxibustion On Rheumatoid Arthritis

Objective:To evaluate the therapeutic effect of warm acupuncture and moxibustion in the treatment of rheumatoid arthritisMethods:According to the clinical diagnostic criteria,inclusion criteria and exclusion criteria,64 cases of eligible patients with rheumatoid arthritis of cold dampness bi obstruction type were selected and randomly divided into treatment group and control group according to the random number table method,32 cases in each group Both groups were given basic treatment,oral leflunomide tablets 20 mg/time,1 time/d.If the patient feels unbearable pain,add celecoxib capsules at 200 mg/time and once/d.Under the same basic treatment,treatment group with warm acupuncture treatment,the control group with simple acupuncture method treatment,choose acupuncture point is the same,upper limb pain obviously,take eight evil,te 4,li 5,li 11 shoulder,shoulder Yu,liao:lower limb pain obviously,taking tu PI,foot three mile,the knee eye,hong leong,three vaginal intercourse,destroyed,st 41,eight wind.2 weeks for a course of treatment,a total of 2 courses of treatment.4 weeks after treatment,observe and record the doctor of traditional Chinese medicine symptom integral,before and after treatment in patients with the degree of pain,joint tenderness count,joint swelling count,and so on,to the patient's overall curative effect of traditional Chinese medicine clinical disease activity index(SDAI),a simplified and clinical disease activity index(CDAI)is calculated,SPSS22.0 was used to statistical analysis,to determine treatment effectsResults:1.The effective rate of the treatment group was 93.33%;The effective rate of control group was 83.33%.According to the mann-whitney U test,p<0.01 was found between the treatment group and the control group,and the difference was statistically significant,indicating that the effective rate of the treatment group was significantly better than that of the control group2.All TCM symptoms in the treatment group and the control group were significantly improved by intra-group comparison,and the difference was statistically significant(p<0.0 1).After treatment,there were differences between the two groups in the symptoms of aggravation in rainy days,adverse flexion and extension,and wind-chill aversion(p<0.05),which was statistically significant There were significant differences in the symptoms of coldness of joints,pain reduction of heat gain and limb distress,p<0.01,showing significant statistical significance,indicating that the treatment group was better than the control group in improving the symptoms of aggravated rainy day,adverse flexion and extension,wind-chill aversion,coldness of joints,pain reduction of heat gain and limb distressIntra-group comparison of CDAI and SDAI between the two groups showed statistically significant differences(p<0.01),proving that both groups could reduce the activity of rheumatoid arthritis.The difference between the two groups was statistically significant,indicating that the treatment group was more capable of reducing RA activity.Conclusion:1.Warm acupuncture and moxibustion has obvious curative effect on rheumatoid arthritis of cold and dampness arthralgia type2.Warm acupuncture and moxibustion can improve the TCM symptoms of cold-dampness-arthralgia type rheumatoid arthritis and reduce the activity degree of cold-dampness-arthralgia type rheumatoid arthritis3.Warm acupuncture can reduce the CRP level of rheumatoid arthritis.4.The therapeutic effect of warm acupuncture and moxibustion on cold and wet arthralgia type rheumatoid arthritis is better than acupuncture alone.