Clinical Study Of Pricking Blood Therapy On Acute Gouty Arthritis With Damp-heat Accumulation

ObjectiveBy observing the clinical effect of blood pricking therapy on acute gouty arthritis of dampness-heat accumulation,this paper explores the acupuncture method that can quickly relieve the pain symptoms of acute gouty arthritis,so as to provide a more safe and efficient traditional Chinese medicine therapy for clinical treatment of this disease.MethodsA total of 66 patients with acute gouty arthritis with dampness-heat junction were selected from the Department of Rheumatology,Department of Endocrinology and Department of Acupuncture and moxbustion of Dongguan Hospital Affiliated to Guangzhou University of Chinese Medicine from December 2019 to December 2020.They were randomly divided into treatment group and control group,with 33 patients in each group.The former was treated with pricking blood therapy,while the latter was treated with oral etocoxib tablets(An Kang Xin).VAS score scale and symptom and sign score scale were used before and after treatment.The immediate analgesic effect of the two groups was evaluated 1 hour after the first treatment,and the difference of the scale scores between the two groups was compared after the treatment.ResultsThere was no statistical significance in the comparison of general information(gender,age,time of onset)and basic conditions(VAS score before treatment,total scores of symptoms and signs and scores of each item)between the two groups(all P>0.05),suggesting comparability between the two groups.At the beginning of the study,66 patients were included.During the treatment process,1 patient fell out of the treatment group and 1 patient was excluded from the control group,and 64 patients were eventually included.1 hour after the first treatment,the immediate significant efficiency of the treatment group was higher than that of the control group,the difference was statistically significant(P<0.05).After the treatment course,the intra-group comparison showed that the VAS score,the total score of symptoms and signs and the scores of each item(joint pain,tenderness,redness and mobility disorder)in 2 groups were significantly lower than those before treatment(all P<0.01).Comparison between groups showed that the VAS score,the total score of symptoms and signs and the difference before and after the pricking group were better than those of the western medicine group,with statistical significance(all P<0.05).In addition,in terms of the scores of symptoms and signs,the scores of joint pain,redness and mobility disorder in the blood pricking group were better than those in the western medicine group,and the differences were statistically significant(P<0.05),while the scores of joint tenderness and the differences between the two groups were not statistically significant(P>0.05).ConclusionBoth pricking blood therapy and oral etocoxib tablets are effective in the treatment of acute gouty arthritis with dampness-heat accumulation and can relieve the symptoms of swelling,heat and pain in the joints.In contrast,pricking blood therapy immediate analgesic effect and total effective rate is higher than oral western medicine relying on coaxie tablets.Specifically,blood prickling therapy has better efficacy in relieving pain,reducing swelling and improving joint mobility,but has the same efficacy in improving patients’ signs of tenderness.Generally speaking,pricking blood therapy is better than oral western medicine etocoxib,which can relieve pain more quickly,relieve the pain of patients,improve the quality of life,and has clinical promotion value.