Clinical Observation Of Fire Needle Therapy In The Treatment Of Acute Scapulohumeral Periarthritis Of Wind Cold Dampness Type

Objective:Based on the basic theory of Traditional Chinese Medicine(TCM)and Meridian following behavior guidance,this study observed the clinical efficacy of fire needle therapy in the treatment of acute scapulohumeral periarthritis of wind cold dampness type through clinical randomized controlled experiments,and evaluated the differences and advantages of fire needle therapy and conventional filiform needle acupuncture therapy,so as to provide a reasonable and effective treatment for the treatment of scapulohumeral periarthritis of acute stage with fire acupuncture case.Methods:In this study,64 patients with acute periarthritis of shoulder of wind-cold and dampness type were concerned which were randomly grouped in the sequence of initial treatment:treatment group and control group,32 cases in each group.The treatment group was treated with He’s fire needle point acupuncture treatment,fire needle points were Shoulder Condile,Shoulder Front,Shoulder Liao,Yanglingquan,Sanjian,Houxi and Ashi points.After the points were pricked,the needle was quickly released,and the skin around the pinhole was pressed with sterile dry cotton balls for treatment 3 times a week,at least with an interval of 1day.The control group was treated with traditional filiform needle acupuncture,and the acupoints were selected from the same treatment group.After getting qi under the acupuncture,the acupuncture was kept for 30 min.During this period,the technique of leveling and reinforcing and reducing could be applied for several times to enhance the sense of acupuncture,6 times a week.The treatment time of both groups was 14 days.After the treatment,the clinical efficacy was observed.The clinical efficacy of patients with acute cold-dampness periarthritis of shoulder was evaluated by comparing the VAS score,ROM score,grade of shoulder pain,TCM syndrome score and overall efficacy evaluation before and after the treatment.Results:1 Before treatment,it didn’t have too much distinction between the two groups like gender,age,shoulder,disease course and other basic information,as well as in terms of shoulder pain score,shoulder joint motion score and TCM syndrome score(p>0.05),so a comparison could be made.2 The symptoms of shoulder pain in both groups,compared with non-treatment,obviously decreased after treatment with statistical difference(p < 0.05)which indicated that the treatment methods in both groups can relieve the symptoms of shoulder pain in patients;When compared between groups after treatment,it was concluded that the shoulder pain score in the treatment group was lower than that in the control group,also with the statistical difference(p< 0.05)which,similarly,showed that the former group had better shoulder pain relief.3 After treatment,the scores of shoulder range of motion in 2 groups were significantly higher than those before treatment,with statistical differences(p < 0.05),showing that the treatment methods were useful in improving shoulder flexibility in patients;When compared between groups after treatment,the treatment group patients with shoulder joint activity score higher than the control group,the statistical differences(p < 0.05),two groups of patients with shoulder pain grading after treatment to improve the situation differences(p < 0.05),and the former was superior to the latter in perfecting patients’ shoulder joint dysfunction.4 In the acute phase of improve the wind cold dampness type patients with periarthritis of shoulder to go up cold pain,inconvenient flexion,encounter cold accentuation,wei wind evil cold,body composure,two groups of treatment are effective syndrome,statistical differences(p < 0.05),both when compared between groups after treatment p < 0.05,there is statistically significant,the treatment group is better than that of control group in improvement of syndromes.5 Comparison of clinical efficacy after treatment showed that the effective rate and the healing rate of the former group were higher than that of the control group(96.88%,75.00%and 84.38%,46.88% respectively)with statistical difference(p<0.05).So was the effectiveness of TCM syndrome in the two parts of 96.88% and 71.88% which was higher than that of the control group(81.25%,and the healing rate was 40.63%),with statistically significant differences(p <0.01).Conclusion:1 Both fire needle acupuncture and filiform needle acupuncture have good curative effects in treating the disease,among which fire needle acupuncture is significantly better than filiform needle acupuncture.2 Fire needle acupuncture can significantly relieve the symptoms of shoulder pain and dysfunction in patients with acute cold-dampness periarthritis of shoulder,improve the syndromes of traditional Chinese medicine,and then their quality of life.The overall curative and TCM syndromes effect is obviously superior than that of filiform needle acupuncture.3 With high safety and significant efficacy,short treatment time and fewer acupuncture times,fire acupuncture therapy has great development space and is worthy of clinical promotion.