Clinical Observation On Therapeutic Effect Of "Fuyang Tongdu" Burn Moxibustion On Ankylosing Spondylitis Of Kidney Deficiency And Cold In Du Meridian Type

Object: To observe and compare the clinical efficacy and differences between the“Fuyang Tongdu” burn moxibustion method and the “Shujin Tongdu” acupuncture method in the treatment of ankylosing spondylitis with kidney deficiency and coldness.The clinical standardization technique of “Fuyang Tongdu” burn moxibustion method for the treatment of ankylosing spondylitis provides the basis for the clinical application and promotion of “Fuyang Tongdu” burn moxibustion method for the treatment of ankylosing spondylitis.Methods: Sixty patients with ankylosing spondylitis(kidney deficiency and cold in Du)who met the inclusion criteria(collected from the outpatient clinics of the Department of Acupuncture and Moxibustion,Department of Rheumatology and Department of Orthopedic Injury of Ningxia Hui Autonomous Region Hospital and Research Institute of Traditional Chinese Medicine)were divided into 30 cases in the“Fuyang Tongdu” branding and moxibustion group(treatment group)and 30 cases in the “Shujin Tongdu” acupuncture group(control group)according to clinical practice.The patients were divided into 30 cases in the “Fuyang Tongdu” acupuncture group(treatment group)and 30 cases in the “Shujin Tongdu” acupuncture group(control group).In both groups,acupuncture points were selected from Dazhui,Shenzhu,Zhiyang,Jizhong,Mingmen,Yaoyangguan,Taodao,Shendao,Tendon Shrinkage,Xuanshu,Zhongshu,Lingtai and Huatuo spine points.In the acupuncture group,acupuncture was performed after routine sterilization of the above points,and each time the needles were left for 30 min,and the treatment was performed from Monday to Friday,5 times/week,for a total of 20 times(4 weeks);in the branding group,acupuncture was performed after sterilization of the above points with iodine volts,and the treatment was performed on Monday and Friday,2 times/week,for a total of 8times(4 weeks).The changes of overall score VAS score(PGA)scale,spinal pain VAS score scale,Oswestry dysfunction index(ODI)scale,Bath ankylosing spondylitis disease activity index(BASDAI)scale,Bath ankylosing spondylitis function index(BASFI)scale,Creactive protein(CRP),blood sedimentation(ESR)and Chinese medicine evidence score scale points were compared before and after treatment in each group;after treatment,a comparison of the differences of the above indexes between the two groups was performed.Results:(1)Baseline data,Spinal pain VAS score,PGA score,ODI scores,BASDAI scores,BASFI scores,laboratory indexes(ESR,CRP)levels and TCM symptom scores of the two groups before treatment were not statistically significant(P>0.05)and were comparable.(2)Spinal pain VAS score and PGA score: compared with the pre-treatment period,the VAS and PGA scores of both groups decreased significantly(P< 0.05),and the treatment group was lower than the control group(P<0.05).(3)ODI scores: After 4 weeks of treatment,the BASDAI scores of both groups were lower than before(P<0.05),and the treatment group was lower than the control group(P<0.05).(4)BASDAI score: After 4 weeks of treatment,the BASDAI scores of patients in both groups were lower than before(P<0.05),and the treatment group was lower than the control group(P<0.05).(5)BASFI score: After 4 weeks of treatment,the BASFI scores of patients in both groups were lower than before(P<0.05),and the treatment group was lower than the control group(P<0.05).(6)Evaluation of TCM symptoms: Compared with the pre-treatment period,the total score and the score of each subscale of the TCM symptoms scale decreased significantly in both groups(P<0.05),indicating that both branding and acupuncture could effectively improve the symptoms and signs of AS;and the treatment group was lower than the control group(P<0.05).(7)Laboratory indices(ESR,CRP): After 4 weeks of treatment,the laboratory indices(ESR,CRP)of both groups decreased(P<0.05),and the treatment group was significantly lower than the control group(P<0.05).(8)Overall efficacy evaluation: The total effective rate of the "Fuyang Tongdu" burn moxibustion group and the "Shujin Tongdu" acupuncture group were 86.67% and73.33%,respectively,and the effective rate of the treatment group was higher than that of the control group(P<0.05),and the difference was statistically significant.Conclusions:(1)Both "Fuyang Tongdu" burn moxibustion and "Shujin Tongdu" acupuncture methods were effective in treating AS with kidney deficiency and coldness.(2)The "Fuyang Tongdu" burn moxibustion and moxibustion method is better than the "Shujin Tongdu" acupuncture method in reducing the patient’s pain index,improving the patient’s ability to perform daily activities,reducing the level of inflammation,improving the patient’s symptoms,and improving the symptoms of Chinese medicine,with fewer adverse effects and good safety.