Objective To observe the efficacy of combining therapy in treatment of 90 patients with scapulohumeral periarthritis in different phases. Method Ninety patients with scapulohumeral periarthritis were treated with Fu＇...Objective To observe the efficacy of combining therapy in treatment of 90 patients with scapulohumeral periarthritis in different phases. Method Ninety patients with scapulohumeral periarthritis were treated with Fu＇s subcutaneous needling（FSN） combined with physiotherapy in painful phase, acupotomology and massage in adhesion phase, and appropriate functional exercise in rehabilitation phase. Seven days were considered as one course of treatment, and efficacy evaluation was performed after three courses. Function evaluation of shoulder joint was made. Result The total effective rate was 100%（38/38） in acute phase, 93.5%（29/31） in adhesion phase, and 100%（21/21） in rehabilitation phase. After treatment, the range of motion（ROM） of shoulder joint, pain, muscle force, activities of daily living（ADL） and joint local morphology of the patient have been improved obviously. Conclusion Better clinical efficacy is achieved in treatment of scapulohumeral periarthritis in different phases by combining therapy centering on FSN.展开更多
Objective To compare the clinical therapeutic effects on scapulohumeral periarthritis between kinetic acupuncture on the distal points of the affected meridians and shoulder three-needle therapy.Methods Fifty cases of...Objective To compare the clinical therapeutic effects on scapulohumeral periarthritis between kinetic acupuncture on the distal points of the affected meridians and shoulder three-needle therapy.Methods Fifty cases of scapulohumeral periarthritis were randomly divided into an observation group and a control group,25 cases for each.The cases in observation group were treated with kinetic acupuncture on the distal points of the affected meridians.For example,the case of Hand-Taiyin type was treated with Yújì （鱼际 LU 10） and the case of Hand-Yangming type was treated with Hégǔ （合谷 LI 4）,etc.The cases in control group were treated with shoulder three-needle therapy,in which,Jiānqián （肩前 Extral）,Jiānyú （肩髃 LI 15） and Jiānliáo （肩髎 TE 14） were selected;7 days of treatment made one session,totally 2 sessions were required.Results In observation group,the curative rate based on ROM of shoulder joint was 72.0% （18/25）,which was superior to that of 40.0% （10/25） in control group （P0.05）.After treatment,the improvements of McGill SF-MPQ score,VAS and PPI in observation group were all superior to those in control group （all P0.05）.Conclusion The kinetic acupuncture on the distal points of the affected meridians is advantageous at analgesia and motor improvements of shoulder joint in treatment of scapulohumeral periarthritis as compared with shoulder three-needle therapy.展开更多
Objective To probe into therapeutic effect of acupuncture at Tiānzōng（天宗 ST 11） with Canggui Tanxue method on periarthritis of shoulder.Methods Sixty cases of periarthritis of shoulder were treated by acupunctur...Objective To probe into therapeutic effect of acupuncture at Tiānzōng（天宗 ST 11） with Canggui Tanxue method on periarthritis of shoulder.Methods Sixty cases of periarthritis of shoulder were treated by acupuncture at Tiānzōng（天宗 SI 11） with Canggui Tanxue method.The treatment was given once each day,and the needle was retained for 20 min,5 treatments constituting one course.After 3 courses,therapeutic effects were observed.Results Thirty-six cases were cured,15 cases were markedly effective,8 cases were effective and one case was ineffective,with a total effective rate of 98.3%（59/60）.Conclusion Acupuncture at Tiānzōng（天宗 SI 11） with Canggui Tanxue method has an obvious therapeutic effect on periarthritis of shoulder.展开更多
Objective To verify the therapeutic effect of abdominal acupuncture combined with scarring moxibustion at Qìhǎi（气海 CV 6） on periarthritis of shoulder.Methods Thirty cases of periarthritis of shoulder were ra...Objective To verify the therapeutic effect of abdominal acupuncture combined with scarring moxibustion at Qìhǎi（气海 CV 6） on periarthritis of shoulder.Methods Thirty cases of periarthritis of shoulder were randomly divided into an acup-moxibustion group and an acupuncture group,15 cases in each group.The patients in the two groups were treated with abdominal acupuncture at Zhōngwǎn（中脘 CV 12）,Xiàwǎn（下脘 CV 10）,Shāngqǔ（商曲 KI 17）,Huáròumén（滑肉门 ST 24）,with scarring moxibustion at Qìhǎi（气海 CV 6） added in the acup-moxibustion group,5 treatments each week,altogether 15 treatments.The therapeutic effects were assessed on the 20th day of acupuncture.Results The effective rate was 93.3%（14/15） in both the acup-moxibustion group and the acupuncture group,and the cured and markedly effective rate in the acup-moxibustion group and the acupuncture group was 86.7%（13/15） and 53.3%（8/15）,respectively,the acup-moxibustion group being better than that in the acupuncture group（P〈0.01）;after treatment the cumulative score of pain and the cumulative score of shoulder joint active function were significantly increased in the two groups（all P〈0.05）,with more significantly increased in the acup-moxibustion group（both P〈0.05）.Conclusion The therapeutic effect of abdominal acupuncture combined with scarring moxibustion on periarthritis of shoulder is better than that of the simple abdominal acupuncture.展开更多
Objective:To observe the short-and long-term clinical efficacy differences of body acupuncture and scalp acupuncture combined with extracorporeal shock wave and simple extracorporeal shock wave.Methods:Sixty patients ...Objective:To observe the short-and long-term clinical efficacy differences of body acupuncture and scalp acupuncture combined with extracorporeal shock wave and simple extracorporeal shock wave.Methods:Sixty patients with scapulohumeral periarthritis were randomly divided into two groups:the treatment group and control group,30 cases in each one.Both groups underwent basic rehabilitation training.Patients in the treatment group were treated with body acupuncture and scalp acupuncture combined with extracorporeal shock wave.Yújì(鱼际 LU10),Hégǔ(合谷L14),Zhōngzhǔ(中渚TE3),Hòuxī(后溪SI3).There were three needles for the scalp acupuncture with the first between Shéntíng(神庭 GV24)and Yìntáng(印堂 EX-HN3),and the other two straightly through the inner canthus and parallel to the first needle.Shock wave treatment was intensively applied in some pressure points around shoulder joint.The control group used the same shock wave therapy as the treatment group.Both groups were all treated once a day,6 times a week.Patients were treated for one course which lasted for 4 weeks.VAS score,the Constant-Murley score and the HAMA(the Hamilton Anxiety Scale)are as therapeutic effect index.30 days telephone investigation followed-up after the treatment course was evaluated.Results:Totally 28 cases completed the clinical observation in the treatment group,and 29 cases in the control group.The total effective rate of the treatment group was 85.7%(24/28),which was higher than 69.0%(20/29)of the control group(P<0.05).VAS score:There were significant statistical differences before and after the treatment in the two groups(the treatment group:6.67 ± 1.43 vs 3.47 ± 1.35,the control group:7.57 ± 1.31 vs 5.36 ± 1.45,both P<0.05).There were significant statistical differences before the treatment and at the follow-up in the two groups(the treatment group:6.67 ± 1.43 vs2.68±0.81,the control group:7.57±1.31 vs 4.56±1.35,both P<0.05).The VAS scores of the treatment group after treatment and at the follow-up were respectively lower than those of the control group(both P<0.05).Shoulder joints activity score:There were significant statistical differences before and after the treatment in the two groups(the treatment group:54.65±1.65 vs 65.54±2.19,the control group:54.32 ± 2.31 vs 61.01 ± 0.95,both P<0.05).There were significant statistical differences before treatment and at follow-up in the two groups(the treatment group:54.65 ± 1.65 vs 66.18± 1.35,the control group:54.32 ± 2.31 vs 62.11 ± 1.49,both P<0.05).The shoulder activity scores of the treatment group after treatment and at follow-up were respectively higher than those of the control group(both P<0.05).HAMA scores:There were singificant statistical differences before and after treatment in the two groups(the treatment group:16.83 ± 1.56 vs 13.26 ± 2.36,the control group:17.04 ± 1.84 vs 15.23 ±3.17,both P<0.05).There were significant statistical differences before treatment and at follow-up in the two groups(the treatment group:16.83 ± 1.56 vs 11.01 ± 3.20,the control group:17.04 ± 1.84 vs 13.68 ± 2.49,both P<0.05).The HAMA scores of the treatment group after treatment and at follow-up were lower than those of the control group(both P<0.05).Conclusion:Body acupuncture and scalp acupuncture combined with extracorporeal shock wave can relieve the clinical symptoms of patients with scapulohumeral periarthritis,ease anxiety and improve daily life activities.展开更多
The aim of this study was to establish clinical practice guidelines for acupuncture-moxibustion by retrieving relevant literature and adopting the best current national and international evidence, according to experts...The aim of this study was to establish clinical practice guidelines for acupuncture-moxibustion by retrieving relevant literature and adopting the best current national and international evidence, according to experts＇ experience and patients＇ values. This was achieved using the Grade of Recommendations Assessment, Development and Evaluation（GRADE） system combined with a wide range of national experts＇ consensus, in order to provide reliable evidence for acupuncture-moxibustion treatment of scapulohumeral periarthritis, and to ensure the safety and effectiveness of the treatment.展开更多
OBJECTIVE:To evaluate the efficacy of bee venom acupuncture in humeroscapularis(PHS)patients.METHODS:One hundred and twenty patients diagnosed with PHS were assigned into four groups:BV1(0.01 mg/kg),BV2(0.005 mg/kg),B...OBJECTIVE:To evaluate the efficacy of bee venom acupuncture in humeroscapularis(PHS)patients.METHODS:One hundred and twenty patients diagnosed with PHS were assigned into four groups:BV1(0.01 mg/kg),BV2(0.005 mg/kg),BV3(0.0025 mg/kg),and control group(vitamin B1 plus novocain 3%injection)with 15 d of treatment.The outcomes of the study including visual analogue scale(VAS)score andβ-endorphin,inflammatory cytokines including interleukin-10(IL-10),IL-1βand tumor necrosis factorα(TNF-α)and shoulder function score were assessed at baseline,after 10 and 15 d of treatment.RESULTS:All four groups reported statistically significant improvement in VAS score,motion range,and shoulder function score(P<0.01),only the BV3 group showed significant increase of anti-inflammatory(IL-10)and decrease of pro-inflammatory(IL-1β,TNF-α)cytokines after treatment(P<0.05).The BV3 group presented a significant difference between all outcomes compared to the control and other groups.CONCLUSION:BV3 groups showed better recovery including reduced pain,improved motor function and normalized inflammatory cytokines than current therapy used in Vietnam and other groups.展开更多
Objective:To observe and compare the therapeutic effect on shoulder periarthritis between Fu’s subcutaneous needling(FSN)and electroacupuncture(EA).Methods:A total of 68 patients with periarthritis of shoulder were d...Objective:To observe and compare the therapeutic effect on shoulder periarthritis between Fu’s subcutaneous needling(FSN)and electroacupuncture(EA).Methods:A total of 68 patients with periarthritis of shoulder were divided into a FSN group and an EA group according to the random number table,34 cases in each one.In the FSN group,FSN was adopted,once every two days,totally for 10 times.In the EA group,EA was used once daily,consecutively for 20 times.Shoulder pain score and shoulder function score(Constant-Murley score)before and after treatment were compared between the two groups.The clinical therapeutic effect was analyzed and evaluated statistically.Results:After 20-day treatment,shoulder pain score was reduced obviously as compared with that before treatment in the patients of either group(both P<0.01).After treatment,shoulder pain score in the FSN group was lower significantly than that in the EA group(P<0.01).In 20 days of treatment,CMS was improved obviously as compared with that before treatment in the patients of both groups(both P<0.01)and CMS in the FSN group was higher significantly than that in the EA group after treatment(P<0.01).The effective rate was 94.11%in the FSN group and was 91.17%in the EA group.The remarkably effective rate was 73.52%in the FSN group,significantly higher than 20.58%in the EA group(P<0.01).Conclusion:Both FSN and EA are effective in treatment of periarthritis of shoulder,but FSN obtains a much higher remarkably effective rate in treatment of periarthritis of shoulder and its effects for relieving shoulder pain and improving shoulder function are superior to EA.Because of its effective treatment and simple operation,FSN deserves to be promoted in clinical practice for periarthritis of shoulder.展开更多
Objective:To observe clinical efficacy differences of regular acupuncture at empirical acupoints combined with join valley needling at ashi point compared with simple join valley needling at ashi point for scapulohume...Objective:To observe clinical efficacy differences of regular acupuncture at empirical acupoints combined with join valley needling at ashi point compared with simple join valley needling at ashi point for scapulohumeral periarthritis.Methods:Sixty-four patients of scapulohumeral periarthritis were randomly divided into an observation group and a control group,32 cases in each one.Both groups underwent basic rehabilitation training.Patients in the observation group were treated with acupuncture at empirical acupoints combined with join valley needling at ashi point,while the patients of the control group were treated with simple join valley needling at ashi point.Both groups were all treated once a day,6 times a week.Patients were treated for one course which lasted for 4 weeks.The visual analog scale(VAS)score,the Constant-Murley score and the Hamilton Anxiety Scale(HAMA)are compared between the two groups before and after the treatment,and the efficacy was evaluated after the treatment.Telephone investigation was applied as the followed-up after one month of the treatment.Results:The total effective rate in the observation group was 87.5%(28/32),and that in the control group was 71.9%(23/32),and there was statistically significant difference between the two groups(P<0.05).The VAS scores,Constant-Murley scores,and HAMA scores in the patients of the observation group were lower than those of the corresponding indicators in the patients of the control group respectively,and there were statistically significant differences(all P<0.05).Conclusions:Compared with simple join valley needling at ashi point,regular acupuncture at empirical acupoints combined with join valley needling at ashi point can relieve the clinical symptoms of patients with scapulohumeral periarthritis,attenuate pains,ease anxiety and improve daily life activities better.展开更多
The severity and location of scapulohumeral periarthritis should be identified for determining its treatment method： when the wei exterior is initially invaded by external pathogens for the first time, the location o...The severity and location of scapulohumeral periarthritis should be identified for determining its treatment method： when the wei exterior is initially invaded by external pathogens for the first time, the location of disease is shallow, therefore, the shallow needling should be performed, which can contribute to diffusing and discharging pathogens of wei exterior. If pathogens had invaded for a long time, they can enter the ying level from wei level, so the acupuncture on ying level should be conducted to discharge the blood stasis and stagnation, thus removing the pathogenic qi and maintaining the healthy qi. If pathogens had invaded for a long time, the meridians and collaterals will be obstructed, and the penetration moxibustion method should be adopted to make the heat penetrate deeply, thereby achieving the effects of warming the meridians and expelling bi. The therapy should be chosen based on syndromes, so meridians can be dredged, and qi-blood can be harmonized, finally the disease will be cured. The precise determination of the location can ensure the success of manipulations. After the nature of disease is identified, targeted methods of acupuncture, bloodletting and fire needling can be performed for treatment of diseases, as a result, ＂normal physiological activities can be maintained＂.展开更多
ABSTRACT Objective To compare the efficacies on scapulohumeral periarthritis between superficial needling therapy （SN） and warm needling method. Methods Sixty-six cases were randomized into two groups, 33 cases in e...ABSTRACT Objective To compare the efficacies on scapulohumeral periarthritis between superficial needling therapy （SN） and warm needling method. Methods Sixty-six cases were randomized into two groups, 33 cases in each one. In SN group, Superficial needling therapy was adopted. In warm needling group, warm acupuncture was applied to Jianyu （肩髃 LI 15）, Tianzong（天宗 SI 11） , Ashi, etc. Functional exercise was assisted in both groups. After 2 courses of treatment, it was to assess the efficacy, relevant pain scale on movement （VAS）, decrease range of motion of shoulder joint （ROM） and comprehensive score in two groups. Results In SN group, the basic curative rate was 27.3 % and total effective rate was 97.0 %. In warm needling group, the basic curative rate was 6. 1% and total effective rate was 75.8%. The efficacy in SN group was superior to that in warm needling group （P〈0.05）. The improvements of VAS, ROM and comprehensive score in SN group were all superior significantly to those in warm needling group （P〈0. 001）. Conclusion Superficial needling therapy achieves quite significant efficacy on scapulohumeral periarthritis and is convenient in operation and good in adherence.展开更多
Objective:To observe the clinical effect of digital acupoint pressure combined with hot ironing of Zhuang medicine in the therapy of scapulohumeral periarthritis.Methods:160 patients with scapulohumeral periarthritis ...Objective:To observe the clinical effect of digital acupoint pressure combined with hot ironing of Zhuang medicine in the therapy of scapulohumeral periarthritis.Methods:160 patients with scapulohumeral periarthritis were randomly divided into the treatment group and control group with 80 patients in each group.The treatment group was treated with digital acupoint pressure combined with hot ironing of Zhuang medicine.The control group was treated with intermediate frequency therapy apparatus.All the treatments were given once a day for 4 weeks,Then the effective rate as well as the scores of shoulder pain and joint inflammation,were calculated.Results:The shoulder pain score of the treatment group was 3.49±0.98,while that of control group was 5.33±1.26(P<0.05).The shoulder joint inflammation score in the treatment group was higher than that of the control group(73.24±7.20 vs 60.71±10.46,P<0.05).these results suggested that 4 weeks of treatments improved the shoulder function.Moreover,the effective rate of the treatment group was higher than that of the control group(86.25%vs 63.75%).Conclusion:Digital acupoint pressure combined with hot ironing in Zhuang medicine could relieve joint pain of patients with scapulohumeral periarthritis and improve their shoulder mobility.展开更多
Objective:To evaluate the clinical efficacy of warming acupuncture combined with joint mobilization for the treatment of scapulohumeral periarthritis.Methods:A search for published randomized controlled trials(RCT)inv...Objective:To evaluate the clinical efficacy of warming acupuncture combined with joint mobilization for the treatment of scapulohumeral periarthritis.Methods:A search for published randomized controlled trials(RCT)investigating warming acupuncture combined with joint mobilization for the treatment of scapulohumeral periarthritis was performed using the Cochrane Library,PubMed,Embase,and Web of Science databases.According to requirements of the Cochrane systematic review,all evaluations of RCT investigating warming acupuncture with joint mobilization in the treatment of scapulohumeral periarthritis were performed via method quality assessment,data extraction,and data analysis.Revman 5.3 and Stata 12.0 statistical software were used for the meta-analysis,and the trial sequential analysis(TSA)software estimated the required information size for each outcome.Results:A total of 14 articles were retrieved for meta-analysis,which included 551 cases in the treatment group and 539 cases in the control group.Meta-analysis showed that:(1)warming acupuncture combined with joint mobilization improved total efficiency[OR=6.16,95%CI(3.79,10.00),Z=7.34;P<0.001),TSA results confirmed the results of the meta-analysis;(2)warming acupuncture combined with joint mobilization improved the cure rate[OR=2.84,95%CI(2.19,3.70),P<0.001],TSA results revealed that no further tests were needed to verify;(3)warming acupuncture combined with joint mobilization reduced the number of treatments required for healing[MD=-7.49,95%CI(-9.75,-5.23),P<0.001],TSA results confirmed the results of the meta-analysis;(4)in comparing visual analog scale scores before and after treatment,meta-analysis result showed that:SMD=-2.01,95%CI(-2.37,-1.65),P<0.001,the difference was statistically significant,TSA results confirmed the results of the meta-analysis.Conclusion:Warming acupuncture combined with joint mobilization had a significant effect on the treatment of scapulohumeral periarthritis.展开更多
Objective: To observe the therapeutic effect of Qinglong Bai Wei Zhen Fa (Green Dragon Shaking Tail Needling) in the treatment of scapulohumeral periarthritis. Methods: A total of 231 cases of scapulohumeral periarthr...Objective: To observe the therapeutic effect of Qinglong Bai Wei Zhen Fa (Green Dragon Shaking Tail Needling) in the treatment of scapulohumeral periarthritis. Methods: A total of 231 cases of scapulohumeral periarthritis patients were randomized into treatment group (n=123) and control group (n=108). In treatment and control groups, Jianyu (LI 15), Jianqian and Jianhou were used as the main acupoints and stimulated with Green Dragon Shaking Tail Needling and conventional needling separately. Additionally, in control group, Waiguan (TE 5) and Binao (LI 14) were supplemented. The treatment was given once daily, with 10 days being a therapeutic course, 2 courses altogether. Results: After the first course of treatment, in treatment and control groups, the cured, the markedly improved, the effective and ineffective cases were 49 and 12, 61 and 33, 11 and 40, 2 and 23, with the total effective rates being 98.4% and 78.7% respectively. There was a marked difference between two groups in the therapeutic effect (P<0.05). Following 2 courses of treatment, the cured, the markedly improved, the effective and ineffective cases were 66 and 21, 47 and 41, 10 and 39, 0 and 7, with the total effective rates being 100% and 93.5% separately. No significant difference between two groups in the total effective rates, but the cure rate of treatment group was strikingly higher than that of control group. Conclusion: Green Dragon Shaking Tail Needling is significantly superior to that of conventional needling in the treatment of scapulohumeral periarthritis.展开更多
Objective: To analyze the therapeutic effect of contralateral needling in the treatment of scapulohumeral periarthritis. Methods: A total of 68 cases of scapulohumeral periarthritis were outpatients and were randomize...Objective: To analyze the therapeutic effect of contralateral needling in the treatment of scapulohumeral periarthritis. Methods: A total of 68 cases of scapulohumeral periarthritis were outpatients and were randomized into treatment group (n=36) and control group (n=32). In treatment group, Zhiyin (BL 67), Jinmen (BL 63) and Yanglao (SI 6) on the contralateral side of the affected shoulder and local tenderpoints (Ashi-points) were punctured once every other day, with 7 days being a therapeutic course; while in control group, local Ashi-points were used for injection of Procaine and Prednisolone Acetate, once every 7 days and with 3～4 sessions being a therapeutic course. Results: Following 2 courses of treatment, of the 32 cases in control group, 8 (25.0%) were cured, 17 (53.1%) experienced improvement and 7 failed in the treatment, with a total of effective rate of 78.1%; of the 36 cases in treatment group, 18 (50.0%) were cured, 16 (44.4%) experienced improvement and 2 (5.6%) failed in the treatment, with a total effective rate of 94.4%. The therapeutic effect of contralateral needling is significantly higher than that of Ashi-point blocking method (P<0.05). Conclusion: Contralateral needling is superior to Ashi-point in the treatment of scapulohumeral periarthritis.展开更多
Objective:To investigate the clinical effects of electroacupuncture combined with extracorporeal shock wave in the treatment of periarthritis of shoulder.Methods:136 patients with periarthritis of shoulder admitted to...Objective:To investigate the clinical effects of electroacupuncture combined with extracorporeal shock wave in the treatment of periarthritis of shoulder.Methods:136 patients with periarthritis of shoulder admitted to our hospital from September 2018 to September 2019 were randomly divided into two groups by double-blind method.68 patients in the control group were treated with extracorporeal shock wave;68 patients in the observation group were treated with electroacupuncture combined with extracorporeal shock wave.The shoulder joint pain,joint function and activities of daily living were compared between the two groups.Results:The VAS score of shoulder joint pain in the observation group after treatment(1.92±0.24)was lower than that in the control group(3.51±0.32),and the UCLA score of shoulder joint function(31.28±1.96)was higher than that of the control group(27.42±2.36),the differences were statistically significant(P<0.05).After treatment,the active degree of forward flexion and extension of shoulder joint in the observation group was higher than those of the control group,and the activities of daily living was higher than that of the control group,with statistically significant differences(P<0.05)Conclusion:Electroacupuncture combined with extracorporeal shock wave treatment for periarthritis of shoulder has achieved ideal effects,safety and non-invasiveness,and can quickly restore the functions of shoulder joints.展开更多
From January of 1996 to June of 2001, the author treated 210 cases of shoulder periarthritis by needling Lingxia and Sanjian (LI 3), and achieved satisfactory therapeutic results. This is reported as follows.
文摘Objective To observe the efficacy of combining therapy in treatment of 90 patients with scapulohumeral periarthritis in different phases. Method Ninety patients with scapulohumeral periarthritis were treated with Fu＇s subcutaneous needling（FSN） combined with physiotherapy in painful phase, acupotomology and massage in adhesion phase, and appropriate functional exercise in rehabilitation phase. Seven days were considered as one course of treatment, and efficacy evaluation was performed after three courses. Function evaluation of shoulder joint was made. Result The total effective rate was 100%（38/38） in acute phase, 93.5%（29/31） in adhesion phase, and 100%（21/21） in rehabilitation phase. After treatment, the range of motion（ROM） of shoulder joint, pain, muscle force, activities of daily living（ADL） and joint local morphology of the patient have been improved obviously. Conclusion Better clinical efficacy is achieved in treatment of scapulohumeral periarthritis in different phases by combining therapy centering on FSN.
文摘Objective To compare the clinical therapeutic effects on scapulohumeral periarthritis between kinetic acupuncture on the distal points of the affected meridians and shoulder three-needle therapy.Methods Fifty cases of scapulohumeral periarthritis were randomly divided into an observation group and a control group,25 cases for each.The cases in observation group were treated with kinetic acupuncture on the distal points of the affected meridians.For example,the case of Hand-Taiyin type was treated with Yújì （鱼际 LU 10） and the case of Hand-Yangming type was treated with Hégǔ （合谷 LI 4）,etc.The cases in control group were treated with shoulder three-needle therapy,in which,Jiānqián （肩前 Extral）,Jiānyú （肩髃 LI 15） and Jiānliáo （肩髎 TE 14） were selected;7 days of treatment made one session,totally 2 sessions were required.Results In observation group,the curative rate based on ROM of shoulder joint was 72.0% （18/25）,which was superior to that of 40.0% （10/25） in control group （P0.05）.After treatment,the improvements of McGill SF-MPQ score,VAS and PPI in observation group were all superior to those in control group （all P0.05）.Conclusion The kinetic acupuncture on the distal points of the affected meridians is advantageous at analgesia and motor improvements of shoulder joint in treatment of scapulohumeral periarthritis as compared with shoulder three-needle therapy.
文摘Objective To probe into therapeutic effect of acupuncture at Tiānzōng（天宗 ST 11） with Canggui Tanxue method on periarthritis of shoulder.Methods Sixty cases of periarthritis of shoulder were treated by acupuncture at Tiānzōng（天宗 SI 11） with Canggui Tanxue method.The treatment was given once each day,and the needle was retained for 20 min,5 treatments constituting one course.After 3 courses,therapeutic effects were observed.Results Thirty-six cases were cured,15 cases were markedly effective,8 cases were effective and one case was ineffective,with a total effective rate of 98.3%（59/60）.Conclusion Acupuncture at Tiānzōng（天宗 SI 11） with Canggui Tanxue method has an obvious therapeutic effect on periarthritis of shoulder.
文摘Objective To verify the therapeutic effect of abdominal acupuncture combined with scarring moxibustion at Qìhǎi（气海 CV 6） on periarthritis of shoulder.Methods Thirty cases of periarthritis of shoulder were randomly divided into an acup-moxibustion group and an acupuncture group,15 cases in each group.The patients in the two groups were treated with abdominal acupuncture at Zhōngwǎn（中脘 CV 12）,Xiàwǎn（下脘 CV 10）,Shāngqǔ（商曲 KI 17）,Huáròumén（滑肉门 ST 24）,with scarring moxibustion at Qìhǎi（气海 CV 6） added in the acup-moxibustion group,5 treatments each week,altogether 15 treatments.The therapeutic effects were assessed on the 20th day of acupuncture.Results The effective rate was 93.3%（14/15） in both the acup-moxibustion group and the acupuncture group,and the cured and markedly effective rate in the acup-moxibustion group and the acupuncture group was 86.7%（13/15） and 53.3%（8/15）,respectively,the acup-moxibustion group being better than that in the acupuncture group（P〈0.01）;after treatment the cumulative score of pain and the cumulative score of shoulder joint active function were significantly increased in the two groups（all P〈0.05）,with more significantly increased in the acup-moxibustion group（both P〈0.05）.Conclusion The therapeutic effect of abdominal acupuncture combined with scarring moxibustion on periarthritis of shoulder is better than that of the simple abdominal acupuncture.
基金Supported by Key scientific research project of Heilongjiang administration of traditional Chinese medicine:No.ZHY18-065Inheritance studio project of national fa-mous traditional Chinese medicine experts Sun Yuanzheng,National education of traditional Chinese medicine:No.[2014]20Postgraduate innovative research project of Heilongjiang University of traditional Chinese medicine:No.2018yjscx047
文摘Objective:To observe the short-and long-term clinical efficacy differences of body acupuncture and scalp acupuncture combined with extracorporeal shock wave and simple extracorporeal shock wave.Methods:Sixty patients with scapulohumeral periarthritis were randomly divided into two groups:the treatment group and control group,30 cases in each one.Both groups underwent basic rehabilitation training.Patients in the treatment group were treated with body acupuncture and scalp acupuncture combined with extracorporeal shock wave.Yújì(鱼际 LU10),Hégǔ(合谷L14),Zhōngzhǔ(中渚TE3),Hòuxī(后溪SI3).There were three needles for the scalp acupuncture with the first between Shéntíng(神庭 GV24)and Yìntáng(印堂 EX-HN3),and the other two straightly through the inner canthus and parallel to the first needle.Shock wave treatment was intensively applied in some pressure points around shoulder joint.The control group used the same shock wave therapy as the treatment group.Both groups were all treated once a day,6 times a week.Patients were treated for one course which lasted for 4 weeks.VAS score,the Constant-Murley score and the HAMA(the Hamilton Anxiety Scale)are as therapeutic effect index.30 days telephone investigation followed-up after the treatment course was evaluated.Results:Totally 28 cases completed the clinical observation in the treatment group,and 29 cases in the control group.The total effective rate of the treatment group was 85.7%(24/28),which was higher than 69.0%(20/29)of the control group(P<0.05).VAS score:There were significant statistical differences before and after the treatment in the two groups(the treatment group:6.67 ± 1.43 vs 3.47 ± 1.35,the control group:7.57 ± 1.31 vs 5.36 ± 1.45,both P<0.05).There were significant statistical differences before the treatment and at the follow-up in the two groups(the treatment group:6.67 ± 1.43 vs2.68±0.81,the control group:7.57±1.31 vs 4.56±1.35,both P<0.05).The VAS scores of the treatment group after treatment and at the follow-up were respectively lower than those of the control group(both P<0.05).Shoulder joints activity score:There were significant statistical differences before and after the treatment in the two groups(the treatment group:54.65±1.65 vs 65.54±2.19,the control group:54.32 ± 2.31 vs 61.01 ± 0.95,both P<0.05).There were significant statistical differences before treatment and at follow-up in the two groups(the treatment group:54.65 ± 1.65 vs 66.18± 1.35,the control group:54.32 ± 2.31 vs 62.11 ± 1.49,both P<0.05).The shoulder activity scores of the treatment group after treatment and at follow-up were respectively higher than those of the control group(both P<0.05).HAMA scores:There were singificant statistical differences before and after treatment in the two groups(the treatment group:16.83 ± 1.56 vs 13.26 ± 2.36,the control group:17.04 ± 1.84 vs 15.23 ±3.17,both P<0.05).There were significant statistical differences before treatment and at follow-up in the two groups(the treatment group:16.83 ± 1.56 vs 11.01 ± 3.20,the control group:17.04 ± 1.84 vs 13.68 ± 2.49,both P<0.05).The HAMA scores of the treatment group after treatment and at follow-up were lower than those of the control group(both P<0.05).Conclusion:Body acupuncture and scalp acupuncture combined with extracorporeal shock wave can relieve the clinical symptoms of patients with scapulohumeral periarthritis,ease anxiety and improve daily life activities.
基金Supported by standardization of traditional Chinese medicine,State Administration of Traditional Chinese Medicine of the People’s Republic of China:ZYYS-2009-0009-8special project of construction of TCM Master CHENG Xin-nong’s Inheritance Studio,State Administration of Traditional Chinese Medicine of the People’s Republic of China
文摘The aim of this study was to establish clinical practice guidelines for acupuncture-moxibustion by retrieving relevant literature and adopting the best current national and international evidence, according to experts＇ experience and patients＇ values. This was achieved using the Grade of Recommendations Assessment, Development and Evaluation（GRADE） system combined with a wide range of national experts＇ consensus, in order to provide reliable evidence for acupuncture-moxibustion treatment of scapulohumeral periarthritis, and to ensure the safety and effectiveness of the treatment.
文摘OBJECTIVE:To evaluate the efficacy of bee venom acupuncture in humeroscapularis(PHS)patients.METHODS:One hundred and twenty patients diagnosed with PHS were assigned into four groups:BV1(0.01 mg/kg),BV2(0.005 mg/kg),BV3(0.0025 mg/kg),and control group(vitamin B1 plus novocain 3%injection)with 15 d of treatment.The outcomes of the study including visual analogue scale(VAS)score andβ-endorphin,inflammatory cytokines including interleukin-10(IL-10),IL-1βand tumor necrosis factorα(TNF-α)and shoulder function score were assessed at baseline,after 10 and 15 d of treatment.RESULTS:All four groups reported statistically significant improvement in VAS score,motion range,and shoulder function score(P<0.01),only the BV3 group showed significant increase of anti-inflammatory(IL-10)and decrease of pro-inflammatory(IL-1β,TNF-α)cytokines after treatment(P<0.05).The BV3 group presented a significant difference between all outcomes compared to the control and other groups.CONCLUSION:BV3 groups showed better recovery including reduced pain,improved motor function and normalized inflammatory cytokines than current therapy used in Vietnam and other groups.
基金Scientific Research Project of New Technique of Hunan Provincial People’s Hospital:MNRT-2018022。
文摘Objective:To observe and compare the therapeutic effect on shoulder periarthritis between Fu’s subcutaneous needling(FSN)and electroacupuncture(EA).Methods:A total of 68 patients with periarthritis of shoulder were divided into a FSN group and an EA group according to the random number table,34 cases in each one.In the FSN group,FSN was adopted,once every two days,totally for 10 times.In the EA group,EA was used once daily,consecutively for 20 times.Shoulder pain score and shoulder function score(Constant-Murley score)before and after treatment were compared between the two groups.The clinical therapeutic effect was analyzed and evaluated statistically.Results:After 20-day treatment,shoulder pain score was reduced obviously as compared with that before treatment in the patients of either group(both P<0.01).After treatment,shoulder pain score in the FSN group was lower significantly than that in the EA group(P<0.01).In 20 days of treatment,CMS was improved obviously as compared with that before treatment in the patients of both groups(both P<0.01)and CMS in the FSN group was higher significantly than that in the EA group after treatment(P<0.01).The effective rate was 94.11%in the FSN group and was 91.17%in the EA group.The remarkably effective rate was 73.52%in the FSN group,significantly higher than 20.58%in the EA group(P<0.01).Conclusion:Both FSN and EA are effective in treatment of periarthritis of shoulder,but FSN obtains a much higher remarkably effective rate in treatment of periarthritis of shoulder and its effects for relieving shoulder pain and improving shoulder function are superior to EA.Because of its effective treatment and simple operation,FSN deserves to be promoted in clinical practice for periarthritis of shoulder.
基金Supported by National Traditional Chinese Medicine clinical characteristic technology inheritance backbone talent training program:National Administration of Traditional Chinese Medicine 2019 No.36Innovative research project for postgraduates of Heilongjiang University of Traditional Chinese Medicine:2018yjscx047
文摘Objective:To observe clinical efficacy differences of regular acupuncture at empirical acupoints combined with join valley needling at ashi point compared with simple join valley needling at ashi point for scapulohumeral periarthritis.Methods:Sixty-four patients of scapulohumeral periarthritis were randomly divided into an observation group and a control group,32 cases in each one.Both groups underwent basic rehabilitation training.Patients in the observation group were treated with acupuncture at empirical acupoints combined with join valley needling at ashi point,while the patients of the control group were treated with simple join valley needling at ashi point.Both groups were all treated once a day,6 times a week.Patients were treated for one course which lasted for 4 weeks.The visual analog scale(VAS)score,the Constant-Murley score and the Hamilton Anxiety Scale(HAMA)are compared between the two groups before and after the treatment,and the efficacy was evaluated after the treatment.Telephone investigation was applied as the followed-up after one month of the treatment.Results:The total effective rate in the observation group was 87.5%(28/32),and that in the control group was 71.9%(23/32),and there was statistically significant difference between the two groups(P<0.05).The VAS scores,Constant-Murley scores,and HAMA scores in the patients of the observation group were lower than those of the corresponding indicators in the patients of the control group respectively,and there were statistically significant differences(all P<0.05).Conclusions:Compared with simple join valley needling at ashi point,regular acupuncture at empirical acupoints combined with join valley needling at ashi point can relieve the clinical symptoms of patients with scapulohumeral periarthritis,attenuate pains,ease anxiety and improve daily life activities better.
文摘The severity and location of scapulohumeral periarthritis should be identified for determining its treatment method： when the wei exterior is initially invaded by external pathogens for the first time, the location of disease is shallow, therefore, the shallow needling should be performed, which can contribute to diffusing and discharging pathogens of wei exterior. If pathogens had invaded for a long time, they can enter the ying level from wei level, so the acupuncture on ying level should be conducted to discharge the blood stasis and stagnation, thus removing the pathogenic qi and maintaining the healthy qi. If pathogens had invaded for a long time, the meridians and collaterals will be obstructed, and the penetration moxibustion method should be adopted to make the heat penetrate deeply, thereby achieving the effects of warming the meridians and expelling bi. The therapy should be chosen based on syndromes, so meridians can be dredged, and qi-blood can be harmonized, finally the disease will be cured. The precise determination of the location can ensure the success of manipulations. After the nature of disease is identified, targeted methods of acupuncture, bloodletting and fire needling can be performed for treatment of diseases, as a result, ＂normal physiological activities can be maintained＂.
文摘ABSTRACT Objective To compare the efficacies on scapulohumeral periarthritis between superficial needling therapy （SN） and warm needling method. Methods Sixty-six cases were randomized into two groups, 33 cases in each one. In SN group, Superficial needling therapy was adopted. In warm needling group, warm acupuncture was applied to Jianyu （肩髃 LI 15）, Tianzong（天宗 SI 11） , Ashi, etc. Functional exercise was assisted in both groups. After 2 courses of treatment, it was to assess the efficacy, relevant pain scale on movement （VAS）, decrease range of motion of shoulder joint （ROM） and comprehensive score in two groups. Results In SN group, the basic curative rate was 27.3 % and total effective rate was 97.0 %. In warm needling group, the basic curative rate was 6. 1% and total effective rate was 75.8%. The efficacy in SN group was superior to that in warm needling group （P〈0.05）. The improvements of VAS, ROM and comprehensive score in SN group were all superior significantly to those in warm needling group （P〈0. 001）. Conclusion Superficial needling therapy achieves quite significant efficacy on scapulohumeral periarthritis and is convenient in operation and good in adherence.
文摘Objective:To observe the clinical effect of digital acupoint pressure combined with hot ironing of Zhuang medicine in the therapy of scapulohumeral periarthritis.Methods:160 patients with scapulohumeral periarthritis were randomly divided into the treatment group and control group with 80 patients in each group.The treatment group was treated with digital acupoint pressure combined with hot ironing of Zhuang medicine.The control group was treated with intermediate frequency therapy apparatus.All the treatments were given once a day for 4 weeks,Then the effective rate as well as the scores of shoulder pain and joint inflammation,were calculated.Results:The shoulder pain score of the treatment group was 3.49±0.98,while that of control group was 5.33±1.26(P<0.05).The shoulder joint inflammation score in the treatment group was higher than that of the control group(73.24±7.20 vs 60.71±10.46,P<0.05).these results suggested that 4 weeks of treatments improved the shoulder function.Moreover,the effective rate of the treatment group was higher than that of the control group(86.25%vs 63.75%).Conclusion:Digital acupoint pressure combined with hot ironing in Zhuang medicine could relieve joint pain of patients with scapulohumeral periarthritis and improve their shoulder mobility.
文摘Objective:To evaluate the clinical efficacy of warming acupuncture combined with joint mobilization for the treatment of scapulohumeral periarthritis.Methods:A search for published randomized controlled trials(RCT)investigating warming acupuncture combined with joint mobilization for the treatment of scapulohumeral periarthritis was performed using the Cochrane Library,PubMed,Embase,and Web of Science databases.According to requirements of the Cochrane systematic review,all evaluations of RCT investigating warming acupuncture with joint mobilization in the treatment of scapulohumeral periarthritis were performed via method quality assessment,data extraction,and data analysis.Revman 5.3 and Stata 12.0 statistical software were used for the meta-analysis,and the trial sequential analysis(TSA)software estimated the required information size for each outcome.Results:A total of 14 articles were retrieved for meta-analysis,which included 551 cases in the treatment group and 539 cases in the control group.Meta-analysis showed that:(1)warming acupuncture combined with joint mobilization improved total efficiency[OR=6.16,95%CI(3.79,10.00),Z=7.34;P<0.001),TSA results confirmed the results of the meta-analysis;(2)warming acupuncture combined with joint mobilization improved the cure rate[OR=2.84,95%CI(2.19,3.70),P<0.001],TSA results revealed that no further tests were needed to verify;(3)warming acupuncture combined with joint mobilization reduced the number of treatments required for healing[MD=-7.49,95%CI(-9.75,-5.23),P<0.001],TSA results confirmed the results of the meta-analysis;(4)in comparing visual analog scale scores before and after treatment,meta-analysis result showed that:SMD=-2.01,95%CI(-2.37,-1.65),P<0.001,the difference was statistically significant,TSA results confirmed the results of the meta-analysis.Conclusion:Warming acupuncture combined with joint mobilization had a significant effect on the treatment of scapulohumeral periarthritis.
文摘Objective: To observe the therapeutic effect of Qinglong Bai Wei Zhen Fa (Green Dragon Shaking Tail Needling) in the treatment of scapulohumeral periarthritis. Methods: A total of 231 cases of scapulohumeral periarthritis patients were randomized into treatment group (n=123) and control group (n=108). In treatment and control groups, Jianyu (LI 15), Jianqian and Jianhou were used as the main acupoints and stimulated with Green Dragon Shaking Tail Needling and conventional needling separately. Additionally, in control group, Waiguan (TE 5) and Binao (LI 14) were supplemented. The treatment was given once daily, with 10 days being a therapeutic course, 2 courses altogether. Results: After the first course of treatment, in treatment and control groups, the cured, the markedly improved, the effective and ineffective cases were 49 and 12, 61 and 33, 11 and 40, 2 and 23, with the total effective rates being 98.4% and 78.7% respectively. There was a marked difference between two groups in the therapeutic effect (P<0.05). Following 2 courses of treatment, the cured, the markedly improved, the effective and ineffective cases were 66 and 21, 47 and 41, 10 and 39, 0 and 7, with the total effective rates being 100% and 93.5% separately. No significant difference between two groups in the total effective rates, but the cure rate of treatment group was strikingly higher than that of control group. Conclusion: Green Dragon Shaking Tail Needling is significantly superior to that of conventional needling in the treatment of scapulohumeral periarthritis.
文摘Objective: To analyze the therapeutic effect of contralateral needling in the treatment of scapulohumeral periarthritis. Methods: A total of 68 cases of scapulohumeral periarthritis were outpatients and were randomized into treatment group (n=36) and control group (n=32). In treatment group, Zhiyin (BL 67), Jinmen (BL 63) and Yanglao (SI 6) on the contralateral side of the affected shoulder and local tenderpoints (Ashi-points) were punctured once every other day, with 7 days being a therapeutic course; while in control group, local Ashi-points were used for injection of Procaine and Prednisolone Acetate, once every 7 days and with 3～4 sessions being a therapeutic course. Results: Following 2 courses of treatment, of the 32 cases in control group, 8 (25.0%) were cured, 17 (53.1%) experienced improvement and 7 failed in the treatment, with a total of effective rate of 78.1%; of the 36 cases in treatment group, 18 (50.0%) were cured, 16 (44.4%) experienced improvement and 2 (5.6%) failed in the treatment, with a total effective rate of 94.4%. The therapeutic effect of contralateral needling is significantly higher than that of Ashi-point blocking method (P<0.05). Conclusion: Contralateral needling is superior to Ashi-point in the treatment of scapulohumeral periarthritis.
基金Shandong Province Traditional Chinese Medicine Science and Technology Development Plan Project Task Document(2017-2018).No.(2017-500).
文摘Objective:To investigate the clinical effects of electroacupuncture combined with extracorporeal shock wave in the treatment of periarthritis of shoulder.Methods:136 patients with periarthritis of shoulder admitted to our hospital from September 2018 to September 2019 were randomly divided into two groups by double-blind method.68 patients in the control group were treated with extracorporeal shock wave;68 patients in the observation group were treated with electroacupuncture combined with extracorporeal shock wave.The shoulder joint pain,joint function and activities of daily living were compared between the two groups.Results:The VAS score of shoulder joint pain in the observation group after treatment(1.92±0.24)was lower than that in the control group(3.51±0.32),and the UCLA score of shoulder joint function(31.28±1.96)was higher than that of the control group(27.42±2.36),the differences were statistically significant(P<0.05).After treatment,the active degree of forward flexion and extension of shoulder joint in the observation group was higher than those of the control group,and the activities of daily living was higher than that of the control group,with statistically significant differences(P<0.05)Conclusion:Electroacupuncture combined with extracorporeal shock wave treatment for periarthritis of shoulder has achieved ideal effects,safety and non-invasiveness,and can quickly restore the functions of shoulder joints.
文摘From January of 1996 to June of 2001, the author treated 210 cases of shoulder periarthritis by needling Lingxia and Sanjian (LI 3), and achieved satisfactory therapeutic results. This is reported as follows.
