Therapeutic efficacy of tuina in treating 48 cases with knee osteoarthritis

Objective： To observe the clinical efficacy of tuina in treating knee osteoarthritis （KOA）. Methods： Forty-eight cases with KOA who met the inclusion criteria were enrolled and received tuina therapy. Visual analogue scale （VAS） was used to evaluate pain degree. VAS, range of motion （ROM） and Lysholm score were observed before and after intervention to evaluate the clinical efficacy. Results： After treatment, VAS score, ROM and Lysholm score were significantly improved, and the total effective rate was 87.5%. Conclusion： The therapeutic efficacy of tuina in treating KOA was reliable.     

Therapeutic observation of warm needling plus tuina for senile functional constipation

Objective： To observe the clinical efficacy of warm needling plus tuina in treating senile functional constipation. Methods： Ninety elderly patients with functional constipation were randomized into two groups. Forty-six patients in the treatment group were intervened by warm needling plus tuina; the other forty-four patients in the control group were intervened by San Huang tablet. Results： In the treatment group, 19 patients were cured, 24 cases showed improvement, 3 cases failed, and the total effective rate was 93.5%; in the control group, 16 patients were cured, 18 cases showed improvement, 10 cases failed, and the total effective rate was 77.3%. There was a significant difference in comparing the therapeutic efficacy（P〈0.05）, and the therapeutic efficacy of the treatment group was higher than that of the control group. Conclusion： Warm needling plus tuina can produce a higher therapeutic efficacy than taking San Huang tablet in treating senile functional constipation.     

Therapeutic observation of warm needling moxibustion plus tuina for knee osteoarthritis due to cold-dampness blocking collaterals

Objective

To observe the clinical efficacy of warm needling moxibustion plus tuina in treating knee osteoarthritis (KOA) due to cold-dampness blocking collaterals.

Methods

Forty-eight KOA patients were randomized into 2 groups by their visiting sequence, 24 cases in each group. The treatment group was intervened by warm needling moxibustion plus tuina, while the control group was treated with acupuncture plus tuina. The two groups were both treated once a day, 30 min for each session, 10 d as a treatment course, totally for 3 treatment courses. The visual analogue scale (VAS) and Lysholm knee scoring scale (LKSS) were observed before and after the treatment to evaluate the clinical efficacy.

Results

After 3 treatment courses, the VAS and LKSS scores were significantly changed in the two groups (P<0.01), and the between-group differences were also statistically significant (P<0.01). The markedly-effective rate was 83.3% in the treatment group versus 66.7% in the control group, and the difference was statistically significant (P<0.05).

Conclusion

Warm needling moxibustion plus tuina can produce a more significant efficacy than acupuncture plus tuina in treating KOA due to cold-dampness blocking collaterals.

     

推拿结合灸法治疗慢性疲劳综合征临床研究(英文)

目的:观察推拿结合灸法治疗对慢性疲劳综合征患者的影响。方法:将60例符合纳入标准的慢性疲劳综合征(Chronic Fatigue Syndrome,CFS)患者,随机分为2组,治疗组30例予推拿结合雷火灸治疗,对照组30例予普通针刺治疗。治疗4星期后进行临床疗效比较。结果:治疗组治愈率为36.7%,总有效率为93.3%,对照组治愈率为16.7%,总有效率为76.7%,两组治愈率和总有效率差异均有统计学意义(P<0.01)。结论:推拿结合雷火灸治疗CFS疗效优于普通针刺。     

推拿结合温针治疗腰椎间盘突出症临床观察

目的:观察推拿结合温针治疗腰椎间盘突出症的疗效.方法:将90例腰椎间盘突出症患者随机分为两组,观察组45例,采用推拿结合温针治疗;对照组45例,采用单纯推拿治疗.结果:观察组的总有效率为88.9％,对照组的总有效率为75.6％,两组总有效率具有统计学差异(P＜0.01).结论:推拿结合温针治疗腰椎间盘突出症疗效优于单纯推拿手法治疗.     

Clinical Study on Treatment of Cervical Spondylotic Radiculopathy by Electroacupuncture plus Tuina简

Objective： To observe the clinical effects of electroacupuncture（EA） plus tuina for cervical spondylotic radiculopathy. Methods： One hundred and twenty cases with cervical spondylotic radiculopathy were divided randomly by the digital table into the observation group and control group. The patients in an observation group were treated by EA plus tuina techniques. The patients in the control group were treated by simple tuina techniques. Results： The total effective rate was 91.7% in the observation group and 78.3% in the control group. The effective rates in the two groups were statistically different（P〈0.05）. Conclusion： EA plus tuina therapy is better than simple tuina therapy in the treatment of cervical spondylotic radiculopathy.     

Clinical research on the short-term efficacy of massaging quadriceps for knee osteoarthritis

Objective

To observe the short-term efficacy of massaging quadriceps on knee osteoarthritis (KOA).

Methods

Totally 30 KOA patients were enrolled and treated mainly with massaging quadriceps, 20 min for each session, once a day, 2 weeks as a treatment course, and for 2 courses in total. After treatment, the changes of visual analogue scale (VAS) and Western Ontario and McMaster Universities osteoarthritis index (WOMAC) were observed.

Results

The VAS and WOMAC scores dropped after treatment, with a statistically significant difference (P<0.01). After a course of treatment, the recovery rate was 33.3% and the total effective rate was 86.7%; after 2 courses, the recovery rate was 60.0% and the total effect rate was 96.7%.

Conclusion

Massaging quadriceps can alleviate pain, improve the function of knee joint, and produce a significant short-term efficacy in treating KOA.

     

Electroacupuncture plus external application of Chinese medicine for knee osteoarthritis

Objective

To reveal the action mechanism and efficacy of electroacupuncture (EA) plus external application of Wei Ling Xian (Radix Clematidis) extract in treating knee osteoarthritis (KOA), for providing theoretical evidence and novel plan for the treatment of KOA.

Methods

Totally 284 inpatients were divided into an EA group and an observation group by the random number table, 142 cases in each group. The EA group was intervened by EA, ultrashort waves, and oral administration of Glucosamine Hydrochloride capsules; while the observation group was by external application of Wei Ling Xian (Radix Clematidis) extract at topical area in addition to the treatment given to the EA group. The intervention lasted 14 d in both groups. X-ray examination of knee joint was ordered before and after treatment, as well as the detection of positive expression of matrix metalloproteinase-1 (MMP-1) in cartilage of knee joint, hyaluronic acid (HA) and interleukin-1β (IL-1β) in the inflammatory effusion; the Western Ontario and McMaster Universities osteoarthritis index (WOMAC) and visual analogue scale (VAS) were adopted to evaluate the clinical efficacy.

Results

In the observation group, the X-ray examination result of knee joint was significantly improved, the positive expressions of MMP-1 and IL-1β content were significantly decreased, the level of HA was increased, WOMAC and VAS scores dropped, and the total effective rate was 91.5%, which were significantly different from those in the EA group (P<0.05).

Conclusion

EA plus external application of Wei Ling Xian (Radix Clematidis) extract can produce a more significant efficacy in treating KOA compared to ordinary EA treatment.

     

Observation on clinical effects of acupotomy plus cupping for knee osteoarthritis

Objective： To observe the clinical effect of acupotomy plus cupping for knee osteoarthritis（KOA）. Methods： Sixty cases with KOA were randomly divided into a treatment group and a control group, 30 cases in each group. The patients in the treatment group were given acupotomy and cupping, while the patients in the control group were given injection of Sodium Hyaluronate. The index of severity for osteoarthritis（ISOA）, the change of the effusion of knee joint and clinical effects were observed after treatment. Results： The total effective rate was respectively 96.7% in the treatment group and 66.7% in the control group. The difference in the clinical effects between the two groups was statistically significant（P〈0.05）. After treatment, ISOA scores and scores of knee effusion in the two groups were remarkably reduced than those before treatment（P〈0.05）. The changes of the scores of the two indexes were statistically significant（both P〈0.05）. Conclusion： Acupotomy plus cupping is better than injection of Sodium Hyaluronate in treatment of KOA.     

Clinical analysis of acupuncture combined with tuina in treating cervical vertigo

Objective： To investigate the clinical efficacy of acupuncture combined with tuina in treating patients with cervical vertigo. Methods： According to the principle of randomization, 258 cases with cervical vertigo who met the inclusion criteria for the study were randomly divided into an observation group and a control group, with 129 cases in each. The patients in the observation group received acupuncture combined with tuina therapy, while those in the control group were just treated by the same acupuncture therapy as in the observation group. After 10-day continuous treatments, the clinical efficacies of the two groups were analyzed and compared. Results： The total effective rate of the observation group was 100%, versus 86.0% of the control group, and the difference was significant（P〈0.05）. After treatment, cervical range of motion（ROM） scores in both groups were statistically significantly different from those before treatment（all P〈0.05）; in addition, there was a statistically significant difference in inter-group comparison of ROM score（P〈0.05）. Conclusion： Compared with simple acupuncture treatment, acupuncture combined with tuina therapy has a better effect in improving the ROM of cervical vertigo patients, with higher clinical efficacy.     

Clinical study on electroacupuncture plus interferential current therapy for chronic fatigue syndrome

Objective： To observe the clinical efficacy of electroacupuncture plus interferential current therapy （ICT） in treating chronic fatigue syndrome （CFS）, and to explore the mechanism. Methods： Sixty eligible CFS patients were randomized into a treatment group and a control group, 30 in each group. The treatment group was intervened by electroacupuncture plus ICT, while the control group was by electroacupuncture alone. The therapeutic efficacies were evaluated after 2 treatment courses and compared between the two groups. Results： The recovery rate and total effective rate were respectively 43.3% and 93.3% in the treatment group, versus 20.0% and 80.0% in the control group. There were significant differences in comparing the recovery rate and total effective rate between the two groups （P〈0.05）, showing that the recovery rate and total effective rate in the treatment group were higher than those in the control group. Conclusion： Electroacupuncture plus ICT can produce a remarkable efficacy in treating CFS.     

Fire-needle therapy for deglutition disorders in post-stroke pseudobulbar palsy: a randomized controlled trial

Objective

To observe the clinical efficacy of fire-needle therapy in treating deglutition disorders due to pseudobulbar palsy in the remission stage of stroke.

Methods

Sixty-two eligible subjects were divided into a fire-needle group and a rehabilitation group by a simple randomization method at a ratio of 1:1. The two groups received same basic intervention; in addition, the fire-needle group received fire-needle treatment, while the rehabilitation group received rehabilitation training. The two groups of subjects all received a 3-week treatment and were evaluated by the dysphagia severity rating scale (DSRS), modified Mann assessment of swallow ability (MMASA) and Kubota Toshio swallow test (KTST) before and after the intervention. The complications and adverse events occurred during the trial were recorded. The data were statistically analyzed.

Results

At the third week, the DSRS, MMASA and KTST scores changed significantly compared with the baseline in both groups (P<0.05), and the changes in the fire-needle group were more significant than those in the rehabilitation group (P<0.05). The between-group comparison at the third week showed that the therapeutic efficacy in the fireneedle group was superior to that in the rehabilitation group (P<0.05).

Conclusion

Fire-needle therapy can obviously change the DSRS, MMASA and KTST scores in pseudobulbar palsy in the remission stage of stroke, and significantly enhance the therapeutic efficacy of the treatment of deglutition disorders in this stage.

     

Acupuncture plus Chinese medicinal fumigation and washing for edema of the stroke-affected limb

Objective： To evaluate the therapeutic efficacy of acupuncture plus Chinese medicinal fumigation and washing in treating edema of the affected limb in post-stroke hemiplegia. Methods： Two hundred patients with edema of the stroke-affected limb from our hospital were randomized into two groups according to their visiting sequence. In the observation group, 100 subjects were intervened by acupuncture plus Chinese medicinal fumigation and washing in addition to oral administration of diuretics, while the other 100 subjects in the control group were only given diuretics. The therapeutic efficacy was evaluated after successive 2-week treatments. Results： The total effective rate was 90.0% in the observation group, significantly higher than 66.0% in the control group, indicating that there was a significant difference in comparing the overall therapeutic effect（P〈0.01）. Conclusion： Acupuncture plus Chinese medicinal fumigation and washing in addition to oral administration of diuretics is effective in treating edema of the affected limb in post-stroke hemiplegia.     

推拿功法练习对膝骨关节炎患者股四头肌肌力的影响(英文)

目的:探讨推拿功法《易筋经》练习对膝骨关节炎(Knee Osteoarthritis,KOA)患者股四头肌肌力的影响,为推拿功法《易筋经》干预KOA提供科学依据。方法:将90例KOA患者随机分为观察组和对照组,每组45例。观察组进行《易筋经》锻炼,每日1次;对照组不予任何治疗。观察8星期后进行疗效评定。结果:观察8星期后,观察组患者股四头肌等速肌力较治疗前有显著改善,对照组患者股四头肌等速肌力无明显变化。结论:推拿功法《易筋经》练习对改善KOA患者股四头肌肌力具有一定作用,是干预该疾病的有效运动方法。     

Therapeutic observation on tuina plus electroacupuncture for lateral humeral epicondylitis

Objective： To observe the clinical efficacy of tuina combined with electroacupuncture（EA） in treating lateral humeral epicondylitis. Methods： Totally 118 patients were randomly allocated into a treatment group and a control group, 59 cases in each. The patients in the treatment group were treated with tuina combined with EA treatment, while those in the control group were treated by EA alone. Clinical efficacies of the two groups were compared after the treatment. Results： The total effective rate was 93.2% in the treatment group, versus 84.7% in the control group, and the difference was statistically significant（P〈0.05）. Conclusion： Tuina combined with EA treatment for lateral humeral epicondylitis has a significant effect.     

热敏灸配合推拿治疗膝骨关节炎疗效观察

目的观察热敏灸配合推拿治疗膝骨关节炎的临床疗效。方法将80例膝骨关节炎患者随机分为治疗组和对照组,每组40例。治疗组采用热敏灸配合推拿治疗,对照组采用单纯推拿手法治疗,疗程为1个月。比较两组治疗前后骨性关节炎指数可视化量表(WOMAC)评分并评定疗效。结果两组患者治疗后WOMAC各项评分(疼痛评分、僵硬评分、日常活动功能评分及总评分)与同组治疗前比较,差异均具有统计学意义(P0.01)。治疗组治疗后WOMAC量表疼痛评分、日常活动功能评分及总评分与对照组比较,差异均具有统计学意义(P0.01)。治疗组总有效率为95.0%,对照组为77.5%,两组比较差异具有统计学意义(P0.01)。结论热敏灸配合推拿是一种治疗膝骨关节炎的有效方法,在改善膝骨关节炎疼痛及日常活动功能方面优于单纯推拿手法治疗。     

Warm needling moxibustion plus functional exercises for knee osteoarthritis

Objective

To observe the clinical efficacy of warm needling moxibustion plus functional exercises in treating knee osteoarthritis (KOA).

Methods

Totally 108 eligible KOA patients were intervened by warm needling moxibustion plus functional exercises. The warm needling moxibustion was given 3 times a week, successively for 4 weeks. The visual analogue scale (VAS) was adopted to evaluate the pain intensity of the knee joint. After 4-week treatment, the change of VAS score, range of motion (ROM) of knee, and Lysholm score were observed, and the clinical efficacy was also estimated.

Results

After treatment, the VAS score dropped obviously, and the ROM and Lysholm score increased markedly; the total effective rate was 83.3%.

Conclusion

Warm needling moxibustion plus functional exercises is effective in treating KOA, as it can relieve the knee joint pain and improve the joint motion.

     

针刺配合耳穴贴压治疗中风后呃逆临床观察(英文)

目的:观察针刺配合耳穴贴压治疗中风后呃逆的临床疗效。方法:符合纳入标准的60例中风后呃逆患者,按就诊顺序随机分为2组,治疗组30人,予针刺配合耳穴压丸治疗;对照组30人,予肌肉注射甲氧氯普胺治疗。治疗3d后观察疗效。结果:治疗组总有效率93.3%,对照组总有效率66.7%,两组总有效率差异有统计学意义(P<0.01)。结论:针刺配合耳穴贴压治疗中风后呃逆疗效优于甲氧氯普胺。     

Clinical observation of Liu’s infantile tuina therapy for allergic rhinitis

Objective

To discuss the clinical efficacy of Liu’s infantile tuina therapy in treating kid’s allergic rhinitis (AR).

Methods

Sixty eligible AR kids were randomized into a tuina group and a Western medication group by their visiting sequence, 30 cases in each group. The tuina group was intervened by Liu’s infantile tuina therapy, once daily, 5 times as a treatment course, with a 2-day interval after a course; the control group was by orally taking Loratadine. The therapeutic efficacies were compared and analyzed after treatment for 4 successive weeks.

Results

After treatment, the symptoms such as itchy nose, sneezing, runny nose, and stuffy nose were significantly improved in both groups (P<0.05), and the improvements in the tuina group were more remarkable than those in the Western medication group (P<0.05). The total effective rate was 90.0% in the tuina group versus 73.3% in the Western medication group, and the difference was statistically significant (P<0.05).

Conclusion

Liu’s infantile tuina therapy can produce a better therapeutic efficacy in treating AR kids compared to oral administration of Loratadine.

     

Clinical observation of acupuncture plus patent Chinese medicine for post-stroke constipation

Objective： To observe the clinical efficacy of acupuncture plus patent Chinese medicine in treating post-stroke constipation. Methods： Sixty eligible patients with post-stroke constipation were randomized into a treatment group and a control group, 30 in each group. The treatment group was intervened by acupuncture plus Ma Zi Ren pill, while the control group was by Ma Zi Ren pill alone. The symptoms of constipation were observed before and after intervention. Results： After 2-week treatment, the constipation condition was improved in both groups, and the improvement in the treatment group was statistically more significant than that in the control group（P〈0.05）; respectively two weeks and a month after the intervention, the treatment group was superior to the control group in comparing the constipation score（P〈0.05）. However, acupuncture didn＇t show marked effect in improving defecation speed, initial defecation time, and spontaneous discharge frequency. The treatment group had a significantly higher short-term markedly-effective rate compared with the control group（P〈0.05）; the long-term therapeutic efficacy of the treatment group was significantly higher than that of the control group（P〈0.05）. The adverse events happened in the treatment group were significantly less than those in the control group（P〈0.05）. Conclusion： Acupuncture at specific acupoints plus patent Chinese medicine can produce a content therapeutic efficacy.