Combination of fire needle and filiform needle for frozen shoulder in different clinical stages

Objective:To observe the clinical efficacy of fire needle combined with filiform needle for different clinical stage frozen shoulders,and to choose the best treatment opportunity for clinical treatment of frozen shoulder.Methods:120 patients with frozen shoulders who met the inclusion criteria were numbered according to the visiting order.They were randomized into control group(60 cases)and treatment group(60 cases)according to the random number table.Both groups were treated with filiform needles once every other day and 3 times a week,and a course of treatment included 6 times and 2 courses were taken.The treatment group was treated by applying a fire needling point bloodletting on the local tender points once a week.Jiānyú(肩髃 LI 15),Jiānliáo(肩髎 TE 14),Jiānzhēn(肩贞 SI 9),Tiáokǒu(条口 ST 38),and local tender points were taken according to different meridian pains.The clinical efficacy of the frozen shoulder patients in the two groups in different clinical stages was compared.The evaluation indicators were scores of pain,joint activity range and activities of daily living,as well as clinical efficacy of traditional Chinese medicine.Results:After treatment,the total scores of hundred-mark five-grade in both groups were significantly higher than those before treatment,and the differences were statistically significant(Treatment group82.02 ± 14.23 vs 43.37 ± 22.10,Control group 66.80 ± 18.98 vs 42.67 ± 23.03,both P0.01),and the total score of the treatment group was significantly higher than the control group(P0.01).The hundred-mark five-grade assessment scores after treatment in the treatment group during the frozen stage were significantly higher than the control group(77.2± 14.40 vs 68.43 ± 16.94,P0.01);as to the clinical efficacy,the total effective rate of the treatment group was higher than the control group,and the difference was statistically significant(91.67% vs 76.67%,P0.01);The total effective rate of the control group in the acute stage and functional recovery stage was compared with the frozen stage,and the difference was statistically significant(100% vs 60%,P0.01),and there was no significant difference between each phase of the treatment group(P0.05).Conclusions:Single filiform therapy and the therapy of filiform needle combined with fire needle were effective in treating frozen shoulder patients,and the effect of the filiform needle combined with fire needle was significantly better than single filiform needle.The effect of fire needle combined with filiform needle on the frozen shoulder in frozen stage was significantly better than single filiform needle.     

针刺配合施氏十二字养生功治疗肩关节周围炎46例

Scapulohumeral periarthritis, also known as frozen shoulder,is a common clinical disease characterized by shoulder pain and dysfunction of the shoulder joint activities in different degrees.It can cause pain and inconvenience to the patient's life,and finally affecting the patients' quality of life.The patients with this disease have self-healing tendencies.Therefore,it is a self-limiting disease,but with longer duration,much pain,and incomplete functional recovery.However,active treatment can shorten the course and promote recovery.We treated 46 cases by acupuncture plus Shi's Twelveword Life Cultivation Skill[1] and now report it as follows.     

梅花针结合铺棉灸治疗带状疱疹52例

The author adopted plum blossom needle therapy combined with cotton-pave moxibustion to treat 52 cases of herpes zoster in recent 10 years.The results of treatment are reported as follows.CLINICAL DATAAll of 52 cases were the outpatients in our clinic,of those,27 cases were male,25 cases female;aged from 12 to 75 years,being sick in the range from 1 to 10 days;5 cases were in the head and face,5 cases in the neck and shoulder,32 cases in the lumbar and hypochondriac region and 10 cases in the buttocks and     

冻结肩中喙突疼痛针刀治疗不同技法临床疗效观察（英文）

Objective:To explore the manipulation techniques of acupotomy in treatment of coracoid pain of frozen shoulder.Methods:A total of 60 patients with coracoid pain of frozen shoulder were collected.The randomized double-blind controlled method was adopted.Using random number table,the patients were divided into two groups,named a treatment group and a control group,30 cases in each one.In the treatment group,the pricking technique of acupotomy was adopted.In the control group,the traditional dissection technique of acupotomy was used.The duration of treatment was 5 weeks.Acupotomy was given once a week.At the end of treatment,pain index(visual analogy scale,VAS) and the therapeutic effect index were used to evaluate the therapeutic effect.Results:Before treatment,the average VAS score was 8.31 ± 0.84 in the treatment group and it was 8.14±0.24 in the control group.After treatment,the average VAS score was 0.01±0.89 in the treatment group and it was 0.10 ±1.01 in the control group.The difference was significant before and after treatment in the patients of the two group(both P 0.05).The difference before and after treatment was not significant between the two groups.The effective rate was 100% and the remarkably effective rate was100% in either the treatment group or the control group.Conclusion:The pricking technique of acupotomy achieves the same therapeutic effect on coracoid pain of frozen shoulder as compared with the dissection technique,which suggests that the dissection technique is not the indispensable manipulation in the treatment of the disease.The pricking technique of acupotomy brings a smaller wound,less medical damage in,less suffering in patients and quicker recovery of wound,as well as quicker remission of pain after acupotomy.Such modified method of acupotomy is more significant in practice.However,a further research is suggested for the pathological mechanism of frozen shoulder.     

LECTURE ON ACUPUNCTURE Part I Clinical AcupunctureLecture Thirty-three OMALGIA

Omalgia is characterized by pain in the shoulder and should-joint and limited movement.It occurs mostly due to attack of the body by wind-cold and is often seen in the middle-aged and old people, so it is termed as Wushi Jian(五十肩 shoulder-joint dysfunction when people are about fifty years old ). The omalgia patients may also experience chilly feeling in the shoulder joint with muscle stiffness, so it is termed as Jianning (肩凝 frozen shoulder) in traditional Chinese medicine. In modern medicine, it refers to scapulohurneral periarthritis.     

Treatment of 47 cases of shoulder periarthritis with acupuncture and tuina

Shoulder periarthritis is often defined as shoulder pain and confined movement of the shoulder joint due to degeneration and strain of the shoulder joint and its surrounding soft tissues.Patients with shoulder pefiarthritis usually undergo great suffering.During the past two years,we treated 47 shoulder periarthritis cases using acupuncture and tuina.It is now reported as follows.     

综合疗法治疗股外侧皮神经炎78例

The author had treated 78 cases of lateral femoral cutaneous neuritis by surrounding electroacupuncture,pricking puncture with dermal needle and cupping from June 2005 to June 2010.It is reported as follows.CLINICAL DATAAll of these 78 cases were our outpatients,of which,56 cases were male and 22 cases were female;aged in the range from 28 years to 67 years;the course of disease was from 15 days to 3 years;75 cases suffered from one sides and 3 cases were both     

针刺配合刺络拔罐治疗三叉神经痛45例

The authors had treated 45 cases of prosopalgia with acupuncture in combination with blood-letting puncturing and cupping from June 1, 2010 to March 1, 2011. The report is as follows.All of the 45 cases of primary prosopalgia were the outpatients in Acupuncture-Moxibustion Department of our hospital and were diagnosed as the primary prosopalgia. Of them, 18 cases were male and 27 cases were female, aged in the range from 38 to 75 years and being sick ranged from 3 days to 6 months. 5 cases were pain of trigeminal neuralgia Ⅰ, 10 cases     

针刺配合刺络拔罐治疗三叉神经痛45例

The authors had treated 45 cases of prosopalgia with acupuncture in combination with blood-letting puncturing and cupping from June 1,2010to March 1,2011.The report is as follows. CLINICAL DATA All of the 45 cases of primary prosopalgia were the outpatients in Acupuncture-Moxibustion Department of our hospital and were diagnosed as the primary prosopalgia.Of them,18 cases were male and 27 cases were female,aged in the range from 38 to 75 years and being sick ranged from 3 days to 6 months.     

微创埋线治疗类风湿关节炎

Rheumatoid arthritis (RA) is a chronic systemic autoimmune disease characterized by arthrosynovitis.The recurrent attacks of synovitis may lead to destruction of articular cartilages and bones,and dysfunction of joints.The symptoms are often symmetrical,affecting the small joints such as the interphalangeal joints, wrists, and the metatarsophalangeal joints.The large joints including elbow,shoulder,ankle,and knee may also be involved in severe cases.