扬刺温针灸治疗四肢筋痹的临床观察

目的 :观察扬刺温针灸治疗筋痹的疗效。方法 :将 74例患有肱二头肌长头腱鞘炎、肱骨外上髁炎、膝内外侧副韧带损伤、桡骨茎突狭窄性腱鞘炎的患者随机分为 40例治疗组和 3 4例对照组 ,分别进行扬刺温针灸治疗及常规针刺治疗 ,进行疗效比较。结果 :治疗组中有效率 97.5% ,对照组有效率 82 .3 % ,经统计学分析 ,二者有非常显著性差异 (P <0 .0 1 ) ,前者疗效明显优于后者。结论 :采用扬刺温针灸治疗肌腱、韧带损伤的筋痹具有较好的疗效。

Clinical Observation on the Treatment of "Jinbi" (Muscular Rheumatism) by Centro-square Needling Combined with Moxibustion

Objective: To observe the therapeutic effect of ce ntro-square needling combined with moxibustion for “Jinbi” (muscular rheumatism). Methods: A total of 74 “J inbi” outpatients including tenosynovitis of long head of biceps brachii, external humeral epicondylitis, injury of medical and/or lateral collatera l ligament of knee and joint, and tenosynovitis stenosans of styloid process or radius were randomly allocated to treatment group (n=40) and con trol group (n=34 ). In treatment group, Ashi-point was punctured first, then its superior, inf er ior, left and right borders in the tenderpoint region were punctured respe ctivel y combined with ignited moxa cones (attached to the needle-handle). Acupoints u se d in control group were Ashi-point, Jianliao (TE 14), Quchi (LI 11), Yinlingq ua n (SP 9), Lieque (LU 7), etc., combined with local TDP irradiation. The treatmen t was given once daily in the first 5 days, and then once every other day, with 15 sessions being a therapeutic course. Then the therapeutic effects of the two groups were compared. Results: After one course of treatment, in treatment and control groups, 25 and 8 cases were cured, 8 and 7 cases had marked improvement, 6 and 13 had improvement, and 1 and 6 failed, with the effective rates being 97 .5% and 82.3% respectively. There was a significant difference between the two g roups, i.e., the effective rate of treatment group was much higher than that of control group (P<0.01). Conclusion: Centro- square needling combined with moxibustion is effective in the treatment of muscular rheumatism.