Clinical Observation On The Therapeutic Effect Of Fire Needling And Electric Needling Combined In Treating The Neck,Shoulder And Back Myofascial Pain Syndrom

ObjectiveApply fire needling and electric needling combined in Treating the neck,shoulder and back myofascial pain syndrome(MPS), comparing to only using electric needling, observe the clinical effect of fire needling and electric needling combined for the neck,shoulder and back MPS.Methodsliterature study:study the relevant name, pathogenesis, differentiation of symptoms and signs for classification of syndrome and therapeutic principle that related to MPS in the ancient literature, do a systemic overview for the research progression about acupuncture especially fire needling and electric needling in treating the neck,shoulder and back MPS in recent years, build a theoretical foundation for further study of clinical effect of fire needling and electric needling combined in Treating the neck,shoulder and back MPS. Clinical study:equally random 60 patients that met the criteria into test group and control group,30 patients in test group and 30 patients in control group. Adopt fire needling and electric needling for test group, select nearby point as the main acupoints for electric needling. For example, pain mainly on neck, take DU14,GB20,BL10,BL11,EX-HN14, pain mainly on shoulder, choose LI15,SJ14,SI10,GB21,SI14,SI13,SI12,SI9, pain mainly on back, choose EX-B2,BL12,BL13,BL14,BL15,BL16,BL17,DU12,Sill. According to the theory of selecting acupoints dialectically, wind Bi take BL17,SP10 as coordination of acupoints, cold Bi take BL23,RN4, damp Bi take ST36,SP9. And then select the pain point as the main acupoints for fire needling. The control group select the same acupoints as the test group, only apply electric needling. Pre and post treatment, the evaluation of pain refer to visual analogue scales (VAS).Other symptom and physical sign such as tenderness, dysfunction, cacesthesia, tumidness and endosympathosis are scored refering to the rating scales of Guiding principle for clinical research of new traditional Chinese medicine treating soft tissue injury on Chapter seventeenth Section tow of "Guiding principle for clinical research of new traditional Chinese medicine", and according to the clinical symptoms.ResultsBoth of test group and control group have statistically significant differences in VAS and the scoring of Other symptom and physical sign such as tenderness, dysfunction, cacesthesia, tumidness and endosympathosis post-treatment than that of pre-treatment(p<0.05). After the treatment, there are statistically differences in the improvation of VAS and the scoring of tenderness and cacesthesia of the test group than that of the control group, on the contrary there are not statistically significant differences in the improvation of the scoring of dysfunction, tumidness and endosympathosis of the test group than that of the control group. For VAS, the total effect rate is 96.67% in test group, the other is 90%. For the scoring of Other symptom and physical sign, the total effect rate is 96.67% in test group, and 86.67 in the control group. Both of the differences in these tow aspects between two groups have statistically significance (P>0.05)ConclusionsBoth treatment of tow group can relieve pain and Other symptom and physical sign such as tenderness, dysfunction, cacesthesia, tumidness and endosympathosis, but the test group is better than the other in relieving pain, tenderness, and cacesthesia. Meanwhile, about the effect of VAS and the other symptom and physical sign, test group is better than the other in improving the the total effect rate.