The Time Courses Moxibustion Shoulder Pain After Stroke In Patients With Shoulder Yu Hole Thermal Impact And Clinical Efficacy Observed

Objective To observe the heat sensitization effects of moxibustion with different durations on acupoint LI 15 together with its therapeutic effects in hemiplegic patients with shoulder pain.Methods 54 hemiplegic patients with shoulder pain were randomized into three groups:the long-duration moxibustion group,the short-duration moxibustion group and the control group.20 minutes moxibustion were used in the long-duration moxibustion group, and 10 minutes moxibustion were used in the short-duration moxibustion group while acupuncture only were used in the control group. We observed the heat sensitization effects with moxibustion of different durations and measured the decrease of the pain scale after four weeks'treatment.Results LI 15 is one of the heat-sensitive acupoints in the hemiplegic patients with shoulder pain, heat sensitization effects can be induced by moxibustion; the duration of moxibustion were the key factor in inducing the heat sensitization effects of acupoints and it is related to the duration of heat sensitization effects. The incidence of heat sensitization of long-duration moxibustion was significantly higher than other groups; it had relatively long duration of heat sensitization effects. The duration of heat sensitization effects may share a positive correlation with the decrease of pain intensity and frequency. Long duration moxibustion may be more effective in decreasing pain intensity.Conclusion Heat sensitization moxibustion technique is a effective and plausible treatment method used in pain management; 20 minutes'moxibustion can effectively induce heat sensitization effects and help increase therapeutic effects in clinical treatments.