| Objective:To explore the effect of traditional Chinese medicine wax therapy with the guidance of theory "midnight noon ebb and flow" on the clinical symptoms,clinical effect of the patient with knee osteoarthritis(KOA)in Yang deficiency and cold coagulation type.Methods:66 patiemts with KOA in Yang deficiency and cold coagulation type were divided into two groups,33 cases in each group.The patients in experimental group were treated with traditional Chinese medicine wax therapy at the time of meridians and meridians according to the theory of meridians and meridians of meridians and Qi in the meridian of meridians and meridians,which was selected at the time of Youshi(17:00-19:00)and Wushi(19:00-21:00).The patients in control group were treated with traditional Chinese medicine wax at routine time.For both groups,traditional Chinese medicine wax was conducted once a day,7 times a course,4 courses in total.Before and after the intervention,the scores of the two groups of osteoarthritis index visualization scale(WOMAC)and joint pain visual simulation scale(VAS)were measured.The patients with KOA were divided into the elderly and the young according to their age.The scores of WOMAC and VAS of the elderly and the young in two groups before and after the intervention were compared too."KOA clinical symptom supplementary index score sheet" was used before and after intervention in two groups.After the intervention,the clinical efficacy of the two groups was evaluated according to the efficacy evaluation criteria in "Clinical Research Guidelines for New Chinese Medicine for the Treatment of Osteoarthritis",and the satisfaction of the patients in two groups was investigated with the self-designed patient satisfaction rating form.Results:1.Before the intervention,there was no difference in total score of WOMAC,knee pain,stiffness,and daily activity ability between the two groups(P>0.05);after intervention,total scores of WOMAC,knee pain,stiffness,and daily activity ability in the experimental group were lower than those in the control group,and there were statistical differences between the two groups(P<0.05).ilt was showed that the total score of WOMAC,the degree of knee pain and rigidity,and the ability of daily living in the fourth week after intervention were lower than their baseline values,with statistically significant differences(P<0.05).Especially,for the eldly patients,the scores of WOMAC,knee pain and daily activity of the intervention group(n=12)were lower than those in the control group(n=17)(P<0.05).2.Before intervention,there was no difference in score of VAS between two groups(P>0.05);after intervention,the VAS score of the experimental group was lower than that of the control group,and there were statistical differences between the two groups(P<0.05).The results of intra group comparison showed that the VAS scores of the two groups were lower when compared with their baseline values,the difference was statistically significant(P<0.05).Especially,for the eldly patients,the scores of VAS of the intervention group were lower than those in the control group(P<0.05).3.There was no difference in the total score of KOA clinical symptoms supplementary index score and the scores of knee joint fricative,swelling and chilly before intervention between the two groups(P>0.05).After intervention,the chilly score of the experimental group was lower than that of the control group,with statistical significance(P<0.05).The results of intra group comparison showed that the total score of "KOA clinical symptoms supplementary index score sheet" and the scores of three dimensions of knee joint fricative,swelling and chilly were lower than the baseline values,the differences were statistically significant(P<0.05).4.As for the total effective rate,it was 83.9%in the experimental group,and 72.7%in the control group,the difference was statistically significant(P<0.05).5.After intervention,the total score,treatment comfort and overall feeling of the patients in the experimental group were higher than those in the control group,the difference was statistically significant(P<0.05).There was no statistical difference in the time arrangement between the two groups(P>0.05).Conclusions:Compared with the traditional Chinese medicine wax therapy,the Chinese medicine wax therapy with 4-week meridian flow timing can effectively relieve the pain,stiffness,daily activity and improve the overall symptoms of patients with knee osteoarthritis in Yang deficiency and cold coagulation type,especially for the elderly in relieving their pain,and improving their daily activity and the overall symptoms.For easing the symptoms of knee joint chills,the effect of Chinese medicine wax therapy with meridian flow timing is better than with routine time,and it shows higher effective rate and the patient’s satisfaction. |
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