Clinical Study Of Treatment Of Frozen Shoulder With The ’Cang Gui Tan Xue’ Needling Method Combined With Electroacupuncture’s Sparse-dense Wave

ObjectiveThe purpose of this study is to observe the clinical efficacy of ‘Cang Gui Tan Xue’needling method and traditional acupuncture combined with electroacupuncture’s sparse-dense wave in the treatment of frozen shoulder.VAS score(visual analog pain score),CMS score(shoulder joint function score),and ADL score(activity of daily living rating scale)were used as observation indicators to explore the curative effect and differences between the two groups for clinical treatment of frozen shoulder Provide quick and effective acupuncture treatment plan.Methods1.This study is a randomized controlled trial,with a ‘Cang Gui Tan Xue’ needling method group and a traditional acupuncture group.According to the inclusion criteria,60 patients with frozen shoulder were enrolled,and the patients were divided into the ‘Cang Gui Tan Xue’ needling method group(treatment group)and the traditional acupuncture group(control group)by random number method,with 30 cases in each group.2.The treatment group was ‘Cang Gui Tan Xue’ needling method group,and the control group was the traditional acupuncture method.The main points for the two groups of points were Jian Yu,Jian Liao,Jian Qian,Bi Nao,Qu Chi,and Ashi Points.Two group differentiation of syndrome to add acupoints: Hand Yang Ming Meridian type: add He Gu.Hand Shao Yang Meridian type: add Wai Guan.Hand Sun Meridian type: add Hou Xi.Hand Tai Yin meridian type: add Lie Que.After the two groups of acupuncture,perform acupuncture at the main points of the shoulder and Ashi points for about 5 minutes.After getting the Qi,add the electric acupuncture instrument to the sparse-dense wave frequency: 10 Hz,the intensity is based on the patient’s tolerance and adaptability.Keep the needle for 20 minutes,and perform acupuncture for about 5 minutes before ejecting the needle.Each treatment time is about 30 minutes.Use disposable cotton swabs to press when removing the needle to prevent bleeding.Treat once every other day,3 times a week.2 weeks is a course of treatment,a total of 6 treatments.3.Compare the patients’ VAS visual pain simulation score,CMS shoulder joint function score and ADL activity of daily living score before treatment,after the first week and after the second week,and compare the effects within and between groups.And use statistical software SPSS26.0 for statistical analysis,and finally objectively evaluate and compare the clinical efficacy of the two treatment programs.Result1.A total of 60 clinical cases were collected,30 in the ‘Cang Gui Tan Xue’needling method group and 30 in the traditional acupuncture group.2.Comparison of baseline data There was no statistically significant difference between the two groups of patients in gender,age,shoulder disease,course of disease,and other basic data(P>0.05),and the two groups were comparable.3.VAS score comparison There was no significant difference in VAS scores between the two groups before treatment(P>0.05).After acupuncture treatment,the comparative VAS scores in the two groups were lower than before treatment,and the differences were statistically significant(P<0.05);the differences between the two groups were statistically significant(P<0.05).Comparison of the reduction of VAS score between the two groups,the treatment group>In the control group,the difference was statistically significant(P<0.05).4.CMS score comparison There was no significant difference in CMS scores between the two groups before treatment(P>0.05).After acupuncture treatment,the CMS scores in the two groups were lower than before treatment,and the difference was statistically significant(P<0.05);comparison between groups: after 1 week of treatment,the difference between the two groups was not statistically significant.After 2 weeks of treatment,the difference was statistically significant(P<0.05).Comparison of CMS score reduction value between the two groups,treatment group>control group,the difference was statistically significant(P<0.05).5.ADL score comparison There was no significant difference in ADL scores between the two groups before treatment(P>0.05).After acupuncture treatment,the ADL scores in the two groups were lower than before treatment,and the differences were statistically significant(P<0.05);the differences between the two groups were statistically significant(P<0.05).Comparison of ADL score reduction between the two groups,treatment group>control group,the difference was statistically significant(P<0.05).6.Evaluation of clinical efficacy After 2 weeks of treatment,4 cases were cured in the treatment group,18 cases were markedly effective,7 cases were effective,and 1 case was ineffective.The total effective rate was 96.6%;in the control group,0 cases were cured,6 cases were markedly effective,21 cases were effective,and 3 cases were ineffective.90% efficiency.Comparison of the improvement rate of CMS shoulder function score between the two groups,the treatment group>control group,the difference was statistically significant(P<0.05).ConclusionThe two acupuncture techniques combined with the electric acupuncture Sparse-dense wave can relieve pain,improve daily activities,and improve the range of movement of the shoulder joint for frozen shoulder.Comprehensive evaluation indicators: treatment group>control group,suggesting that ‘Cang Gui Tan Xue’ needling method is better than traditional acupuncture method,and the overall curative effect on frozen shoulder is better.