Clinical Efficacy Observation Of Shubi Decoction Combined With Six Acupoints For Shoulder In The Treatment Of Wind-cold And Damp Type Frozen Shoulder

Objective:The aim of this study was to observe the effect of early recovery and pain relief of wind-cold-damp frozen shoulder by combining Shu Piao Tang with Shoulder Six Acupoints in the treatment of wind-cold-damp frozen shoulder.To investigate the efficacy of Shu Piao Tang combined with shoulder six needles in the treatment of wind-cold-damp frozen shoulder.To seek a more calm,efficient,safe and durable treatment,to further optimize the treatment plan,to promote the progress of research on frozen shoulder,and to provide some clinical value.Methods:In this randomized controlled clinical study,64 patients with frozen shoulder who met the inclusion standard were selected from December 2021 through December 2022 who were attending the TCM orthopedics service at No.1 TCM Hospital in Baoding.The sick patients were randomly divided into observation group and control group.On the basis of health education and routine training,the observation group was treated with Shubi decoction combined with six needles for the shoulder,and the control group was treated with capsules of celecoxib.After 2 weeks of treatment,the changes in Constant-Murley Shoulder Function Scale(CMS),Visual Analog Scale(VAS),TCM Symptom Fraction and clinical effectiveness of the two groups were matched and compared.SPSS 25.0 was used for statistical analysis to monitor changes in the data.Results:A total of 64 eligible patients with rheumatoid periarthritis of the shoulder were included in this study.At the end of treatment process,31 patients were included in the observation group.In the control group,29 cases,4 cases of exfoliation were removed(due to poor compliance),and 60 cases were accomplished.Prior to treatment: The was no statistically meaning for the divergence in age,gender,location,and duration of disease between the two groups,and were comparable(P>0.05).There was no statistically significant discrepancy between the two groups in terms of Constant-Murley score of shoulder function(CMS),visual simulation scale(VAS),and grade of TCM syndrome(P>0.05),and were comparability.After the treatment cycle:(1)Constant-Murley shoulder function score(CMS)was significantly higher than before treatment.There are statistical differences(P<0.01),suggesting that the shoulder function enhanced in both groups.And the difference between the two groups at post-treatment and preand post-treatment was compared between the groups,and the discrepancy was significant(P<0.01);the results showed that the observation group received a jump over the control group in the improvement of shoulder characteristics.(2)Both groups showed a significant decrease in VAS grade compared to pre-treatment,and there are statistical differences(P<0.01);indicating that both groups were able to ameliorate patients’ pain symptoms.And the difference between the two groups at post-treatment and pre-and post-treatment was compared between the groups,and the discordance was meaning(P<0.05),demonstrating that: the observation group was more effective in alleviating patients’ pain.(3)The TCM symptom grade of patients in both groups was obviously decreased compared to pre-treatment,and the difference was meaning(P<0.01),making it clear that both groups could evidently improve clinical symptoms.Yet,the difference between the two groups at post-treatment and before and after treatment was compared between the groups,and the difference were statistically significant(P<0.05);Outcome: the observation group was superior to the control group.(4)The overall response rates of the observation and control groups were87.10% and 75.86%,respectively,and the discrepancy were statistically meaning(P<0.05).This illustrate that the synthetical clinical efficacy of the observation group was significantly super than that of the control group.(5)Recurrence rate: patients in the observation and control groups had a recurrence rate of 12.90% and 37.93%,respectively.Statistically meaning differences were observed(P<0.05);It demonstrates that the observation group effect is more durable.(6)Adverse effects: No infections,allergies and other side effects were observed in both groups.Conclusions:On the basis of health education and routine exercise,Shu Piao Tang combined with shoulder six injections and celecoxib capsules both played a certain clinical efficacy in the treatment of frozen shoulder.The combination of Shu Piao Tang and shoulder injection can effectively relieve shoulder joint pain and movement disorders,and better improve patients’ ability of daily life,which is more effective than oral celecoxib.The combination of Shu Piao Tang and Shoulder Six Acupoints,together with health education and routine exercise,provides a calm,effective,safe and durable treatment to enhance the quality of life,and is worthy of clinical popularize.