Clinical Observation On The Treatment Of Shoulder Periarthritis With The Method Of Regulating Mind And Clearing Channels Combined With Acupuncture And Exercise Therapy

Objective:Observing the clinical efficacy of combining the method of regulating the mind and unblocking the meridians with acupuncture exercise therapy on scapulohumeral periodontitis,comparing the combination of the method of regulating the mind and unblocking the meridians with acupuncture exercise therapy and conventional acupuncture exercise therapy,in order to explore a more effective diagnosis and treatment plan for the treatment of scapulohumeral periodontitis in traditional Chinese medicine.Methods:Sixty patients with periarthritis of the shoulder were randomly divided into an observation group and a control group with 30 cases each.The control group referred to the fourth edition(13th Five Year Plan)of acupuncture and moxibustion and Moxibustion,and only took Jiandang,Jianliao,Jianzhen,Jianqian,Ashi,Quchi and Yanglingquan.The observation group included(1)Baihui,Yintang,Left and Right Shencong,Shenting,Touwei(both sides),Fengchi(both sides),Houxi(affected side),Hegu(affected side);(2)Shoulder acupoints: Shoulder,Shoulder Liao,Shoulder Zhen,Shoulder Front,and Ashi(all taken from the affected side).Both groups were combined with acupuncture and exercise therapy.Acupuncture exercise therapy specifically includes a total of 5 minutes of pre acupuncture exercise:(1)shrug your shoulders three times,with the maximum degree;(2)Horizontal abduction(0～180 °)and adduction(0～50 °)of the shoulder joint for 1 minute(2 minutes in total)Forward flexion(0～180 °),activity for 1 min;(4)The patient was placed in a 90 °shoulder abduction and elbow flexion position,with pronation(0-70 °)and pronation(0-90 °)for 1 minute(2 minutes in total).After starting the acupuncture,repeat the above same action for a total of 5 minutes,that is,move for 10 minutes before and after the acupuncture.Those with insufficient strength can be given appropriate assistance,and the range of joint activity should be based on the patient’s ability to tolerate pain.Once a day,7days as a course of treatment.There are three courses of treatment.After treatment,the VAS score and shoulder joint function score were analyzed to compare the efficacy differences between the two groups.Results:1.Statistical analysis was conducted based on the age,gender,and course of disease of the two groups of patients,and there was no difference(P>0.05)between the two groups.Therefore,this survey is universal;2.Intragroup comparison: Based on the comparison of VAS scores and Constant-Murley scores between the two groups of patients before and after treatment,there was a difference(P<0.05),indicating that both experimental groups could alleviate shoulder pain and significantly improve shoulder joint mobility compared to before treatment.3.Inter group comparison: After treatment,the VAS and Constant-Murley scores of the two groups of patients were compared,and there was a significant difference between the groups(P<0.05).It was found that the treatment group had better improvements in shoulder pain and shoulder joint mobility than the control group.4.The total effective rates of the observation group and the control group in treating scapulohumeral periarthritis were 93.3% and 80.0%,respectively,and there was a significant difference(P<0.05)after statistical analysis.Conclusions:1.The combination of the method of regulating the mind and unblocking collaterals and acupuncture exercise therapy has a definite therapeutic effect on scapulohumeral periarthritis,which can effectively alleviate shoulder joint pain,expand the range of shoulder joint movement,and alleviate the patient’s condition.2.The combination of the method of regulating the mind and unblocking collaterals and acupuncture exercise therapy has better therapeutic effects and clinical efficacy than conventional acupuncture exercise therapy.