Treatment Of Periarthritis Of Shoulder Of Wind-Cold And Dampness Type By Needling Ashi Points Together With Mild Moxibustion

Objective:By using the treatment methods of Qi needling at Ashi acupoints and mild moxibustion,we can effectively observe and evaluate the therapeutic effect of wind cold dampness type shoulder periarthritis,providing a more effective treatment plan for clinical practice.Methods:Sixty patients were selected in clinical practice,all of whom had wind cold dampness type shoulder periarthritis and had typical symptoms.Under the guidance of the mentor,they were randomly divided into two groups(treatment group and control group),with 30 patients in each group.The control group treated patients with wind cold dampness type shoulder periarthritis with routine acupoint acupuncture(using the method of twisting and tonifying the acupoints during needle retention),and then performed mild moxibustion on the acupoints after starting the needle;The treatment group used conventional acupoint acupuncture while also using the Qi needling technique on Ashi acupoint.During the needle retention period,the same reduction method was used as in the Twisting and Reinforcing Reduction method.After starting the needle,mild moxibustion was performed on the acupoints(only Ashi acupoint was subjected to mild moxibustion,and there was no reduction method for the two adjacent needles).Both the treatment group and the control group underwent routine acupoint acupuncture combined with mild moxibustion.The difference was that the treatment group not only applied the operations of the control group,but also performed a special simultaneous needling method at the Ashi acupoint.The two groups of patients need to keep the needle for 30 minutes each time when acupuncture and moxibustion is performed,and the treatment frequency of each group is once a day.All patients in both groups require treatment for 3 courses of treatment,each lasting 7 days(6 days of continuous acupuncture combined with mild moxibustion,and 1 day of rest as a course of treatment).At the end of each treatment task,using the standard actions required in the ability to daily living score(ADL)as a reference,instruct the patient to perform them and score them,and record them.After the last three courses of treatment,analyze and compare the data of each group by analyzing the pain rating index(PRI),visual analog score(VAS),ability to daily living(ADL),traditional Chinese medicine symptom score,and efficacy score,and identify the differences in the results between the two groups,In order to find an effective treatment plan for clinical treatment of scapulohumeral periarthritis.Results:1.After treatment,the VAS and PRI scales of the two groups significantly decreased,with the treatment group showing a significant difference,reaching a level of P<0.001<0.05.Both groups of treatments have been effective,and the group with better treatment effect is the treatment group.2.In terms of daily living ability score(ADL)and traditional Chinese medicine symptom score,both groups showed improvement compared to before treatment,with the treatment group having a more prominent improvement effect than the control group,reaching a higher level.In addition,the quality of life of the two groups of patients has also been improved to a certain extent,with the improvement in the treatment group being more prominent than that in the control group.3.Observing the experimental data,it can be concluded that the treatment group is superior to the control group in all aspects,with significant differences(P<0.001<0.05)Conclusion:1.By using the Qi needling method to acupuncture the Ashi acupoint,followed by a mild moxibustion treatment plan,the patient’s shoulder pain symptoms can be significantly reduced,the range of flexion and extension activities of the shoulder joints can be increased,the quality of life can be improved,and the happiness index can be increased.2.By using mild moxibustion,patients with wind cold dampness type periarthritis of the shoulder can experience a warm sensation,play a role in circulating qi and blood meridians,and reduce pain.3.The combination of acupuncture at Ashi acupoints and mild moxibustion has a better therapeutic effect than conventional acupuncture combined with mild moxibustion in treating wind cold dampness type shoulder periarthritis.