| Objective: To observe the clinical efficacy of acupuncture at the " infusion " point of the homonymous meridian combined with local acupuncture points in the treatment of osteoarthritis of the knee with cold-damp paralysis and obstruction.Methods: Seventy-two patients who attended the Department of Acupuncture and Moxibustion of Yueyang Traditional Chinese Medicine Hospital between January 2022 and December 2022 and whose cases met the inclusion criteria were collected and recorded.According to the date of consultation,all patients were divided into a treatment group(the "infusion" acupuncture point group)and a control group(the conventional acupuncture point group)using the random number table method,with 36 patients in each group.In the treatment group,the control group was given the following acupuncture points: Guigu,Gongsun,Sanma and Taiyuan.The acupoints in both groups are on the affected side and are treated with electro-acupuncture,with the "losing" points of the upper and lower limbs being connected in one group.The rest was the same as the control group,with(4/20)Hz sparse and dense waves.Both groups were treated continuously for 4 weeks and both groups were treated for 6 days with a break of 1 day.2 weeks was the duration of treatment.Results: The study was completed in 60 patients.1.Baseline data: The differences in age,gender,disease duration and pre-treatment VAS scores,WOMAC scores and TCM syndrome scores between the two groups were not statistically significant(p>0.05)and were comparable.2.VAS scores:(1)Intra-group comparison: After treatment,the VAS scores of both groups were significantly lower than their pre-treatment scores(P<0.01),indicating that both the treatment group and the control group could significantly improve the patients’ pain symptoms.(2)Comparison between groups: After treatment,the VAS scores of the treatment group decreased more significantly than those of the control group(P < 0.05),indicating that the treatment group was better than the control group in improving pain.WOMAC scores:(1)Intra-group comparison: After treatment,the VAS scores of both groups were significantly lower than those before treatment(P < 0.01),indicating that both the treatment group and the control group could significantly improve the joint function of the patients.(2)Comparison between groups: After treatment,the VAS scores in the treatment group decreased more significantly than those in the control group(P < 0.05),indicating that the treatment group was better than the control group in improving joint function.4.WOMAC scores for pain,stiffness,and daily activity:(1)Intra-group comparison: After treatment,the scores for pain,stiffness and daily activity were all significantly lower than those before treatment(P < 0.01),indicating that both the treatment group and the control group were able to significantly improve the patients’ joint function.(2)Comparison between groups: After treatment,the treatment group showed a significant reduction in pain scores compared to the control group(P < 0.05);there was no statistically significant difference between the treatment group and the control group in the stiffness and daily activity scores.This indicates that the treatment group was better than the control group in terms of improving pain.5.Comparison of TCM evidence points:(1)Intra-group comparison: After treatment,the TCM evidence points of both groups were significantly lower than those before treatment(P < 0.01),indicating that both groups were able to significantly improve the evidence related to cold-damp paralysis and obstruction in KOA patients.(2)Comparison between groups: After treatment,the TCM syndrome points of the treatment group decreased more significantly than those of the control group(P < 0.05),indicating that the treatment group was better than the control group in improving the symptoms of cold-damp paralysis and obstruction in KOA.6.Clinical efficacy of the two groups: after 2 courses of treatment,there were 5 cases of clinical control,17 cases of apparent efficacy,6 cases of effectiveness and 2 cases of ineffectiveness in the treatment group,with a total effective rate of 93.33% the recovery rate is 73.33% and 2 cases of clinical control,11 cases of apparent efficacy,13 cases of effectiveness and 4 cases of ineffectiveness in the control group,with a total effective rate of 86.66% the recovery rate is 73.33%,with statistically significant differences(P<0.05).Conclusion:1.Acupuncture of the " infusion " point of the homonymous meridian with local acupuncture points and the conventional acupuncture point group can relieve the pain of osteoarthritis of the knee with cold-damp paralysis and improve the function of joint movement,without safety problems.2.Acupuncture at the " infusion " point of the homonymous meridian with local acupuncture points was more effective in improving pain than the conventional acupuncture point group.3.The method of acupuncture at the " infusion " point of the homonymous meridian with local acupuncture points for the treatment of cold-damp paralysis and obstruction in osteoarthritis of the knee is effective,green and safe,and worthy of clinical promotion. |
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