Clinical Research On The Treatment Of Plectrum On Back-shu Points Following The Bladder Meridian Combined With Acupunture For Kaschin-Beck Disease With The Syndrome Of Cold-dampness Blocking Meridians

This article discussed the differentiation of Kaschin-Beck disease in TCM. The therapeutic effect of different treatments for Kaschin-Beck disease with the syndrome of Cold-dampness blocking channels had been observed and compared.Objective:This research was based on the design measurement and evaluation investigation on TCM syndrome of Kaschin-Beck disease in a large sample. The modern statistics analysis software had been applied to analyze the syndrome discipline in Kaschin-Beck diseases. The result must been demonstrated by experts, and eventrually standard the differentiation and syndrome of Kaschin-Beck diseases. Our study had compared the threautic effect of plectrum on back-shu points following the bladder meridian and acupuncture with the Number 1 Traditional Chinese Medicine for Kaschin-Beck disease in the syndrome of Cold-dampness blocking channels. This study provided a new method of clinical therapy for Kaschin-Beck disease eventrually.Method:According to the block randomized, single blind, positive controlled trialing principle,132 cases of Kaschin-Beck diseases in the syndrome of cold-dampness blocking the channel had been divided into three groups stochastically. The group A applied plectrum on back-shu points following the bladder meridian combined with acupuncture. The group B used the Number 1 Traditional Chinese Medicine for Kaschin-Beck disease orally and the group C applied the ibuprofen sustained release capsule. All the treatment had been continued 30 days. They were compared at the end of 1 month,2 months after the treatments.Results:.1.The treatment of plectrum on back-shu points following the bladder meridian combined with acupunture, and the Number 1 Traditional Chinese Medicine can improve the syndrome score in TCM and have a good therapeutic effect.2. For the patients of Kaschin-Beck disease with the syndrome of Cold-dampness, the group A could more obviously improve the score of the pain, the tenderness index and the early morning stiff time than the group C. The group A didn't shorten the early morning stiff time but provide a good therapeutic effect in improving the tenderness index and the average grip strength. Compared with the group C, the group B provided a better curative effect to improve the swelling index, shorten the early morning stiff time and strengthen the average power of gripping.3. Compared with the group C, the group A can lower down the ALP and LDH for the patient of Kaschin-Beck disease with the syndrome of Cold-dampnessblocking channels more significantly.4. The treatments in three groups could improve the quality of life index significantly. Compared with the index before treatments, there were significant differences. Bue the differences among three groups did not have statistic meaning.Conclusion:It was the first time to standard the differentionation and syndrome of Kaschin-Beck disease in TCM according to the cluster analysis, analysis of variance, discriminant analysis and expert comments. This reseach initially formulated three syndromes for Kaschin-Beck disease:cold-dampness blocking channels, the deficiency of spleen and stomach and the stagnation of phlegm and blood stasis.For Kaschin-Beck disease with the syndrome of Cold-dampness, the treatment of plectrum on back-shu points following the bladder meridian combined with acupunture can significantly release the TCM syndrome, symptoms and low down the LDH ans LDP. It was easy to operate in clinic and should be worth to promote and app ly.For Kaschin-Beck disease with the syndrome of Cold-dampness blocking the channels, the Number 1 Traditional Chinese Medicine had a good curative effect to improve the record of TCM symptoms, the number of swelling joints, shorten the early morning stiff time and promote the average power of gripping.