Clinical Research On Opposing Needling Plus Moving Qi Therapy On Acute Closed Ankle Sprain

Objective:This study was to observe the clinical efficacy of opposing needling plus moving Qi therapy on acute closed ankle sprain.To assure the reality and reliability of clinical data,a prospective randomized controlled trial was taken and acknowledged diagnosis and treatment standard was used.It offered not only high strength evidences of evidence-based medicine for opposing needling plus moving Qi therapy on acute closed ankle sprain,but also a simple,convenient,cheap and effective method of treatment on acute closed ankle sprain.Method:According to the Standard of the People's Republic of China specification:the criteria for diagnosis and therapeutic effect evaluation of diseases and syndromes in traditional Chinese medicine(1994),patients in 2 weeks after onset,with no open wound,no ankle sprain before,no disability to walk,no rupture of vascular,nerves,ligaments and no fractures which need orthopedic and surgical treatment,were selected.Besides,patients who were allergy to acupuncture or easy to be faint during acupuncture,who are accordance with the inclusion criteria but non-cooperation and whose continuous treatment was less than a week were eliminated.64 acute ankle sprain patients were collected and divided into 2 groups stratified randomly based on their conditions and stages.Each group has 32 patients.The treatment group received opposing needling plus moving Qi therapy.The points on the healthy side were taken,included Waiguan-through-Neiguan and Houxi-through-Hegu.A 3 cun long needle was inserted into Houxi point,then punctured slowly through the palm side of the 2^ndto 5^thmetacarpals until it reached Hegu point.During puncturing,reducing manipulation in which twirling is the major while lifting and thrusting is subsidiary method,was done till the patients felt strongly sour and distend in the palm and the 2^ndto 5^thfingers. The same method was used to puncture Waiguan straightly through Neiguan.After needle insertion and obtaining of needle sensation,let patients exercised the wound ankles while twirling needle.Whether withdrawing the needle immediately or bow long the needle should be retained were based on therapeutic effects.The control group received traditional acupuncture therapy.The points taken are as follow:Ashi point,Shenmai,Qiuxu,Jiexi,Zhaohai,Kunlun, Taixi.Both the treatment group and control group have one 30 minutes treatment a day,7 day for a course.Each patient was evaluated by scoring the clinical symptoms like pain,tumidity,red,fever,tenderness and hypo activity of the ankle before,in the middle(the 14th)and after treatment.All the scores were statistical analyzed.Results:It was found that the total scores in both two groups have a great different after treatment(P＜0.05).However,the score in treatment group improved more than that in the control group.This indicates that both therapies are useful but opposing needling plus moving Qi therapy is more effective.The improvement rate of each symptom in the treatment group is higher than that in the control group.In the treatment group every symptom improvement rate reaches the effectual criteria,among them the hypo activity of ankle relived most greatly.On the whole,the efficacy of opposing needling plus moving Qi therapy is equilibrium.In the control group,the improvement rates in such symptoms as tumidity,tenderness and pain were relatively greater than others.There was no difference in effect distribution betweenⅠ°andⅡ°patients in the two groups(P＞0.05).This hinted that there was no relation between condition and effect.Both cure rates ofⅠ°andⅡ°patients in the treatment group were higher than those in the control group.This showed that opposing needling plus moving Qi therapy was more effective in eitherⅠ°orⅡ°patients.Each symptom scores had greatly changed in the two groups in different stages(P＜0.05).The change in treatment group was greater than that in control group.So in every stage opposing needling plus moving Qi therapy is better than traditional acupuncture therapy.The change in each stage was also different(P＜0.05):that in the acute stage was biggest,followed by that in the sub acute stage and then the recovery stage.It showed that the earlier the acupuncture therapy was used,the better the result was. The scores on the 7^thday showed more improvement than that on the 4^thday in both groups.This indicated that there was a relationship between treatment course and effect.There was significant difference in symptoms between two groups on the 4^thday except tumidity,tenderness and hypo activity of ankle (P＞0.05).There was also significant difference in each symptom between two groups after treatment.This hinted that the two therapies were in different speeds while improving different symptoms.To relieve the pain,red and fever of ankle,opposing needling plus moving Qi therapy has faster and better effect. While to relieve the tumidity,tenderness and hypo activity of ankle,there was no much difference between the two therapies in the first four days,but as time passed,opposing needling plus moving Qi therapy showed more effective.Conclusion:Opposing needling plus moving Qi therapy has significant effect in curing acute closed ankle sprain,especially in relieving hypo activity, pain,red,tumidity and tender.It not only inherits the idea of opposing needling,one of the nine needling in ancient," using points on the left side to cure diseases on the right,vice versa",but also absorbs the theory of modern anatomy "exercise can relieve pain".It' s a perfect combination of traditional Chinese medicine and modern medicine.Since in the acute stage of ankle sprain,local pain,swelling and blood stasis are obvious,needling local point will probably make the patient feel more painful.If the manipulation is unsuitable,it may cause unnecessary wound or secondary infection.Using opposing needling plus moving Qi therapy to treat acute closed ankle sprain can avoid the shortage of needling local points.What' s more, patients can actively exercise their wound ankle while needling.This helps to dreg qi and blood in the meridians and finally to relieve pain.So opposing needling plus moving Qi therapy is a simple,convenient,cheap and effective method of treatment on acute closed ankle sprain and has great value of clinical application.To cure acute closed ankle sprain,the earlier the acupuncture is used, the better the effect is.Opposing needling plus moving Qi therapy is effective in bothⅠ°andⅡ°patients.So does in acute stage,subacute stage and recovery stage.The relieving effect in hypo activity and pain is most significant.While traditional acupuncture therapy showed relatively better effect in treating tumidity,pain and tenderness than the other two symptoms. Opposing needling plus moving Qi therapy has great immediate analgesic effect. To relieve the pain,red and fever of ankle,opposing needling plus moving Qi therapy has faster and better effect.While to relieve the tumidity, tenderness and hypo activity of ankle,there was no much difference between the two therapies in the first four days,but as time passed,opposing needling plus moving Qi therapy showed a better result.To assure the reality and reliability of clinical data,a prospective randomized controlled trial was taken and acknowledged diagnosis and treatment standard was used in this study.It offers evidence-based medicine for opposing needling plus moving Qi therapy on acute closed ankle sprain.