The Clinical Research On Senile Knee Osteoarthritis Treated By Jin's 3-Knee Points With Moxibustion

ObjectiveBy observing the clinical effect on senile knee osteoarthritis treated by Jin's 3-knee points with moxibustion,we intend to provide a strong evidence for the clinical mechanism of the treatment and widely apply the treatment in clinical practice.MethodIn this research,we collected patients with knee osteoarthritis,aged 60 or older.We then randomly divided these patients into a Jin's 3-knee points with moxibustion treatment group and a Jin's 3-Knee Points controlled group. Jin's 3-Knee Points contain acupoints of Xuehai(SP 10),Liangqiu(ST 34) and both Xiyan(extra).Others are chosen according to a patient's Chinese medical syndromes.We used Fengchi(GB 20) and Geshu(BL 17) for Moving Bi,Shenshu (BL 23) and Guanyuan(RN 4) for Painful Bi,Yinlingquan(SP 9) and Zusanli (ST 36) for Fixed Bi as well as Dazhui(DU 14) and Fengchi(GB 20) for Heat Bi.For the treatment group,it's necessary for a patient to bend the knee when related acupoints are located.If one needles the patient in a supine position,a pillow should be placed under the knees to elevate them into a bent position.After routine sterilization of each acupoint,we needled both Xiyan(extra) using a 1.5-cun needle medial toward the patella to a depth of 1-1.2 cun.Needling into the articular cavity was prohibited.Xuehai(SP 10) and Liangqiu(ST 34) were needled with a 1.5-cun needle to a depth of approximately 1.2 cun.The degree of depth was dictated by the need to get Qi.Other acupoints were needled by commonly held method.After all the points were needled,we moxaed each of the main acupoints by holding a burned moxa stick over it.We manipulated both the needle and moxa stick to conduct either tonification or sedation according to a patient's Chinese medical syndromes.Needles were kept for 45 minutes.Patients of the controlled group were treated using the same needling technique as it was performed on patients of the treatment group.Needles were also kept for 45 minutes. According to a patient's Chinese medical syndromes,we manipulated the needles up and down in order to conduct either tonification or sedation.Each group of patients was treated 3 times a week,3 weeks a course.After two courses of treatment we evaluated the clinical effect.The clinical effect was evaluated by four different observation forms,and they are Simplified MPQ Pain Questionnaire(MPQ),Marking Standard of Degree of Seriousness of KOA (Lequesne MG),WOMAC Index Of Osteoarthritis(WOMAC) and Judging Standard of Clinical Effect On KOA(JOA).The total clinical effect on each group was evaluated by using the Nimodipine calculating method,that is,(mark before treatment - mark after treatment) / mark before treatment×100%.Fundamental group comparison1 The treatment group contained 30 patients,12 males and 18 females.The average age of the group was 65.45±2.91 years old.The average course of the disease was 6.25±0.49 years.Each of the 30 patients was categorized into one of the 4 classes according to their Chinese medical syndromes.Among the 30 patients,5 were categorized into Moving Bi,10 Painful Bi,14 Fixed Bi and 1 Heat Bi.The controlled group contained 31 patients,14 males and 17 females.The average age of the group was 68.31±3.99 years old.The average course of the disease was 6.86±0.61 years. Among the 31 patients,4 were categorized into Moving Bi,13 Painful Bi, 12 Fixed Bi and 2 Heat Bi.There were no obvious differences on gender, age,course of disease and class of Chinese medical syndromes between the two groups.Therefore,the two groups were comparable(P＞0.05).2 According to the statistical t test,we found that there was no obvious difference on each of the observation categories between the two groups before treatment(P＞0.05).Therefore,the two samples were from the same population and could be studied simultaneously. ResultsAfter two courses of treatment,the treatment group had a total effective rate of 93.33%.Among the 30 patients,4 were clinically and basically recovered,11 had obvious effect,14 had fair effect and i had no effect.The controlled group had a total effective rate of 77.42%.Among the 31 patients, 2 were clinically and basically recovered,9 had obvious effect,13 had fair effect and 7 had no effect.According to the statistical X~2test,the clinical effect of the treatment group was obviously superior to it of the controlled group(0.01＜P＜0.05 ).This finding shows that the clinical effect on treating senile knee osteoarthritis by acupuncture with moxibustion is more outstanding than it by acupuncture alone.ConclusionThe clinical research presented here showed that after two courses of treatment,both group of the patients had improved in the aspects of pain and swelling degrees of knees,time span of knee stiffness,angle of bending knees, painless walking distance,difficulties in climbing up and walking down steps, qualities of daily life,and so on.The clinical effect of treatment group is better than it of controlled group in the aspects of pain relief of knees and shortening time span of knee stiffness.As a result,in terms of relieving pains as well as circulating blood and Qi,treating senile knee osteoarthritis by using acupuncture with moxibustion is superior to it by using acupuncture alone...