Clinical Observation On 60 Cases Of External Humeral Epicondylitis Treated By Acupuncture At Zusanli (ST36) And Yanglingquan(GB34)

Objective: To observe the therapeutic effect difference of Zusanli,Yanglingquan and conventional acupuncture in the treatment of external humeral epicondylitis by means of random grouping and to explore its mechanism of action.Method: 60 cases of patients with external humeral epicondylitis who were treated in the outpatient department of acupuncture and moxibustion specialists of Wuqing Hospital of Traditional Chinese Medicine from January 2020 to February 2021 were collected for clinical observation and research.The patients were randomly divided into two groups,with 30 cases in the test group and 30 cases in the control group.The test group was treated with acupuncture at Zusanli(ST36)and Yanglingquan(GB34).The control group received conventional acupuncture treatment.Treatment plan: In the experimental group,take the healthy side of Yanglingquan(GB34)and puncture 1-1.5 inches straight.Take another Zusanli(ST36)from the contralateral side and puncture 1-2 inches straight.After inserting the needle,perform twisting and thrusting to flatten and reduce the pain,so that the operation site will produce soreness,numbness,swelling,pain,etc.,and acupuncture sensation,15 minutes later.Needle(twist,lift and insert)once,and run the needle for 1 minute.The needle is retained for 30 minutes each time.During the acupuncture,the doctor guides the patient to move the elbow of the affected limb at the same time,doing flexion,extension,internal rotation,and external rotation in sequence,and 3 groups of continuous activities in sequence.Once a day,7 days is a course of treatment,and the total number of treatment courses is 2courses.In the control group,the tenderness point was cut around the lateral epicondyle of the patient’s humerus,and Ashi point was searched for a 0.5-1 inch needle.Take the Quchi(LI11)acupoint on the affected side and insert the needle 0.5-1 inch.Take Hegu(LI4)acupoint on the affected side and insert a 0.5-1 inch needle.After inserting the needle,perform twisting and lifting,flattening and relieving,so that the operation site produces sour,numb,swelling,pain and other air-needle sensations.After 15 minutes,perform acupuncture once,and perform acupuncture for 1 minute.Keep the needle for 30 minutes each time.Once a day,7 days is a course of treatment,and the total number of treatment courses is 2 courses.HSS elbow joint function score and VAS pain score were performed on 60 patients,and the scores before treatment,initial treatment,the end of the first course of treatment,and the end of the second course were counted.Results: This study shows that the experimental group and the control group have good therapeutic effects on external humeral epicondylitis.Both treatment methods can relieve elbow joint pain and improve the patient’s elbow joint function.The improvement of the VAS score and HSS score of the experimental group after the end of the two courses were better than those of the control group.The VAS score of the test group was significantly higher than that of the control group after immediate treatment;the functional score of the HSS score of the test group was significantly higher than that of the control group after two courses of treatment.Conclusion: Compared with conventional acupuncture,Ju needling acupuncture in Zusanli(ST36)and Yanglingquan(GB34)is superior to conventional acupuncture in terms of immediate pain relief and improvement of daily life functions.Moreover,the Ju needling method has the advantages of fine point selection and high patient compliance.This method is worthy of further research.