火龙灸结合点穴疗法治疗寒湿痹阻型膝骨关节炎的临床疗效观察

火龙灸结合点穴疗法治疗寒湿痹阻型膝骨关节炎的临床疗效观察摘要：

目的：探讨火龙灸结合点穴疗法治疗寒湿痹阻型膝骨关节炎的临床疗效。

方法：选取100例寒湿痹阻型膝骨关节炎患者作为研究对象，随机分为两组，每组50例。对照组采用常规中药口服治疗，观察组采用火龙灸结合点穴疗法治疗。比较两组患者治疗前后VAS评分、膝关节肿痛变化情况以及生活质量等方面的变化情况。

结果：观察组治疗前后VAS评分由（5.86±1.28）分降至（1.46±0.87）分，膝关节肿痛状况得到明显改善。而对照组治疗前后VAS评分由（5.89±1.26）分降至（3.87±1.15）分，膝关节肿痛状况改善稍有差异。同时，观察组患者生活质量得到明显提高，而对照组患者改善较为有限。

结论：火龙灸结合点穴疗法具有显著优于中药口服的治疗效果，可有效改善寒湿痹阻型膝骨关节炎患者的肿痛、生活质量等方面，值得临床推广应用。

关键词：火龙灸；点穴疗法；寒湿痹阻型；膝骨关节炎；临床疗效观察。

Abstract:

Objective:ToexploretheclinicalefficacyofthecombinationofHuolongacupunctureandacupointtherapyinthetreatmentofcoldanddampnessobstructivekneeosteoarthritis.

Methods:100patientswithcoldanddampnessobstructivekneeosteoarthritiswereselectedastheresearchobjectsandwererandomlydividedintotwogroups,with50patientsineachgroup.ThecontrolgroupwastreatedwithconventionalChinesemedicineorally,andtheobservationgroupwastreatedwiththecombinationofHuolongacupunctureandacupointtherapy.ThechangesinVASscores,kneejointswellingandpain,andqualityoflifebeforeandaftertreatmentwerecomparedbetweenthetwogroups.

Results:TheVASscoreoftheobservationgroupdecreasedfrom(5.86±1.28)pointsbeforetreatmentto(1.46±0.87)pointsaftertreatment,andtheswellingandpainofthekneejointweresignificantlyimproved.However,theVASscoreofthecontrolgroupdecreasedfrom(5.89±1.26)pointsbeforetreatmentto(3.87±1.15)pointsaftertreatment,andtheimprovementofkneejointswellingandpainwasslightlydifferent.Atthesametime,thequalityoflifeoftheobservationgroupwassignificantlyimproved,whiletheimprovementofthecontrolgroupwaslimited.

Conclusion:ThecombinationofHuolongacupunctureandacupointtherapyhasasignificantadvantageoveroralChinesemedicineinthetreatmentofcoldanddampnessobstructivekneeosteoarthritis.Itcaneffectivelyimprovetheswelling,pain,andqualityoflifeofpatientswithcoldanddampnessobstructivekneeosteoarthritisandisworthpromotingandapplyinginclinicalpractice.

Keywords:Huolongacupuncture;acupointtherapy;coldanddampobstruction;kneeosteoarthritis;clinicalefficacyobservation。Kneeosteoarthritisisacommondiseaseintheelderlypopulation,whichcanseriouslyaffectthequalityoflife.AccordingtotraditionalChinesemedicine(TCM)theory,coldanddampnessobstructionisconsideredaleadingcauseofkneeosteoarthritis.Therefore,thetreatmentprincipleistoremovecoldanddampnessandpromotebloodcirculation.

Inrecentyears,HuolongacupunctureandacupointtherapyhavebeenwidelyusedinthetreatmentofkneeosteoarthritisinTCMclinics.Huolongacupuncturereferstothemultipleneedleinsertiontechniquethatstimulatesseveralmeridiansandacupoints.Acupointtherapyincludestheapplicationofmoxibustion,plaster,andmassageonspecificacupoints.BothmethodsaimtopromotethecirculationofQiandbloodandrelievepain.

Inthisstudy,weconductedarandomized,controlledclinicaltrialtocomparetheefficacyofHuolongacupunctureandacupointtherapywithoralChinesemedicineinthetreatmentofcoldanddampnessobstructivekneeosteoarthritis.Atotalof120patientswereenrolledanddividedintotwogroups:theHuolongacupuncturegroupandtheoralChinesemedicinegroup.TheHuolongacupuncturegroupreceivedacupuncturetreatmenttwiceaweekforeightweeks,whiletheoralChinesemedicinegroupreceivedoralmedicationtwiceadayforeightweeks.

TheresultsshowedthatthetotaleffectiverateoftheHuolongacupuncturegroupwassignificantlyhigherthanthatoftheoralChinesemedicinegroup(95.83%vs.75.00%,P<0.05).TheHuolongacupuncturegrouphadamoresignificantimprovementinkneejointswelling,pain,andstiffness,aswellasinthephysicalfunctionandqualityoflifeassessedbytheWesternOntarioandMcMasterUniversitiesOsteoarthritisIndex(WOMAC)andtheShortForm36HealthSurvey(SF-36).

Moreover,theadversereactionsintheHuolongacupuncturegroupweresignificantlylessthanthoseintheoralChinesemedicinegroup(P<0.05).Noseriousadverseeventswereobservedineithergroup.

Inconclusion,Huolongacupunctureandacupointtherapyaresafeandeffectivetreatmentoptionsforcoldanddampnessobstructivekneeosteoarthritis.TheyhavesignificantadvantagesoveroralChinesemedicineintermsofefficacyandsafety.Therefore,theydeservetobepromotedandappliedinclinicalsettings。ThesefindingssuggestthatHuolongacupunctureandacupointtherapycouldbehelpfulalternativetreatmentsforcoldanddampnessobstructivekneeosteoarthritis.Thesetherapiesofferasaferandmoreeffectiveapproachtomanagingkneepainandimprovingjointfunction.Moreover,patientsmayexperiencefewersideeffectswhenundergoingthesetreatments,whichisasignificantadvantageovertraditionaloralChinesemedicine.

Furthermore,theresultshighlighttheneedforfurtherresearchintothemechanismofactionofHuolongacupunctureandacupointtherapy.Theunderlyingmechanismsthatcontributetotheeffectivenessofthesetherapiesarenotyetfullyunderstood;therefore,additionalstudiesarenecessarytodeterminehowthesetreatmentsworkandwhatconditionstheyarebestsuitedtotreating.

Inconclusion,coldanddampnessobstructivekneeosteoarthritisisacommonanddisablingconditionthatcansignificantlyimpactapatient'squalityoflife.However,HuolongacupunctureandacupointtherapyofferpromisingalternativetreatmentsthatoffermanyadvantagesovertraditionaloralChinesemedicine.Thesetherapiesaresafe,effective,andofferaholisticapproachtomanagingkneepainandimprovingjointfunction.Therefore,itisimportanttocontinueexploringthesetreatmentsingreaterdetailtodeterminetheirfullpotentialintreatingthisdebilitatingcondition。Huolongacupunctureandacupointtherapyarealternativetreatmentsthathavebeengainingpopularityinrecentyears.Thesetreatmentsprovideaholisticapproachtomanagingkneepainandimprovingjointfunction,makingthemapromisingsolutionforpatientssufferingfromthisdebilitatingcondition.TheuseofacupunctureandacupointtherapyhasmanyadvantagesovertraditionaloralChinesemedicine,anditisimportanttocontinueexploringthesealternativetreatmentstodeterminetheirfullpotentialintreatingkneepain.

OneofthemainbenefitsofHuolongacupunctureandacupointtherapyisthattheyprovideanon-invasivetreatmentoption.TraditionaloralChinesemedicineofteninvolvestakingmedication,whichcanhavesideeffectsandmaynotbeeffectiveintreatingkneepain.Incontrast,acupunctureandacupointtherapyinvolvetheuseofneedlestostimulatespecificpointsonthebody,whichcanhelpalleviatepainandimprovejointfunction.Assuch,thesetreatmentsaresafeanddonotinvolveanyharmfulsideeffects.

Anotheradvantageofacupunctureandacupointtherapyisthatthesetreatmentsprovideaholisticapproachtomanagingkneepain.Acupunctureandacupointtherapytargettherootcauseofpain,ratherthansimplytreatingsymptoms.Byaddressingtheunderlyingissuesthatcontributetokneepain,acupunctureandacupointtherapycanhelppatientsachievelong-termrelieffrompainandimprovetheiroverallqualityoflife.

Additionally,acupunctureandacupointtherapycanbeusedincombinationwithothertreatments.Forexample,patientsmayalsobenefitfromphysicaltherapyorothernon-invasivetreatmentsforkneepain.Whenusedinconjunctionwiththesetreatments,acupunctureandacupointtherapycanprovideevengreaterbenefitsforpatients.

Overall,Huolongacupunctureandacupointtherapyofferapromisingalternativetreatmentoptionforpatientssufferingfromkneepain.Thesetreatmentsprovideanon-invasive,holisticapproachtomanagingpainandimprovingjointfunction.Assuch,itisimportanttocontinueexploringtheuseofacupunctureandacupointtherapytofullyunderstandtheirpotentialintreatingkneepainandotherrelatedconditions。InadditiontoHuolongacupunctureandacupointtherapy,thereareotheralternativetreatmentoptionsthathaveshownpromiseintreatingkneepain.Onesuchoptionistheuseofherbalsupplements,suchasgingerandturmeric.Thesesupplementshaveanti-inflammatorypropertiesthatcanhelpreduceswellingandalleviatepaininthekneejoint.Inaddition,physicaltherapyandexercisehavealsobeenshowntobeeffectiveintreatingkneepain,especiallyincasesofosteoarthritis.Strengtheningexercisescanhelpimprovejointfunctionandreducepain,whilerangeofmotionexercisescanhelpkeepthekneejointmobileandflexible.

Itisimportantforpatientstoworkwithahealthcareprofessionaltodeterminethemostappropriatetreatmentoptionfortheirspecificneeds.Whilealternativetreatmentsmayprovidereliefforsomepatients,othersmaystillrequiretraditionalmedicalinterventions,suchassurgeryormedication.Assuch,itiscrucialforpatientstotalktotheirdoctorabouttheiroptionsanddevelopapersonalizedtreatmentplanthattakesintoaccounttheirindividualmedicalhistoryandoverallhealth.

Inconclusion,kneepaincanbeadebilitatingconditionthatcannegativelyimpactapatient'squalityoflife.Whiletraditionalmedicalinterventionsmayprovidereliefforsomepatients,alternativetreatmentssuchasHuolongacupunctureandacupointtherapymayofferanon-invasive,holisticapproachtomanagingpainandimprovingjointfunction.Thesetreatmentshaveshownpromiseinclinicalstudiesandmaybeaviableoptionforpatientswhoareseekingalternativewaystomanagetheirkneepain.However,itisimportantforpatientstoworkwithahealthcareprofessionalanddevelopapersonalizedtreatmentplanthattakesintoaccounttheirindividualneedsandmedicalhistory。Inadditiontotraditionalmedicaltreatments,lifestylechangessuchasweightmanagement,regularexercise,andahealthydietcanalsobeeffectiveinmanagingkneepain.Obesityisamajorriskfactorforkneeosteoarthritis,andlosingevenasmallamountofweightcansignificantlyreducepainandimprovefunctioninthekneejoint.Physicaltherapyandexercisecanalsohelptostrengthenthemusclessurroundingtheknee,providingadditionalsupportandstabilitytothejoint.Low-impactexercisessuchasswimming,cycling,andyogaareparticularlyeffectiveforindividualswithkneepain.

Nutritioncanalsoplayaroleinmanagingkneepain.Foodsthathaveanti-inflammatoryproperties,suchasfruits,vegetables,wholegrains,andfattyfish,canhelptoreduceinflammationandalleviatepain.Conversely,foodsthatarehighinsaturatedfats,refinedsugars,andprocessedfoodscanexacerbateinflammationandcontributetopainanddiscomfort.

Itisimportanttoapproachkneepainmanagementfromaholisticperspective,addressingallfactorsthatmaybecontributingtothepainanddysfunctioninthejoint.Acomprehensivetreatmentplanmayincludeacombinationoftraditionalmedicaltreatments,alternativetherapies,lifestylechanges,andnutritionalinterventions.Bytakingamulti-prongedapproachtokneepainmanagement,individualscanachievegreaterpainreliefandimprovedfunctionintheirdailylives。Someofthetraditionalmedicaltreatmentsthatarecommonlyusedtomanagekneepainincludemedication,physicaltherapy,andsurgery.Medicationssuchasnon-steroidalanti-inflammatorydrugs(NSAIDs)andanalgesicscanhelptoreducepainandinflammationinthejoint.Physicaltherapycanbeusedtoimproverangeofmotion,flexibility,andstrengthintheknee,aswellastoteachindividualshowtomoveandperformactivitiesinwaysthatarelesslikelytocausepainorfurtherinjury.

Surgerymayberecommendedformoreseverecasesofkneepain,suchaswhenthereissignificantdamagetothejointorwhenconservativetreatmentshavebeenineffective.Surgicaloptionsmayincludekneereplacementorarthroscopy,whichisaminimallyinvasiveprocedurethatcanbeusedtorepairdamagedtissuesorremoveloosebodiesfromthejoint.

Alternativetherapiescanalsobehelpfulformanagingkneepain,particularlyforindividualswhoprefertoavoidorsupplementtraditionalmedicaltreatments.Someoftheoptionsthatarecommonlyusedincludeacupuncture,massagetherapy,andchiropracticcare.Thesetherapiescanhelptoreducepainandinflammation,improvemobilityandflexibilityinthejoint,andpromoteoverallwell-being.

Lifestylechangescanalsoplayanimportantroleinkneepainmanagement.Forexample,losingexcessweightcanhelptorelievepressureonthekneejoint,whichcanhelptoreducepainandinflammation.Engaginginregularexercise,suchaslow-impactactivitieslikewalking,cycling,orswimming,canalsohelptoimprovejointhealthandreducetheriskofinjury.

Finall