Clinical Study on Treatment of Shoulder Periarthritis with Electro-acupuncture on Point Jianyu （LI 15）

Objective： To compare the curative efficacy and safety of electro-acupuncture on Jianyu （LI 15） with oral administration of Diclofenac Sodium Sustained-release Capsules in treating shoulder periarthritis. Method： Randomized controlled trials （RCT） were adopted in the study. The patients were randomized into two groups, 30 cases in one group. Electroacupuncture was done on Jianyu （LI 15） 20 rain every time in the treatment group, while 75 mg Diclofenac Sodium Sustained-release Capsules were orally administered in the control group. For all the patients in two groups, one treatment course contains 7 days. Then the curative efficacy was evaluated by the efficacy evaluation criteria after two consecutive courses. Result： The total effective rate of treatment group and control group were 93,3% and 56.7% respectively. Conclusion： Electroacupuncture on Jianyu （LI 15） is an effective therapy for shoulder periarthritis and has more significant effect than oral Diclofenac Sodium Sustained-release Capsules.

Clinical Study on the Effects of Electroacupuncture Combined with Extracorporeal Shock Wave in the Treatment of Periarthritis of Shoulder

Objective:To investigate the clinical effects of electroacupuncture combined with extracorporeal shock wave in the treatment of periarthritis of shoulder.Methods:136 patients with periarthritis of shoulder admitted to our hospital from September 2018 to September 2019 were randomly divided into two groups by double-blind method.68 patients in the control group were treated with extracorporeal shock wave;68 patients in the observation group were treated with electroacupuncture combined with extracorporeal shock wave.The shoulder joint pain,joint function and activities of daily living were compared between the two groups.Results:The VAS score of shoulder joint pain in the observation group after treatment(1.92±0.24)was lower than that in the control group(3.51±0.32),and the UCLA score of shoulder joint function(31.28±1.96)was higher than that of the control group(27.42±2.36),the differences were statistically significant(P<0.05).After treatment,the active degree of forward flexion and extension of shoulder joint in the observation group was higher than those of the control group,and the activities of daily living was higher than that of the control group,with statistically significant differences(P<0.05)Conclusion:Electroacupuncture combined with extracorporeal shock wave treatment for periarthritis of shoulder has achieved ideal effects,safety and non-invasiveness,and can quickly restore the functions of shoulder joints.

Efficacy of blood-letting puncture and cupping in the treatment of periarthritis of shoulder:a systematic review

Objective:To systematically evaluate the clinical efficacy and safety of blood-letting puncture and cupping in the treatment of periarthritis of shoulder.Methods:We electronically searched databases including CNKI,VIP,PubMed,WanFang Data,EMbase Cochrane Library and to collect randomized controlled trials(RCTs)and quasi-randomized controlled trials about blood-letting puncture and cupping for periarthritis of shoulder and evaluated the quality of the documents collected by the Cochrane collaboration,provided by Review Manager 5 software for statistical analysis.Then the quality of the included trials was assessed using the Jadad scale and GRADE system was used to score the quality and grade recommendation.Results:Thirty RCTs involving 2556 patients were included.The results of meta-analysis showed that:Total effective rate OR=6.21[OR=6.21,95%CI(4.69,8.21),P<0.001].The results of GRADE system evaluation showed that the level of evidence was B,and the recommendation level was weak recommendation.Conclusion:Blood-letting puncture and cupping shows better effects than other treatments and preferably security in the treatment of periarthritis of shoulder.We do not find any serious adverse reaction reports.Due to limited quality of the included studies,more high quality studies are needed to verify the above conclusion.

Clinical study of warm acupuncture combined with massage in treatment of periathritis of shoulder

Objective: To analyze the clinical efficacy of warm acupuncture and moxibustion combined with manipulation in the treatment of periarthritis of shoulder. Methods: In this study, 120 patients with periarthritis of shoulder who were admitted to the department of orthopedics of the second affiliated hospital of Heilongjiang university of traditional Chinese medicine from June 2018 to June 2019 were selected, and the patients were divided into warm acupuncture group, massage group, combined treatment group and control group with a random number table, with 30 patients in each group. Warm acupuncture and moxibustion group received 4 weeks of warm acupuncture and moxibustion treatment, massage group received 4 weeks of massage treatment, patients in the combined treatment group received 4 weeks of warm acupuncture and moxibustion treatment, patients in the control group received 4 weeks of ultrashort wave combined plaster treatment. The use of ibuprofen, VAS score, Melle score, TCM syndrome score and serum inflammatory factors before and after treatment were analyzed and compared in each group of patients to evaluate the clinical efficacy. Results:shoulder joint pain and activity limitation were significantly improved in each group, VAS score, Melle score, TCM syndrome score and serum inflammatory factor levels were significantly decreased compared with before treatment (P < 0.05), and the improvement in the combined treatment group was significantly better than that in other groups (P < 0.05). Conclusion: Warm acupuncture combined with manipulation can significantly improve the clinical symptoms of periarthritis of shoulder, improve the mobility of shoulder joint, and inhibit the internal inflammatory response, which is significantly better than using warm acupuncture or manipulation alone and conventional physical therapy.

Abdominal acupuncture combined with scarring moxibustion at Qìhǎi(气海 CV 6) for 15 cases of periarthritis of shoulder

Objective To verify the therapeutic effect of abdominal acupuncture combined with scarring moxibustion at Qìhǎi（气海 CV 6） on periarthritis of shoulder.Methods Thirty cases of periarthritis of shoulder were randomly divided into an acup-moxibustion group and an acupuncture group,15 cases in each group.The patients in the two groups were treated with abdominal acupuncture at Zhōngwǎn（中脘 CV 12）,Xiàwǎn（下脘 CV 10）,Shāngqǔ（商曲 KI 17）,Huáròumén（滑肉门 ST 24）,with scarring moxibustion at Qìhǎi（气海 CV 6） added in the acup-moxibustion group,5 treatments each week,altogether 15 treatments.The therapeutic effects were assessed on the 20th day of acupuncture.Results The effective rate was 93.3%（14/15） in both the acup-moxibustion group and the acupuncture group,and the cured and markedly effective rate in the acup-moxibustion group and the acupuncture group was 86.7%（13/15） and 53.3%（8/15）,respectively,the acup-moxibustion group being better than that in the acupuncture group（P〈0.01）;after treatment the cumulative score of pain and the cumulative score of shoulder joint active function were significantly increased in the two groups（all P〈0.05）,with more significantly increased in the acup-moxibustion group（both P〈0.05）.Conclusion The therapeutic effect of abdominal acupuncture combined with scarring moxibustion on periarthritis of shoulder is better than that of the simple abdominal acupuncture.

Acupuncture at Tiānzōng(天宗 SI 11) with Canggui Tanxue method for 60 cases of periarthritis of shoulder

Objective To probe into therapeutic effect of acupuncture at Tiānzōng（天宗 ST 11） with Canggui Tanxue method on periarthritis of shoulder.Methods Sixty cases of periarthritis of shoulder were treated by acupuncture at Tiānzōng（天宗 SI 11） with Canggui Tanxue method.The treatment was given once each day,and the needle was retained for 20 min,5 treatments constituting one course.After 3 courses,therapeutic effects were observed.Results Thirty-six cases were cured,15 cases were markedly effective,8 cases were effective and one case was ineffective,with a total effective rate of 98.3%（59/60）.Conclusion Acupuncture at Tiānzōng（天宗 SI 11） with Canggui Tanxue method has an obvious therapeutic effect on periarthritis of shoulder.

Periarthritis of shoulder treated with Fu’s subcutaneous needling and electroacupuncture:A controlled trail

Objective:To observe and compare the therapeutic effect on shoulder periarthritis between Fu’s subcutaneous needling(FSN)and electroacupuncture(EA).Methods:A total of 68 patients with periarthritis of shoulder were divided into a FSN group and an EA group according to the random number table,34 cases in each one.In the FSN group,FSN was adopted,once every two days,totally for 10 times.In the EA group,EA was used once daily,consecutively for 20 times.Shoulder pain score and shoulder function score(Constant-Murley score)before and after treatment were compared between the two groups.The clinical therapeutic effect was analyzed and evaluated statistically.Results:After 20-day treatment,shoulder pain score was reduced obviously as compared with that before treatment in the patients of either group(both P<0.01).After treatment,shoulder pain score in the FSN group was lower significantly than that in the EA group(P<0.01).In 20 days of treatment,CMS was improved obviously as compared with that before treatment in the patients of both groups(both P<0.01)and CMS in the FSN group was higher significantly than that in the EA group after treatment(P<0.01).The effective rate was 94.11%in the FSN group and was 91.17%in the EA group.The remarkably effective rate was 73.52%in the FSN group,significantly higher than 20.58%in the EA group(P<0.01).Conclusion:Both FSN and EA are effective in treatment of periarthritis of shoulder,but FSN obtains a much higher remarkably effective rate in treatment of periarthritis of shoulder and its effects for relieving shoulder pain and improving shoulder function are superior to EA.Because of its effective treatment and simple operation,FSN deserves to be promoted in clinical practice for periarthritis of shoulder.

Operation rules of scraping technique

Traditional Chinese medicine scraping is a kind of natural therapy with a long history of simple and safe operation.It is easy to learn and tools are readily available,so that it has a very wide range of practical value.This paper introduces the definition and indications,function and standardization process of scraping technology,the technical operation specifications and matters needing attentions,as well as the application method of scraping technology,with a view to providing reference for clinical use of scraping technology in the treatment of cervical spondylosis,periarthritis of shoulder,lumbar muscle strain,hypertension,chloasma,and other diseases.

Clinical Study on Auricular Acupoint Penetration Needling along the Skin for Treatment of A Variety of Pain Syndrome and Dysfunction

This paper is a summary of clinical studies on auricular acupoint penetration needling along the skin for treatment of pain and dysfunction in recent 10 years.Auricular acupoint penetration needling along the skin was used to observe rapid analgesic effects and clinical efficacy on cervical spondylopathy,periarthritis of shoulder,pain in waist and lower extremities,migraine,and other peripheral neuropathic pain,and stroke sequels,soft tissue injury,and so on.Self-control method was used in the studies at the first stage,and clinically randomized control trial methodwas used for systematic comparison with other therapies at the second stage.Results indicated that the auricular acupoint penetration needling along the skin had obviously clinical effects on cervical spondylopathy,periarthritis of shoulder,pain in waist and lower extremities,migraine,soft tissue injuries and stroke sequels,with a better rapid analgesic effect as compared with ear perpendicular needling method.