膝六针治疗增生性关节炎152例

目的：探讨膝六针辅刺络拔罐治疗增生性关节炎的临床疗效。方法：采用了3寸长毫针在内外膝眼穴及髌骨下缘（髌韧带正中，即“犊鼻”穴）直刺入关节腔内各一针，用1．5寸长毫针在足三里、陵下穴、阳陵泉穴各刺一针，留针，加电针治疗仪，针毕，再行刺络拔罐治疗。结果：在152例中，痊愈40例，占26％；显效60例，占39．5％；好转48例，占31．6％；无效4例，占2．6％，总有效率97．4％。结论：针刺膝六针辅刺络拔罐治疗增生性关节炎的临床疗效确切，值得临床推广。

Observation on the therapeutic effect of modified sparrow-pecking moxibustion for 60 cases of osteoarthritis of knee

Objective To observe the therapeutic effect of modified sparrow-pecking moxibustion for osteoarthritis of knee. Methods Sixty cases of patients with osteoarthritis of knee were divided randomly into a treatment group and a control group. The treatment group was treated by modified sparrow- pecking moxibustion, and the control group by traditional sparrow-pecking moxibustion. It was given once a day and 10 times were one course, and the efficacy was observed after two courses of treatment. Results the total effective rate in the treatment group was 90.00% （27/30）, that in the control group was 76.67% （23/30）, the efficacy in the treatment group was better than that in the control group （P〈O.05）. Conclusion Modified sparrow-pecking moxibustion has obvious effect on the treatment of osteoarthritis of knee and it is worthy of being studied and promoted.

Knee osteoarthritis treated with acupuncture based on syndrome differentiation:a randomized controlled trial

Objective To compare the efficacy differences between acupuncture and western medicine in treating osteoarthritis of knee joints.Methods One hundred and twenty cases were randomly divided into an acupuncture group and a western medication group with 60 cases in each group.In the acupuncture group,acupuncture was applied mainly at Nèixīyǎn（内膝眼 EX-LE 4）,Dúbí（犊鼻 ST 35）,Yīnlíngquán（阴陵泉 SP 9） and Yánglíngquán（阳陵泉 GB 34） plus other acupoints selected according to syndrome differentiation.In the medication group,Glucosamine Hydrochloride capsules were orally given 3 times daily with 2 capsules each time.Western Ontario and McMaster Universities Osteoarthritis Index（WOMAC）,Medical Outcomes Study 36-Item Short Form Health Survey（SF-36,Chinese version） were used to assess therapeutic effects before treatment,after 4 weeks treatment and 9 weeks after treatment,respectively.Results After 4 weeks of treatment,the total effective rates were 86.7%（52/60） and 88.3%（53/60） in the acupuncture group and the western medication group,respectively,without significant difference（P〈0.05）.In 9 weeks after treatment,the total effective rates were 83.3%（50/60） and 61.7%（37/60） in the acupuncture group and the western medication group,respectively,with significant difference between the two groups（P〈0.05）.According to WOMAC and SF-36,the scores were all improved in both groups（P〈0.05,P〈0.01）,with significant difference in follow-up visit of 9 weeks after treatment between the two groups（P〈0.05,P〈0.01）,but not after 4 weeks of treatments（both P〈0.05）.Conclusion Short-term of therapeutic effects of acupuncture and oral administration of Glucosamine Hydrochloride on osteoarthritis of knee joints are similar,but long-term efficacy in the acupuncture group is better than that in the western medication group.

Clinical Observation of Fire-needle Therapy plus Tuina for Senile Knee Osteoarthritis

Objective： To observe the therapeutic efficacy of fire-needle therapy plus tuina in treating primary knee osteoarthritis （KOA） in the elderly. Methods： Twenty-three patients with KOA were intervened by pricking with fire-needle therapy plus tuina, and evaluated by using the Western Ontario and McMaster Universities osteoarthritis index （WOMAC） before and after intervention. Results： After intervention, the total score, scores of pain, rigidity, and activities of daily living of WOMAC dropped significantly （P＆lt;0.05）. Conclusion： Pricking with fire needle plus tuina can produce a significant therapeutic efficacy in treating KOA in the elderly, thus worth application in clinic.