Xie Xiu-jun, Jiao Lin, Fu Yong, Zhang Bo, Xiong Jun, Chen Ri-xin, He Lü, Qian Hai-liang, Luo Xiao-jun
Zhen Ci Yan Jiu. 2014 Dec;39(6):496-9.
To observe the therapeutic effect of different schemes of mild moxibustion for treatment of (yang-deficiency induced cold-accumulation type)knee osteoarthritis (KOA).
Fifty-nine KOA patients were chosen and randomly divided into control group (n =30) and test group (n =29). Patients of the control group were treated by mild moxi- bustion of Neixiyan (EX-HE4) and Waixiyan (ST 35) for 30 min, once daily for 14 days (two courses), and those of the test group were treated by mild moxibustion of EX-HE 4 and ST 35 for 30 mini once daily for 7 days (the same to control group), followed by moxibustion of Yaoyangguan (GV 3) and Mingmen (GV 4) once daily for next 7 days more. In addition, patients of the two groups were also treated by routine acupuncture stimulation of EX-HE 4, ST 35, Yanglingquan (GB 34), Kunlun (BL 60), etc. The interval between two therapeutic courses was one day. The Lysholm Knee Score Scale (LKSS) was used to evaluate the therapeutic effect. Visual analogue scale (VAS) was employed to assess the patient's knee-joint pain severity (arthralgia), and scores of morning stiffness, arthrocele, and walking restraint degree of the knee-joint were also evaluated before and after the treatment.
After the treatment, the scores of VAS, morning stiffness, arthrocele and walking restraint degree of the knee-joint of both groups were significantly decreased (P<0. 05), and the scores of the test group were obviously lower than those of the con- trol group (P<0. 05). The effective rate of the test group was 89.66% (26/29)which was obviously higher than that (70.00%, 21/30) of the control group (P<0. 05).
Mild moxibustion of Neixiyan (EX-HE 4) and Waixiyan (ST 35, local acu- points), and Yaoyangguan (GV 3) and Mingmen (GV 4) has a better therapeutic effect for KOA patients than moxibustion of local acupoints only.
观察不同温和灸方案治疗（阳虚寒凝型）膝骨关节炎（KOA）的疗效。
选取59例KOA患者，随机分为对照组（n = 30）和试验组（n = 29）。对照组采用内膝眼（EX-HE4）和外膝眼（ST35）温和灸30分钟，每日1次，共14天（两个疗程）；试验组先采用EX-HE4和ST35温和灸30分钟，每日1次，共7天（与对照组相同），随后加用腰阳关（GV3）和命门（GV4）艾灸，每日1次，共7天。此外，两组患者均采用常规针刺刺激EX-HE4、ST35、阳陵泉（GB34）、昆仑（BL60）等穴位。两个疗程之间间隔1天。采用Lysholm膝关节评分量表（LKSS）评估疗效。采用视觉模拟评分法（VAS）评估患者膝关节疼痛程度（关节痛），并在治疗前后评估膝关节晨僵、关节肿胀及行走受限程度的评分。
治疗后，两组患者膝关节VAS、晨僵、关节肿胀及行走受限程度评分均显著降低（P<0.05），且试验组评分明显低于对照组（P<0.05）。试验组有效率为89.66%（26/29），明显高于对照组的70.00%（21/30）（P<0.05）。
内膝眼（EX-HE4）、外膝眼（ST35，局部穴位）与腰阳关（GV3）、命门（GV4）温和灸治疗KOA患者的疗效优于单纯局部穴位艾灸。
