Lu Yu-Sun, Zong Lei, Hou Wen-Guang, Zeng Liang, Zhao Ran, An Yang-Yang
Yueyang Integrated Chinese and Western Medicine Hospital Affiliated to Shanghai University of TCM, Shanghai 200437, China.
Zhongguo Zhen Jiu. 2019 Jan 12;39(1):49-53. doi: 10.13703/j.0255-2930.2019.01.011.
To observe the difference in the therapeutic effects on rheumatoid arthritis (RA) between the combined -deep needling and bloodletting technique and the regular needling technique.
A total of 70 patients were randomized into an observation group (35 cases) and a control group (35 cases, 4 cases dropped-out). Dazhui (GV 14), Shenzhu (GV 12), Zhiyang (GV 9), Jinsuo (GV 8), Ganshu (BL 18), Shenshu (BL 23), Zhibian (BL 54), Weizhong (BL 40), Taixi (KI 3) and Tianzong (SI 11), etc. were selected in the two groups. Additionally, in the observation group the -deep needling technique was adopted at Tianzong (SI 11) and Zhibian (BL 54), the bloodletting technique at the local swollen area and the even-needling technique at the rest acupoints. In the control group, the even-needling technique was applied to all of the acupoints. Acupuncture treatment was given once every two days, 3 times a week and for 12 weeks totally. The numbers of tender points at the knee joint, the numbers of swollen sites at the knee joint, the visual analogue scale (VAS) score and the American health assessment questionnaire (HAQ) score were observed in the two groups before and after treatment, as well as the changes in erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP). The American College of Rheumatology (ACR) criteria was adopted to evaluate the therapeutic effects of the two groups.
After treatment, the numbers of tender points, the numbers of swollen sites, VAS score and HAQ score were all improved as compared with those before treatment in the two groups (all <0.01), and the results in the observation group were better than those in the control group (all <0.05). After treatment, ESR and CRP levels were all reduced as compared with those before treatment in the two groups (all <0.01), but there was no significant differences between the two groups (both >0.05). The standard-reaching rates of ACR 20 and ACR 50 in the observation group were 94.3% (33/35) and 31.4% (11/35) respectively, which were better than 67.7% (21/31) and 6.5% (2/31) in the control group (<0.01, <0.05).
The acupuncture with the -deep and bloodletting techniques and the acupuncture with regular needling technique are all effective on RA. The therapeutic effects of the acupuncture treatment with the -deep and bloodletting techniques are better than that with regular needling technique.
观察深刺放血法与常规针刺法治疗类风湿关节炎（RA）的疗效差异。
将70例患者随机分为观察组（35例）和对照组（35例，脱落4例）。两组均选取大椎（GV 14）、身柱（GV 12）、至阳（GV 9）、筋缩（GV 8）、肝俞（BL 18）、肾俞（BL 23）、秩边（BL 54）、委中（BL 40）、太溪（KI 3）、天宗（SI 11）等穴位。此外，观察组在天宗（SI 11）、秩边（BL 54）采用深刺法，在局部肿胀处采用放血法，其余穴位采用平补平泻法。对照组所有穴位均采用平补平泻法。针刺治疗每两天1次，每周3次，共12周。观察两组治疗前后膝关节压痛点数、膝关节肿胀部位数、视觉模拟评分（VAS）及美国健康评估问卷（HAQ）评分，以及红细胞沉降率（ESR）和C反应蛋白（CRP）的变化。采用美国风湿病学会（ACR）标准评估两组疗效。
治疗后，两组膝关节压痛点数、膝关节肿胀部位数、VAS评分及HAQ评分均较治疗前改善（均P<0.01），且观察组改善情况优于对照组（均P<0.05）。治疗后，两组ESR和CRP水平均较治疗前降低（均P<0.01），但两组间差异无统计学意义（均P>0.05）。观察组ACR 20和ACR 50达标率分别为94.3%（33/35）和31.4%（11/35），优于对照组的67.7%（21/31）和6.5%（2/31）（P<0.01，P<0.05）。
深刺放血法针刺与常规针刺法针刺治疗RA均有效，深刺放血法针刺疗效优于常规针刺法针刺。
