[Clinical observation of warm needling therapy for treating knee osteoarthritis of different Chinese medical syndrome types].

Abstract

OBJECTIVE:

To observe the difference in the therapeutic efficacy of warm needling therapy on knee osteoarthritis (KOA) patients of different Chinese medical syndrome types.

METHODS:

Totally 197 KOA outpatients [including wind-cold-damp retention syndrome (50 cases, 61 knees), yang deficiency cold coagulation syndrome (48 cases, 58 knees), stagnation of blood stasis syndrome (49 cases, 63 knees), and insufficiency of Shen-essence syndrome (50 cases, 66 knees)] were treated with warm needling therapy, 10 days as one therapeutic course, 3 courses in total. The symptom score and changes of clinical efficacy were assessed. The contents of interleukin-1 (IL-1), interleukin-6 (IL-6), and tumor necrosis factor-alpha (TNF-alpha) in the synovial fluid were determined before and after treatment.

RESULTS:

The symptom scores and the clinical efficacy were improved in all syndrome groups after treatment (P < 0.05), with the best effects shown in the yang deficiency cold coagulation syndrome (P < 0.05) and the worst effects shown in the stagnation of blood stasis syndrome (P < 0.05). The contents of IL-1, IL-6, and TNF-alpha in the synovial fluid decreased after treatment in all syndrome groups (P < 0.05), with the best effects shown in the yang deficiency cold coagulation syndrome (P < 0.05).

CONCLUSION:

Warm needling therapy had favorable therapeutic effects on KOA patients of wind-cold-damp retention syndrome, yang deficiency cold coagulation syndrome, and insufficiency of Shen-essence syndrome, with the best effects shown on KOA patients of yang deficiency cold coagulation syndrome.

• Authors: Kun-Da Hong, Li Li, Xi-Hai Li
• Journal: Zhongguo Zhong xi yi jie he za zhi Zhongguo Zhongxiyi jiehe zazhi = Chinese journal of integrated traditional and Western medicine (Zhongguo Zhong Xi Yi Jie He Za Zhi) Vol. 32 Issue 11 Pg. 1466-9 (Nov 2012) ISSN: 1003-5370 [Print] China
• PMID: 23359965 (Publication Type: English Abstract, Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• IL6 protein, human
• Interleukin-1
• Interleukin-6
• Tumor Necrosis Factor-alpha

Topics

• Acupuncture Therapy (methods)
• Adult
• Aged
• Female
• Humans
• Interleukin-1 (analysis)
• Interleukin-6 (analysis)
• Male
• Medicine, Chinese Traditional
• Middle Aged
• Osteoarthritis, Knee (diagnosis, therapy)
• Synovial Fluid (chemistry)
• Tumor Necrosis Factor-alpha (analysis)
• Yang Deficiency (therapy)