Ang shoulder joint periarthritis, sa Chinese medicine, tinatawag na "Loushengjian," "Fifty-year-old shoulder," at "Frozen Shoulder," ay isa sa mga karaniwang chronic joint and muscle diseases sa mga matatanda. Ang sakit ay may mahabang proseso, karaniwan ay anim na buwan pataas, na nagpapakita ng nakatagong o matinding sakit sa shoulder, na maaaring lumalayo sa neck o upper arm, at lumalala sa gabi, kahit na hindi makatulog, na malaking epekto sa pang-araw-araw na buhay ng mga matatanda. Si Dr. Huang Guoming, Deputy Chief Physician ng Qingyuan City Hospital of Traditional Chinese Medicine sa Guangdong, ay gumamit ng warm acupuncture sa 84 mga pasyente ng shoulder joint periarthritis, at nakamit ang magandang resulta.
Criteria ng Diagnosis: 1. Age around 50 years old; 2. Shoulder pain, tenderness in anterior, posterior, coracoid, acromion, and biceps long head tendon areas; 3. Restricted active and passive movement in any direction, even stiffness and muscle atrophy; 4. X-ray of shoulder joint shows no dislocation or fracture, or only osteoporosis and calcification of supraspinatus tendon.
Group A (42 patients): Used warm acupuncture therapy. Patients seated, exposed shoulder area. Points used: Ashi point, Jianyu, Jianzhen, Jianqian, Jianliao, Quchi. After routine disinfection, 30-gauge two-inch needles were inserted. After lifting, inserting, twisting, and rotating to achieve qi sensation, a two-centimeter-long moxa roll was placed on the needle tip, and a circular paper cover was cut to protect the skin from burning. Then the moxa roll was lit, allowing heat to transmit through the needle into the point. When the moxa burned out and cooled down, the needle was removed.
Group B (42 patients): Used electroacupuncture therapy. Patients seated, exposed shoulder area. Same points as Group A. After routine disinfection, 30-gauge two-inch needles were quickly inserted, using balanced tonification and drainage method, then connected to a D8606-II type electroacupuncture machine for dense wave therapy. The current intensity was set to patient tolerance. After 30 minutes, the needles were removed.
Continuous treatment for 10 sessions constitutes one course. Efficacy assessed after three months. According to the criteria established by the first National Conference on Integrative Medicine Rheumatic Diseases Committee, clinical cure: complete disappearance of shoulder pain, normal joint function; marked improvement: significant reduction in shoulder pain, nearly normal joint function; effective: patient feels symptom relief, slight improvement in joint range of motion; ineffective: no change in symptoms or joint function after treatment. Results: Cure rate in treatment group was 71.4%, total effective rate was 92.5%; cure rate in control group was 42.8%, total effective rate was 78.6%.
The shoulder joint is formed by the humeral head and the glenoid cavity of the scapula, being the most mobile and flexible joint in the human body. Periarthritis of the shoulder joint is common among middle-aged and elderly people, often due to acute injuries (upper limb trauma, surgery) and chronic overuse (exposure to wind and cold, or prolonged inactivity of the shoulder joint), leading to sterile inflammation such as congestion, exudation, edema, adhesion in soft tissues around the shoulder joint including muscles, tendons, ligaments, bursae, and joint capsule. When the body can still compensate, there may be no clinical symptoms, but when the cause persists and compensation fails, shoulder pain and functional impairment occur.
Traditional Chinese medicine considers shoulder periarthritis under the category of "Bi Syndrome," specifically "Twelve Meridian Muscle Disorders," believing it results from external injury and internal fatigue, and after middle age, declining vital energy allows wind, cold, and dampness to invade the shoulder, obstructing meridians and causing qi stagnation and blood stasis. "Where there is no blockage, there is no pain; where there is pain, there is blockage." Thus, patients suffer from recurring shoulder pain and functional impairment. Warm acupuncture combined with point selection at the site of meridian lesions, after achieving qi sensation through lifting, inserting, twisting, and rotating, followed by moxibustion, uses the heat of moxibustion to warm and open the meridians, promote blood circulation, ultimately eliminating wind, cold, and dampness from the shoulder and curing the illness.
Modern research on traditional Chinese meridian theory confirms that infrared radiation emitted during moxibustion can penetrate deep tissues, enhancing local tissue metabolism, reducing neural excitability around the affected area, thus aiding recovery. Additionally, moxibustion acts on nerves and blood vessels near the acupoints through thermal effects, light radiation, and medicinal properties, adjusting plasma osmotic pressure, improving local blood circulation, enhancing immune function, thereby promoting inflammation resolution and functional recovery.
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