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巨刺配以動氣療法治療急性閉合性踝扭傷的臨床研究

Clinical Research of Opposing Needling with Qi-Activating Technique on Acute Close Ankle Sprain

摘要


Objective: The research provides effective and convenient treatment protocol for acute close ankle sprain by observing the clinical effectiveness of applying opposing needling with Qi-activating technique under prospective randomized controlled study and recognized clinical standards. Methods: Subjects with no open wounds, no history of ankle sprain, and onset less then 2 weeks are selected. Subjects who were moderately injured with no ability to walk or seriously injured with torn ligaments, vessels or nerves, fractures were ruled out. Total 64 subjects are divided into treatment group and control group evenly in terms of degree and stage of injury. Treatment group uses opposing SJ5 (WaiGuan) punctures PC6 (NeiGuan) and SI3 (HouXi) puncture LI4 (HeGu) with qi-activating technique. Control group uses A-shi points, BL62 (ShenMai), GB40 (QiuXu), ST41 (JieXi), KD6 (ZhaoHai), BL60 (KunLun), KD3 (TaiXi). Deduction technique is used with 30 minute needle retention. The course of treatment is 7 days with 1 session daily. Assessment is based on symptoms of joint pain, limited range of motion, redness, warmth, swelling and tender before, during (the 4(superscript th) day) and after 1 course of treatment. Results: Both treatment and control group has significant difference comparing after and before treatment (p<0.05) while the difference of assessment scores before and after within treatment and control group is also statistically significant (p<0.05). This indicates the advanced effectiveness of applying opposing needling with Qi-activating technique on acute close ankle sprain when compared with traditional treatment. Conclusion: Applying opposing needling with Qi-activating technique in treating acute close ankle sprain can effectively improve limited range of motion, pain, redness, swelling, tenderness of joints. This is a excellent combination of traditional Chinese medicine needling technique with modern anatomy theory. Opposing needling with Qi-activating technique can reach satisfying result when applied in stage one or two, acute, sub-acute or chronic ankle sprain.

關鍵字

急性踝扭傷 巨刺 動氣療法

並列摘要


Objective: The research provides effective and convenient treatment protocol for acute close ankle sprain by observing the clinical effectiveness of applying opposing needling with Qi-activating technique under prospective randomized controlled study and recognized clinical standards. Methods: Subjects with no open wounds, no history of ankle sprain, and onset less then 2 weeks are selected. Subjects who were moderately injured with no ability to walk or seriously injured with torn ligaments, vessels or nerves, fractures were ruled out. Total 64 subjects are divided into treatment group and control group evenly in terms of degree and stage of injury. Treatment group uses opposing SJ5 (WaiGuan) punctures PC6 (NeiGuan) and SI3 (HouXi) puncture LI4 (HeGu) with qi-activating technique. Control group uses A-shi points, BL62 (ShenMai), GB40 (QiuXu), ST41 (JieXi), KD6 (ZhaoHai), BL60 (KunLun), KD3 (TaiXi). Deduction technique is used with 30 minute needle retention. The course of treatment is 7 days with 1 session daily. Assessment is based on symptoms of joint pain, limited range of motion, redness, warmth, swelling and tender before, during (the 4(superscript th) day) and after 1 course of treatment. Results: Both treatment and control group has significant difference comparing after and before treatment (p<0.05) while the difference of assessment scores before and after within treatment and control group is also statistically significant (p<0.05). This indicates the advanced effectiveness of applying opposing needling with Qi-activating technique on acute close ankle sprain when compared with traditional treatment. Conclusion: Applying opposing needling with Qi-activating technique in treating acute close ankle sprain can effectively improve limited range of motion, pain, redness, swelling, tenderness of joints. This is a excellent combination of traditional Chinese medicine needling technique with modern anatomy theory. Opposing needling with Qi-activating technique can reach satisfying result when applied in stage one or two, acute, sub-acute or chronic ankle sprain.

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