Clinical observation of Qigui Juanbi decoction combined with warm acupuncture and moxibustion in treating 60 cases of rheumatoid arthritis(cold-dampness obstruction type)
Objective:To observe the clinical effect of Qigui Juanbi decoction(芪桂蠲痹饮)combined with warm acupuncture and moxibustion on rheumatoid arthritis.Methods:A total of 60 patients with rheumatoid arthritis(cold-dampness obstruction type)from the Rheumatology Department of Nangang Hospital of Heilongjiang Provincial Hospital of Traditional Chinese Medicine from September 2021 to October 2022 were selected as the study subjects,and randomly divided into the treatment group and the control group,with 30 patients in each group.Both groups were given basic treatment such as immunosuppressants and non-steroidal anti-inflammatory drugs.In addition to basic treatment,the treatment group was treated with Qigui Juanbi decoction combined with warm acupuncture and moxibustion,and the control group was treated with Zhengqing Fengtongning sustained-release tablets.After 2 months of continuous treatment,the clinical effica-cy,TCM syndrome score,28 joint disease activity score(DAS28),VAS pain score,C-reactive protein(CRP),erythrocyte deposition rate(ESR),rheumatoid factor(RF)and other physicochemical indexes in the two groups were compared respectively.Results:After treatment,the total effec-tive rate in the treatment group(96.7%,29/30)was higher than that in the control group(73.3%,22/30),the difference was statistically significant(P<0.05).The improvement effect of TCM syndrome score in the treatment group was better than that in the control group(P<0.05).The DAS28,VAS score,RF,CRP and ESR levels in the two groups were decreased,and the treatment group was significantly lower than the control group(P<0.05).Conclusion:Qigui Juanbi decoction combined with warm acupuncture and moxibustion is a combination of traditional Chinese medi-cine and Western medicine to make the therapeutic effect more significant.This method used in the treatment of rheumatoid arthritis(cold-dampness obstruction type)can effectively relieve morning stiffness and joint pain and other clinical symptoms,significantly improve the Chinese medicine symptom scores and physical and chemical indexes,and there are fewer adverse reactions.
Rheumatoid arthritisCold-dampness obstruction typeQigui Juanbi decoctionWarm acupuncture and moxibustionClinical observation