Efficacy of modified Juanbi decoction combined with Tiaodu Tongmai acupuncture in acute knee osteoarthritis with wind-cold-dampness obstruction and blood stasis syndrome
ZHANG Ming,ZHAO Xue-liang,FAN Chang-hai
Hengshui Hospital of Traditional Chinese Medicine Hebei, Hengshui 053000,China
Abstract:
Objective To investigate the clinical efficacy of modified Juanbi decoction combined with Tiaodu Tongmai acupuncture in treating acute knee osteoarthritis (KOA) with wind-cold-dampness obstruction and blood stasis syndrome and its effects on C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR). Methods Ninety patients with acute KOA and the aforementioned syndrome admitted to our hospital from January 2023 to January 2025 were randomly divided into two groups (45 cases each). The control group was treated with modified Juanbi decoction, while the observation group was combined with Tiaodu Tongmai acupuncture on this basis for a course of 2 weeks.Efficacy, knee pain severity, functional outcomes, joint mobility, and CRP/ESR levels were compared between the two groups. Results The total effective rate in the observation group was higher than that in the control group after treatment (88.89% vs 64.44%, P <0.05). Immediately after treatment and at 1 week post-treatment, the visual analog scale (VAS) score, brief pain inventory (BPI) score, Western Ontario and McMaster universities osteoarthritis index (WOMAC) score, as well as CRP and ESR levels decreased in both groups compared with those before treatment (P <0.05). Meanwhile, the Lysholm score, lower extremity functional scale (LEFS) score, and range of motion (flexion, extension, internal rotation, and external rotation) of the knee joint increased in both groups (P <0.05). And the improvement amplitudesof the observation group were all better than those of the control group (P <0.05). Conclusion Modified Juanbi decoction combined with Tiaodu Tongmai acupuncture effectively inhibits inflammatory responses, alleviates pain, and improves knee joint function in patients with acute KOA presenting wind-cold-dampness obstruction and blood stasis syndrome.
