Objective: To investigate the clinical efficacy of Ashi points in the treatment of myofascial pain syndrome. Method: A hundred and fifty cases were randomized into a treatment group and a control group by the order of visit. The cases in the treatment group were treated with "Stuck Needle" method in Ashi points plus tuina manipulations. The cases in the control group were treated with external local application of Votalin. The cases in both groups were treated once a day and 10 times made up one course. Results: Among 90 cases in the treatment group, 18 got clinical recovery, 34 got marked effect, 34 got certain effect, the marked effective rate was 57.8% and the total effective rate was 94.4%; while among 60 cases in the control group, 1 got clinical recovery, 18 got marked effect, 15 got certain effect, the marked effective rate was 31.7% and the total effective rate was 73.3%. Statistical management showed P<0.01, indicating a significantly better effect in the treatment group. In addition, "Stuck Needle" method in Ashi points plus tuina manipulations can effectively improve local pain, tenderness, muscle spasm and motion range of joints, and can obtain significantly better effect for muscle spasm and motion range of joints. Conclusion: This therapy is safe, reliable and effective, and therefore worth spreading for clinical application.%目的:探讨阿是穴治疗肌筋膜疼痛综合征的,临床疗效.方法:将150例患者按就诊顺序随机分为治疗组和对照组,治疗组应用阿是穴"滞针法"针刺,配合"一指禅"推拿手法治疗;对照组应用扶他林乳剂局部涂擦治疗.两组均每日治疗1次,10次为1个疗程.结果治疗组90例,临床痊愈18例,显效34例,有效34例,显效率57.8%,总有效率94.4%;对照组60例,其中临床治愈1例,显效18例,有效15例,显效率31.7%,总有效率73.3%.,两组疗效经统计学处理,P<0.01,有非常显著性差异,说明治疗组疗效明显优于对照组.同时本疗法可以有效改善本病引起的局部疼痛、压痛、肌肉痉挛、关节活动度等症状,对于肌肉痉挛、关节活动度的改善明显优于对照组.结论本疗法具有良好的临床疗效,且安全可靠,值得临床推广应用.
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