1.Research progress in clinical and mechanism of acupuncture and moxibustion in the treatment of rheumatoid arthritis
Fei XIE ; Zhifang XU ; Gongming YUAN ; Yongming GUO ; Yuan XU ; Yi GUO ; Jiyu ZHAO ; Zhongqian LYU ; Feiyang LI ; Peiyun LI ; Yinan GONG
International Journal of Traditional Chinese Medicine 2024;46(7):947-951
It is found that acupuncture can significantly improve the clinical symptoms of rheumatoid arthritis (RA) such as pain and joint stiffness, and improve rheumatoid factor, high-sensitivity CRP, ESR and other clinical indicators. It can inhibit the proliferation of synovial cells, the apoptosis of chondrocytes, and regulate polarization balabce of mononuclear macrophages, T cells, as well as inhibit the inflammatory function of multiple immune cells, in order to improve inflammation state of RA joints. In clinical treatment of RA, bladder meridian, stomach meridian, spleen meridian , and Governor Vessel are mostly selected. Acupoints with the efficacy of warming meridian, dispelling coldness and dredging collaterals were commonly selected such as Zusanli (ST36), Yanglinquan (GB34), Dazhui (GV14), Quchi (LI11). Several researches have proved that combined therapy of acupuncture and medicine is worthy promotion in clinic.
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