Randomized Controlled Clinical Trials of Treatment of Knee Osteoarthritis of Yang-deficiency Pattern by Acupuncture Plus Moxibustion
Bibliographic record
Abstract
Objective To compare the therapeutic effect of acupuncture plus moxibustion and simple acupuncture in the treatment of patients with knee osteoarthritis(KOA)of yang-deficiency syndrome.Methods Fifty-eight KOA patients with yang-deficiency syndrome were chosen and randomly divided into acupuncture plus moxibustion group(n=30)and acupuncture group(n=28).Neixiyan(EX-LE 4),Dubi(ST 35),Liangqiu(ST 34),Heding(EX-LE 2),Xuehai(SP 10),Yanglingquan(GB34)on the affected side of the body were punctured with filiform needles or/and stimulated with moxibustion using seed-sized moxa cones.The treatment was conducted once daily for 10 days,followed with another 10 days after 2 days interval.The pain severity was evaluated by using visual analogue scale(VAS),and the Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)scores were used to measure the KOA pain,stiffness and function before and after the treatment,and 1 month after the treatment.The therapeutic effect was also evaluated according to the"Standards for Diagnosis and Therapeutic Effect Evaluation of Diseases/Syndromes of Traditional Chinese Medicine"(issued by the State Administration of Traditional Chinese Medicine of China in 1994).Results Twenty days and 1 month after the treatment,the scores of VAS,and KOA pain,stiffness and motor function of WOMAC were significantly decreased in both groups in comparison with their own pre-treatment(P<0.01),and were obviously lower in the acupuncture plus moxibustion group than in the acupuncture group(P<0.05,P<0.01).Of the 28 and30 cases in the acupuncture and acupuncture plus moxibustion groups,7 and 12 experienced marked improvement,12 and 16 were effective,9 and 2 ineffective,with the therapeutic effect being 67.86% and 93.33%,respectively.The therapeutic effect of acupuncture plus moxibustion was apparently superior to that of simple acupuncture(P<0.05).Conclusion Acupuncture plus moxibustion is significantly superior to simple acupuncture therapy in relieving symptoms of KOA patients,and also has a better post-effect.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.010 | 0.014 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.010 | 0.004 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.002 |
| Scholarly communication | 0.001 | 0.002 |
| Open science | 0.002 | 0.001 |
| Research integrity | 0.004 | 0.003 |
| Insufficient payload (model declined to judge) | 0.011 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".