Efficacy of acupuncture on pain relief in patients with rheumatoid arthritis

Nikolovska, Lence and Mitkovska, Silvana (2020) Efficacy of acupuncture on pain relief in patients with rheumatoid arthritis. Knowledge - International Journal, Scientific Papers, 40 (5). pp. 949-953. ISSN 2545-4439

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Abstract

Rheumatoid arthritis is probably the most universal of all diseases affecting practically everyone at some
time or another of one's life in all parts of the globe. It has been known as a chronic and autoimmune disease
characterized with symmetrical and persistent synovitis and destructive polyarthritis. The treatment of RA has
always been a challenge. The mainstream of the management regarding RA is the use of nonsteroid antiinflammatory drugs, antirheumatic drugs and biological agents. But the concerns may arise when taking
accompanying side effects and toxicity into consideration. Given the fact of the expanding awareness of unwanted
side effects of pharmaceutical treatment, there has been an increased utilization of acupuncture as a contemporary
healthcare option which has been reported as a kind of safe management.
According to traditional Chinese medicine, Rheumatoid arthritis belongs to the Painful Obstruction Syndrome, also
called "Bi", which evokes the idea of "obstruction". In Chinese medicine it means pain, soreness or numbness of
muscles, tendons and joints due to obstruction in the circulation of Qi and Blood in the channels caused by invasion
of exterior Wind, Cold or Dampness.
The invasion of external climatic factors is due to a pre-existing and temporary deficiency of the body's Qi and
Blood which allows the Wind, Cold and Dampness to penetrate.
There are five main types according to causative factor:
1. Wind Painful Obstruction Syndrome: pain moving from joint to joint
2. Damp Painful Obstruction Syndrome: fixed pain with soreness, heaviness, numbness and swelling of the joints
3. Cold Painful Obstruction Syndrome: severe pain in one joint
4. Heat Painful Obstruction Syndrome: very severe pain, hot-red-swollen joints
5. Bony Painful Obstruction Syndrome: painful joints with swelling and bone deformities.
Treatment: The aim of the treatment is simply to expel the pathogenic factors which have invaded the channels, and
eliminate the resulting local stagnation of Qi and Blood in the channels.
Acupuncture treatment: In general, the treatment is based on the choice of points from four possible groups:
1. distal points; 2. local points (including Ah Shi points); 3. adjacent points; 4. points according to pattern; 5. general
points

Item Type: Article
Impact Factor Value: 1.832
Subjects: Medical and Health Sciences > Other medical sciences
Divisions: Faculty of Medical Science
Depositing User: Lence Nikolovska
Date Deposited: 02 Oct 2020 07:44
Last Modified: 02 Oct 2020 07:44
URI: https://eprints.ugd.edu.mk/id/eprint/24486

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