临床传统医学和药理学（英文）2026，Vol.7Issue(2)：1-9,9.DOI:10.1016/j.ctmp.2026.200278
海桐皮汤熏蒸联合专业康复指导治疗肩周炎的协同疗效:一项随机对照试验
Synergistic therapeutic effects of Haitongpi Decoction fumigation combined with professional rehabilitation supervision in the treatment of frozen shoulder:A randomized controlled trial
摘要
Abstract
Background:Frozen shoulder(FS)is a prevalent chronic musculoskeletal disorder in middle-aged and elderly populations,characterized by persistent shoulder pain and progressive mobility limitation.Conventional self-rehabilitation combined with traditional Chinese medicine(TCM)fumigation is widely used but constrained by poor patient adherence and lack of professional guidance,limiting therapeutic efficacy. Objective:To systematically assess the clinical efficacy and safety of professional rehabilitation supervision(PRS)combined with TCM(Haitongpi Decoction)fumigation for frozen shoulder,and to provide evidence-based support for optimizing clinical treatment regimens. Methods:A prospective randomized controlled trial was conducted including 80 frozen shoulder patients from August 2022 to May 2024,who were randomly assigned into observation group(n=40)and control group(n=40),and were treated with Haitongpi Decoction fumigation and basic medication.The control and ob-servation groups separately adopted routine self-rehabilitation and PRS.Clinical efficacy,pre-/post-treatment Visual Analogue Scale(VAS),Constant-Murley Score(CMS),serum interleukin-10(IL-10)and tumor necro-sis factor-α(TNF-α)levels,and adverse reactions were compared between the two groups.The study proto-col was approved by the Ethics Committee of Yiwu Central Hospital(approval number:2022-IRB-030).The trial was registered with the International Traditional Medicine Clinical Trial Registry on January 17,2026(https://itmctr.ccebtcm.org.cn/mgt/project/view/2012447308200-935424)(Registration No ITMCTR2026000102). Results:The observation group(87.50％)had a higher total effective rate than the control group(67.50％,P＜0.05).After treatment,the observation group presented VAS reduction,CMS increase,IL-10 elevation and TNF-α reduction compared to the control group(P＜0.05),while there was no significant difference in adverse reactions between the two groups(P＞0.05). Conclusion:PRS combined with TCM fumigation is effective and safe,significantly relieving pain,improving shoulder function and reducing inflammation in frozen shoulder,which is worthy of clinical promotion.关键词
肩周炎/专业康复指导/海桐皮汤/中药熏蒸/临床疗效Key words
Frozen shoulder/Professional rehabilitation supervision/Haitongpi decoction/Traditional chinese medicine fumigation/Clinical efficacy引用本文复制引用
吴国林,陈超丽,赵品益,鲍剑航,廖显辉,任安龙,吴风晴..海桐皮汤熏蒸联合专业康复指导治疗肩周炎的协同疗效:一项随机对照试验[J].临床传统医学和药理学（英文）,2026,7(2):1-9,9.基金项目
This work was supported by the Jinhua Municipal Science and Tech-nology Project,Zhejiang Province[gran number:2021-4-172]and the Zhejiang Provincial Traditional Chinese Medicine Science and Technol-ogy Project[grant number:2024ZL1195]. （）
