Clinical effect of governor vessel moxibustion combined with Bushen Huoxue acupuncture on postmenopausal osteoporosis of kidney deficiency and blood stasis type

Liu Yuanfeng; Zhang Xiuyun; Fang Li; Guan Zhizhuo; Zhang Tong

doi:10.3760/j.issn.1673-4777.2026.01.021

Abstract：Objective To explore the clinical effect of governor vessel moxibustion combined with Bushen Huoxue acupuncture in the treatment of postmenopausal osteoporosis of kidney deficiency and blood stasis type.Methods A total of 120 patients with postmenopausal osteoporosis of kidney deficiency and blood stasis type admitted to the Affiliated Hospital of Shandong University of Traditional Chinese Medicine from October 2022 to December 2023 were selected,and they were divided into control group and study group according to the two-color ball method,with 60 cases in each group.Both groups received basic treatment and conventional western medicine treatment.The control group was additionally treated with Bushen Huoxue acupuncture,and the study group was additionally treated with governor vessel moxibustion on the basis of the control group.The clinical efficacy,quality of life,bone mineral density,bone metabolism,traditional Chinese medicine syndrome score,clinical symptoms and adverse reactions were compared between the two groups.Results The total effective rate of the study group was higher than that of the control group[91.7％(55/60)vs 76.7％(46/60)](x2=5.065,P=0.024).After treatment,the short form health survey scores,bone mineral density values of axial bone and distal 1/3 radius,serum total N-terminal propeptide of type Ⅰ collagen,bone morphogenetic protein and osteocalcin levels were higher than those before treatment in both groups,and those in the study group were higher than those in the control group(all P＜0.05).After treatment,the visual analogue scale score,Oswestry disability index score,β-collagen special sequence level and traditional Chinese medicine syndrome score of the two groups were lower than those before treatment,and those of the study group were lower than those of the control group(all P＜0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P＞0.05).Conclusions The combined application of governor vessel moxibustion and Bushen Huoxue acupuncture in the treatment of postmenopausal osteoporosis with kidney deficiency and blood stasis can effectively increase bone mineral density,improve bone metabolism,improve their quality of life,and reduce clinical symptoms.