The Systemetic Reviews Of The Comprehensive Treatment Of TCM On Acute Ischemic Apoplexy

Objective:To assess the effectiveness of the Comprehensive Treatment of TCM on Acute Ischemic Apoplexy systematically,filtrate advantageous therapeautic methods,and find some problems of many clinical researches of TCM, then put forward some solutions to the problems and some principles for policy-making of clinical researches in future and in order to increase the qualities and standards of clinical researches of TCM.Methods: Inquired into the theoretical foundation of the Comprehensive Treatment of TCM on Acute Ischemic Apoplexy.Collected clinical experiments of TCM in acute ischemic apoplexy fully, established a choice criterion ,filtrated qualified researches,evaluating the quality of the qualified researches by using the Jadad standard of perfection,analyse the clinical effectiveness indexes of all kinds of qualified the Comprehensive Treatment of TCM on Acute Ischemic Apoplexy qualitatively and quantitatively.Results: Retrieve more than 20 thousand related documents, 40 items were brought into the qualified researches, there were 18 forms of Comprehensive Treatment of TCM on Acute Ischemic Apoplexy, there were different kinds of herbs or chosen points or methods of acupuncture or Tuina even if the same form of Comprehensive Treatment of TCM on Acute Ischemic Apoplexy, and there were different effectiveness standards used in the qualified researches even through the same kind of Comprehensive Treatment of TCM on Acute Ischemic Apoplexy.Made stastical analyses to relative risk of the overall effective rate, weighted mean difference of nerve function deficiency grade and grade of the ability of activities of daily living, calculated their 99% confidence intervals.Conclusion: Through the research,we made the conclusion that the therapeautic methods of the Comprehensive Treatment of TCM on Acute Ischemic Apoplexy had clinical curative effect; in accordance with the comparative outcome of RRs of total effective rate successively,the advantageous therapeutic methods of Comprehensive Treatment of TCM on Acute Ischemic Apoplexy were taking or nasal feeding decoction of resolving blood stasis and making collaterals through + scalp plus body acupuncture (scalp acupuncture in motor area, sensory area, foot motor sensory area, speech area of the focus side, and body acupuncture on yangming meridian acupoints); according to the comparative outcome of WMDs of neurologic impairment or NIHSS, the advantageous therapeutic methods of Comprehensive Treatment of TCM on Acute Ischemic Apoplexy were taking or nasal feeding decoction of resolving phlegm, clearing heat,removing blood stasis and making collaterals through+injection of promoting blood circulation and removing blood stasis+scalp plus body acupuncture(bleeding on shixuan,shijing and erjian, puncturing points of renzhong and neiguan if loss of spirit caused by sthenia syndrome;moxibustion guanyuan, shenque, yongquan,baihui, and puncturing renzhong if loss of spirit caused by asthenia syndrome; puncturing yangming meridian acupoints; scalp acupuncture in motor area); according to the comparative outcome of WMDs of Bathel indices of ability of daily life, the advantageous therapeutic methods of Comprehensive Treatment of TCM on Acute Ischemic Apoplexy were taking or nasal feeding herbal granules free of decoction of benefiting qi,awakening shen, removing blood stasis and dispelling phlegm+ injection of eliminating cold,dispelling dampness and making collaterals through+taking herbal pills of supplementing blood,making blood circulation,making qi flowing,dispelling phlegm and making collaterals through;Moreover,we found a lot of problems in clinical researches of TCM, such as the poor qualities of the clinical researches documents,the different standards of diagnoses,therapies and effect,and so on.It is almost urgent to solve these problems.