| Objective:Based on Dong's Acupuncture and Ke's distal Meridian theory, this randomized controlled clinical trial was guided by Zang-Fu Bie Tong Theory in order to observe the clinical effect of treating hemicrania of Liver-Yang excess type.Methods:60 hemicranias patients of Liver-Yang excess type were divided into a treatment group and a control group. In the treatment group, acupointed Tai Yang, Feng Chi, Si Zu-kong, Tong Li, Shao Fu were chosen according to Zang-Fu Bie Tong Theory; In the Control Grop, Tai Yang, Feng Chi, Shuai Gu, Si Zu-kong, Lin Qi, Wai Guan were picked as routine acupoints. Treatments were applied every two days and with 3 weeks as a course. As main observation indicators, Clinical manifestations of hemicrania including the degree,frequency,lasting time and accompanying symptoms were observed and recorded for data analysis. Subordinate observation indicators including Chinese Medicine Syndrome Score and Life Quality Score were also recorded. All the collected data were analyzed by software of SPSS 17.0.Results:Baseline data in the Treatment Group and the Control Group were proved comparable. After 1 course, scores of headache onset frequency and accompanying syndromes between groups had statistical significance (P<0.01). Headache degree and lasting time were not statistically.There was statistical significance between two groups in the frequency of headache and simultaneous phenomenon scores after treatment (groups T-Test, P<0.01). There was statistical significance between two groups in the headache degree score(groups T-Test, P<0.05). While the lasting time of the headache between two groups had no statistical significance (groups T-Test, P>0.05) It was considered that the treatment group was better than the control group for improving the frequency of headache and simultaneous phenomenon scores and headache degree score. The aspect of the Chinese symptom improvement:There was statistical significance between two groups in the conjunctival congestion symptom score (groups T-Test, P<0.05). While the headache symptom,bitter taste of mouth symptom,tantrum symptom and flushing symptom score between two groups had no statistical significance, (groups T-Test, P>0.05) It was considered that the treatment group had better effect on improving conjunctival congestion symptom, but there was not obviously difference in improving headache symptom,bitter taste of mouth symptom,tantrum symptom and flushing symptom score.Self-compared with each dimension score of survival quality WHOQOL-BREF between two groups at the AP:PA treatment time, there was statistical significance in the physiology domain score and psychology domain score after treatment (groups T-Test, P<0.01). There was statistical significance in the environment domain score. (groups T-Test, P<0.05). It was considered that the treatment group could more effectively improve the physiology domain score,psychology domain score and environment domain score.Compared with total curative effect of headache between two groups, the clinical recovery rate of the treatment group was 23.33%. The excellence rate of the treatment group was 36.67%. The effective rate of the treatment group was 20%. While in the control group, the clinical recovery rate was 20%, the excellence rate was 40%, the effective rate was 16.67%. There was no significant difference between two group in the total curative effect (rank sum test, P>0.05). The total effective rate of the treatment was 80%, and which of the control group was 76.67%. There was no significant difference in the total effective rate between two groups (rank sum test, P>0.05).Compared with total curative effect of symptom in TCM between two groups, the clinical recovery rate of the treatment group was 33.33%. The excellence rate of the treatment group was 36.67%. The effective rate of the treatment group was 13.33%. While in the control group, the clinical recovery rate was 23.33%, the excellence rate was 40%, the effective rate was 16.67%. There was no significant difference between two group in the total curative effect of symptom in TCM (rank sum test, P>0.05). The total effective rate of the treatment was 83.33%, and which of the control group was 80%. There was no significant difference in the total effective rate between two groups (chi square test, P>0.05) Conclusion:Compared with the clinical curative effect and total curative effect of TCM, it was showed that these two kinds of treatment methods had good curative effect for improving the hemicrania and symptom in TCM. The methods of Zang-Fubietong theory had better curative effect then the control group on the improving the frequency of headache,the degree of headache,simultaneous phenomenon (nauseated,vomiting,photaesthesia and intolerance of sound and so on) and conjunctival congestion symptom in TCM.It was presented that two groups could effectively improve survival quality, but the treatment group was better then the control group on improving the physiology domain,psychology domain and environment domain by the analytic result of compared with each dimension score of survival quality WHOQOL-BREF between two groups.The safe analysis of two groups was presented that there was abnormality seen in blood routine test,urine routine test,liver and renal function test and electrocardiography in the treatment group before and after treatment. It was showed that these two kinds of treatment were safe and reliable. |
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