The RCT Study Of The Treatment Of TMCM Combined With EA For The Herpes Zoster

Objective:To compare the clinical effect for HZ between the thin membrane cotton moxibustion (TMCM) combined with electropuncture (EA) method and western medicine treatment according to the RCT method。Methods:There were 71 cases randomly divided into the treatment group and control group, all the cases were the HZ patients from January 4,2008 to December 31,2008, and tow of them were knockout。We treated the treatment group with TMCM combined with EA (n=36), and the control group with western medicine (n=33)。We evaluated the clinical effectiveness between two groups by the total effective scale, the index of HZ and pain, single symptom scale, the safety index, as well as the tolerance index。Therefore, to evaluate the clinical application of TMCM combined with EA for the HZ。Result:1.To compare the base line conditions:The base line conditions of two groups were satisfactory with good proportionality, could observe comparable (P>0.05)。2. To compare the total therapeutic effect:The therapeutic effect of treatment group was special, total effective rate was high as 97.3%, but there was no comparability and statistical significance of the total symptom scores between two groups (P>0.05), although the symptoms of treatment group were improved markedly。3. To compare the index of HZ:The scab time of treatment group was shorter than the control group, there were significant differences between two groups (P<0.05); But there was no obvious difference in the removing herpes and turning eschar time of two groups (P>0.05)。4. To compare the index of pain:①The treatment group was superior to the control group in the pain intensity(PI), pain duration(PD), and pain reduction (PAR), it was significantly different(P>0.05); on the contrary, the comparison of alleviating pain time has no significant difference (P>0.05)。②The recurrence rate of postherpetic neuralgia (PHN) on the thirtieth days, the treatment group was lower than the control group (P<0.05)。5. The comparison of single symptom scale:Both groups could improve the symptoms, such as the lesion size, local itching, as well as the blisters, but there was no statistic difference between two groups (P>0.05)。6. To compare the safety index:Both groups were safe, no statistic difference (P>0.05)。7. To compare the duration:There was no statistic difference (P>0.05)。Conclusion:1. The treatment of TMCM combined with EA showed significant effect on the HZ, as effective as the western medicine。2. The treatment group was superior to the control group on the effects of promoting the escharing, reducing the pain, shortening the time of pain, and decreasing the occurrence of PHN。3. The method of TMCM combined with EA has so many advantages, such as easy operation, less side effect, safe, low cost, easy to be accepted, therefore, this method is proper for the clinical application and further development。...