The Study On The Clinical Effect Anhun Yipo Decoction In Treating Recovery Period Of Ischemic Stroke With Hyperactivity Of Hun And Deficiency Of Po On Five Spirits Theory

Objective:Based on the view of traditional Chinese medicine in terms of the form and spirit,the patients with the recovery period of ischemic stroke who are strong and weak are compared.To improve the situation and explore the process of the ischemic stroke disease in order to provide new ideas for the differentiation and treatment of ischemic stroke disease.Methods:First conduct pre-tests,on the one hand to evaluate the feasibility of the experimental design,on the other hand to provide a basis for the formal test sample size estimation.In the formal test,the test subjects need to be screened for two rounds.The first round is based on the "Hun" element evaluation table and "Po" element evaluation table developed by the team in the early stage and tested for reliability and validity.For the patients with ischemic stroke in the recovery period,according to the diagnostic criteria of TCM syndromes in the second round,the patients with ischemic stroke in the recovery period of the "hyperactivity of Hun and deficiency of Po" type were selected from patients with Qi deficiency and blood stasis syndrome and Yin deficiency wind syndrome.120 cases.According to the random number table method,the two groups of patients were further divided into two groups:control group 1(yin deficiency wind dynamic syndrome)60 cases,test group 1(yin deficiency wind dynamic syndrome)60 cases,control group 2(qi deficiency blood stasis syndrome)60 cases,60 cases in the experimental group 2(qi deficiency and blood stasis syndrome).The control group 1 was given Western medicine routine treatment+Yuyin Tongluo decoction,the test group 1 was given Western medicine conventional treatment+Anhun Yipo decoction;the control group 2 was given Western medicine conventional treatment+Buyang Huanwu decoction,and the test group 2 was given Western medicine Conventional treatment+AnHun Yipo decoction treatment.The control group and the experimental group were compared and analyzed before and after treatment(NIHSS score),God("hyperactivity of Hun and deficiency of Po "syndrome score),mental state(SAS,SDS score)and related safety indicators.Results:1.There was no statistical difference in gender and age between the test group and the control group,and they were comparable.In terms of educational attainment,the proportion of highly educated people is relatively large.In terms of occupational distribution,the number of "individual private individuals,cadres of institutions,science,education,culture and health" is large.2.Efficacy evaluation(1)Comparison of NIHSS scores:The NIHSS scores of the experimental group were significantly lower than those of the control group after treatment,but the difference was not statistically significant(P>0.05).(2)Psychological state:The SDS and SAS scores of the experimental group were significantly lower than those of the control group after treatment,and the difference was statistically significant(P<0.05).(3)"hyperactivity of Hun and deficiency of Po" syndrome scores:The syndrome scores of the experimental group were significantly lower than those of the control group after treatment,and the difference was statistically significant(P<0.05).Conclusion:Compared with traditional Chinese medicine differentiation therapy,Anhun Yipo Decoction under the guidance of the theory of the five spirits of traditional Chinese medicine has obvious advantages in improving the shape,mind and mental state of patients with ischemic stroke recovery period,and it is safe and reliable for short-term application.