| ObjectiveThis study compared the clinical efficacy of plum blossom needle combined with auricular plaster and took finasteride orally in the treatment of male patients of androgenic alopecia of liver and kidney deficiency type,and by exploring the effect of needle combined with auricular plaster in the treatment of androgenic alopecia,provide clinical ways and ideas for the treatment of androgenic alopecia.MethodsA total of 80 cases were enrolled in this study,and they were divided into treatment group and control group according to simple randomization method.The treatment group was treated with plum blossom needle tapping on the bald area,that is,Ashi point combined with auricular plaster(liver,kidney,endocrine).Plum blossom needle tapping for 10-15 minutes each time,once every other day,to guide the patient press the points on the ear from light to heavy.It is advisable for soreness,numbness,swelling,and pain to appear.Press once a day in the morning,noon and at night,press each point for 1 minute each time,alternate ears every 2 days,and take 6 weeks as one Treatment cycle,a total of 4 treatment cycles were observed,with 2 days of rest between the 2 courses.The control group took 1 mg of finasteride tablets orally,once a day,with 6 weeks as a treatment cycle,and a total of 4 treatment cycles were observed.Before treatment,12 weeks of treatment,and 24 weeks after treatment,patients were scored using the Anxiety Self-Rating Scale,TCM Syndrome Score Scale,and Alopecia Area Skin Lesions Observation Scale,and statistical methods were used to analyze and evaluate the efficacy.ResultsA total of 80 eligible cases were included in the group.The treatment group and the control group each had 40 cases,and 73 cases were actually included.Among them,2 cases fell off in the treatment group,1 case stopped,2 cases fell off in the control group,and 2 cases were eliminated.The shedding cases were all caused by the patient’s natural shedding due to job changes and failure to complete all courses of treatment.One case in the treatment group was the patient’s intolerance of plum blossom needle pain,and two cases in the control group were excluded because the patient received other treatments privately,which interfered with the test results.The loss rate of the treatment group was 7.5%,and that of the control group was 10%.Before treatment.there was no significant difference between the two groups(P>0.05)in terms of age,course of disease,anxiety score,TCM syndrome score and observation score of alopecia area,which was comparable.After treatment,the anxiety score,syndrome score and skin lesion score of the two groups showed a downward trend.In the treatment group,after 12 weeks,24 weeks and 12 weeks to 24 weeks,the P values of the three scores were all less than 0.01,with statistical differences.In the control group,the P values of the three scores were all more than 0.05 after treatment for 12 weeks,24 weeks and 12 weeks to 24 weeks.At the 12th and 24th week of treatment,the P values of the three scores of the two groups were all>0.05,with no statistical difference.After 12 weeks of treatment,the P values of the three scores of the two groups were all>0.05,with no statistical difference.After 24 weeks of treatment,the P values of anxiety score difference and syndrome score difference were all>0.05,and the P value of skin lesion score difference was<0.01.The improvement of alopecia in control group was better than that in treatment group.During the 12th to 24th week of treatment,the P values of anxiety score difference and syndrome score difference were all>0.05,and the skin lesion score was P<0.01.The improvement of alopecia in the control group was better than that in the treatment group.After 12 weeks of treatment,the total effective rate of the two groups was 8.1%in the treatment group and 5.6%in the control group,with 3 effective cases(8.1%)and 34 ineffective cases(91.9%)in the treatment group,2 effective cases(5.6%)and 34 ineffective cases(94.4%)in the control group,which were tested by Mann-Whitney U.After 24 weeks of treatment,the total effective rate of the two groups was 70.3%in the treatment group and 86.1%in the control group,with 2 cases(5.4%)markedly effective.24 cases(64.9%)effective,11 cases(29.7%)ineffective,7 cases(19.4%)markedly effective and 24 cases effective in the control group.There were no obvious adverse reactions in the two groups.ConclusionThe treatment group used plum-blossom needles to tap the hair loss area combined with auricular plaster and the control group took finasteride orally to treat male patients of androgenic alopecia of liver and kidney deficiency type.After 12 weeks of treatment and 24 weeks of treatment,the anxiety and TCM symptoms of the two groups were all different Alleviate,the hair loss situation has been improved to varying degrees.The degree of anxiety,reduction of TCM symptoms and the improvement of hair loss in the two groups of patients at 12 weeks of treatment were basically the same;at 24 weeks of treatment,the degree of improvement in anxiety and TCM symptoms of the two groups of patients was similar,but the improvement of hair loss in the control group was better than that of the treatment group;From 12 weeks to 24 weeks of treatment,both groups of patients improved in anxiety and TCM symptoms,but the improvement of hair loss in the control group was better than that in the treatment group.After 12 weeks of treatment,the total effective rate of the treatment group is slightly better than that of the control group,but it is not high.After 24 weeks of treatment,the total curative effect of the control group is higher than that of the treatment group,indicating that the treatment group takes effect faster,but the long-term curative effect of the control group is better. |
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