Clinical Study On Prescriptions Of Bushen Qiangdu And Huayu Tongluo Combined With Acupuncture At Baliao Points In Treating Ankylosing Spondylitis With Kidney Deficiency And Governor Channel Cold Syndrome

ObjectiveThis thesis utilizes the prescriptions of Bushen Qiangdu,Huayu Tongluo,combined with acupuncture on Baliao acupuncture points in the treatment of the patients of ankylosing spondylitis(AS)with kidney deficiency and Du(governor)-channel cold syndrome(KDDCS).By observing the changes in TCM syndrome scores,clinical efficacy indexes,and laboratory indexes before and after treatment,this therapy’s effect on AS patients with Kidney deficiency and Du(governor)channel cold syndrome are explored.Specifically,the application of the methods of Bushen Qiangdu,Huayu Tongluo,combined with acupuncture on Baliao acupuncture points,to explore whether our proposed method could be used to improve the clinical symptoms,disease activity,related laboratory indexes,and pain degree of AS patients with Kidney deficiency and Du(governor)channel cold syndrome,thereby objectively evaluate the clinical efficacy.MethodsIn our research,60 AS patients with KDDCS that met the inclusion criteria were randomly assigned to the control group and the treatment group,30 in each group.Among them,the patients in the control group were treated with celecoxib capsules(0.2 mg/time,once a day,oral administration after meals)and enteric-coated sulfasalazine(0.75 g/time,once a day,oral administration after meals).On the other hand,the patients in the treatment group were treated with the dynamic prescriptions of Bushen Qiangdu and Huayu Tongluo(after breakfast and dinner,take 150 m L of the appropriate temperature prescription orally,and continue to take the follow-up for 7 days then consultation,with appropriate addition and subtraction according to the symptoms of the disease),combined with acupuncture on Baliao acupuncture points as well as moxibustion(twice a week).Patients in both groups took 7days as a course of treatment.After 10 courses of treatment,observe the changes before and after treatment for TCM syndrome scores,clinical efficacy indexes(thoracic activity,Schober test,finger ground distance,wall distance,BASDAI,BASFI,VAS,morning stiffness time),and laboratory indexes(ESR,CRP).Then the collected data were sorted using statistical software SPSS 25.0 to evaluate the clinical efficacy of the proposed method for the AS patients with KDDCS.Results1.After treatment,the indexes of thoracic activity,Schober test,finger ground distance,and wall distance for two groups of patients were compared.The results indicated that the difference between the treatment and control groups was statistically significant(P<0.05),and the treatment group was better than the control group.2.After treatment,the indexes of BASDAI,BASFI,VAS,and morning stiffness time for two groups of patients were compared.The results indicated that the difference between the treatment and control groups was statistically significant(P<0.05),and the treatment group was better than the control group.3.After treatment,the laboratory indexes of ESR and CRP for two groups of patients were compared.The results indicated that the difference between the treatment and control groups was statistically significant(P<0.05),and the treatment group was better than the control group.4.After treatment,the scores of TCM syndromes for two groups of patients were compared.The results indicated that the difference between the treatment and control groups was statistically significant(P<0.05),and the treatment group was better than the control group.5.After treatment,the clinical efficacy of the Assessment in Ankylosing Spondylitis Response Criteria(ASAS 20)for two groups of patients were compared.The results indicated that the difference between the treatment and control groups was statistically significant(P<0.05),and the treatment group was better than the control group.Conclusions1.The treated AS patients with KDDCS have greatly improved in terms of the clinical efficacy indexes(thoracic activity,Schober test,finger ground distance,wall distance,BASDAI,BASFI,VAS,morning stiffness time),laboratory indexes(ESR,CRP),and TCM syndrome scores,etc.2.The proposed prescriptions of Bushen Qiangdu,Huayu Tongluo,combined with acupuncture on Baliao acupuncture points in the treatment of the AS patients of ankylosing spondylitis KDDCS,has an obvious therapeutic effect and has high clinical application and promotion value.