Clinical Observation On The Treatment Of Venomous Snake Bite With Firetoxin Pattern Of Upper Limb By Acupuncturing At Jing-well Points On Fingers

Objectives:The coagulation indicators and safety of acupuncturing Jing-well points in the treatment of venomous snake bite with fire-toxin pattern were observed,which provided clinical basis for the first aid of acupuncturing with venomous snake bite with firetoxin pattern of upper limb.Methods:The 60 patients of snake bite with fire-toxin pattern who met the research criteria in the Vascular Surgery Department of Ulcers,Wounds and Snake Bites of the Fujian People’s Hospital Affliated of Fujian University of Traditional Chinese Medicine,were randomly divided into the treatment group and the control group,with 30 patients in each group.Icluding the basic treatment,the control group acupunctures at baxie points in the affected limb from the day of the admission to the third day of treatment.Icluding basic treatment,the treatment group acupunctures at Jing-well points in the affected limb once a day from the day of admission to the third day of treatment.Some indicators will be observed and evaluated in the day of admission,days 3 and 7 of treatment.Including the symptoms and signs,coagulation indicators(APTT,TT,FIB)and inflammatory indicators(WBC).Indicators were compared between groups,compared within the group.Results:1.VAS:It was compared after 3 days,7 days and before treatment,the difference between the two groups was statistically significant(P <0.05),indicating that both methods could reduce pain after snake bite;the treatment group(2.00(1.00,3.00))and the control group(2.50(1.75,3.25))were compared after 3 days of treatment,the difference between the two groups was statistically significant(P <0.05),indicating that the treatment group is better than the control group.2.FIB:It was compared after 3 days,and 7 days of treatment,the difference was statistically significant(P <0.05),indicating that the Jing-well points reduce lower FIB;the treatment group(1.37(0.98,2.12))and the control group(0.90(0.50,1.89))were compared after 3 days of treatment,the difference between the two groups was statistically significant(P<0.05),indicating that the treatment group is better than the control group.3.APTT:It was compared after 3 days,and 7 days of treatment,the difference between the two groups was statistically significant(P <0.05),It was shown that both methods reduced APTT,the treatment group(34.45(31.68,38.78))and the control group(29.60(26.95,33.63))were compared after 3 days of treatment,the difference between the two groups was statistically significant(P <0.05),indicating that the control group is better than the treatment group.4.TT:It was compared after 3 days and before treatment,there was no significant difference(P>0.05).It was compared after 7 days and before treatment,the difference between the two groups was statistically significant(P <0.05),It was compared after 3 days and 7 days of treatment,the difference between the two groups was statistically significant(P<0.05),indicating that both methods maybe reduce TT,further research is needed.5.WBC:It was compared after 3 days and before treatment,there was no significant difference(P >0.05).It was compared after 7 days and before treatment,the difference between the two groups was statistically significant(P <0.05),It was compared after 3 days and 7 days of treatment,the difference between the two groups was statistically significant(P<0.05),indicating that both methods maybe reduce WBC,further research is needed.6.symptom integral:It was compared after 3 days,and 7 days of treatment,the difference between the two groups was statistically significant(P <0.05),It was shown that both methods reduce swelling,pain,bleeding,tachycardia,petechiae,and other symptoms,compared after 3days of treatment,there was no significant difference(P >0.05),a similar effect between the control group and the treatment group in terms of improving symptoms.7.clinical efficacy:It was compared after 7 days of treatment,there was no significant difference(P >0.05),a similar effect between the control group and the treatment group.Conclusions:1.Compared to the bloodletting of Baxie points,Acupuncturing at the Jing-well points can dramatically reduce patients’ local pain after snake bite,and reduce lower FIB,low bleeding risk。2.Acupuncturing at the Jing-well and Baxie points can effectively reduce the local pain after the venomous snake bite,shorten the APTT,and can be used for early treatment of venomous snake bite with firetoxin pattern,similar clinical effects.3.From viper,agkistrodon acutus,such as snake bites lead to patients with low fibrinogen,acupuncturing at the Jing-well points recommends priority,and it is worthy of clinical promotion and use.