Clinical Observation Of Warming Needle Moxibustion Combined With Shenque Acupoint Plaster In The Treatment Of Simple Obesity Of Spleen-kidney Yang Deficiency Syndrome Type

Objective: By comparing the clinical efficacy of Warming Needle Moxibustion therapy,Shenque Acupoint Plaster therapy and Warming Needle Moxibustion combined with Shenque Acupoint Plaster therapy in the treatment of simple obesity of Spleen-Kidney Yang Deficiency Syndrome Type,investigating the effect of Warming Needle Moxibustion therapy and Shenque Acupoint Plaster therapy in improving obesity-related indicators and TCM symptom scores in patients,and whether the two therapies have synergistic effects.Methods: 81 female patients with simple obesity of Spleen-Kidney Yang Deficiency Syndrome Type who met the inclusion criteria were randomly divided into 27 cases in the Warming Needle Moxibustion group,27 cases in the Shenque Acupoint Plaster group and 27 cases in the combined treatment group.Warming Needle Moxibustion group used Guanyuan(CV4),Quchi(LI11),Daheng(SP15),Tianshu(ST25),Fenglong(ST40),Zusanli(ST36),Yinlingquan(SP9),Shenshu(BL23),and Pishu(BL20)as the prescription,placed moxa pillars on the needle handles of Quchi(LI11),Daheng(SP15),Zusanli(ST36)and Guanyuan(CV4)respectively,and ignited its upper end.Each acupuncture point was treated with 2 moxa pillars,this treatment was given 3 times a week and once every other day for 4 weeks.Shenque Acupoint Plaster group used Chinese herbal medicine which composed of Zhen Wu Tang combined with Ling Gui Zhu Gan Tang as the prescription.Firstly,the drugs were beaten into fine powder,then mixed in proportion,followed by adding yellow wine and mixed them into a paste to make a round medicine cake,which was applied to the Shenque Acupoint,and finally fixed the medicine cake with a medical non-woven fabric breathable adhesive patch.The frequency of this treatment was 10 hours per patch,3 times per week and once every other day for 4 weeks.Patients in the combined treatment group were treated with Warming Needle Moxibustion therapy first,and then treated with Shenque Acupoint Plaster therapy.The method and course of treatment were the same as those of Warming Needle Moxibustion group and Shenque Acupoint Plaster group.The obesity-related indicators and TCM symptom scores were recorded before and after treatment,and the data were analyzed using SPSS 27.0 statistical software.Results: 1.During the study,5 patients exited the study,so there were 76 patients completed the experiment,including 26 cases in the Warming Needle Moxibustion group,25 cases in the Shenque Acupoint Plaster group,and 25 cases in the combined treatment group.2.The differences in age,height and course of obesity between the three groups were not statistically significant(P>0.05).3.Comparisons of obesity-related indicators: Comparisons of Within-Group: Compared with the group before treatment,weight,body mass index(BMI),waist and hip circumference decreased in all three groups after treatment(P<0.001);Comparisons between groups:Patients in the combined treatment group showed the greatest decrease in weight,BMI,waist and hip circumference,followed by Warming Needle Moxibustion group,and the smallest decrease in the Shenque Acupoint Plaster group.However,the combined treatment group and the Warming Needle Moxibustion group had similar efficacy in reducing patients’ weight,BMI and hip circumference(P>0.05),and the clinical efficacy of these two groups was better than that of Shenque Acupoint Plaster group(P<0.05).The combined treatment group was the most effective in reducing the waist circumference of the patients(P<0.05),and the efficacy of Warming Needle Moxibustion group in reducing patients’ waist circumference was better than that of Shenque Acupoint Plaster group(P<0.05).4.Comparisons of TCM symptom scores: Comparisons of Within-Group: Compared with the group before treatment,TCM symptom scores decreased in all three groups after treatment(P<0.001);Comparisons between groups: Patients in the combined treatment group had the greatest improvement in TCM symptom scores,followed by Warming Needle Moxibustion group,and the least improvement was observed in Shenque Acupoint Plaster group.However,the combined treatment group and Warming Needle Moxibustion group had similar efficacy in improving the clinical symptoms of Spleen-Kidney Yang Deficiency Syndrome in patients(P>0.05),and the efficacy of these two groups were better than that of Shenque Acupoint Plaster group(P<0.05).5.Comparisons of clinical efficacy: The total effective rates of Warming Needle Moxibustion group,Shenque Acupoint Plaster group and the combined treatment group were 76.9%,48.0% and 84.0%respectively.Therefore,the combined treatment group had the best overall efficacy,followed by Warming Needle Moxibustion group and the Shenque Acupoint Plaster group had the worst overall efficacy.However,Warming Needle Moxibustion group had similar overall efficacy to the combined treatment group in treating simple obesity of Spleen-Kidney Yang Deficiency Syndrome Type(P>0.05).Conclusion:1.Compared with the group before treatment,all three groups of obese patients showed improvements in weight,BMI,waist circumference,hip circumference and TCM symptom scores after 4weeks of treatment.2.After 4 weeks of treatment,the combined treatment group had the best clinical efficiency,followed by Warming Needle Moxibustion group,and the worst clinical efficacy was observed in Shenque Acupoint Plaster group.Nevertheless,compared with Warming Needle Moxibustion group,the synergistic effects of Warming Needle Moxibustion therapy combined with Shenque Acupoint Plaster therapy for simple obesity was not significant.