| Objective:This study aims to observe the efficacy and safety of acupoint treatment combined with Xiongfu analgesic prescript in the treatment of migraine with wind phlegm disturbance,and to explore whether the combination of oral Chinese medicine and external acupoint treatment can further improve clinical efficacy and improve patients’ quality of life.This study also provides new diagnostic and treatment ideas for further clinical treatment of migraine,and a new method for the combination of traditional Chinese medicine internal treatment and external treatment to treat headache.Methods:This study used SPSS ver.25.0 software to statistically analyze and compare the effectiveness and safety of two treatment schemes in the treatment and the control group.And the following results were obtained:This study adopts a randomized controlled study method,and all the study subjects are the patients who seek medical treatment at the Outpatient Department of Cerebrology at Dongzhimen Hospital of Beijing University of Traditional Chinese Medicine or are admitted to the hospital.All the patients satisfy the inclusion and exclusion criteria of this study,with a total of 62 cases signed with informed consent.all patients were divided randomly into a treatment group of 31 cases and a control group of 31 cases.The control group was treated with oral Xiongfu analgesic prescript,while the treatment group was treated with extra acupoint treatment and oral Xiongfu analgesic prescript simutaneously.Both groups were treated for 28 days.The improvement of PRO scale scores and traditional Chinese medicine syndrome scale scores on headache onset frequency,headache severity,headache duration,and headache outcome between the two groups of patients before and after treatment were observed and compared.At the same time,the adverse reactions of patients during the treatment period were record,in order to evaluate the clinical efficacy of acupoint treatment combined with Xiongfu analgesic prescript.Results:This study investigated the clinical efficacy and safety of acupoint treatment combined with Xiongfu analgesic prescript in the treatment of 62 migraine patients with wind phlegm disturbance.The following conclusions were obtained:1 Baseline data:Excluding 1 case of detachment and 1 case of exclusion,a total of 60 migraine patients with wind phlegm disturbance were ultimately included,with 30 cases in the treatment group and 30 cases in the control group.Headcount analysis and comparison were conducted on the baseline data of two groups of patients,including age,gender,nature of work,course of disease,headache attack situation,headache outcome PRO score and traditional Chinese medicine syndrome score.The results showed that the baseline data of both groups were not statistically significant(P>0.05)and were comparable.2 Clinical efficacy evaluation:2.1 Frequency and halving rate of headache attacks:After treatment,the frequency of headache attacks in both groups was significantly reduced compared to the case before treatment,and the difference was statistically significant(P<0.05);The frequency of headache attacks in the treatment group was halved by 80.00%,compared to 53.33%in the control group.There was a statistically significant difference in the efficacy of reducing the frequency of headache attacks between the two groups(P<0.05),and the efficacy of the treatment group was better than that of the control group,indicating that both treatment methods could reduce the frequency of headache attacks,and the treatment group had better efficacy in reducing the frequency of headache attacks than the control group.2.2 Headache attack degree(VAS score):After treatment,the VAS score of headache attack degree in both groups decreased compared to the case before treatment,and the difference was statistically significant(P<0.05);There was a statistically significant difference(P<0.05)between the two groups in terms of reducing the patient’s VAS score,and the treatment group had better efficacy than the control group,indicating that both groups’ treatment methods could reduce the severity of headache attacks,and the treatment group had better efficacy in reducing the severity of headache attacks compared to the control group.2.3 Duration of headache:After treatment,the duration of headache attacks in both groups was significantly shortened compared to the case before treatment,with a statistically significant difference(P<0.05);There was a statistically significant difference in shortening the duration of headache attacks between the two groups(P<0.05),and the therapeutic effect of the treatment group was better than that of the control group,indicating that both groups’ treatment methods could shorten the duration of headache attacks,and the treatment group had a better effect than the control group in shortening the duration of headache attacks in patients.2.4 PRO scale for headache outcomes:After treatment,the scores and total scores of the PRO scale for headache outcomes in both groups decreased compared to the case before treatment,and the difference was statistically significant(P<0.05);There was a statistically significant difference in the scores and total scores of the PRO scale for reducing headache outcomes between the two groups(P<0.05),and the therapeutic effect of the treatment group was better than that of the control group,indicating that both groups’ treatment methods can improve headache conditions,alleviate physical and psychological symptoms,and improve functional status.Moreover,the treatment group has an advantage in improving headache conditions,alleviating physical and psychological symptoms,and improving functional status compared to the control group.2.5 Score of Traditional Chinese Medicine Syndrome Scale:After treatment,the scores and total scores of the two groups of Traditional Chinese Medicine Syndrome Scale decreased compared to the case before treatment,and the difference was statistically significant(P<0.05);There was a statistically significant difference(P<0.05)in the scores and total scores of the Traditional Chinese Medicine Syndrome Scale between the two groups,and the therapeutic effect of the treatment group was better than that of the control group.This indicates that both groups of treatment methods can improve the traditional Chinese medicine syndrome manifestations of patients with head swelling or dizziness,headache such as wrapping,vomiting,phlegm and salivation,abdominal fullness,weak appetite,and mucus and phlegm in the mouth.Moreover,the treatment group has an advantage in improving the above traditional Chinese medicine syndrome compared to the control group.2.6 Evaluation of Traditional Chinese Medicine Syndrome Efficacy:In the treatment group,there was 1 cured patient,11 treatment significantly effective patients,17 treatment effective patients,and 1 treatment ineffective patient,with a total effective rate of 96.67%;In the control group,there were 0 cured patients,0 treatment significantly improved patients,17 treatment effective patients,and 1 treatment ineffective patient,with a total effective rate of 66.67%.There is a statistically significant difference(P<0.05)between the two groups in the efficacy of traditional Chinese medicine syndromes,indicating that both treatment methods can improve patients’ traditional Chinese medicine syndromes,and the treatment group has more advantages in efficacy than the control group.3 Safety evaluation:Neither the treatment group nor the control group experienced any adverse reactions or other events during the treatment process,indicating that the two treatment methods have good safety in clinical practice.Conclusion:This study aims to investigate the clinical efficacy and safety of acupoint treatment combined with Xiongfu analgesic prescript in the treatment of 62 migraine patients with wind phlegm disturbance.The following conclusions were obtained:1 Acupoint treatment combined with oral Xiongfu analgesic prescript and single use of Xiongfu analgesic prescript have good therapeutic effects in the clinical treatment of wind phlegm disturbance type migraine.2 The treatment group has better efficacy than the control group in reducing the frequency,severity,and duration of headache attacks.3 The treatment group has better efficacy than the control group in improving headache attacks,alleviating physical and psychological symptoms,and improving functional status.4 The treatment group is better than the control group in improving traditional Chinese medicine symptoms such as dizziness or bloating in the head of migraine patients,headache such as wrapping,vomiting,phlegm and salivation,fullness of the abdomen,light mouth and less food,and mucus and phlegm in the mouth.5 The integrated scheme of acupoint treatment combined with Xiongfu analgesic prescript has good clinical efficacy and safety in the treatment of wind phlegm disturbance type migraine,and is worth promoting in clinical practice. |
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