Clinical Effect Of Treating Menopausal Syndrome Of The Liver Qi Stagnation And Kidney Deficiency Syndrome With Acupuncture And Herbal Application

PurposeTo observe the safety and clinical effect of treating menopausal syndrome of the liver qi stagnation and kidney deficiency syndrome with acupuncture and herbal application. MethodUsing randomized controlled single blinded testing method, qualified menopause patients were divided into treatment and control groups with a one to one ratio. The treatment group was treated with acupuncture and herbal concoction, while the control group was treated with acupuncture and concoction made with simulated herbs. After treatment, the safety and curative effects were evaluated using the following indices:the Menopause Rating Scale (MRS), the Quality of Life Scale for menopause, and the Rating Scale of TCM syndromes. ResultsA total of 64 patients were randomly divided into 2 groups, with each having 32 patients in each group. Throughout the course of treatment, one case was withdrawn and one was removed from the treatment group, and 2 were removed from the control group. The final count for both groups was 30. Before treatment, indices recorded include:age, weight, height, vital signs, KI score before treatment, TCM syndrome score, quality of life score, course of disease, age at menarche, menstrual cycle, menstrual symptoms, marital status, medical history, drug allergy history, concomitant disease and information regarding any taken medication. The above indices were not statistically significantly different (p>0.05) before treatment, thus, were comparable between the two groups. Curative Effects:1. Before treatment, the KI score of the treatment and control groups were 32.36±13.51 and 30.89±11.56 respectively. The scores for both groups dropped after treatment. The score differences before and after treatment for both treatment and control groups were analyzed using the t test, and found that they were not significantly different (p>0.05). Likewise, comparing the group differences in the before and after treatment scores using the paired (?) test, the result showed no significant difference (p>0.05)2. The menopause quality of life score for the treatment and control groups before treatment were 129.53±9.84 and 128.16±11.49, and those after treatment were 113.74±18.25 and 113.05±20.37, respectively. The differences before and after treatment for the two groups were 15.74±21.06 and 15.11±19.14, respectively. The scores were lower after treatment in both groups. The difference before and after treatment for both groups were analyzed using the t test, and found that they were not significantly different (p>0.05). When comparing the group differences using the paired t test, however, the results were statistically significant (p<0.05)3. The TCM syndrome scores for the treatment and control group before treatment were 4.15±0.44 and 4.18±0.43, and those after treatment were 3.71±0.55 and 3.78±0.60, respectively. The differences before and after treatment for the two groups were 0.44±0.69 and 0.40±0.62, respectively. The scores lowered after treatment for both groups. The differences before and after treatment for both groups were analyzed using the t test, and found that they were not significantly different (p>0.05). When comparing the group differences using the paired t test, however, the results were statistically significant (p<0.05)4. The TCM syndrome total effective rate for the treatment and control groups were 90% and 70%, respectively. Using the Chi-square test, the group differences in effectiveness distribution and total effective rate were analyzed, and found that the results were significantly different (p<0.05)5. Analyzing individual symptom between treatment and control groups using the chi-square test, light sleep patients found there was significant improvement after treatment (p<0.05). The effective rates regarding symptoms such as hot flashes, soreness in the lower back, tightness in the chest, hypochondriac pain, and bitterness in the mouth were higher for the treatment group; the group difference was analyzed using the chi-square test, the results showed no significant difference. No abnormal clinical observations or adverse reactions recorded. ConclusionTreatment of menopause of the stagnation of liver qi and kidney deficiency syndrome using acupuncture and herbal intake is safe and effective.