Clinical Research Of Acupuncture On Treating Subacute Eczema From Heart And Spleen

ObjectsAims are observing and evaluating the clinical curative effects and safety of acupuncture on treating subacute eczema from heart and spleen, thus providing an effective acupuncture treatment conducive to the promotion.Methods●Groups:Separate90selected patients randomly and averagely into two groups, the acupuncture treatment group and Western medicine control group, and the course of treatment is two weeks.●Therapeutic schedules:Treatment group (acupuncture group):Acupoints:Both sides of Shenmen, Tongli, Shaofu, Daling, Taibai, Sanyinjiao, Yinlingquan, Xuehai, Zusanli, Fenglong, Tianshu, Quchi, Hegu and local lesions, ashi points. Needles: Huotuo brand stainless steel filiform needle(0.25x40mm) and medium-sized fire needle. Operations:Patients take the prone positions, after sterilization, needling selected acupoints with filiform needles and lifting, thrusting and twirling equably after getting the needling response, every10minutes to manipulate needles one time and the whole course is30minutes. The second step is to needle on the local lesions by using the fire needle, and every2cmx2cm squares one needle. Courses:Two weeks, and three times a week of treating.Control group (Western medicine group):Using hydrocortisone butyrate ointment externally for two weeks, and twice a day.●Observation targets and time-points:EASI Score and VAS Score:Before treatment, after the first week of treatment and the second week. Syndrome Score of TCM:Before treatment and after the second week of treatment. Follow-up visits:After the second and the fourth week of treatment.●Treatment effect estimationThe change of EASI scores is used to determine curative effects, and the changes of VAS scores and syndrome scores of TCM are the standard of evaluating efficacy; in the meantime, safety and recurrence rate after the second and the fourth week of treating are evaluated.Results●The comparisons of gender, age, course of disease, pathogenic site, EASI score, VAS score and syndrome score of TCM between the two groups before treatment have no statistical significance, and the two groups have comparability.●EASI Score.①Intra-group comparison. The comparisons between the first and second week after treatment with before the treatment all have statistical significance, which means the two kinds of treatment all can improve skin lesions of subacute eczema;②Cmparison among groups:EASI scores have statistical significance compared the first and second week after treatment, which indicates the control group has advantages in improving skin lesions of subacute eczema.●According to the EASI scores to determine curative effects, the total effective rate and the marked effectiveness and cure rate aren’t statistically significant, but the cure rate has statistical significance, which shows the control group has better effects to improve the skin lesions of subacute eczema.●VAS score:①Intra-group comparison:The comparisons between the first and second week after treatment with before the treatment all have statistical significance, which means the two kinds of treatment all can alleviate pruritus of subacute eczema;②Comparison among groups:VAS scores have statistical significance compared the first and second week after treatment, which indicates the treatment group has advantages in alleviating pruritus of subacute eczema.●Syndrome score of TCM:①Intra-group comparison:The comparison between before and after the treatment of treatment group has statistical significance, but the comparison of control group isn’t statistically significant;②Comparison among groups:Syndrome scores have statistical significance compared before and after treatment, which indicates the treatment group can improve symptoms but the control group cannot.●The patients in treatment group haven’t shown any relative untoward effects, which indicates the therapy of acupuncture group is safety.●The recurrent rates in the second and the fourth week after treatment of the two groups all have statistical significance, which shows the treatment group is better than the control group in the recent recurrent rate.Conclusion ●The acupuncture treatment group has definite curative effect, and the effect of alleviating pruritus is significant compared to the Western medicine control group, though the effect of improving skin lesions is less significant than the control group.●The treatment group can improve symptoms, such as vexation, insomnia, dry mouth and thirsty, yellow urine, loose stool with unfinished feeling, abdominal distension, heavy body with lazy limbs and other comparing symptoms of subacute eczema.●The acupuncture treatment group has better effect in reducing the recurrent rate of subacute eczema.●The therapy of acupuncture is safety.