| ObjectiveThe purpose of this study was to compare the therapeutic effects of nasal three-needle and back three-needle plus Pishu,Shenshu on different stages of treatment of Allergic Rhinitis,as to provide references,to impro ve the therapeutic effect and also to provide new options for treating Allergic Rhinitis by using acupuncture.Methods104 patients with Allergic Rhinitis who met various criteria were randomly assigned to the nasal three-needle group and the back three-needle group.Nasal three-needles involved acupoints of Yingxiang,Yintang,nosepass while back three-needles involved acupoints of Feishu,Dashu,Fengmen,Pishu and Shenshu.Ten times of acupuncture treatments were given correspondingly to these two groups twice a week.Clinical symptom questionnaires were conducted 4 times:1.before the teatment;2.after the first treatment;3.after the fifth treatment and 4.after completing tenth treatments.Clinical symptom questionnaires included the scores of severity level or the occurrence or the frequencies of below symptoms:nasal itching,sneezi-g,running nose and nasal congestion.By obtaining the scores at different stages given by patients in the questionnaires,relevant data was inputted into Excel to establish a database,statistical analysis were performed by SPSS19.0 statistical software.Results1.Nasal three-needle group resultsThe total score of clinical symptoms(included nasal itching,sneezing,running nose and nasal congestion)was 7(7,8)before treatment,deereased to 6(5,7)after the first treatment,and further decreased to 4(4,6)after the fifth treatment.After the tenth treatment,the total score decreased to 4(3,5).In the nasal three-needle group,the total scores of clinical symptoms after the first treatment,the fifth treatment and after the completion of ten treatments were statistically significantly di ff erent from the baseline before treatment,which were decreased significantly.The individual scores of nasal itching,sneezing,running nose,and nasal congestion,were also decreased accordingly after treatments.The scores of nasal itching in the four assessments were 2(2,2),2(1,2),1(1,2)and 1.04±0.61,respectively.The frequencies of sneezing in the four assessments were 7.83±2.25,6(4.75,7.25),4(3,5)and 3(2,4),respectively.The frequencies of running nose in a day in the four assessments 6(5,8),4(3,6),3(2.75,4)and 2(2,3),respectively.The scores of nasal congestions in the four assessments were 2(2,2),2(1,2),1(1,2)and 1(1,2),respectively.After statistical calculation,the scores or frequencies of the four symptoms were statistically significantly different from the baseline before treatment after the first treatment,the fifth treatment and tenth treatments.2.Back three-needle group resultsThe total score of clinical symptoms(included nasal itching,sneezing,running nose,and nasal congestion)was 7(7,7)before treatment,decreased to 7(6,7)after the first treatment,and decreased to 6(5,7)after the fifth treatment.After the tenth treatment,decreased to 4(3,4).In the back-three-needle group,the total scores of clinical symptoms after the first treatment,the fifth treatment and after the completion of ten treatments were statistically significantly different from the baseline before treatment,which were.decreased significantly.The individual scores of nasal itching,sneezing,running nose,and nasal congestion,were also decreased accordingly after treatments.The scores of nasal itching in the four assessments were 2(2,2),2(2,2),2(1,2)and 1(1,1),respectively.The frequencies of sneezing in the four assessments were 7.56±2.68,7(5,8),5(3,6)and 3(2,4),respectively.The frequencies of running nose in a day in the four assessments were 6(5.25,8),6(5,7),5(4,6)and 2.5(2,3),respectively.The scores of nasal congestion in the four assessments were 2(2,2),2(2,2),2(1,2)and 1(1,2),respectively.After statistical calculation,the scores or frequencies of the four symptoms were statistically significantly different from the baseline before treatment after the first treatment,the fifth treatment and the tenth treatments.3.Comparison of the difference between two groups(the scores after treatments subtracted the scores before treatment):After the first treatment,the total score difference of the nasal three-needle group was 1(0,2),and the total score difference of the back three-needle group was 0(0,1).The statistical difference between these two groups of non-parametric tests was used to compare the difference between the two groups,Z=0.5037,P<0.001(test level a is taken as 0.05).Statistically,there was a significant di fference in the total score difference between the two groups.The difference in the score of nasal itching in the back three-needle group was 0(0,0),whereas in the nasal three-needle group was 0(0,1).The di fference in the frequencies of sneezing in the back three-neeedle group was 0(0,1.75),whereas in the nasal three-needle group was 2(0,3.25).The difference in the frequencies of running nose in a day in the back three-needle group was 0(0,1),whereas in the three-needle group was 2(1,3).The difference of scores of nasal congestion in the back three-needle group was 0(0,0),whereas in the three-needle group was 0(0,1).There was a stall stically significant difference the scores or frequencies of these individual four symptoms,which showed that af ter the first treatment,the nasal three-needle group was better than the back three-needle group.After the fifth treatment,the total score difference was 3(1,4)in the nasal three-needle group,whereas 1(0,2)in the back three-needle group.The two groups were compared by the non-parametric test of the two related samples by statistical method.Z=3.2,P=0.01,P<0.05(test level a is 0.05),there was a significant statistically difference between two groups.The difference in the score of nasal itching in the back three-needle group was 0(0,1),where s in the nasal three-needle group was 1(0,1).The difference in the frequencies of sneezing in the back three-needle group was 3(1,5),whereas in the nasal three-needle group was 4(2,6).The difference in the frequencies of running nose in a day in the back three-needle group was 2(1,2.75),whereas in the nasal three-needle group was 2.5(1,5).The difference of scores of nasal congestion in the back three-needle group was 0(0,1),whereas in the three-needle group was 1(0,1).There was.a statistically significant difference in the scores or frequencies of these individual four symptoms,which showed that after the fifth treatment,the nasa.l thr ee-needle group was better than the back three-needle group.However,the differences of the scores or frequencies of two groups become narrower.After the tenth treatment,the total score difference was 3(2,5)in the.nasal three-needle group,whereas 3(2.25,5)in the back three-needle group.The two groups were compared by the non-parametric test of the two related samples by statistical method.Z=0.016,P=0.987,P>0.05(test level a is 0.05),there was no significant statistically difference between two groups.The difference in the score of nasal itching in the back three-needle group was 1(1,1),whereas in the nasal three-needle group was 1(1,1).The difference in the frequencies of sneezing in the back three-needle group was 4.35±2.61,whereas in the nasal three-needle group was 4(3,7).The difference in the frequencies of running nose in a day in the back three-needle group was 4(3,5.75),whereas in the nasal three-needle group was 3.74±2.11.The difference of scores of nasal congestion in the back three-needle group was 1(0,1),whereas in the three-needle group was 1(0,1).There was no statistically significant difference in the scores or frequencies of these individual four symptoms,and the scores were nearly the same,which showed that after the tenth treatment,the therapeutic effect of the nasal three-needle group was comparable to the back three-needle group.4.Comparison of the decline trend of the two groupsDownward curves were shown in the graph of total score of clinical symptoms vs treatment frequency and also the graphs of individual scores of nasal itching,sneezing,running nose,and nasal congestion vs treatment frequency.These reflected that the scores as above decreased in a larger interval in the early stages of treatment in the nasal three-needle group,then the scores decreased slowed down in the latter stages of treatment.In contrast,the graphs of the total score of clinical symptoms and individual scores of the symptoms in the back three-needle group showed a lower right squall line.These reflected that the scores of the back-three-needle group decreased continuously in a relatively stable rate within early stage,middle stage and latter stage.5.Comparison of efficacy evaluationThere were 52 cases in the hack three-needle group,9 cases were markedly effective,35 cases were effective,8 cases were ineffective,the effective rate was 17%,and the total effective rate was 85%.There were 54 cases of nasal three-needle group,12 ca ses were markedly effective,32 cases were effective,10 cases were ineffective,the effect was 22%,and the total effective rate was 81%.There was no significant difference between the two groups in the effective rate and the total effective rate(P>0.05).The effective efficiency of the back three-needle group and the nasal three-needle group was similar to the total effective rate.There were 30 cases of lung deficiency and cold type in the back three-needle group,2 cases were markedly effective,22 cases were effective,8 cases were ineffective,the effective rate was 7%,and the total effective rate was 80%.There were 34 cases of lung-qi deficiency and cold syndrome in the three-needle group,11 cases were markedly effective,19 cases were effective,4 cases were ineffecti ve,the effecti ve rate was 32%,and the total effective rate was 88%.There was a statistically significant difference between the two groups(P<0.05).For patients with snoring of lung-qi deficiency and cold syndrome,the,three-needle group was more effective than the back threee-needle group.There was on significant difference in the total effective rate between the two groups(P>0.05).For patients with snoringof lung-qi deficiency and cold syndrome,the total efficiency of the three-needle group and the three-needle group wore comparable.The back three-needle group was not simple lung deficiency type(spleen deficiency type,kidney yang deficiency type or mixed type)in 22 cases,markedly effective in 7 cases,effective in 13 cases,ineffecti ve in 2 cases,the effective rate was 32%,.and the total effective rate was 91%.In the three-needle group,there were 20 cases of simple lung deficiency and cold type,1 case was markedly effective,13 cases were effective,6 cases were ineffective,the effective rate was 5%,and the total effective rate was 70%.The difference in the effective rate between the two groups was statistically significant(P<0.05).For pat ients with non-simple lung deficiency syndrome,the three-needle group was,nore effective than the three-needle group.There was no significant difference in the total effective rate between the two groups(P>0.05).For patients with non-simple pulmonary sinus,the total efficiency of the three-needle group and the three-needle group were comparable.ConclusionIn conclusion,the acupuncture treatments using nasal three-needles and the back three-needles plus pishu and Shenshu were both effective treatments of Allergic Rhinitis,which can significantly improved the main symptoms of nasal itchiness,sneezing,running nose and nasal congestion.In comparison between the two groups,the effect of usin g nasal three-needles will be more outstanding in the early stage of treatment.The therapeutic ef fect of using back-three needles plus pishu and Shenshu will be more prominent at.the latter stage of treatment.Af ter ten acupuncture treatments,the therapeutic effect of two groups are comparable.The results showed that the nasal three-needles are easy to use and have the advantage of quick ther apeutic effects.However,the back three-needle group also showed a relatively stable improvement of symptoms during the total course of treatment,and the therapeutic effect in the latter stage was b etter than that of the nasal three-needle group.The author analyzed that because the back three-needle group included the acupoints Feishu,Pishu and Shenshu to replenish the lung,spleen and kidneys meridians.The acupoints Dashu and Fengmen lung qi and scattered wind.These fice acupoints altogether can replenish the insufficient of lungs and expel the evil spirits(wind and cold),which are the pathology causes of Allergic Rhinitis.However,the replenishment of qi needed times,so it is necessary to carry out more treatments to show the gradual improving effect,therefore,so the therapeutic effect of the back three-needle group only catches up with the nasal three-needle group in the latter stage of the treatment.Treating Allergic Rhinitis by using Back three-needles plus Pishu and Shenshu needed to be further investigated and reviewed in clinical practices. |
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