| Depression is a type of mood disorder syndrome.Its clinical manifestations are mainly mental retardation,such as depression,mental retardation,and loss of interest in life.When patients suffer from this disease,they often show low emotions,lost interest in life,lack of spirit,etc.If the symptoms are not effectively relieved,it will lead to aggravation of the patient' s condition,and in severe cases will cause the patient Suicidal tendencies appear,and some patients may develop hallucinations.No matter what age the patients are,they can get depression.When the patients get depression,they will be accompanied by anxiety,insomnia and all kinds of discomfort.The illness is repeated,which seriously damages the quality of life of the patients and their families.As a common disease that endangers the society,the number of people suffering from depression is increasing all over the world.At the end of the last century,some research found that depression not only causes severe damage to patients ' spirits,but also causes severe damage to patient physically.The World Health Organization has pointed out that more than 300 million patients worldwide are suffering from depression.It is a common disease that not only poses a serious threat to a patient's mood,but can also cause the patient to develop suicidal tendencies.Because the patient is depressing for long time,his living will be seriously affected.Some survey results show that more than 800,000 people commit suicide each year due to depression,and most of them are between 15-29 years old.Modern medicine can treat depression,but only 10%of patients worldwide choose to receive treatment,and the reasons as follows:First,they are afraid to be discriminated,so they choose to conceal their symptoms;second,no professional guidance on how to treat;third,no resources for treatment.In addition,how to evaluate depression is also one of the reasons why depression patients cannot be effectively treated.In many countries,some patients with depression cannot be correctly diagnosed,which prevents them from receiving effective treatment.Nowaday,the number of patients with depression is increasing.The WHO has held conferences and hopes that all countries can contribute to the treatment of depression.ObjectiveDepression is a common mental and emotional disorder.Until now,the pathogenesis of Depression has not been well understood.The disease is characterized by chronic depression and low self-evaluation.It is more likely to have suicidal thoughts.In addition to seriously affecting the quality of life of patients,it also brings a heavy burden on their families and society.Hong Kong people have a fast pace of work and a tight pace of life.Depression has become one of the common urban diseases in Hong Kong.According to a 2018 report published by the Hong Kong Jockey Club Suicide Prevention Research Centre of the University of Hong Kong,about 25%Citizens suffer from depression,and more than nine percent of them have severe depression.At present,antidepressants commonly used in clinical Western medicine mainly include tricyclic antidepressants and monoamine oxidase inhibitors,etc.Although they can relieve depression,there are many side effect,and the cost of medicine is expensive.There are various side effects,and depression happens repeatly.Once relapsed,it will take longer than the last time.If you have multiple illnesses,you will take longer.For two or three or more relapses,doctors will usually recommend patients to take medicine for 3 to 5 years or longer.Based on the above reasons,many patients are conceal their ailment and avoid treatment,which leads to delay treatment.The research progress on the acupuncture of depression in ancient and modern literature has confirmed that acupuncture has obvious advantage in the treatment because of its simple operation,low price,rapid effect,non-toxic side effects,and high safety,but it has not yet been popular and good use,so it has broad development prospects.Professor Lai' s Tongyuan Acupuncture is a set of acupuncture therapies summarized by Professor Lai Xinsheng,a prestigious old Chinese doctor in the country,based on many years of clinical practice,combined with his profound TCM theory.According to Professor Lai's many years of clinical experience,Lai's Tongyuan Acupuncture can effectively treat depression.During the research,this article intends to compare the clinical effect of Tongyuan acupuncture and conventional acupuncture on the treatment of depression,and explore the clinical value and promotion significance of Tongyuan acupuncture in the treatment of depression.The treatment and research provide clinical reference data,and a brand new advantage therapy for acupuncture treatment of depression.MethodPatients with liver-qi stagnation-type depression were collected as the research sample.The number of samples was 130.They were divided into two groups,one was the Tongyuan acupuncture group,and the other was the conventional acupuncture group.Due to the case shedding during treatment Therefore,the actual number of completed cases was 107,of which 54 were in the Tongyuan acupuncture group and 53 in the conventional acupuncture group.In this experiment,a course of treatment was 8 weeks and a total of 24 acupuncture treatments were performed,and each patient was evaluated three times,each time before the start of treatment and at the end of treatment;and two groups of subjects were evaluated 1 month after the end of treatment.Follow up and observe the long-term effect.First observe the treatment effect of a course of treatment,observe the clinical manifestations of the patients before and after the treatment,and fill in the relevant forms.In the fourth week after the patients receive treatment,use the TCM symptom improvement scale and depression self-evaluation scale(SDS),Hamilton Anxiety Scale(HAMD)and Hamilton Depression Scale(HAMA)were used to evaluate the clinical manifestations of patients,so as to analyze and study the clinical situation of patients.In the fourth week after the patient was treated,the patient was followed up with the Hamilton Anxiety Scale.By observing the adverse reactions after the patient was treated,the comprehensive treatment effect and safety of the Tongyuan needle method were carried out.Evaluation.Patients with liver qi stagnation and depression were collected as the research sample.The number of samples was 130.They were divided into two groups,one was the traditional acupuncture group,and the other was the TY acupuncture group.Due to the case shedding during treatment Therefore,the actual number of completed cases was 107,of which 53 were in the TY acupuncture group and 53 in the traditional acupuncture group.In this article,a course of treatment is 8 weeks.First,observe the treatment effect of the course.Observe the clinical manifestations of the patients before and after the treatment,and fill in the relevant forms.In the fourth week after the patients receive treatment,use the Chinese medicine symptoms to improve the amount.Table,Self-Depression Rating Scale(SDS),Hamilton Anxiety Scale(HAMD),and Hamilton Depression Scale(HAMA)are used to evaluate the clinical performance of patients,so as to analyze and study the clinical situation of patients.In the fourth week after the patient was treated,the patient was followed up with the Hamilton Anxiety Scale.By observing the adverse reactions after the patient was treated,the comprehensive treatment effect and safety of the TY needle method were carried out and evaluate.Results1.Baseline comparisonThe baseline characteristics of the patients were compared and analyzed.The results showed that there were no significant differences in the TCM syndrome score,SDS baseline score,gender,and age between the two groups of patients.2.HAMD scoreThere was no statistical difference in the HAMD score between the two groups before treatment(P>0.05),indicating that there was no statistical difference in the HAMD score between the two groups before treatment,which is comparable.Comparison within the group:Compared with baseline,the two groups were significantly different from baseline after treatment and follow-up(P<0.001),suggesting that the HAMD scores in both groups after treatment and follow-up were significantly lower than before.However,the HAMD scores of both groups increased during follow-up,but they were not statistically significant(P>0.05).Comparison between groups:HAMD scores were significantly different between the two groups after treatment and at follow-up(P<0.001).Compared with the conventional group,the downward trend of the HAMD score in the Tongyuan group is more obvious,and the upward trend of the HAMD score in the treatment group is relatively flat during the follow-up period,indicating that the treatment group is better in improving the depression scale and delaying its recurrence and efficacy.3.HAMA scoreThere was no statistical difference in the HAMA score before treatment between the two groups(P>0.05),indicating that there was no statistical difference in the HAMA score between the two groups before treatment,which was comparable.Comparison within the group:Compared with baseline,the two groups were significantly different from baseline after treatment and follow-up(P<0.001),suggesting that the HAMA scores in both groups were significantly lower after treatment and follow-up than before;Compared with the two groups,the HAMA score can still decrease after treatment,but there is no statistical difference(P>0.05).During the follow-up,the HAMA score of both groups increased,but there was no statistical significance(P>0.05).Comparison between groups:After treatment and follow-up,the two groups found significant differences in HAMA scores(P<0.001).The downward trend of the HAMA score of the Tongyuan group was more obvious,and during the follow-up period,the upward trend of the HAMA score of the Tongyuan group was relatively flat.The Tongyuan treatment group has a better effect in improving depression and delaying its recurrence.4.SDS scoreThere was no statistical difference in SDS scores between the two groups before treatment(P>0.05),indicating that there was no statistical difference in the SDS scores between the two groups before treatment,which is comparable.Comparison within group:Compared with baseline,the two groups showed significant differences from baseline after treatment and follow-up(P(0.01),suggesting that the SDS scores of both groups after treatment and follow-up were significantly lower than before;In comparison,the SDS scores of the two groups could still decrease after treatment,but there was no statistical difference(P>0.05).The SDS scores of the two groups increased during follow-up,but there was no statistical significance(P>0.05).Comparison between groups:The SDS scores of the two groups were significantly different after treatment and at follow-up(P<0.01).The SDS score of the Tongyuan group decreased more obviously,and during the follow-up period,the SDS score of the Tongyuan group increased relatively slowly,indicating that the Tongyuan group was improving the degree of depression and delaying it.The recurrence has a good effect.5.TCM Syndrome Scale ScoreThere was no statistical difference in the scores of the TCM syndromes before treatment in the two groups(P>0.05),indicating that there was no statistical difference in the scores of the TCM syndromes before treatment in the two groups,and they were comparable.Comparison within the group:Compared with baseline,the two groups were significantly different from baseline after treatment and follow-up(P<0.001),suggesting that the scores of TCM syndrome scales after treatment and follow-up in both groups were significantly lower than before;At follow-up,the SDS scores of both groups increased,but they were not statistically significant(P>0.05).Comparison between groups:After treatment and follow-up,the two groups found that the scores of TCM syndromes were significantly different(P<0.001).The downward trend of the TCM syndrome scale scores in the Tongyuan group is more obvious,and during the follow-up period,the upward trend of the TCM syndrome scale scores in the Tongyuan group is relatively flat.Good curative effect.6.Total effective rate in both groupsComparison of effective rates after treatment:The total effective rate was compared between the two groups based on the HAMD score.After chi-square test,?2=9.20,P=0.027<0.05,the difference was statistically significant.From the study of treatment effect and distribution,it can be found that the conventional group is mainly effective,which is 59.26%,and the Tongyuan group is mainly effective,which is 45.28%.All the above suggest that the Tongyuan group has better curative effect.7.Comparison of recurrence ratesAfter the patient completed the treatment,the patients were followed up in the fourth week.The research results showed that 10 patients in the conventional group relapsed,the recurrence rate was 23.80%,3 patients in the Tongyuan group relapsed,the recurrence rate was 6.12%.The square test,?2=26,P=0.003<0.05,have statistical significance.Baseline ConclusionThis study found that acupuncture is beneficial for improving the symptoms and quality of life of liver qi stagnation,and also has a good effect on improving the symptoms related to traditional Chinese medicine.It can be seen that in addition to improving the symptoms of depression,the Lai's Tongyuan acupuncture method can also improve related medical symptoms.Among the above four efficacy evaluations,HAMD is the main observation indicator.The higher the score,the more severe the depression,and HAMD can be correct.To reflect the degree of depression.HAMA evaluation indicators reflect patients' anxiety symptoms,and SDS can effectively reflect the symptoms of depression and its severity method,which supplements the deficiency of HAMD.However,the essence of TCM treatment is dialectical treatment.None of the above three scales can meet the needs of TCM syndrome evaluation.Therefore,this study uses the TCM syndrome scale to evaluate two acupuncture treatment methods to score the syndrome of liver qi depression fully reflect the therapeutic effect of liver qi stagnation type depression and other TCM symptoms.Based on the analysis results of the above four scales,after the treatment is completed,both groups can effectively reduce the degree of depression.The average HAMD score of Lai's Tongyuan acupuncture method after the treatment is 13.04 points compared with the baseline.The average HAMD after the completion of treatment in the control group was 18.25 points,which was a reduction of 9.72 points compared with the baseline.In terms of efficiency,the Lai's Tongyuan acupuncture method was mainly distributed in the significant effect,while the control group was mainly distributed in the efficacy.In effect.After 4 weeks of follow-up,the HAMD scores of both groups increased.The recurrence rate of Lai's Tongyuan acupuncture method was 6.12%,and the recurrence rate of the control group was 23.8%.Therapy is the most prominent in the long-term effect. |
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