Clinic Research On Treating Lingnan Acne With Acupuncture Improving Yang-deficient Constitution

Objective:Through this study, observe Lingnan Acne patients constitution types and acne characteristics, compare symptoms of Yang-deficient acne and Yang-deficient Constitution Integration in both groups before and after treatment, objectively assess clinical efficacy of treating Lingnan Acne by improving Yang-deficient Constitution, provide clinical evidence of treating acne by regulating imbalanced constitution.Methods:Adopt randomized control method, randomly divided 66 yang deficient constitutional acne patients into treatment group(regulate imbalanced constitution group) and control group (traditional acupuncture group) with 33 patients each.â‘ The damaged-skin lesions were given regional treatment: choose 2 to 3 matured facial rash or pustules, cysts, after sterilization with 75%alcohol, prick with size-5 injection needle to get out of the blackhead, whitehead, acne, pustules, or fat emboli, pus, stagnant blood of cysts, one time each week.â‘¡two groups were given the traditional differentiation acupoints repectively:SI18, DU14, LI11, LI4, ST44, and plus corresponding acupoints according to different differentiation.3 times each week.â‘¢treatment group plus regulating imbalanced-constitution points:RN8, RN4, BL 23, ST36, KI1. (RN8, moxibustion with salt and ginger; KI1, mild moxibustion, the rest acupoints, moxibustion with warm needle).2 times acupuncture and one time moxibustion each week, and RN8 is prohibit to insert needle.3 Treatments a week, one month as a course, observe overall efficacy after three courses. Used SPSS17.0 statistical software for data processing:Count data were analyzed by Chi-Square Test, measurement data were analyzed by t Test, level data were analyzed by Non-parametric test.Results:The treatment group and control group, the total efficient rate was 93.3%and 71.9%, with statistically significant difference (P<0.05). The total efficient rate for each differentiation:lung wind-heat 91.7%, damp heat stagnant 87.5%, damp phlegm congealment 100%in the treatment group; lung wind-heat 71.2%, damp heat stagnant 83.3%, damp phlegm congealment 69.2%in the control group. There was statistically significance (P<0.05)in differentiation of lung wind-heat, but no statistically significant (P> 0.05)in differentiation of damp heat stagnant and damp phlegm congealment. As improvement in damaged lesions, treatment and control groups before and after treatment were significantly reduced damaged-lesion integration, compared to two groups, there was statistically significant (P<0.05)before and after treatment as improvement in syndrome of Yang-differentiation constitution. Constitution integration decreased significantly in treatment group (P<0.05)but didn't decrease significantly in control group (P> 0.05). After treatment, there was statistically significant between two groups in constitution integration (P<0.05). Followed up visit for 2 months, recurrence rate of treatment group was significantly lower than control group. Conclusion:The regulating imbalanced constitution group and the traditional acupuncture group had achieved good efficacy in treating Lingnan acne, The regulating imbalanced constitution group were better than traditional acupuncture group in improvement of damaged-skin lesions and overall efficacy rate, Compare TCM differentiation, the treatment group had similar effects as control group in lung wind-heat and damp heat stagnant, but treatment group was better than control group in phlegm damp congealment. Compare Yang-differentiation constitution integration, the integration decreased significantly before and after treatment in treatment group, but in the control group there were not significantly decrease. Treatment group had better efficacy than control group in improvement of Yang-deficient integration. In addition, the regulating imbalanced constitution group had lower recurrence rate that was significantly lower than traditional acupuncture group.