The Clinical Comparative Study Of Different Principles Of Selection Of Points Of Acne Vulgaris

Acne vulgaris is a chronic inflammatory skin disease, the pathological basis is due to changes in the endocrine system effects caused by sebaceous gland hypertrophy, increased secretion of sebum, leaving the sebum block the hair follicle population stasis, excess sebum can not be discharged, and then as microbial invasion of hair follicles and other reasons to make local produce redness and other skin inflammation. The TCM called "acne", that its occurrence or from the lungs through the wind-heat and fumigation skin; greasy or too spicy things, erosion of the skin caused by spleen simmers; or because red does not transfer any skin catharsis function smooth and hair loss. Predilection adolescent acne vulgaris, primarily the cumulative face and chest and back, etc., can affect patients of different appearance of the image, with the inconvenience and pain to bring greater financial burden. Therefore, the safe and effective treatment programs to highlight the significance and value. The current Western medicine to treat the disease more topical liniment and oral medication use, efficacy and side effects are more less than ideal; and non-drug therapies as Chinese acupuncture therapy, with its simple, safe, more effective, no adverse reactions, easily accepted by the patient characteristics and gradually by clinicians and patients the importance of all ages. This study used three different principles of selection of points before and after treatment in patients with acne vulgaris clinical efficacy are discussed.Objective:By using three different methods of selection of points on the principles of acupuncture treatment in patients with acne vulgaris clinical observation, and the use of acne severity rating scale (hereinafter referred to as GAGS) score and serum levels of school-related indicators were used to observe them accordingly changes, a different selection of points of principle and effect relationship, with a view to the best disease-oriented treatment programs provide a scientific basis, to further improve the clinical efficacyMethods:60patients with acne vulgaris patients by random number table, randomly divided into three groups,20patients with partial selection of points, all the way20patients selected points, and all the way local point selection group,20patients (treatment groups were present during the off case). Three groups underwent acupuncture treatment three times a week, every20minutes,4weeks for a course of treatment, a total of two courses. Before and after treatment were used GAGS score, serum arachidonic acid (AA). free testosterone (FT), interlcukin-6(IL-6), sex hormone binding (SHBG). dehydroepiandrosterone sulfate (DHEAS) as the indicators to be assessed and related comparisons. Conclusion:(A) According to randomization using three different principles of selection of points before and after treatment GAGS score display:The group scores were significantly back down, which local selection of points before and after treatment GAGS scores were significantly different (◆P<0.05) was statistically significant, all the way selected point groups and local and afar selected points before and after treatment there was a significant difference (△P<0.01). Then for each classification group with Pillsbury classification, patients with acne at all levels were observed using three kinds of principles GAGS before and after the score, draw three kinds of principles of selection of points before and after treatment showed no significant difference (※P>0.05).(B) According to randomization using three different principles of selection of points before and after treatment serum concentrations of the indicators show:(B) All patients treated with DHEAS, FT, SHBG, AA, IL-6before and after treatment compared with the control group were significantly different (◆P<0.05), including AA, SHBG three groups of indicators between different principles of selection of points was difference (AA-◆P<0.05) and significant differences (SHBG-△P<0.01), with statistical significance, FT, IL-6indicators show no significant difference (※P>0.05); and dehydroepiandrosterone sulfate DHEA (DHEAS) before and after treatment compared with the control group there was no significant difference (※P>0.05).(C)The acne vulgaris patients through the system of acupuncture treatment, the severity of lesions in varying degrees of improvement, GAGS score before and after treatment were significantly different, indicating that Chinese acupuncture treatment for reducing the severity of acne is effective; In addition, acupuncture also effective in patients with acne on the impact of inflammatory cytokines and serum indicators of significant parts of the intervention effect, but the principle is just a different selection of points of improvement in some indicators there are obvious differences, generally speaking, local and point group and all the way all the way selected group of selected points in the regulation of hormone levels more superior results to illustrate the different points selected according to the principles of acupuncture for acne can be different form factors and symptoms to be improved and adjusted accordingly.