"The Observed Treatment Is Divided Into Three" Dialectical Method On Stroke Syndrome Of Yin And Yang

Objective:To observe the effect of Buyang also five soup Gezhen that the liver and extinguish wind Decoction in the treatment of ischemic stroke recovery period "one to three" dialectical method for discrimination of yin and Yang Syndrome of intermingled clinical curative effect.Method: A randomized, prospective, positive controlled clinical trial. Will meet the inclusion criteria of 60 patients were randomly divided into treatment group and control group, each of 30 cases. Two groups of oral administration of traditional Chinese medicine dosage are 75ml/ times, 3 times / day, after three meals a day to take. Patients in treatment group were treated with Buyang also five soup Hezhen liver and extinguish wind soup drug addition and subtraction: Astragalus, angelica, Radix Paeoniae Rubra, Chuanxiong, peach kernel, safflower, earthworm, Achyranthes bidentata, calcined keel, calcined oyster, Radix Paeoniae Alba, asparagus, fried malt, pinellia tuber, Whitmania water, ginger. The control group by Yang five soup addition and subtraction clinically effective drugs: Astragalus, Acorus gramineus, angelica, peach kernel, Guizhi, grilled Polygala, Radix Paeoniae Rubra, earthworm, safflower, Rhizoma Chuanxiong. The two groups were 3 weeks. After the end of treatment, respectively, the two groups of patients in before treatment, 7 days of treatment, treatment 14 days, 21 days of stroke disease diagnosis and efficacy evaluation standards, the National Institutes of health stroke volume table(NIHSS) numerical statistical analysis and summary of the total efficiency and safety indexes of blood routine, liver function, kidney function, electrocardiogram were summarized.Results:1、Total effective rate:stroke diagnosis and efficacy evaluation criteria:the treatment group was 90%,the control group was 86.7%, P<0.05;NIHSS scale:the treatment group was 86.7%,the control group was 83.3%, P<0.05.2、Stroke disease diagnosis and curative effect evaluation standard integral comparison: before treatment, two groups of patients with stroke disease diagnosis and curative effect evaluation standard integral, there is no statistical difference(P > 0.05), indicating that the two groups can be compared; 7 days of treatment, two groups of patients with stroke disease diagnosis and curative effect evaluation standard quasi integral comparison, no significant difference(P>0.05); 14 days of treatment, two groups of patients with stroke disease diagnosis and curative effect evaluation standard integral, there is no statistical difference(P>0.05); 21 days of treatment, the two groups of patients with stroke disease diagnosis and curative effect evaluation standard integral compared with statistical difference(P<0.05).3、Stroke diagnosis and evaluation standard comparative clinical symptoms: before treatment, both groups of patients with stroke diagnosis and evaluation standard of the clinical symptom score, no significant difference(P>0.05), showed that the two groups were comparable; treatment after the two groups of patients soul, language, facial paralysis, eye symptoms, upper limb paralysis, refers to paralysis, lower limb paralysis, paralysis and other means of clinical symptom score decreased by independent sample t test, two groups of patients after treatment of stroke compared with the diagnosis evaluation standard of clinical symptom scores were statistically different(P<0.05), showed Buyanghuanwu Decoction Zhenganxifeng Buyanghuanwu soup and soup can significantly improve ischemic stroke convalescence jumbled yin and yang of Chinese medicine syndrome in patients with clinical symptoms and liver Xifeng decoction buyang clinical efficacy than five town together soup Buyanghuanwu soup.4、NIHSS scale score comparison: before treatment, both groups of patients with NIHSS scale score compared with no significant difference(P>0.05), showed that the two groups were comparable; for 7 days, two groups of patients NIHSS scale score compared no significant difference(P>0.05); the treatment of 14 days, two groups of patients NIHSS scale score compared with no significant difference(P>0.05); the treatment of 21 days, two groups of patients NIHSS scale score compared statistically Learn the difference(P<0.05).5、NIHSS scale clinical comparison: before treatment, the two groups of patients with NIHSS scale clinical symptom score, no significant difference(P>0.05), showed that the two groups were comparable; After treatment, the level of consciousness of the two groups of patients, stare, vision, facial paralysis, the clinical symptoms of upper limb movement, leg movement, ataxia, sensory and other points were significantly decreased by independent sample t test, two groups of patients after treatment in the NIHSS scale of the clinical symptom score are statistically different(P<0.05), showed Buyanghuanwu Decoction Zhenganxifeng Buyanghuanwu soup and soup can significantly improve ischemic stroke recovery yin and yang jumbled Western medicine clinical syndrome symptoms, and Bu Yang liver Xifeng decoction Decoction clinical efficacy of five town than Buyanghuanwu soup.6、Safety assessment: before and after treatment in the two groups of ECG, blood routine, liver and kidney function were compared, no significant difference(P>0.05). Conclusion: Buyanghuanwu Decoction Zhenganxifeng Buyanghuanwu soup and soup treatment of ischemic stroke convalescence jumbled yin and yang syndrome are safe and effective. Clinical study found: Buyanghuanwu Decoction Zhenganxifeng Buyanghuanwu soup and soup can significantly improve ischemic stroke recovery clinical symptoms of yin and yang jumbled Syndrome, and Buyanghuanwu Decoction liver-extinguishing wind soup clinical efficacy superior Buyanghuanwu soup, for the treatment of acute ischemic stroke patients recovering valid prescription jumbled yin and yang deficiency.