The Clinical Study Of The Treatment Of Liver And Kidney Deficiency Type Androgenetic Alopecia By The Combination Of Back-shu Points Needle Warming Moxibustion And Scalp-acupuncture

ObjectiveThe clinical performance and disease course of androgenetic alopecia(ASA)is multiple and complex.And there are clinically various of treatment of it.Western medicine,can help to stop progression of the illness and promote hair growth.But some patients will be loss more hair after taking drug.And some after drug withdrawal,it will be likely to rebound.To explore the clinical efficacy of this method in the treatment of ASA,we evaluate treatment of the combination of Back-shu points needle warming moxibustion and scalp-acupuncture.Acupuncture is a valuable non-operative treatment to improve the symptoms,with various ways,low side-effect,safety and not expensive.Methods60 patients from 2016.06 to 2016.02 in hospital acupuncture clinic and ward and dermatology clinic,as its topit commands,were divided into treatment group(the combination of Back-shu points needle warming moxibustion and scalp-acupuncture)and the control group(scalp-acupuncture)randomly.Each group had 30 patients.The main points of treatment group:Feishu(BL13),Pishu(BL20),Ganshu(BL18),Shenshu(BL23),Dachangshu(BL25),Shuaigu(GB8),Sishencong(EX-HN1),Jiannao(the experience point,0.5 inch below Fengchi(GB20)),and adjunct points:Touwei(ST8),Dazhui(DU14),Shangxing(DU23).The main point of controlgroup:Dachangshu(BL25),Shuaigu(GB8),Sishencong(EX-HN1),Jiannao(the experience point,0.5 inch below Fengchi(GB20)),and adjunct points:Touwei(ST8),Dazhui(DU14),Shangxing(DU23).Touwei(ST8)uses mild acupuncture techniques,whereas Sishencong(EX-HN1)and Jiannao use reinforcing techniques.While Feishu(BL13),Pishu(BL20),Ganshu(BL18),Shenshu(BL23)and Dachangshu(BL25)use acupuncture and moxibustion.Then Retaining needle for 30 minutes.A treatment course is four weeks.Every week in course,there is three times of treatment.We evaluate clinical effect of treatment after the first,the second,and the third treatment course.The patients are demanded to fill in Dermatology Life Quality Index(DLQI)and Self-Rating Anxiety Scale(SAS)before the first treatment course and right after the third treatment course.ResultsThere is no statistically significance between 2 groups in gender,age,job nature,course,and alopecia area(P all>0.05).Statistically,there is no significant difference between 2 groups on SAS total score and the degree of anxiety it reflects before the treatment.There is no significance between 2 groups in the group of comparison on DLQI total score and each factor before the treatment statistically.There is statistically significant difference between the alopecia area of two groups before the treatment.So as the time after the first,second and the third treatment course have done.Clinical effect of treatment of two group is statistically significant difference by using rank sum test at the first and the second treatment course.There is no statistically significance at the third course between 2 groups.There is no statistically significant difference between 2 groups the group of comparison on SAS total score.There is statistically significant difference between pre-therapy and post-treatment in both the treatment group and the control group.Each factor of SAS of treatment group and control group by the rank sum test between pre-therapy and post-treatment has statistically significant difference(P all<0.05),except the sixth factor.The DLQI total score of 2 groups after the treatment is no statistically significant difference in the group of comparison by normal test and ANOVA test(P>0.05).The DLQI total score of 2 groups after the treatment is statistically significant difference in the group of comparison by independent-samples t test(P<0.05).There is statistically significant difference between pre-therapy and post-treatment of both treatment group and control group by applying comparative t-test.Each factor the DLQI does not comply with the normal distribution between 2 groups after the treatment.There is no statistically significant difference between 2 groups after the treatment by using Mann-Whitney U test(P>0.05),except the fifth and the seventh factor.ConclusionEach of the therapies,the combination of Back-shu points needle warming moxibustion and scalp-acupuncture and simple scalp-acupuncture,has clear clinical efficacy.The combination of Back-shu points needle warming moxibustion and scalp-acupuncture is better than simple scalp-acupuncture at the first and the second treatment course.But there is no statistically significant difference at the third treatment which prove the efficacy of the combination of Back-shu points needle warming moxibustion and scalp-acupuncture has quick effect than the simple scalp-acupuncture.And it can better improve the quality of life,especially in the social contact and the work and study.