Clinical Sesearch On Treatment For Apoplectic Hemiplegia With The Method Of Purging The South And Reinforcing The North With The Acupoints By Acupuncture

ObjectiveThis study is about the theory of using acupuncture in the treatment of Apoplectic Hemiplegia and the application,which was adopted a simple randomized controlled study,based on the relationship between stroke and the five viscera,and adjusted the deficiency and excess of the five viscera with the method of purging the South and reinforcing the north(PSRN).By observing the clinical effect of PSRN plus routine acupuncture and routine acupuncture on Apoplectic Hemiplegia,exploring the effectiveness of The method of purging the South and reinforcing the north with the acupuncture,we expect to provide new ideas for clinical practice.MethodsIn this study,60 patients with Apoplectic Hemiplegia,collected in the Department of Rehabilitation,Guangdong Provincial Hospital of TCM from March2017 to November 2017,were randomly divided into treatment group and control group according to the proportion of 1 to 1(30 cases for each).According to the order of patients,the corresponding treatment plan was given.The two groups of patients were given conventional medical treatment based on secondary prevention of stroke and rehabilitation training program based on Bobath technology.On these basis,the treatment group were given acupuncture with the PSRN+conventional acupuncture,while the control group were given conventional acupuncture.The acupuncture with the PSRN includes double Shaofu and double Yingu points,and its operation base on the principle of“first needing ill side and then the normal side,and first purging and than reinforcing”,needing Shaogu contrasting to meridian direction,and needing Yingu at the direction of the meridian(first needing ill side and then the normal side).After getting qi,given twisting reducing method on Shaofu,and twirling reinforcing needling method on Yingu.The conventional acupuncture include upper limb points(Wangu Yangchi Hegu Waiguan Shousanli Quchi Jianyu)and lower limb points(Kunlun Jiexi Yanglingquan Zusanli Futu Fengshi Huantiao),With the syndrome:the hyperactivity of the liver Yang,adding Taichong and Taixi;the wind and phlegm obstructing the collaterals,adding Fenglong and Hegu;the phlegm and heat making the fu orgen organs fulling,adding Neiting and Fenglong;the Qi deficiency and blood obstruction,adding the Qihai and Xuehai;wind formation from yin deficiency,adding the Taixi and the Fengchi(both points except Qihai),choosing suitable needles for the injection,and all of them should be twirled after given qi.Twirling method to reducing and reinforcing,both of the oprerations should take time in 1to 2 minutes,and should twirling again in per 10 minutes,while leave 30minutes in the period.All patients were treadted once a day,6 times for a week as a course of treatment,1 day for rest,a total of 4 courses.The Fugl-Meyer motor function score(FMA),modified Barthel index(MBI),TCM Syndrome scores were evaluated before and after treatment of patients with motor function,activities of daily living and changes in clinical symptoms.ResultsA total of 60 patients were bring into the study,who were completed relevant treatment and assessment according to established experimental design requirements,without abscission occurred during the experiment.First,comparison of baseline data:(1)The difference of gender between two groups was compared by chi square test of four tables,?~2=0.693,P=0.405>0.05,it shows that there was not statistically significant;(2)The difference of age between two groups was compared by two independent sample T test,t=0.966,P=0.338>0.05,it shows that there was not statistically significant;(3)The course of disease data between two groups were compared by non parametric test,P=0.735>0.05,it shows that there was not statistically significant;(4)the difference of the causes between two groups was compared by chi square test,?~2=2.089,P=0.554>0.05,it shows that there was not statistically significant;(5)The syndrome type of the two groups of patients was compared by chi square test,?~2=0.340,P=0.987>0.05,it shows that there was not statistically significant;(6)Two groups of patients before treatment,FMA score,MBI score,TCM syndrome score were compared,after statistical tests,there was no statistical significance(P>0.05).The baseline,gender,age,course of disease,causes and syndrome type were not significantly different(P>0.05),such as FMA score,MBI score and TCM syndrome score of the two groups before treatment.Second,the comparison of curative effect before and after treatment:(1)After treatment,FMA score,MBI score and TCM syndrome score of the two groups were significantly different from those before treatment,and the difference was statistically significant(all of P<0.05);(2)The difference value between the treatment group and the control group was statistically significant in the patients’limb function score,activity score of daily living,TCM syndrome score(all of P<0.05);(3)The clinical efficacy,based on the TCM syndrome,show that 0:0 cases was curd,4:1 case was markedly effective,23:21 was effective and 3:8 was invalid between the treatment group and the control group,and the total effective rate was 90%:73.33%.Two groups of patients with TCM syndrome curative effect,by Mann-Whitney rank sum test,z=-2.015,P=0.0.044<0.05,it shows that there was statistically significant,and the TCM Syndromes of two groups of patients have different curative effects.ConclusionThe acupoint method of PSRN acupuncture with acupoints treatment of apoplectic hemiplegia has obvious advantages over conventional acupuncture in improving limb movement disorders,activities of daily living,TCM syndrome integral points and clinical curative effect.