Clinical Research Of Yin-Yang Tiao Li Jiu Combined With Electro-acupuncture On Improving Phlegm-dampness Constitution Of Simple Obesity Patients

ObjectiveThe main purpose is to observe the clinical efficacy of Yin-Yang Tiao Li Jiu combined with electro-acupuncture therapy on improving phlegm-dampness constitution of simple obesity patients.Compared with the electro-acupuncture therapy,based on the regulating of biased constitution,this article discusses the superiority effect of Yin-Yang Tiao Li Jiu combined with electro-acupuncture therapy in the treatment of simple obesity patients,so as to broaden perspectives and provide advantageous ideas for clinical treatment of this disease.MethodsFrom March 2017 to September 2018,simple obese patients treated in the department of the acupuncture and moxibustion of Hubei Provincial Hospital of Traditional Chinese Medicine were collected in this study,66 subjects of which conform to the phlegm-dampness constitution.The subjects were randomly divided into two groups,including electro-acupuncture group and Yin-YangTiao Li Jiu combined with electro-acupuncture group.In the electro-acupuncture group,acupoints were selected as Zhongwan,Shuifen,Tianshu,Huaroumen,Daheng,Daimai,Quchi,Zhigou,Yinlingquan,Zusanli,Fenglong,Sanyinjiao.After needling qi,electro-acupuncture was added to bilateral Tianshu and Dazheng.At a time the needle was kept for 30 min,once every other day and 10 times made up one course,a total of 3 courses in all.Yin-Yang Tiao Li Jiu combined with electro-acupuncture group applied Yin-Yang Tiao Li Jiu on the basis of electro-acupuncture treatment.And the specific steps are as follows: At the same time of electro-acupuncture treatment,one of Yin-Yang Tiao Li Jiu,namely herbal cake-separated moxibustion,which was placed on Guanyuan and Shenque points in the abdomen respectively,and after that,herbal cake-separated moxibustion was also applied on the back of Mingmen,Shenshu and Pishu points.And the duration from abdomen to back points was 30 min,once every other day,and the course was the same as the conventional electro-acupuncture group.To observe and record the obesity-related indicators(such as waist circumference,body weight and BMI),phlegm-dampness constitution scale score and symptom integral of phlegm-dampness constitution before and after treatment,then analyze the aboved relevant indicators by statistical methods.Results1.Dropout: During the period of treatment,one subject was dropout in Yin-Yang Tiao Li Jiu combined with electro-acupuncture group and 2 subjects were dropout in the electro-acupuncture group.Finally,a total of 63 patients were included in the statistical analysis,including 32 subjects in the Yin-Yang Tiao Li Jiu combinedwith electro-acupuncture group and 31 subjects in the electro-acupuncture group.2.Comparison of curative effect: In the Yin-Yang Tiao Li Jiu combined with electro-acupuncture group,5 subjects were cured,15 subjects were markedly improved,9 subjects were effective and 3subjects were invalid,the total effective rate was 90.63%;In the electro-acupuncture group,3 subjects were cured,14 subjects were markedly improved,8 subjects were effective and 6 subjects were invalid,the total effective rate was 80.65%.The differences between the two groups were not statistically significant.3.Comparison of changes in body weight,waist circumference and BMI before and after treatment between the two groups: after treatment,the body weight,waist circumference and BMI of the two groups were both reduced to different degrees,and the differences between the two groups were statistically significant(P <0.05);Comparison among groups,the body weight,waist circumference and BMI of Yin-Yang Tiao Li Jiu combined with electro-acupuncture group reduced more significantly.4.Symptom integral of phlegm-dampness constitution: After treatment,patients in the two groups showed different degrees of improvement in symptoms of chest tightness or abdominal distension,body heaviness,abdominal fatness and looseness,forehead secretion of much grease,edema of upper eyelid,much phlegm,sticky mouth,thick and greasy tongue coating,with statistically significant differences(P<0.05);Compared between the two groups,the score in edema of upper eyelid between the two groups after treatment decreased to different degrees compared with that before treatment,but the difference was not significant,withoutstatistical significance(P>0.05);The symptom scores of chest tightness or abdominal distension,body heaviness,abdominal fatness and looseness,forehead secretion of much grease,edema of upper eyelid,much phlegm,sticky mouth,thick and greasy tongue coating in the Yin-Yang Tiao Li Jiu combined with electro-acupuncture group were significantly lower than those in the electro-acupuncture group,and the differences were statistically significant(P<0.05).5.Comparison of Phlegm-dampness constitution transformation score: the phlegm-dampness constitution transformation score of the two groups decreased in varying degrees,and the differences were statistically significant(P<0.05).Compared with the electro-acupuncture group,the degree of phlegm-dampness bias in the Yin-Yang Tiao Li Jiu combined with electro-acupuncture group was significantly improved,and the difference was statistically significant(P<0.05).Conclusion1.Both Yin-Yang Tiao Li Jiu combined with electro-acupuncture therapy and electro-acupuncture therapy have satisfactory clinical efficacy in the treatment of obesity.2.Compared with electro-acupuncture therapy,Yin-Yang Tiao Li Jiu combined with electro-acupuncture therapy not only can do good to weight loss,but also effectively improve the clinical symptoms of obese patients,and regulate biased constitution,so that it tends to be gentle nature,thus better improve the health status of the body.And the latter therapy is easier to be accepted,which can be further promoted in clinical practice.