Clinical Observation On Treating Epigastric Pain Syndrome With Chinese Medicine Combined With Auricular Pressuring Therapy

ObjectiveThe purpose of this clinical study is to assess the effect of the treatment by using my tutor's clinical empirical prescription jianpi shugan decoction comboined with aurieular point sticking to treat the patients who were suffering from epigastfic pain syndrome(EPS)of liver depression and spleen deficiency,to objective evaluate the efficacy of both empirical prescription jianpi shugan decoction and auricular point sticking therapy,so as to improve its clinical efficacy and for further clinical application.MethodsThis study adopts a randomized,single-blind,controlled clinical design method.A total of 135 patients with EPS of liver depression and spleen deficiency who meeting the criteria included in this study were randomly divided into three group,each group for 45 patients,in control group patients were treated with Rabeprazole Sodium Enteric-coated Capsules,Experimental group A was treated with jianpi shugan decoction on the basis of the control group.On the basis of the in group A,treatment group B patients were treated with auricular point sticking at the same time,Each group was treated for 4 weeks.After treatment,the changes of each symptom score before and after treatment in each group were recorded,and the data were integrated and processed,finally the analysis was conducted to draw a conclusion.Results1.There was no significant difference between the three groups in age and gender composition,which was comparable(P>0.05).2.Comparison of overall clinical efficacy:after treatment,the total effective rates of control group,experimental group A and experimental group B were 75.56%,95.56%and 97.78%respectively.The total effective rate of experimental group B was significantly higher than that of control group and experimental group A,while the total effective rate of experimental group A was significantly higher than that of control group(P<0.01).3.Comparison of total score of symptoms:after treatment,the total score of symptoms in the three groups all decreased significantly,with significant difference(P<0.01),and the decrease degree of total score of symptoms in the experimental group B was significantly better than that in the control group and the experimental group A,and the decrease degree of total score of symptoms in the experimental group A was significantly better than that in the control group(P<0.01).4.Comparison of main symptom scores:the scores of main symptoms of upper abdominal pain and burning sensation of upper abdomen in the three groups after treatment were significantly lower than those before treatment,with significant difference from those before treatment(P<0.01).And the experimental group B was better than the control group and experimental group A(P<0.01);The experimental group A was superior to the control group(P<0.01).5.Comparisons of single symptom scores of TCM:After treatment,the scores of symptoms such as abdominal distension,inappetence,belching and acid regurgitation in the three groups were significantly lower than those before treatment(P<0.01),However,in terms of improving symptoms of abdominal distension and inappetence,experimental group B was significantly better than the control group and experimental group A(P<0.01).Experimental group A was significantly better than the control group in the improvement of abdominal distension symptoms(P<0.05),and was significantly better than the control group in the improvement of inappetence symptoms(P<0.01).In terms of improving the symptoms of belching and acid regurgitation,both experimental group A and experimental group B were significantly superior to the control group(P<0.01),and the effect of belching and acid regurgitation was similar between experimental group B and experimental group A without significant difference(P>0.05).In terms of insomnia and irritability,there was no significant difference in the improvement of insomnia and irritability between the three groups after treatment(P>0.05).However,there were significant differences in symptom improvement after treatment between the experimental group A and the experimental group B(P<0.01),and the experimental group B was superior to the experimental group A(P<0.01).Conclusion1.Through this study,it was concluded that Jianpi shugan decoction is a safe,feasible and effective empirical prescription with definite efficacy and significant clinical efficacy in the treatment of upper abdominal pain syndrome with liver depression and spleen deficiency.2.Jianpi shugan decoction combined with auricular acupoints therapy can further improve the clinical efficacy of treating epigastric pain syndrome,with better efficacy in alleviating overall symptoms,especially in the improvement of upper abdominal pain,burning sensation of upper abdomen,abdominal distension,inappetence,emotions and sleep symptoms.It is worthy of further study and clinical application.