Clinical Observation On Treatment Of Primary Hemifacial Spasm With Ginger Moxibustion And Acupuncture

Purposes: To compare the curative effect of ginger moxibustion combined with acupuncture therapy and acupuncture in the treatment of primary hemifacial spasm(p HFS),and to provide a reference for the clinical treatment plan.Methods: 72 patients with p HFS were grouped by ginger moxibustion combined with acupuncture(test group)and acupuncture(control group),and 36 cases in each group were studied by randomized and controlled clinical research methods.Both groups treated 2 sessions,and at the end of the total course of treatment 4 weeks after the follow-up.In the test group,the treatment of acupuncture is once a day,10 times of continuous treatment,then rest for 2 days,20 times for a course of treatment,rest for 2 days during the course of treatment,a total of 2 courses of treatment.Ginger moxibustion is arranged once a day in the first course of treatment,after 10 consecutive treatments,rest for 2 days,20 times for one course of treatment,rest for 2 days after the end of the course,and then for the second course of treatment,ginger moxibustion change to once every other day until the end of 2 courses,a total of 2 courses of treatment.The acupuncture method of the control group is the same as the test group.The two groups were evaluated before treatment,the first course of treatment,the second course of treatment and 4 weeks after the end of the course of treatment,the efficacy rating scale used the frequency of Penn Facial Muscle Spasm,the standard score of evaluation of the curative effect of Cohen Facial Spasm and the Score of self-made TCM symptom scale.Objective evaluation of ginger moxibustion combined with acupuncture and acupuncture to improve the frequency of spasm in patients with primary hemifacial spasm,intensity grading and self-made TCM symptom scale,to evaluate the difference between the two methods and explore its mechanism.Results:(1)According to the frequency evaluation of Penn facial muscle spasm: Intra-group comparison: two groups had statistically significance before and after treatment(P<0.05);Inter-group comparison: two groups had no statistically significance(P>0.05)before and after 1 courses of treatment.2 courses and 4 weeks after treatment were evaluated,and the frequency of spasm rating of ginger moxibustion combined with acupuncture was better than that of acupuncture(P<0.05).(2)According to the evaluation of Cohen facial muscle spasm Strength: Intra-group comparison: two groups had statistically significance during the session of treatment(P<0.05);Inter-group comparison: two groups had no statistically significance before treatment(P>0.05),After 1 courses and 2 courses,two groups had great statistically significance(P<0.05),and two groups had no statistically significance during the follow-up of 4 weeks after treatment(P>0.05).(3)According to the self-made TCM symptom scale: Intra-group comparison: two groups had great statistically significance before and after treatment(P<0.05).Inter-group comparison: Before treatment,two groups had no statistically significance(P>0.05),after 1 courses and 2 courses,two groups had great statistically significance(P<0.05).The ginger moxibustion combined with acupuncture was superior to the acupuncture,but there was no significant difference between the two groups during the 2 courses and 4 weeks after the whole treatment(P>0.05).(4)The total obvious effective rate of ginger moxibustion combined with acupuncture was 87.9%,However it was 59.4% in acupuncture group,and the two groups had statistically significance(P<0.05).(5)There was no statistically significant comparison between the two groups in terms of safety and compliance(P>0.05).Conclusions: 1.Ginger moxibustion combined with acupuncture and acupuncture can improve the frequency of facial muscle spasm,spasm intensity and self-made TCM symptom scale.They both groups have good safety and compliance.2.Ginger moxibustion combined with acupuncture therapy in the long-term improvement of spasm frequency is better than acupuncture treatment;It is better than acupuncture in improving the spasm intensity and the speed of self-made TCM symptom scale,but the long-term effect is the same.