Clinical Observation Of Chinese Herbal Fumigation Combined With Chinese Herbal Medicine In The Treatment Of Seborrheic Alopecia(liver And Kidney Insufficiency)based On "xuanfu Theory"

Objective :Based on the study of xuanfu theory,traditional Chinese medicine fumigation treatment and seborrheic alopecia,to understand the improvement of hair growth,scalp inflammation,scalp itching,scalp oil secretion and dandruff in patients with liver and kidney insufficiency seborrheic alopecia treated with traditional Chinese medicine fumigation combined with oral Chinese medicine qibaomei beard powder.In this study,traditional Chinese medicine fumigation treatment combined with oral Chinese medicine group and oral Chinese medicine group were used to treat hepatic and renal insufficiency seborrheic alopecia.The clinical efficacy of the two groups was observed,and the efficacy difference between traditional Chinese medicine fumigation treatment combined with oral Chinese medicine and oral Chinese medicine alone was compared to explore the feasibility and safety of traditional Chinese medicine fumigation treatment.Methods:The subjects of this study were selected from the affiliated hospital of chengdu university of traditional Chinese medicine,From March 2019 to September 2019,patients diagnosed with hepatic and renal insufficiency seborrheic alopecia and eligible for inclusion were selected.The 72 patients who met the standard were divided into experimental group and control group by random number table method.The experimental group was Chinese medicine fumigation treatment combined with oral Chinese medicine qibaomei whiskery prescription,and the control group was oral Chinese medicine qibaomei whiskery prescription.Before treatment,after the first course of treatment,after the second course of treatment and after the third course of treatment,the number of hair,scalp inflammation,scales,hair loss,itching and oil secretion in the fixed area of the patients were objectively evaluated and recorded.Finally,SPSS 22.0 was used to analyze the data and compare the difference in the therapeutic effect between the two groups.Results :(1)The non-parameter rank sum test(mann-whitney U)was performed for the number of hair in the fixed area,the grading of scalp inflammation,the grading of scalp scales,hair loss,itching,grease and anxiety in the two groups after the first course of treatment;(2)For the treatment of two groups of patients after the second treatment,scalp inflammation grading,the number of fixed area of hair scalp scales grading,hair loss situation,itching,greasy,anxiety is nonparametric rank and inspection(the Mann-Whitney U),experimental group and control group in a fixed area number,scalp hair scales,hair loss,itching,greasy,P > 0.05,there was no statistically significant difference treatment group and control group.In terms of scalp inflammation,P(=0.005)< 0.05 was found between the experimental group and the control group,and the difference between the experimental group and the control group was statistically significant.In terms of anxiety between the experimental group and the control group,P=(0.024)< 0.05,and the difference between the experimental group and the control group was statistically significant,indicating that the experimental group was superior to the control group in improving scalp inflammation and relieving anxiety from the second course of treatment;(3)For the treatment of two groups of patients after the third treatment,scalp inflammation grading,the number of fixed area of hair scalp scales grading,hair loss situation,itching,greasy,anxiety is nonparametric rank and inspection(the Mann-Whitney U),on the fixed quantity area of hair and scalp inflammation score,P > 0.05,there was no statistically significant difference treatment group and control group.In terms of reducing scaly scalp,reducing hair loss,improving scalp itching,greasiness and relieving anxiety,P < 0.05 indicated that the difference between the experimental group and the control group was statistically significant;(4)Before the treatment and after the treatment of the test group within the group comparison,the test group in the fixed area hair number,scalp inflammation grading,scalp scale grading,hair loss,itching,greasy,anxiety,all obtained P < 0.05,before and after the treatment of the test group difference has statistical significance.In the control group,the number of hair in the fixed area and the reduction of scaly scalp was 0.05,and the difference was not statistically significant.In terms of grading of scalp inflammation,grading of scalp scales,hair loss,itching,greasiness and anxiety,P < 0.05 was obtained,with statistically significant differences.The results showed that both the experimental group and the control group had effects on reducing scalp inflammation,itching,grease,anxiety,and hair loss,but the experimental group was better than the control group in increasing the number of hair and reducing scalp scale;(5)The total effective rate of the experimental group was 85.29%.The total effective rate of the control group was 75.76%.The effective rate of the experimental group was slightly better than that of the control group.Chi-square test was performed on the efficacy of the two groups,P=0.55 > 0.05,indicating that the difference between the experimental group and the control group was not statistically significant;(6)In terms of safety,the experimental group and the control group have no adverse reactions,Chinese medicine fumigation treatment is safe and effective.Conclusion:The two treatment regimens adopted in this study were both effective in the treatment of patients with sebaceous alopecia(liver-kidney insufficiency type),and both had effects on reducing scalp inflammation,itching,greasy and anxiety,and reducing hair loss.However,the experimental group was better than the control group in increasing the number of hair and reducing scaly scalp.After the first course of treatment,there was no significant difference between the experimental group and the control group.At the end of the second course of treatment,the experimental group was better than the control group in reducing scalp inflammation and relieving anxiety.At the end of the third course of treatment,the experimental group was better than the control group in reducing scaly scalp,reducing hair loss,improving scalp itching,greasy,and relieving anxiety.This method broadens the traditional Chinese medicine external treatment of seborrheic alopecia,and is safe and effective,worthy of clinical promotion.However,due to the small sample size of this experiment,there is a lack of more accurate assessment method for seborrheic alopecia symptoms,so the experiment has certain limitations and needs to be further tested for its scientificity and preciseness.