Clinical Observation On The Treatment Of Subacute Eczema With Damp And Hot Type By Acupuncture Combined With The Auricular Application Bloodletting Therapy

Objective:To observe the clinical effect of acupuncture combined with the auricular application bloodletting therapy and external hydrocortisone butyrate ointment on subacute eczema with damp and hot type,and to provide a better scheme for the clinical treatment of subacute eczema with damp and hot type.Method:60 cases of subacute eczema with damp and hot type were randomly divided into treatment group and control group,30 cases in each group.The treatment group was treated by acupuncture combined with the auricular application bloodletting therapy.The patients in the treatment group were first treated by acupuncture at Quchi,Hegu,Xuehai,Zusanli,Yinlingquan and Sanyinjiao on both sides,the auricular application bloodletting therapy(taking one side of adrenal gland and endocrine).The acupuncture lasted for 5 days a week and rested for 2 day.the auricular application bloodletting therapy was performed after the first acupuncture at the end of each week,once a week,with two ears alternately.The control group was treated by hydrocortisone butyrate ointment,2 days a day Time,one time in the morning and one time in the evening,two days rest after 5 days of continuous use,the course of treatment in both groups was 4 weeks.The area and severity index score(EASI score),Visual analogue score of pruritus(VAS score),serum IgE level and TCM symptom score before and after treatment were observed and recorded for statistical analysis.Results:1.Eczema area and severity index score(EASI score): after 2 weeks of treatment,compared within the group,the easi score of the two groups were lower than before treatment,the difference was statistically significant(P<0.05);compared between the groups,the score of the treatment group was higher than that of the control group,the difference was statistically significant(P<0.05).After 4 weeks of treatment,the easi score of the two groups was lower than that before treatment,the difference was statistically significant(P<0.05);between the two groups,the score of the treatment group was lower than that of the control group,the difference was statistically significant(P<0.05).2.Visual analogue score of pruritus(VAS score): after 2 weeks of treatment,compared within the group,the VAS score of the two groups were lower than before treatment,the difference was statistically significant(P<0.05);compared between the groups,the score of the treatment group was higher than that of the control group,the difference was statistically significant(P<0.05).After4 weeks of treatment,compared within the group,the VAS scores of the two groups were lower than before treatment,the difference was statistically significant(P<0.05);compared between the groups,the score of the treatment group was lower than that of the control group,but the difference was not statistically significant(P<0.05).3.Serum IgE level: after 4 weeks of treatment,the serum IgE level of the two groups was lower than that before treatment,the difference was statistically significant(P<0.05);the serum IgE level of the treatment group was lower than that of the control group,but the difference was not statistically significant(P>0.05).4.TCM symptom score: after 4 weeks of treatment,compared within the group,the individual score and total score of TCM symptom in the treatment group were lower than those before treatment,the difference was statistically significant(P<0.05),compared before and after treatmentin the control group,the difference was not statistically significant(P>0.05);compared between groups,the individual score and total score of TCM symptom in the treatment group were lower than those in the control group,the difference was statistically significant(P<0.05).5.After 4 weeks of treatment: the total effective rate of the treatment group(82.14%)was higher than that of the control group(72.41%),the difference was statistically significant(P<0.05).Conclusions:1.Acupuncture combined with the auricular application bloodletting therapy is slower than hydrocortisone butyrate ointment in reducing the onset time of skin lesions and pruritus in patients with subacute eczema with damp and hot type,but in the long-term effect,the degree of skin lesions reduction is better than hydrocortisone butyrate ointment.2.Acupuncture combined with the auricular application bloodletting therapy has the same effect as hydrocortisone butyrate ointment in reducing serum IgE level,but acupuncture combined with the auricular application bloodletting therapy is better than hydrocortisone butyrate ointment in improving TCM symptoms.3.The clinical therapeutic effect of acupuncture combined with the auricular application bloodletting therapy is better than hydrocortisone butyrate ointment.