Clinical Observation On The Treatment Of Primary Trigeminal Neuralgia By Acupuncture At The Experiential Points Of Xia Shouren

Objective:To observe the application of Xia Shouren’s experience point acupuncture in primary trigeminal neuralgia and its therapeutic effect on patients with primary trigeminal neuralgia,summarize the therapeutic scheme of Xia Shouren’s experience point acupuncture,and search for the more effective and safer therapy to cure primary trigeminal neuralgia in the future.Methods:30 patients with primary trigeminal neuralgia received by our hospital from November 2018 to November 2019 were selected for clinical analysis and exploration.The envelope method was used to divide the patients into two groups:the observation group and the control group.As 2 patients fell off or were removed halfway,14 cases were eventually included in each group.The control group was treated with sham acupuncture plus carbamazepine(0.2g tid),and the observation group was treated with Xia Shouren’s experience acupuncture plus carbamazepine(0.2g tid).Acupoints:Neiguan,Lieque,Ligou,Hegu,Taichong,Gongsun,Zhaohai,Yanglingquan.The needles were kept for 30 minutes,3 times a.week,for 4 weeks,a total of 12 times.The basic data of the two groups,the number of pain attack days,attack frequency,VAS score,BAI score,BDI-Ⅱ score,SF36 score,which are recorded before treatment,4 weeks after treatment and 1 month after treatment,and the incidence of adverse reactions and the comparison of the overall efficacy between the two groups were observed.SPSS22.0 statistical software was used to process the statistical data,P<0.05,indicating that the difference was statistically significant.Results:(1)Basic data:there was no statistical difference between the observation group and the control group in gender,average age(P>0.05).(2)Days and frequency of pain attack:there was no statistical difference between the two groups in the number and frequency of pain attack before treatment(P>0.05);there was significant difference between the two groups in the number and frequency of pain attack in the fourth week and the month after treatment(P<0.05);there was significant difference between the two groups in the number and frequency of pain attack after treatment and before treatment(P<0.05).(3)Degree of pain relief:there was no statistical difference between the two groups in VAS score before treatment(P>0.05);there was no significant difference between the two groups in VAS score at the fourth week and the month after treatment(P>0.05);there was significant difference between the two groups in VAS score after treatment and before treatment(P<0.05).(4)BAI、BDI-Ⅱ score:there was no statistical difference in the scores of BAI and BDI-Ⅱ between the two groups before treatment(P>0.05);there was significant difference in the scores of BAI and BDI-Ⅱ between the two groups at the fourth week and the month after treatment(P<0.05);there was significant difference in the scores of BAI and BDI-Ⅱbetween the two groups after treatment and before treatment(P<0.05).(5)Quality of life(SF36)score:there was no statistical significance between the two groups in SF36 scores before the treatment(P>0.05);there was significant difference between the two groups in the SF36 scores at the fourth week and the month after the treatment(P<0.05);there was significant difference.between the two groups in the SF36 scores after the treatment and before the treatment(P<0.05).(6)The total effective rates of the treatment group and the control group were 92.86%and 78.57%,respectively.The chi square test showed that the results were different(P<0.05).(7)The adverse reaction rate of the treatment group was lower.Conclusion:In the treatment of primary trigeminal neuralgia,acupuncture at Xia Shouren’s experience points can effectively control the days and frequency of pain onset and relieve the degree of pain,which not only has a good effect on improving the anxiety and depression symptoms of patients,but also can improve the life quality of life and the overall treatment effect of patients to a certain extent.It can be widely used in the treatment of primary trigeminal neuralgia.