Preliminary Study On The Effect Of Abdominal Massage On Primary Hypertension Of Yin Deficiency And Yang Hyperactivity Based On Sympathetic Nerve Activity

Objective: This subject observes abdominal massage to intervene in patients with essential hypertension of yin deficiency and yang hyperactivity,and evaluates its antihypertensive effect on the disease and its effect on the cardiac sympathetic nervous system.It is used for abdominal massage to regulate yin deficiency yang by regulating cardiac sympathetic nervous system Hyperthyroidism provides certain data,and provides certain theoretical basis for further research or similar research.Method: Patients from June 2019 to January 2020 who were treated in the Tuina Clinic and Ward of the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine and volunteers recruited in the society are selected according to relevant diagnostic standards,inclusion standards,and exclusion standards 60 eligible patients were divided into a test group and a control group using a random number table method,with 30 cases in each group.The control group received oral CCB antihypertensive drugs.The experimental group used abdominal massage combined with oral CCB antihypertensive drugs.The abdominal massage was treated once every other day for a total of 6 times.By comparing the BP and HR of patients in the test group before and after 30 minutes of rest on the first day of treatment with the BP and HR evaluation of the treatment on the first day of treatment,compare the BP,HR and LF / HF of the two groups of patients during the test Function and relationship between the cardiac sympathetic nervous system and the disease.TCM syndrome scores were used to evaluate TCM syndromes.The efficacy and total effectiveness were observed after the treatment.The long-term effects were observed after 3 months of continuous follow-up 1 month after the last treatment.And use statistical methods for statistical analysis.Result: 1.A total of 60 patients were enrolled in this study,4 cases fell out during the treatment,2 cases were lost in both groups,1 case was excluded in the control group,55 cases were effective,28 cases in the test group and 27 cases in the control group.2.The general condition of the two groups of patients,there is no significant difference in the indicators before treatment,and they are comparable.3.In terms of regulating the immediate BP and HR,both the immediate BP and HR of the patients improved significantly after manual treatment.There was no significant change in SBP and HR immediately after resting,and the DBP improved significantly,and the manual treatment was significantly lower than that of simple resting.During the treatment period,the test group and the control group can effectively reduce BP and HR.The onset time and blood pressure lowering effect of the test group are significantly better than the control group.The total effective rate of the test group is 96.43%,and the total effective rate of the control group is 85.19%.During the follow-up period,the average BP and HR of the patients in the experimental group were significantly lower than those in the control group.4.Both the control group and the test group have a significant effect on reducing LF / HF,and the test group is significantly lower than the control group.LF / HF has a positive correlation with BP and HR.5.Both groups can effectively reduce the TCM syndrome score,while the test group is significantly better than the control group,the total effective rate of the test group is 92.86%,the total effective rate of the control group is 51.85%;All have significant effects,and the test group is superior to the control group;in terms of sub-scores,except for the back acid in the control group,the other two groups have significantly lower scores,and except for the soft knee,tinnitus,and forgetfulness,the test group is significantly Better than the control group.Conclusion: 1.Abdominal massage combined with taking CCB antihypertensive drugs or only taking CCB antihypertensive drugs to treat yin deficiency-yang hyperactivity type of essential hypertension have certain effects,which can effectively reduce patients' BP,HR,and cardiac sympathetic nervous system activity.And alleviate the corresponding clinical symptoms,the safety of the two groups of treatments is good.2.Abdominal massage combined with CCB antihypertensive drugs for the clinical efficacy of this syndrome,including BP,HR,LF/HF and TCM syndrome points are significantly better than CCB antihypertensive drugs only.This therapy has certain advantages and is suitable for clinical application.3.The sympathetic nervous system has a certain contribution in the pathogenesis of hypertension,and abdominal massage may reduce BP and HR by regulating the sympathetic nervous system.