| Objective:In this study,the auricular point press was used to treat vestibular migraine,and its therapeutic effect and safety were observed by stimulating the auricular acupoints to regulate the functions of body and viscera,so as to provide a non-invasive,simple,safe and effective treatment for vestibular migraine.Then,by analyzing the results of video head pulse test of vestibular migraine retrospectively,the relationship between TCM syndrome types and video head impulse test results was discussed.Methods: According to the relevant inclusion and exclusion criteria,60 patients with vestibular migraine were selected.These patients were all admitted to Wuhan integrated traditional Chinese and Western medicine hospital.Using random number table method,60 patients were randomly divided into control group and treatment group.The number of patients in each group was 30.The control group was given oral flunarizine 5mg every night in strict accordance with the recommended medication regimen and indications in the drug manual at home and abroad,treatment group in another group of treatment measures plus auricular plaster treatment measures.Select liver,spleen,kidney,adrenal gland,subcortical,brain stem,Shenmen and inner ear,press them 5 times a day,change them every other day,and treat them alternately with both ears.After 10 days of continuous treatment,evaluate the total clinical efficacy,vertigo scale score,TCM syndrome score and visual simulation score,observe and evaluate the early curative effect of auricular point press on vestibular migraine and which TCM syndrome type has better curative effect.By analyzing the video head impulse test results of 60 patients with vestibular migraine retrospectively,this paper discusses the distribution characteristics of video head pulse test results of vestibular migraine patients and its relationship with different TCM syndromes.Results:1.I n this paper,60 patients(14 males and 46 females)were included.The age,DHI score before diagnosis and treatment,gender,past history,VAS score and TCM syndrome score of different groups were not statistically significant(P > 0.05).2.The differences of VAS score,TCM syndrome score and DHI scale score before and after diagnosis and treatment in different groups were statistically significant(P < 0.05).Meanwhile,the treatment group was significantly better than the control group.The differences of all scale scores before and after diagnosis and treatment in two groups were statistically significant(P < 0.05).3.After ten days of treatment,the total effective rate of the treatment group was 83.33%,and the total effective rate of the other group was only 56.67%,so the curative effect of the treatment group was significantly higher than that of the control group,and the difference was statistically significant(P < 0.05).4.The difference of VAS score and DHI scale score before and after diagnosis and treatment of vertigo patients with hyperactivity of liver Yang was statistically significant(P < 0.05),but the difference of tcmsss score was not statistically significant(P > 0.05).The difference of VAS score and DHI scale score before and after diagnosis and treatment of patients with renal essence deficiency vertigo was statistically significant(P < 0.05),but the difference of tcmsss score was not statistically significant(P > 0.05),but the improvement of DHI scale score in hyperactivity of liver yang was more obvious than that in deficiency of kidney essence.There was no significant difference in DHI,TCMSSS and VAS scores before and after treatment in patients with vertigo of phlegm-dampness middle resistance and deficiency of qi and blood(P >0.05).The number of cases of blood stasis was too small to be statistically analyzed.5.All the above 60 patients agreed to take video head impulse test,among which 24 patients were positive,accounting for 40.00%,suggesting that the function of peripheral semicircular canal was damaged,and 36 patients were negative,accounting for 60%.6.The positive results of video head impulse test were mainly liver-yang hyperactivity(62.50%),followed by phlegm-dampness middle obstruction(29.16%),kidney essence deficiency and qi-blood deficiency(4.17%),All the examinations of blood stasis obstructing orifices were negative.The actual distribution between different groups was statistically different(P < 0.05).7.The types of hyperactivity of liver-yang,deficiency of qi and blood,and obstruction of orifices by blood stasis have no obvious correlation with the distribution of video head impulse test results(P > 0.05),but the types of phlegm-dampness and kidney essence deficiency may affect the distribution of video head impulse test results(P < 0.05).Conclusion:Auricular point press can significantly reduce the vertigo degree of patients with vestibular migraine in the early stage,and reduce the score of vertigo disorder scale,TCM syndrome score and visual simulation score.The clinical effect is remarkable,among which hyperactivity of liver yang and deficiency of kidney essence are better.Moreover,this treatment is non-invasive,the operation process is very simple,high safety,patients can also be better recognized.The results of video head pulse test in some patients suggest that the function of peripheral semicircular canals is impaired.The types of hyperactivity of liver yang,deficiency of qi and blood and obstruction of orifices by blood stasis have no obvious correlation with the distribution of video head pulse test results.The types of phlegm-dampness and kidney essence deficiency may affect the distribution of video head impulse test results. |
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