| ObjectiveThe main purpose is to observe the clinical efficacy of spacer moxibustion combined with acupuncture in the treatment of simple obesity with spleen deficiency and dampness resistance;compared with simple acupuncture intervention,to evaluate the safety of spacer moxibustion combined with acupuncture in the treatment of simple obesity with spleen deficiency and dampness resistance And superiority,provide new ideas and new programs for the further discussion of acupuncture and moxibustion in the treatment of simple obesity.MethodsIn this study,72 patients with simple obesity of spleen deficiency and damp resistance type who were treated in the outpatient and inpatient department of the Acupuncture Department of Hubei Provincial Hospital of Traditional Chinese Medicine from November 2018 to November 2019 were selected as the research objects,and a random number table was used according to 1:1 The proportion of patients was randomly divided into acupuncture combined with spacer moxibustion patch group and acupuncture group.The acupuncture group used ordinary acupuncture therapy.The acupuncture points were Zhongwan,Moisture,Tianshu(double),Daheng(double),with pulse(double),Qihai,abdominal knot(double),Zusanli(double)),Hong Leong(double),Sanyinjiao(double),Yinlingquan(double).Using the technique of flattening andreducing qi,after acupuncture gets qi,the needle is retainedfor 30 minutes,once every other day,3 times a week,1 month is a course of treatment,and a total of 3 courses of treatment.In the acupuncture combined with spacer moxibustion patch group,the spacer moxibustion patch is used on the basis of the ordinary acupuncture group.Specific method: Shenque,Guanyuan,Pishu(bilateral),and kidney are added to the ordinary acupuncture.Apply moxibustion to acupoints such as Shu(both sides).After the ordinary acupuncture treatment is over,the spacer moxibustion stick is quickly attached to the corresponding acupunct ure points of the above skin to keep the skin surface dry.It can be reinforced with medical tape.The patient is instructed to tear it off after 2 hours.The treatment course is the same as that of the ordinary acupuncture group.Record the obesity-related indicators(such as waist circumference,weight,BMI,body fat rate,etc.)of the patients before and after treatment,the scores of symptoms of spleen deficiency and dampness,and record the adverse reactions of the two groups of patients duringthe treatment.Statistical analysis of relevant indicators wasperformed to evaluate the effectiveness and safety of acupuncture combined with spacer moxibustion in the treatment of simpleobesity of spleen deficiency and dampness resistance.Results1.Baseline and completion status: During the treatment,2 case s fell off in the acupuncture combined with spacer moxibustion patch group,and 3 cases fell off in the normal acupuncture group.Finally,34 patients in the acupuncture combined with spacer moxibustion patch group completed the treatment,and 33 patients in the ordinary acupuncture group completed the treatment.The gender,age,course of disease,weight,and BMI of the included two groups of patients were statistically analyzed,and the differences were not statistically significant(P>0.05),and they were comparable.2.Comparison of total curative effect: After treatment,6 cases were cured in the acupuncture combined with spacer moxibustion patch group,15 cases were markedly effective,10 cases were effective,and 3 cases were ineffective.The total effective rate was 91.17%;the simple acupuncture group was cured in 4 cases and markedly effective in 13 cases,12 cases were effective,4 cases were ineffective,and the total effective rate was 87.88%.Both the acupuncture combined with spacer moxibustion patch group and the ordinary acupuncture group had better curative effects,and there was no statistical difference(P>0.05).3.Comparison of obesity related indicators:(1)Weight comparison: The weight of the two groups of patients decreased to different degrees after treatment compared with before treatment,and the difference was statistically significant(P<0.01).Compared between the two groups,the weight loss of the acupuncture combined with spacer moxibustion patch group was more than normal Acupuncture group(P<0.05).(2)BMI comparison: BMI of the two groups of patients decreased to different degrees after treatment compared with before treatment,and the difference was statistically significant(P<0.01).Compared between the two groups,the BMI of the acupuncture combined with spacer moxibustion patch group decreased more than ordinary Acupuncture group(P<0.05).(3)Comparison of waist circumference: After treatment,the waist circumference of the two groups of patients decreased to different degrees than before treatment,and the difference was statistically significant(P<0.01).Compared between the two groups,the waist circumference of the acupuncture combined with spacer moxibustion patch group decreased more than Normal acupuncture group(P<0.05).(4)Comparison of body fat rate: After treatment,the body fat rate of the two groups of patients decreased to different degrees compared with the pre-treatment body fat rate,and the difference was statistically significant(P<0.01).Compared between the two groups,the body fat rate of acupuncture combined with spacer moxibustion was compared.The fat percentage decreased more than that of the normal acupuncture group(P<0.05).4.Comparison of spleen deficiency and dampness syndrome scores:After treatment,the scores of spleen deficiency and dampness resistance syndromes of the two groups decreased to varying degrees after treatment,and the difference was statistically significant(P acupuncture combined with spacer moxibustion patch group <0.01,P ordinary acupuncture group <0.05).Compared between the two groups,the acupuncture combined with spacer moxibustion paste group had a more significant effect in reducing the integral of spleen deficiency and dampness symptoms(P<0.01).5.After strict education and careful operation,no serious adverse events occurred in this experiment.During the treatment of the acupuncture combined with moxibustion patch group,1 caseof skin allergies occurred at Shenshu and Pishu points,and 1case with skin allergies at Zhongwan points(Partial redness at the acupoints,slight itching,no blisters and skin ulcers),no special treatment was given,and the symptoms disappeared after 1 day.ConclusionPartition moxibustion paste combined with acupuncture and simple acupuncture intervention have definite effects in the treatment of simple obesity of spleen deficiency and dampness resistance.Both can effectively reduce the obesity-related indicators of the patient,and improve the patient’s edema,fatigue,weakness,limb sleepiness,and anorexia The syndrome of spleen deficiency and dampness,but the spacer moxibustion combined with acupuncture group is better than simple acupuncture,and the advantage is more obvious in improving the syndrome of spleen deficiency and dampness.Using spacer moxibustion and acupuncture therapy to treat simple obesity of spleen deficiency and dampness resistance can not only reduce the patient’s weight and achieve the effect of abdomen shaping,but also effectively improve the patient’s physical fitness and improve the quality of life.It can be further applied in clinical practice. |
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