| Objective:To observe the clinical effect and the change of infrared skin temperature in the treatment of stomachache due to deficiency of cold in the spleen and stomach with warming acupuncture and moxibustion,and to probe into the effectiveness and mechanism of warming acupuncture and moxibustion in the treatment of stomachache due to deficiency of cold in the spleen and stomach,the value of infrared thermography in evaluating the therapeutic effect of spleen-stomach deficiency and cold stomachache was discussed.Methods:60 cases of stomach pain due to deficiency cold of spleen and stomach were randomly divided into warm acupuncture group and western medicine group with 30 cases each.The warm acupuncture group was treated with warm acupuncture,which was selected from Zhiyang,Zhongwan and Zusanli,once a day and five times a week(rest on weekends),while the western medicine group was given omeprazole enteric-coated capsule orally,once a day,20 mg each time.Both groups were treated for 4 weeks.The TCM symptom score,VAS score,infrared skin temperature and adverse reactions were recorded before and after treatment.To observe the clinical efficacy and safety of two kinds of therapy in treating stomach pain due to deficiency cold of spleen and stomach,and to explore the significance of far infrared detection technology.The experimental data were analyzed by SPSS20.0 statistical software.Counting data is tested by chi-square test;The measurement data with normal distribution adopts t test;The measurement data of non-normal distribution are tested by rank sum,and the results are described by mean standard deviation Rank sum test was used for grade data.Results:1.TCM symptom score: there is no statistical difference between the two groups before treatment(P > 0.05),but it is comparable.After treatment,there was a significant difference between the two groups before treatment(P< 0.05).Compared with western medicine group,the warm acupuncture group has significant difference in TCM symptom total score,epigastric pain,warm feeling,cold limbs,fear of cold and loose stool after treatment(P <0.05),but there is no statistical difference in listlessness and abdominal distension after eating(P > 0.05).2.Visual analogue scale(VAS): There was no significant difference between the two groups before treatment(P > 0.05),but the two groups were comparable.After treatment,there were statistical differences between groups(P < 0.05),and the warm acupuncture group was superior to the western medicine group.3.Changes of infrared skin temperature: There is no statistical difference between groups before treatment(P > 0.05),which is comparable.After treatment,there were statistical differences in infrared skin temperature between and within groups(P < 0.05),and the temperature change of warm acupuncture group was more obvious than that of western medicine group.4.Correlation analysis: Infrared temperature data has significant correlation with TCM symptom score and VAS score,and the difference is statistically significant(P < 0.05).5.Comparison of clinical efficacy: the total effective rate of warm acupuncture group was 90.00%;The total effective rate of western medicine group was76.67%.There was a significant difference in clinical efficacy between the two groups(P < 0.05).6.Safety observation: 2 cases of anorexia and 2 cases of slight headache occurred in western medicine group,and no adverse reaction occurred in warm acupuncture group.Conclusion:1.Warm acupuncture can effectively improve the TCM symptom score of stomach pain due to deficiency-cold of spleen and stomach,which is equivalent to the western medicine group in improving fatigue and abdominal distension after eating;It is superior to the western medicine group in improving the total score of TCM symptoms,epigastric pain,feeling warm and pressing,lukewarm limbs,cold limbs and loose stool.2.Both therapies can effectively improve the VAS score and the temperature of stomach cavity of stomach deficiency cold type,and warm acupuncture is superior to western medicine group.3.Under the far infrared detection technology,the stomachache of patients with spleen-stomach deficiency-cold type presents cold deviation.After examination,infrared temperature data is significantly correlated with TCM symptom score and VAS score,which indicates that far infrared detection technology can be used as one of the evaluation methods.4.Warm acupuncture has obvious curative effect,simple point selection,safety and no toxic and side effects,and is suitable for clinical popularization. |
PDF Full Text Request