| Objective:By comparing the clinical efficacy of heat-sensitive moxibustion and ordinary acupuncture in the treatment of allergic rhinitis,in order to provide reference for different acupuncture schemes to intervene allergic rhinitis.Methods: Sixty subjects with allergic rhinitis were randomly divided into two groups: Heat-sensitive moxibustion group(n = 30)and common acupuncture group(n = 30).In the heat-sensitive moxibustion group,Fengchi acupoint,Shangyintang acupoint,Shangxing acupoint and Shenque acupoint were selected for moxibustion.Yingxiang acupoint(double),Fengchi acupoint(double)and Yintang acupoint were selected as the main acupuncture points in the ordinary acupuncture group.For those with weak lung qi,add Feishu acupoint;for those with weak temper,add Pi Shu acupoint;for those with deficiency of kidney yang,add Shenshu acupoint;for those with latent heat of lung meridian,add thenar acupoint.Operation method of heat-sensitive moxibustion: Instruct patients to take appropriate positions and fully expose the site of moxibustion,and doctors hang two branches of heat-sensitive moxibustion strips in the above-mentioned heat-sensitive acupoint area to moxibustion along meridians for several minutes,wait for skin flushing and moxibustion for a few minutes,and after heat-sensitive moxibustion sensation(heat penetration,heatexpansion,heat transfer,local non-(micro)distal heat,surface non-(micro)deep heat,non-thermal sensation),temperature and moxibustion are performed after the appearance of heat-sensitive moxibustion sensation.Among them,two-point mild moxibustion was performed on both sides of Fengchi,Shangyintang and Shangxing acupoints,and single-point mild moxibustion was performed in Shenque acupoint.When the sense of heat-sensitive moxibustion weakens or disappears or the moxa strips will burn out,the moxibustion is stopped and the moxa fire is extinguished,and the time is about 50 min.The common acupuncture steps are as follows: Instruct the patient to take a suitable body position to fully expose the acupuncture site,and the doctors routinely disinfect the above acupoints:Yingxiang acupoint(0.3～0.5 inch toward the root of the nose),Yintang point(0.8～1.0 inch toward the root of the nose),Fengchi point(0.8～1.2 inch toward the tip of the nose),Hegu point(0.5～1.0 inch),Zusanli point(1.0～2.0 inch),Feiyu point(0.5～1.0 inch),Taiyuan(avoiding radial artery,0.3～0.5 inch),Pishu point(0.5～0.8 inch),Taibai point(0.5～1.0 inch),Qihai point(1.0 ～ 1.5 inch),Shenshu point(0.5 ～ 1.0 inch),Guanyuan point(1.0～1.5 inch),Fuliu acupoint(0.5～1.0 inch),Quchi acupoint(straight needling 0.5 ～ 1.0 inch)and Dazhui acupoint(upward oblique needling 0.5～1.0 inch).In the course of operation,flat tonifying and relieving techniques were used,the needle was retained for 30 minutes,and the pinhole was pressed with a dry cotton ball when the needle came out to prevent bleeding.Both groups were treated once a day,10 times as a course of treatment.After treatment,the symptoms,signs,(RQLQ)of rhinoconjunctivitis quality of life scale and clinical efficacy were evaluated,and then the data of the two groups were statistically analyzed,then the data of the two groups were statistically analyzed,and the symptoms,RQLQ and clinicalefficacywere evaluated at the end of 3 months after treatment,and statistical analysis was carried out.Results:1.There was no significant difference in the baseline between the test group(heat-sensitive moxibustion group)and the control group(ordinary acupuncture group)(P > 0.05).2.Comparison of symptoms,signs,RQLQ score and curative effect(1)Comparison of symptom scores:(1)Comparison of runny nose and nasal blockage within the group(heat-sensitive moxibustion group: After treatment and follow-up compared with that before treatment P < 0.05,the difference was statistically significant.In the common acupuncture group,there was no significant difference between before and after treatment(P > 0.05).There were significant differences in runny nose and nasal blockage between the two groups(P < 0.05).The results showed that after treatment and follow-up,the heat-sensitive moxibustion group was superior to the ordinary acupuncture group in improving runny nose and nasal blockage.(2)Comparison of sneezing and nasal itching in the group(the subjects in the two groups after treatment and follow-up were significantly different from those before treatment(P < 0.05).There was no significant difference in sneezing and nasal itching between the two groups(P > 0.05).The results showed that after treatment and follow-up,the heat-sensitive moxibustion group was similar to the ordinary acupuncture group in improving sneezing and nasal itching.(2)Comparison within the group(heat-sensitive moxibustion group: After treatment compared with before treatment(P<0.001),the difference was statistically significant.In the generalacupuncture group,there was no significant difference between before and after treatment(P>0.05),and there was no significant difference between the two groups(P > 0.05).There was a significant difference between the two groups after treatment(P<0.05),and the difference between the two groups was statistically significant(P<0.05).The results showed that the improvement of physical signs in the heat-sensitive moxibustion group was better than that in the ordinary acupuncture group.(3)Comparison of RQLQ score:(1)In improving nasal symptoms,sleep,non-nasal / eye symptoms and practical problems: Comparison within the group(heat-sensitive moxibustion group: after treatment and follow-up compared with before treatment P<0.05,the difference was statistically significant.In the common acupuncture group,there was no significant difference between before and after treatment(P > 0.05).There was significant difference between the two groups(P < 0.05 after treatment and follow-up).The results showed that after treatment and follow-up,the heat-sensitive moxibustion group was superior to the ordinary acupuncture group in improving nasal symptoms,sleep,non-nasal / eye symptoms and practical problems.(2)In the aspects of improving daily activities,eye symptoms and emotion: There were significant differences between the two groups after treatment and during follow-up(P < 0.05).There was no significant difference between the two groups(P > 0.05 after treatment and follow-up).The results showed that after treatment and follow-up,the heat-sensitive moxibustion group was similar to the ordinary acupuncture group in improving daily activities,eye symptoms and emotion(3)Intra-group comparison(there was significant difference between the two groups after treatment and during follow-up(P <0.05).There were significant differences between the two groups(after treatment(P<0.001)and during follow-up(P < 0.001)The difference between the two groups was statistically significant(P< 0.05),and there was significant difference between the two groups(P < 0.05).The results showed that after treatment and follow-up,the heat-sensitive moxibustion group was superior to the ordinary acupuncture group in improving the quality of life.(4)Compared between the two groups,after treatment,the total effective rate of the thermosensitive moxibustion group and the ordinary acupuncture group was 89.66% and 70.005%,respectively,and the comparison between the two groups(P<0.05).During the follow-up,the total effective rate of the thermosensitive moxibustion group and the ordinary acupuncture group was 82.71% and49.48%,respectively,and the comparison between the two groups was(P <0.05).The difference was statistically significant.The results showed that the curative effect of heat-sensitive moxibustion group was better than that of ordinary acupuncture group after treatment and follow-up.Conclusion:1.Heat-sensitive moxibustion has significant advantages in improving patients’ symptoms,signs and quality of life.2.Heat-sensitive moxibustion has good short-term and long-term effect on allergic rhinitis. |
PDF Full Text Request