Clinical Observation On The Treatment Of Chloasma Of Spleen Deficiency And Dampness Stasis Type By Self-made Jianpi Xiaoban Decoction Combined With Milli-fire Acupuncture

Objective: A randomized controlled method was used to observe the clinical efficacy of self-made Jianpi Xiaoban Decoction combined with milli-fire acupuncture in the treatment of spleen-deficiency damp stasis type chloasma,in this study.A safe and reliable combined treatment program for the treatment of chloasma provides new treatment ideas and clinical data for the combined treatment of chloasma,and provides a basis for the further research of the program.Methods: Sixty six patients who met the inclusion criteria were randomly divided into treatment group(32 cases)and control group(32 cases).The treatment group was given Jianpi Xiaoban decoction,and the control group was given vitamin E and vitamin C.In addition,both groups were treated with milli-fire acupuncture.Treatment were used for 4 consecutive weeks as a course of treatment,with a total of 2courses.Before treatment,after 1 and 2 courses of treatment,the skin lesion indexes of the two groups were measured and scored accordingly.The effectiveness of the treatment was evaluated by the above indexes.All data in this study are statistically analyzed using spss25.0.RESULTS : The study finally completed 63 clinical cases,including 32 in the treatment group and 31 in the control group.(1)Efficacy analysis: After treatment,the cure rate and total effective rate of the treatment group were 62.50% and 87.50%respectively.The control group was 35.48% and 64.51%,and the difference was statistically significant(P < 0.05)by chi square test.(2)Comparison of the area,color score,total score and skin brightness(L*)value of the skin lesions between the two groups before and after treatment: After 1 course and 2 courses of treatment,the two groups had statistical differences in the scores of the above indicators.Significance(p<0.05).(3)Comparison of the area,color score,total score and skin brightness(L*)value of the skin lesions between the two groups before and after treatment: The treatment group will be treated with the above indicators after 1 course of treatment and after 2 courses of treatment(p<0.05).Here was no significant difference in the above indexes between the control group and the control group after one course of treatment(P > 0.05).After 2 courses of treatment,there was a significant difference between the scores before and after treatment(P < 0.05).Conclusion:This study shows that the self-made Jianpi Xiaoban Decoction combined with milli-fire acupuncture has better clinical efficacy than oral vitamin C and Vitamin E combined with milli-fire acupuncture in the treatment of spleen-deficiency damp stasis type chloasma,with faster onset time,fewer adverse reactions and low recurrence rate.Self-made Jianpi Xiaoban Decoction combined with milli-fire acupuncture to treat chloasma of spleen deficiency and dampness stasis is a relatively safe and reliable treatment plan,which is worthy of popularization and application and further research.