Observation On The Clinical Efficacy Of Acupuncture For Opening The Orifices Of Yang In The Treatment Of Post-stroke Aphasia (Qi Deficiency And Blood Stasis Type)

Purpose:Objective To observe the clinical effect of Tongyang Kaiqiao acupuncture combined with traditional Chinese medicine decoction on aphasia after stroke of qi deficiency and blood stasis type,compare the difference with traditional Chinese medicine decoction,and explore the mechanism of Tongyang Kaiqiao acupuncture,so as to provide theoretical basis for clinical application of Tongyang Kaiqiao acupuncture.Material and method:This study selected 64 subjects who met the diagnostic criteria of aphasia after stroke of qi deficiency and blood stasis type in the Department of acupuncture and moxibustion,Affiliated Hospital of Liaoning University of traditional Chinese medicine from June 2018 to June 2020.All subjects were randomly divided into Tongyang Kaiqiao group(30 cases)and control group(30 cases).The control group was treated with traditional Chinese medicine decoction,and the Tongyang Kaiqiao group was treated with Tongyang Kaiqiao acupuncture on the basis of the control group.Both groups were given basic treatment and language rehabilitation training,and the treatment time was 3 weeks.Before and after treatment,the language function of the two groups were evaluated by Chinese Standard Aphasia Checklist(CRRCAE)and aphasia severity grading standard(BDAE); activities of daily living(ADL)was used to evaluate the activities of daily living(ADL);Stroke Scale(NIHSS)was used to evaluate the patients with cerebral infarction According to the guiding principles of clinical research of new traditional Chinese medicine,TCM symptom score table was established to evaluate TCM symptoms,and all data were analyzed by spss23.0.Results:1.Before treatment,there was no significant difference in age,gender,course of disease and aphasia type between Tongyang Kaiqiao group and control group(P > 0.05).2.Before treatment,there was no significant difference in CRRCAE scores between the two groups(P > 0.05),which was comparable.After treatment,the CRRCAE scores of the two groups were improved,the difference was statistically significant(P < 0.05);after treatment,the scores of the two groups were statistically significant(P < 0.05),the Tongyang Kaiqiao group was significantly better than the control group.3.Before treatment,there was no significant difference in BDAE score between the two groups(P > 0.05),which was comparable.After treatment,the level of comparison between the two groups were improved,the difference was statistically significant(P < 0.05): after treatment,the score between the two groups was statistically significant(P < 0.05),the Tongyang Kaiqiao group was significantly better than the control group.4.Before treatment,there was no significant difference in NIHSS score between the two groups(P > 0.05),which was comparable.After treatment,the scores of the two groups were decreased,the difference was statistically significant(P < 0.05): after treatment,the scores of the two groups were statistically significant(P < 0.05),indicating that the Tongyang Kaiqiao group was significantly better than the control group.5.Before treatment,there was no significant difference in ADL score between the two groups(P > 0.05),which was comparable.After treatment,the scores of the two groups were improved,the difference was statistically significant(P < 0.05);after treatment,the scores of the two groups were statistically significant(P < 0.05),the Tongyang Kaiqiao group was significantly better than the control group.6.Before treatment,there was no significant difference in TCM syndrome score between the two groups(P > 0.05),which was comparable.After treatment,the scores of the two groups were decreased,the difference was statistically significant(P < 0.05): after treatment,the scores of the two groups were statistically significant(P < 0.05),the Tongyang Kaiqiao group was significantly better than the control group.7.After treatment,there was significant difference in the clinical efficacy between the two groups(P < 0.05),which indicated that the effect of Tongyang Kaiqiao group was better than that of the control group.8.During the experiment,3 subjects fell off and 1 subject was eliminated.There was no adverse reaction during acupuncture treatment and medication.Conclusion:1.Buyang Huanwu Decoction can significantly improve the language function of aphasia patients with Qi deficiency and blood stasis type after stroke,and can also improve their activities of daily living and neurological deficit symptoms.2.Tongyang Kaiqiao acupuncture combined with Buyang Huanwu decoction has outstanding curative effect on language function,daily living ability and neurological deficit symptoms of aphasia patients after stroke of qi deficiency and blood stasis type.3.For patients with aphasia after stroke of qi deficiency and blood stasis type,Tongyang Kaiqiao acupuncture is more effective than traditional Chinese medicine alone,which is worthy of clinical application.