Clinical Observation Of Thunder Fire Moxibustion Combined With Abdominal Acupuncture For Cervical Vertigo Of Qi And Blood Deficiency Type

Objective:To observe the clinical efficacy of thunder-fire moxibustion combined with abdominal acupuncture in the treatment of cervical vertigo with Qi and blood deficiency,the effects on vertigo symptoms,physical symptoms and quality of life and evaluate the safety.Methods: 60 cases of cervical vertigo patients with Qi and blood deficiency were randomly divided into experimental group and control group,30 cases each.Before treatment,there were no statistical differences in gender,age,course of disease,ESCV scale,DHI scale,VAS score and TCM symptom scale between the two groups,and the baseline data level was consistent.After treatment,ESCV scale,DHI scale,VAS score and TCM symptom score were used again to evaluate vertigo symptoms,quality of life and symptoms of Qi and blood deficiency vertigo patients to judge clinical efficacy.The experimental group was treated with thune-fire moxibustion(bilateral Zusanli)followed by abdominal acupuncture(Zhongwan,Xiawan,Qihai,Guanyuan,Shangqu(double),Jiromen(double),Yindu(double))once a day,for 6consecutive days,rest for 1 day,13 days per course of treatment.The control group was given betalista hydrochloride tablets 4mg(Leprate Permanente),1tablet each time,3 times a day,for 13 days.Results:(1)ESCV scale score:(1)Intra-group comparison: the total score of ESCV and each component score of all groups after treatment were significantly increased compared with that before treatment(P < 0.01),and the difference was statistically significant,except that headache score in control group(P=0.191,P>0.05)was not statistically significant.(2)Comparison between groups: After treatment,the total score of ESCV and sub-items scores of vertigo degree,neck and shoulder pain score,daily life and work,psychological and social adjustment in the treatment group were lower than those in the control group(P < 0.05),and the differences were statistically significant,except for headache score(P=0.361,P > 0.05).(2)DHI scale score:(1)Intra-group comparison: DHI scale of the two groups after treatment was significantly lower than that before treatment(P <0.01),and the difference was statistically significant.(2)Comparison between groups: After treatment,the treatment group was significantly better than the control group in improving DHI scale(P < 0.01),and the difference was statistically significant.(3)VAS score:(1)Intra-group comparison: VAS score of the two groups after treatment was higher than that before treatment(P < 0.01),and the difference was statistically significant.(2)Comparison between groups: After treatment,VAS score in the treatment group was lower than that in the control group(P < 0.05),and the difference was statistically significant.(4)TCM syndrome score:(1)Intra-group comparison: TCM syndrome score of the two groups after treatment was significantly decreased compared with that before treatment(P < 0.01),and the difference was statistically significant.(2)Comparison between groups: After treatment,the treatment group was significantly better than the control group in improving TCM syndrome score(P < 0.01),and the difference was statistically significant.(5)Clinical effective rate: Clinical effective rate: in the experimental group,6 cases were cured,13 cases were obviously effective,9 cases were effective,2 cases were ineffective,the total effective rate was 93.33%.In the control group,3 cases were cured,8 cases were effective,13 cases were effective,6 cases were ineffective,and the total effective rate was 80.00%.The clinical effective rate of the two groups was analyzed by rank sum test,Z=-2.156,P=0.031.The difference in clinical effective rate of the two groups after treatment was statistically significant,indicating that there was a difference in the effective rate of the two groups,and the treatment group was superior to the control group.After 3 months of treatment,Chi-square test showed a statistical difference between the two groups(P=0.028),indicating that the treatment group had a lower recurrence rate.Conclusion:Thunder-fire moxibustion combined with abdominal acupuncture in the treatment of cervical vertigo of Qi and blood deficiency type can not only effectively relieve the vertigo symptoms of patients,but also improve the physical symptoms and improve the quality of life.Its clinical comprehensive effect is better than betastine hydrochloride,and has the advantages of lasting effect and no side effects.It is an effective treatment for cervical vertigo of Qi and blood deficiency type,worthy of clinical promotion and application.