Clinical Observation On The Treatment Of Finger Constriction After Stroke By Acupuncture Based On The "Xing-Spring And Shu-Stream Points In Treating The Diseases Of The External Meridians" Method

Objective:Based on the theory of “xing-spring and shu-stream points in treating the diseases of the external meridians”,to observe the clinical efficacy of supplementing xing and dredging shu points acupuncture therapy in the treatment of post-stroke finger constriction,and to seek a more effective treatment plan for post-stroke finger constriction by acupuncture.Methods:62 patients with post-stroke finger constriction were randomly divided into treatment group and control group,with 31 cases in each group.Treatment group(supplementing xing and dredging shu group): choose the hands of three Yang meridians xing-spring points and shu-stream points,points selection: Erjian,Sanjian,Yemen,Zhongzhu,Qiangu,Houxi,Xin-spring points are used twirling reinforcing method,Shu-stream points are used twirling reducing method;Control group(conventional acupuncture group): points selection: Baxie,Hegu,Wangu all apply the mild reinforcing-reducing method.Both groups were kept in acupuncture for 50 minutes,treated once a day,6 times a week,and the treatment effect was observed after 3 weeks of continuous treatment.The changes in the degree of finger spasticity before and after treatment were evaluated by the modified Ashworth spasticity rating scale(MAS)in both groups;the changes in finger motor function before and after treatment were evaluated by the simplified Fugl-Meyer motor function rating scale(FMA)in both groups;the modified Barthel Index Rating Scale(MBI)assessed the changes in activities of daily living between the two groups before and after treatment.The obtained data were analyzed using SPSS statistical software version 25.0.One patient from each group dropped out during the clinical observation process,resulting in30 patients from each group completing the study and entering the efficacy data analysis.Results:1.MAS scores: Both groups showed a decrease in MAS scores after treatment compared to pre-treatment(P<0.05),with the treatment group showing a more significant reduction in MAS scores than the control group(P<0.05).2.FMA score: the FMA score increased in both groups after treatment compared with that before treatment(P<0.05),and the FMA score increased more significantly in the treatment group than in the control group(P<0.05).3.MBI score: the MBI score increased in both groups after treatment compared with that before treatment(P<0.05),and the MBI score increased more significantly in the treatment group than in the control group(P<0.05).4.Efficacy analysis: the total effective rate of the treatment group was80.00%,and the total effective rate of the control group was 63.33%.The total effective rate of the treatment group was significantly better than that of the control group(P<0.05),which was statistically significant.Conclusion:1.Based on the theory of “xing-spring and shu-stream points in treating the diseases of the external meridians”,acupuncture using the method of supplementing xing and dredging shu points can reduce the muscle tone of the patient’s fingers,improve the motor function of the fingers and enhance the patient’s ability to perform daily activities.2.The method of supplementing xing and dredging shu points for the treatment of post-stroke finger constriction is effective and superior to conventional acupuncture methods.