| Objective: Migraine is commonly and frequently encountered disease in clinical setting. The main symptom is recurrent pulsatile headache which attacks one side or both sides of brain, accompanied with nausea, vomiting, photophobia or fearing of sound and so on. With the development of the society, pace of life becomes faster, and the social competition becomes more fiercely, the incidence of migraine is on an obvious rise. WHO puts forwards that migraine, quadriplegia and dementia have been listed among the most severe chronic diseases due to dysfunction. At present, although western medicine have some curative effects, but lots of side effects. While acupuncture and moxibustion therapy has a good analgesic characteristic property, and compared with western medicine, this method has the effect of exact, low-cost, less side effects, etc. Therefore, it has a wide range of applications in the treatment of Migraine. Auricular therapy is a lot more prominent analgesic effect of a therapy. There are lots of clinical reports on treating migraine using diverse auricular therapies such as: auricular point flattening therapy, auricular acupuncture therapy, point-injection therapy, bloodletting therapy on the ear vein, auricular point Needle-Embedding therapy and so on. My tutor has discovered the method of point acupuncture by needling auricular point along the skin, which is more convenient to operation and effective in curing than traditional globular Auricular point. In order to further explore the curative effects of auricular point through point Needle-Embedding therapy for migraine patients, my tutor is taking over the research subject of《The Clinical Observation of Auricular Point Forehead-Temporal-Pillow Aperture Point Through Point Needle-Embedding Therapy in Treating Migraine》which belongs to TCM Administration of Hebei Province. This thesis is involved in the subject, with the purpose of comparing it with the efficacious migraine medicine—nimodipine. The curative effects of Auricular Point Forehead-Temporal-Pillow Aperture Point Through Point Needle-Embedding Therapy in the migraine treating process is observed, aiming to get a better acupuncture therapy and provide an effective and innocuous therapy that can be convenient to cure the migraine patient.Method: According to 2004 IHS revised migraine diagnosis standard,referring to the headache stage principal, the enrolled principal and the exclusion principal in the《Clinical study guide principal on new herb curing migraine》which are put forward by national medicine administration, we have chosen 92 migraine patients. The research project chooses the test examples at random. The test patient has been numbered according to their sequences to the clinics. Then we use random number table to make two group of respective 46 cases—the test group, that is Auricular Point Forehead-Temporal-Pillow Aperture Point Through Point Needle-Embedding group and compare group, that is taken nimodipine orally. The patients in the test group had been embedded needles in their auricular points in the sick sides for 5 days as one part of the whole treatment. Then after 2 days, the patients had been embedded needles in their auricular points in the healthy sides for 5 days. The two sides had been alternately treated for 4 periods of treatment in total. While the comparing group had took nimodipine 40mg each time,3 times a day for 4 weeks orally. Before treatment, we had recorded the general information of the patients, such as name, gender, age, profession, medical record, family history, work unit and their telephone number. At the same time, we also had recorded the relationship among headache, the vision, eye ground test result and menses situation, menses and the relationship among headache and strain, exhaustion and emotion. During treating process, the patient would be asked to record the attack of the headache. Collecting the index of the degree of the ache, the lasting time, the headache frequency of attack and accompanied symptoms as observing index, we had scored them according to Sun's criteria. Keeping contract with the patients during treating period, then we could record unexpected situation and the untoward effect momentarily. One month and six months after the treatment, we had respectively followed up a case by regular visits to the patient for two times, recorded the general score of each analgesic items during pre-treating period, treating period and post-treating period of one month and six months. Then we put all data together, supposingα=0.05 as test standard, adopted two sides of brain tests, carried onχ2 Test, t Test and Wilcoxon rank-sum test,used SPSS11.5 statistical software to treat and analyze.Results: The hypothesis test result in gender and age of two test groups is P>0.05, there is no obvious difference. Through the analysis of pre-treating condition, we had got that P>0.05, there is no obvious difference. The analysis result of the two groups'patients'course of disease before curing is P>0.05, there is no obvious difference. After compared the general score of analgesic effect index between two test groups, P>0.05, there is no obvious difference. So the two groups have comparability.Comparing the general score of analgesic effect index between the pre-treating condition and post-treating period of one and six months, there appeared an obvious difference (P<0.01),the general score of analgesic effect index decreased. Both of the two therapies can relieve the degree of headache, shorten headache duration, reduce headache frequency of attack and accompanied symptoms. Thereby improve the clinical state of the patients. During the treatment, comparing the general score of two groups, there is no obvious difference (P>0.05), the improvement condition of their clinical symptoms has no difference, which showed that the efficacy of Auricular Point Forehead-Temporal-Pillow Aperture Point Through Point Needle-Embedding Therapy in the migraine approximates to nimodipine. After one month treatment, there have an obvious difference in the general score (P<0.05), the score of the test group is obvious lower than that of compared group. All of this indicates that the improvement effect to clinical symptom in the test group is better than that in compare group after a month treatment. After six months treatment, there have a significance difference in the general score (P<0.01), the score of the test group is obvious lower than that of compare group. All of this indicates that the improvement effect to clinical symptoms in the test group is better than that in compare group after six months treatment. Through comparisons of the curing effect in two groups recently, there have a significance difference (P<0.01),the curing effect in test group is better than that in compare group in short term. Comparing the curing effect in two groups in long term, the difference have a remarkable significance (P< 0.01), the test group also have a more significance curing effect than that of compare group in long term. This showed that both short-term and long-term efficacy of Auricular Point Aperture Point Through Point Needle-Embedding therapy in Treating Migraine were superior to the control drug nimodipine. The comparison of untoward rate is P<0.05, there have statistical significance and indicate the untoward rate in test group is lower than that of compare group.Conclusions:1 Both the Auricular point Forehead-Temporal-Pillow aperture point through point needle-embedding therapy and taken nimodipine orally can relieve the degree of headache, shorten headache duration, reduce headache frequency of attack and accompanied symptoms, so both therapies have efficacy in patients with migraine.2 During treating period, the improvement condition of the two group's clinical symptoms has no difference, which showed that the efficacy of Auricular point Forehead-Temporal-Pillow aperture point through point needle-embedding therapy in treating migraine approximates to nimodipine.3 Both short-term and long-term efficacy of Auricular point aperture point through point needle-embedding therapy in treating migraine were superior to the control drug nimodipine.4 The therapy of Auricular point aperture point through point needle-embedding has no adverse reactions, and can avoid the side effects of nimodipine, such as nausea, vomiting etc. So it is a safe therapy.In a word, the Auricular Point Forehead-Temporal-Pillow Aperture Point Through Point Needle-Embedding therapy is a safe and effective therapy in migraine treating. And with the characteristics of simple, effective, less pain and no side effects, etc. So it is worth to promote in the use of clinical setting. |
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