Clinical Efficacy Of Massage Si Guan Points In Hypertension Patients With Hyperactivity Of Liver Yang

Objective To investigate effects introduced by a 4-week massage on Si Guan Points (bilateral He Gu and Tai Chong) to blood pressures, TCM symptoms and Ang Ⅱ levels in hypertension patients with the hyperactivity of liver yang syndrome, so as to provide a home-care therapy for these patients.Methods 70 patients with grade 1 hypertension induced by the hyperactivity of liver yang syndrome were recruited according to the diagnosis and reception criterion. In this study,64 patients were finally included in the data analyses with the rest 6 cases lost to follow-up. They were randomly divided into two groups, among which 33 belong to the treatment group and 31 the control group. All objects received routine treatment and health education, while objects from the treatment group received an additional 4-week Si-Guan-Point massage treatment (5 min for every point; 20 min in total; once per day). The variations of blood pressures were recorded during the treatment; clinical efficacy was also evaluated by observing the scores of TCM symptoms and Ang Ⅱ levels before and after the treatments.Results1. Baseline comparisonSignificant differences did not arise among general conditions (e. g. age, sex, height, weight, BMI, education, occupation, exercise and pressure), basic clinical data (e. g. family history and medical history) and diet habits (e. g. high-salt diet, high-fat diet, drinking and smoking) between two groups before intervention (P>0.05). So are cases in SBP, DBP, pulse pressure, TCM symptoms and Ang Ⅱ levels (P>0.05). In other words, the two groups characterize comparability.2. Blood pressuresComparisons within group:the SBP and DBP of two groups exhibit significant decreases after treatments than the original counterparts (P＜0.05).Comparisons between groups:the SBP in treatment group presents a significant decrease in comparison with that in the control group after treatments (P＜0.05). However, no significant difference can be observed in DBP from different groups (P>0.05).3. TCM symptomsComparisons within group:TCM symptom scores of vertigo, headache, irritability and bitter taste, along with total scores of TCM symptoms, in the treatment group experience distinct reductions after treatments (P<0.05). TCM symptom scores of vertigo and headache, along with total scores of TCM symptoms, undergo evident decreases after treatments (P＜0.05); regarding the rest TCM symptoms, no significant differences arise (P>0.05).Comparisons between groups:the treatment group conveys lower TCM symptom scores of vertigo, headache, irritability and bitter taste than the control group does (P＜0.05). There are no significant differences for the rest of TCM symptoms (P>0.05).4. Ang Ⅱ levelsComparisons within group:Ang Ⅱ levels after treatments decrease after treatments for both groups (P＜0.05).Comparisons between groups:Ang Ⅱlevels in the treatment group are lower than those in the control group (P<0.05).5. Adverse reactions By contrast, the Si-Guan-Point massage treatment does not append side effects to the patients with grade 1 hypertension induced by the hyperactivity of liver yang Syndrome in the treatment group.Conclusion1. Si-Guan-Point massage treatment helps to decrease the SBP of grade 1 hypertension patients with the hyperactivity of liver yang syndrome.2. Si-Guan-Point massage treatment improves the TCM symptoms of vertigo, headache, irritability and bitter taste of grade 1 hypertension patients with the hyperactivity of liver yang syndrome.3. Si-Guan-Point massage treatment reduces Ang Ⅱ levels of grade 1 hypertension patients with the hyperactivity of liver yang syndrome.