Internal Medicine Of Traditional Chinese Medicine

ObjectiveThis research through the study of external treatment of Chinese medicine in the treatment of hypertension literature collection, sorting, and analyzes the external treatment of Chinese medicine treatment of hypertension clinical research development direction, assess the quality of the previous clinical research literature, for the clinical use of Chinese medicine external treatment to treat high blood pressure to provide literature basis and standard.MethodsAdopt the method of manual retrieval and computer retrieval comprehensive collection of traditional Chinese medicine external treatment to treat hypertension related literature, using the principle and method of evidence-based medicine, to meet the requirements of external treatment of Chinese medicine treatment of high blood pressure system evaluation on the literature and meta-analysis. And collection of the study in the period from 1983 to 1983 published both at home and abroad of external treatment of traditional Chinese medicine in the treatment of hypertension research literature, literature language restricted to Chinese and English. To retrieve the collected literature system. And on this basis, according to a set of literature into in the literature for further screening and exclusion criteria, according to the Cochrane handbook of system evaluation criteria for "simple evaluation method" in version 5.0.Results1. Outside of traditional Chinese medicine treatments for mainly includes:the acupuncture therapy and ear, sticking therapy, thorn blood therapy, massage therapy, foot bath, drug pillow therapy and nose needle therapy, embedded wire therapy, qigong, massage, liniment, and so on the treatment for the treatment of EH disease curative effect to some extent.2. From the year of publication, the early, middle and late three times the published literature random allocation of proper utilization rates of 100%,87.88% and 97.37%; the allocation concealment quality assessment, concealment methods are correct 38 (73.08%), a hidden method is not described in 14 (26.92%); blinded assessment of the collection of 52 documents, of which 42 articles using single-blind (blind patients), four documents in the text to mention just blinded, but blinded specifically described species; attrition bias in the assessment, the 41 reported in the literature did not occur lost, missing or exits,11 attrition bias exists, but did not mention the intention-to-treat analysis (ITT).3. In the overall assessment, conform to the possibility of a variety of bias "minimum standards" four references, conform to "has a corresponding bias of medium degree of probability" standards with a total of 48 references, both accounted for 65.00% of the total.4. Extraction of basic information included 52 literature data, systematic reviews and Meta analysis, embedding therapy, auricular therapy, acupuncture therapy Traditional Chinese Medicinal antihypertensive effective than Western medicine combined therapy group. With systolic and diastolic blood pressure measurement for evaluating the therapeutic effect, and calculate the SMD and 95% confidence intervals, the efficacy of acupuncture treatment group reduced systolic and diastolic blood pressure better than western medicine group. ConclusionIn recent years, Chinese medicine external treatment of primary hypertension in clinical studies have reported a larger number of treatment from clinical observations, research and other aspects of the mechanism of Traditional Chinese Medicinal primary hypertension were studied and systematic exposition, but The overall quality is not high. The study group based on "Cochrane Systematic Review Handbook" as described in version 5.0 standard "simple valuation method" of the literature included 52 randomized allocation method, allocation concealment was assessed ,, blinding, attrition bias, so as to the test included the quality of research literature and to explore Chinese medicine external treatment of hypertension randomized controlled trials of standard designs. At the same time, the paper down to 52 documents systematic reviews and Meta analysis, embedding therapy, auricular therapy, acupuncture therapy Traditional Chinese Medicinal effectiveness superior to Western medicine combined therapy group, and to reduce systolic blood pressure acupuncture treatment group and diastolic blood pressure is more effective than western medicine group. It means a non-drug therapy Traditional Chinese Medicinal buck also has broad clinical application prospects. With the majority of researchers believe that the mechanism of Traditional Chinese Medicinal treatment of essential hypertension in more in-depth study will be given a great breakthrough, finally we get to make patients, medical staff, community satisfactory results.