The Clinical Observation For Primary Hypothyroidism Of Spleen-kidney Yang Deficiency Type By Wentongsan Moxibustion On The Navel

Objective: In order to observe the influences on TCM symptoms,thyroid hormone levels and blood lipid levels of patients with spleen-kidney Yang deficiency type primary hypothyroidism using the method of the Wentongsan moxibustion on the navel and the flour-partitioned moxibustion,compare the differences of clinical efficacy between the two methods,to explore the diagnosis and treatment effect of the Wentongsan moxibustion on the navel method of spleen-kidney Yang deficiency type of primary hypothyroidism mechanism,provide certain reference basis for the clinical use of this method.Method:Sixty patients were randomly divided into the Wentongsan moxibustion on navel group(treatment group)and the flour-partitioned moxibustion on navel group(control group)by single blind method.Both groups were treated with basic treatment.After three sessions of treatment,the changes of TCM symptoms,thyroid hormone levels(TSH,FT3,FT4)and blood lipid levels(TC、TG、LDL-C)were observed before and after treatment in both groups.Results:1.Improvement of symptoms of traditional Chinese medicine:The clinical symptoms of the treatment group on the navel improved significantly on chills and cold limbs,sour and soft waist and knee,food and beverage,cold and painful waist,fecal insufficiency,and clear nocturia(P<0.01);the control group has therapeutic effects on chills and cold limbs and cold and painful waist(P<0.01);The total effective rate of thetreatmentgroup was 88.46%,and the total effective rate of the control group was 50.00%,The difference was statistically significant(P<0.01).2.Improvement of symptoms of thyroid hormone level:Thyroid hormone levels were significantly improved in both groups(P<0.01),but the changes of thyroid index before and after treatment in the treatment group were significantly greater than those in the control group(P<0.01).3.Improvement of symptoms of blood lipid levels:In the treatment group,the blood lipid levels were improved(P<0.05),in the control group,only TC and ldl-c levels were improved(P<0.05),the overall improvement was better in the treatment group than in the control group.Conclusion:The Wentongsan moxibustion on navel can improve TCM symptoms,thyroid hormone levels and blood lipid levels in patients with primary hypothyroidism of spleen-kidney yang deficiency type,the method of the Wentongsan moxibustion on navel is superior to the flour-partitioned moxibustion on navel.