Based On The Theory Of "Aster Chen Divides",Three-edged Needle Clinical Effect Study On Functional Anorectal Pain Treated By Acanthopanax

[Objective]: To explore the clinical efficacy of three-pronged acupoint in the treatment of functional anorectal pain based on the theory of "Wan Chen Ze Quzhi",so as to better guide the clinical application and improve the quality of life of patients.[Methods]:In this study,50 patients with functional anorectal pain admitted to the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine were randomly divided into two groups by random number method: treatment group(n = 25)was treated with three-pronged acupuncture;In the control group(n =25),functional anorectal pain was treated with 40 warm water sitting bath group.Patients in both groups were treated for 4 weeks(2 weeks was one treatment cycle,and two treatment cycles were performed in total).The relevant efficacy indexes were evaluated before,1 week,2 weeks,4 weeks and 8 weeks of follow-up.In this study,the primary outcome measures were visual analog scale(VAS)score,and the secondary outcome measures were SF-36 quality of life questionnaire and depression evaluation.[Results]:1.There was no statistically significant difference between the two groups in terms of demographic data,course of disease,pain score and other disease-related general conditions(P > 0.05).2.Overall efficacy evaluation: the total effective rate of 25 cases in the treatment group was 88%,including 6 cured,13 significantly effective,3 effective and 3 ineffective;The total effective rate of 25 patients in the control group was 68%,including 1 cured,6 significantly effective,10 effective and 8ineffective.The clinical efficacy of the two groups was significantly different(P < 0.01),the treatment group was better than the control group.3.Efficacy analysis:VAS score: Before treatment,there was no significant difference in VAS score between the two groups,which was comparable(P > 0.05).After 1 week of treatment,the VAS score of the treatment group was significantly lower than that before treatment,the difference was statistically significant(P < 0.05).The VAS score of the control group was not significantly reduced compared with that before treatment,and the difference was not statistically significant(P > 0.05).After 2 weeks of treatment: VAS scores in 2 groups were lower than before treatment,the difference was statistically significant(P < 0.05).After 4 weeks of treatment:VAS scores in 2 groups were significantly lower than before treatment,with statistical significance(P < 0.05).Follow-up period was 8 weeks: VAS scores in 2 groups were significantly lower than before treatment,with statistical significance(P < 0.05).In addition,the VAS score of the treatment group decreased more significantly than that of the control group during the follow-up period of8 weeks,and the difference in VAS score between the two groups was statistically significant(P < 0.05).SF-36 score: After 4 weeks of treatment,the scores of physical function(RP),physiological function(PF),physical pain(BP),social function(SF),emotional function(RE)and mental health(MH)in the treatment group were higher than those before treatment,with statistical significance(P < 0.05);Vitality(VT)and general health(GH)scores were not significantly improved compared with those before treatment,and the difference was not statistically significant(P > 0.05).After 4 weeks of treatment,the scores of physiological function(PF),affective function(RE)and mental health(MH)in control group were significantly higher than those before treatment(P < 0.05).Physical pain(BP),vitality(VT),social function(SF),physiological function(RP)and general health(GH)scores were not significantly improved compared with those before treatment,and the difference was not statistically significant(P > 0.05).Comparison of the quality of life between the two groups: after four weeks of treatment,the average level of various indicators in the treatment group was higher than that in the control group,and there were significant differences in physiological function(PF),physiological function(RP),emotional function(RE)and mental health(MH),with statistical significance.There were no significant differences in physical pain(BP),vitality(VT),general health(GH)and social function(SF).SDS/SAS scores: After 4 weeks of treatment,SDS and SAS scores in 2 groups were significantly lower than those before treatment,with statistical significance(P < 0.01).Safety analysis: No adverse reactions occurred in both groups during treatment.[Conclusion]:1.Both groups of treatment could improve the pain symptoms of patients with functional anorectal pain,but compared with the two groups,the effect of the treatment group was faster,and the VSA score of patients could be reduced more rapidly.2.Compared with the control group,the follow-up period(long term)efficacy of the treatment group was better.3.The treatment of three-edge needle and acupoint and 40℃ warm water sitting bath can improve the patients’ life treatment score and improve the patients’ life quality.4.Treating with three-edge needle and acupoint,and sitting bath with warm water at 40℃ can both reduce patients’ SDS and SAS scores,and relieve patients’ depression and anxiety.