Clinical Study On The Treatment Of Postherpetic Neuralgia(Qi Stagnation And Blood Stasis Type) In The Trunk By Combining Fire Acupuncture With Blood Release Cupping

Objective: In this paper,from four aspects of TCM symptom score,pain degree,skin disease life quality index and anxiety state,the clinical effect of fire acupuncture combined with puncture and bloodletting cupping therapy for the treatment of postherpetic neuralgia(Qi stagnation and blood stasis type)was observed to provide clinical basis for the treatment of this disease.Methods: Seventy-two patients with postherpetic neuralgia(qi stasis and blood stasis type)who met the inclusion criteria were selected from the outpatient department of acupuncture and moxibustion Department affiliated to Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,and divided into 36 patients in treatment group and 36 patients in control group according to random number table method.The treatment group was given fire needle combined with puncture collages and bloodletting cupping,while the control group was given conventional acupuncture combined with puncture collages and bloodletting cupping.The treatment course was operated once every other day,10 days as a course of treatment,a total of two courses.After the changes of visual analog scale(VAS),Qi-stagnation and blood-stasis symptom score scale,Dermatosis Life Quality Index(DLQI)score and Hamilton Anxiety Scale(HAMA)score before and after treatment,the intra-group and intergroup differences of clinical efficacy between the treatment group and the control group were evaluated realistically and objectively.Results:1.At the end of the study,70 patients completed treatment,35 of whom were in both the control and treatment groups.After 20 days of treatment,overall efficacy was 94.3% in the treatment group and 85.7% in the control group,and overall efficacy was significantly different between the two groups(P < 0.05).2.Overall data(age,sex,disease duration,etc)and various follow-up parameters,such as VAS score,Qi stagnation and hemostasis type symptom scales,DLQI score,and HAMA score,were comparable between the 2 groups before treatment(P > 0.05).3.The VAS score,Qi stagnation and blood stasis symptom-type scales,DLQI score and HAMA score decreased significantly(P<0.05)in both groups after treatment,and when comparing the two groups,the reduction in each score was greater in the treatment group that was more effective.Conclusion:1.The two groups of treatment methods can improve the pain,improve the quality of life and reduce anxiety in the patients with PHN(qi stagnation and blood stasis type).2.The effect of the treatment group was higher than that of the control group in terms of pain improvement,anxiety relief and quality of life,and the total effective rate of the treatment group was significantly better than that of the control group,indicating that this treatment method has a significant clinical effect.