Research On The Clinical Effect Of Abdominal Acupucture Therapy On Unilateral Sensory Disturbance In Cerebrovascular Diseases

Object iveThis study is going to observe the law of acupoints thermal moxibustion treatment of Bell’s palsy. Compare the clinical effect indifferent syndromes of Bell’s palsy curing by acupoints thermal moxibustion treatment. Furthermore, discuss the theory of " Moxibustion can be used for heat syndromes" in the treatment of Bell’s palsy.MethodsThe study was supported by grant of "The2010special Fund of Research of Features and Advantages of Guangdong Provincial Hospital of TCM".A total of140Bell’s palsy patients and150health volunteers were enrolled in the study, most of which came from the outpatient and in-patient department of Acupuncture and Moxibustion.And the health volunteers was recruited in the GuangZhou University of Traditional Chinese Medicine.All the people who met the inclusion criteria should sign the consent letter, and received a thermal sensitive acupoints exploration. The doctor should explore the thermal sensitive acupoints on the meridians and neurotomy sites which were related with the facial paralysis by using a moxa roll.All the confirmed cases were divided subjects into wind-cold syndrome, wind-heat syndrome and insufficiency of qi and blood syndrome according to "Acupuncture and Moxibustion Therapy of Facial Palsy" edited by Wang Qicai. All the three groups were cured by acupoints thermal moxibustion treatment. Chose the most sensitive acpoints (3-5) and marked, then treated with suspended moxibustion one by one, and record the changing of thermal sensitive acupoints and the form of expression every day. The doctor should detected the heat-sensitive acpoints again every week and filled in the "Observation Schedule of the hermal sensitive acupoints". After3weeks’observation or at the time when the patient recovered (if the patient recovered in3weeks) and one month after the last treatment, the doctor should evaluate the clinical effect. This study estimated the recovery situation of Facial nerve function by FDI, House-Brackmann and Burres-Fisch, which are the most widely using methods. All the data would be analyzed by spss18.0statistics software.Results1. The study of the heat sensitization law of the acupoints in Bell’s palsy patients shows that there are significant differences in occurrence rate about "acupoint heat sensitization" between Bell’s Palsy patients and health volunteers (P<0.01). And there is no statistically significant among different symptom in the Bell’s palsy patients (P>0.05).2. The Expression about Heat Sensitization Acupoint in Bell’s palsy patients:In the upper5expression (synaesthesia (73.57%), diathermanous (59.29%), Heat-expanding (58.57%), Needling sensation propagating along the channel (40.00%), Heat-pleased (35.71%)), there were not statistically significant among differentiation of symptoms and signs for classification of syndrome (P>0.05).3. The Law of Distribution of Channels in Bell’s palsy patients:In the upper5channels(Stomach Meridian of Foot-Yangming(ST)(85.00%), Sanjiao Meridian of Hand-Shaoyang (SJ)(77.14%), Gallbladder Meridian of Foot-Shaoyang (GB)(61.43%), Small Intestine Meridian of Hand-Taiyang (SI)(54.29%), Large Intestine Meridian of Hand-Yangming (LI)(49.29%)), and there were not statistically significant among differentiation of symptoms and signs for classification of syndrome (P>0.05).4. The Law of Distribution of Acupoint in Bell’s palsy patients:In the upper5acupoints(Yifeng (SJ17)(76.43%), Xiaguan (ST7)(60.00%), Quanliao (SI18)(52.14%), Yangbai (GB14)(47.14%), Hegu(LI4)(45.71%), there were not statistically significant among differentiation of symptoms and signs for classification of syndrome (P>0.05).5. Comparison of Clinical symptom grading score:Comparison in the group: FDI Physical Function Subscale:There is a significant improvement after treatment(P<0.05) in all paitients, as well as the wind-cold syndrome paitients and wind-heat syndrome paitients(P<0.05); FDI Social/Well-being Function Subscale:There is a significant improvement after treatment (P<0.05) in all paitients, as well as the wind-cold syndrome paitients and wind-heat syndrome paitients(P<0.05); Burres-Fisch score:There is a significant improvement after treatment (P<0.05) in all paitients, as well, as the wind-cold syndrome paitients and wind-heat syndrome paitients (P<0.05); After treatment, patients with the scores of FDI Physical Function Subscale, FDI Social/Well-being Function Subscale, and Burres-Fisch score between wind-cold syndrome paitients and wind-heat syndrome paitients had no significant (P>0.05).6. Safety Observation:None of experimenter, including health volunteers and differentiation of symptoms and signs for classification of syndrome in the Bell’s palsy patients, was terminated because of the adverse reaction.Conc l us ionsThe occurrence rate of "thermal sensitive acupoints" in Bell’s palsy patients is higher than that in healthy volunteers. Acupoints thermal moxibustion treatment can improve the clinical efficacy of this disease. The study shows that there is no statistically significant between wind-cold syndrome and wind-heat syndrome in the occurrence rate of "thermal sensitive acupoints", clinical effects and prognosis, therefore, moxibustion can be used for heat syndromes and has a better curative effect in the treatment of Bell’s palsy.