Clinical Research On Acupuncture Combined With Pricking Therapy For The Treatment Of Disharmony Syndrome Between Liver And Stomach Of Chronic Superficial Gastritis

ObjectivesTo estimate the clinical efficacy of acupuncture combined with pricking therapy for the treatment of disharmony syndrome between liver and stomach of chronic superficial gastritis (CSG), in order to explore a safer and more effective treatment.MethodsThe 66 patients who standard to the inclusion criteria of disharmony syndrome between liver and stomach of CSG were divided into treatment group using acupuncture combined with pricking and control group using routine acupuncture by following the principle of randomized. Due to falling 6 cases, the real effective cases in the treatment group and control group are 30 cases in each. The acupuncture prescription of Controlled group was made of main points (Neiguan, Zhongwan, Zusanli, Gongsun) and acupoints including Qimen and Taichong(According to the National Ordinary Higher Education in Colleges and universities of Chinese medicine textbooks "acupuncture and moxibustion therapy" disharmony between the liver and stomach type "stomach" acupuncture treatment, editor in chief of the shuzhong Gao, Shanghai Science and Technology Press,2009,9:64-65). The treatment group used the same acupuncture prescription with the control group, combined with blood-letting puncture and cupping of chest or back(between the level of T7-12 thoracic vertebral) blood stasis.Two groups were treated 3 times a week,12 times a total. Disharmony syndrome score between liver and stomach and SCL-90 score of twe groups were respectively evaluated before treatment and after 2 and 4 weeks treatment, SF-36 was estimated after 4 weeks treatment, and the clinical efficacy was estimated after 2 and 4 weeks treatment.Results1. Comparision of baseline dateTwo groups of patients had no significant difference(P＞0.05) in gender,age, course of disease, disharmony syndrome score between liver and stomach, SCL-90 score and SF-36 score, which means they were comparable.2. Comparision of observation indexes(1)Comparison of disharmony syndrome score of liver and stomach①Comparison inside groupDisharmony symptom score of liver and stomach of two groups were reduce after the comparision of 2 weeks and before treatment and after 4 and 2 weeks treatment, which indicated there was a significant statistically difference (P＜0.05).②Comparison between groupsAfter 2 weeks treatment comparison between groups, the treatment group in disharmony symptom total score of liver and stomach, epigastric fullnes s or pain, hiccup.epigastric noise was lower than those in the control gr oup, which indicated a significant statistically difference between group s(P＜0.05);After 4 weeks treatment comparison between groups, the treatment group in disharmony syndrome score of liver and stomach, epigastricfullne ss or pain, acid regurgitation, depression, sighing frequentland epigastric noisewas was lower than those in the control group, which indicated a sig nificant statistically difference between groups(P＜0.05).(2)Comparision of SCL-90 score①Comparison inside groupComparision of after 2 weeks treatment and before treatment, both groups in SCL-90 somatization, depression, anxiety and other factors were reduce, which indicated a significant statistically difference (P＜0.05).②Comparison between groupsAfter 2 weeks treatment and after 4 weeks treatment comparison betwee n groups,the treatment group had a significance difference (P＜0.05) in SC L-90 somatization, depression and anxiety factors;Compared with the contro lgroup,the treatment group had a significance difference in somatization, depression and anxiety factors in difference comparison(P<0.05).3. Comparision of SF-36 score①Comparison inside groupComparision of after 4 weeks treatment and before treatment, both grou ps in SF-36 physical functioning(PF), role-physical(RE), body pain (BP),gen eral health(GH), vitality(VT), social functioning(SF), role-emotional(RE)and mental health(MH) were increased.which indicated a significant statistic ally difference (P＜0.05).②omparison between groupsAfter after 4 weeks treatment comparison between groups, the treatment group had a significance difference (P＜0.05) in SF-36 body pain (BP),vita lity(VT), role-emotional(RE) and mental health(MH);Compared with the contr ol group, the treatment group had a significance difference in body pain (BP), vitality(VT), role-emotional(RE), mental health(MH)and social function (SP) in difference comparison(P＜0.05).3. Comparision of efficacyAfter 2 and 4 weeks treatment, the effect of treatment group was better than control in comparison between groups, indated there was a significant statistically difference (P＜0.05).ConclusionAcupuncture combined with pricking therapy and traditional acupuncture in treating disharmony syndrome between liver and stomach of CSG both have clinical curative effect, but acupuncture combined with pricking therapy in improving epigastric fullness, epigastric pain, hiccup or noisy of disharmony syndrome of liver and stomach, somatization, depression anxiety factors of SCL-90 and increasing quality of Life(BP、VT、RE、MH、SF)area was superior to traditional acupuncture, indicated that it have a good clinical curative effect, being worthy of popularization and application.