The Clinical Observation Of The Frequent Episodic Tension-type Headache(FETTH) By Fu’s Subcutaneous Needling(FSN)

ObjectiveFu’s Subcutaneous Needling(FSN),which was invented in 1996,by professor Fu Zhonghua,is a method and theoretical system of acupuncture.After more than ten years of improvement and improvement,it is now widely used in thetreatment of ache in clinical.My tutor pointed out that the viewpoint of"strained muscle regions lead to ache”was a core theory of pathogenic mechanism in frequent episodic tension-type headache.Therefore,using the FSN to treat FETTH in clinical,can be obtained excellent curative effect.Based on clinical experience and FSN theory system,we put forward the hypothesis about that“strained muscle regions lead to ache" as an important pathogenic mechanism of FETTH,at the same time,the reperfusion approach(RA)of FSN can improve the local perfusion state and dredging the stasis,and achieved the goal of the treatment of FETTH.In this study,a program has been making about FSN treatment of FETTH.In order to demonstrate the above hypothesis,the prospective clinical study was carried out,which to evaluate the safety of FSN treatment for FETTH,and to immediate curative effect and short-term curative effect,to provide a basis for the further promotion and application of FSN therapy for FETTH.MethodsThis study adopts the method of simple randomized controlled,in May 2017 to April 2018,through the way of recruiting,volunteers into frequent tension-type headache(60 cases,randomly assigned to treatment group(FSN group)and control group(traditional acupuncture group),each group included 30 patients,conducting clinical research.During the whole study,the patients in the experimental group were treated with floating acupuncture during the first,third and fifth days of the treatment week,and the control group received acupuncture treatment in the first five days of treatment week.Before treatment,the general data were collected for the two groups of patients,and the average number of attacks,duration of average headache,VAS score,SAS score and SDS score were recorded to understand the baseline condition of the patients.The differences between the two groups before and after treatment were discussed in the 24 hours after the first treatment.Stay all FETTH patients finish the treatment course,in the treatment of 28 days after the end of follow-up,again for the above indicators evaluation,compare the difference of two groups of patients before and after treatment and the differences between groups,evaluation of FSN treatment the clinical curative effect of FETTH.Results1.In total,60 cases were included in the study,3 cases were lost and 57 cases were completed.Record FSN with traditional acupuncture group of cases of baseline data between the two groups(sex,age,duration,attack frequency of headache VAS score,on average,duration,SAS scores and SDS scores)before the treatment.After statistical analysis of the data,it was found that there was no statistically significant difference between the two.2.Within 24 hours after the first treatment on two groups of patients compared with before treatment,VAS score and found two groups of patients was decreased,the VAS score and floating needle treatment group VAS score points more apparent,statistically significant difference(P<0.01),suggesting FSN in the instant analgesic effect has more significant effect than traditional acupuncture treatment.3.At the end of the treatment,two groups of patients with monthly average episodes was reduced,the floating needle group(P<0.01),the traditional acupuncture group(P<0.05),the comparison between the two group patients had no significant difference(P>0.05);the duration of headache in both groups was shorter than before treatment(P<0.01),and there was no significant difference between the two groups(P>0.05);the VAS score of the two groups was lower than that before treatment(P<0.01),and there was no significant difference between the two groups(P>0.05);in both groups,the headache index was lower than before treatment(P<0.01),and there was no significant difference between the two groups(P>0.05);the SAS score and SDS score of the FSN group were both lower than that before treatment(P<0.01),and the traditional acupuncture group had no significant change(P>0.05),but there was no significant difference between the two groups(P>0.05).In conclusion,the results suggest two kinds of therapy in treatment of frequent tension-type headache in reducing frequency of attacks,shorten the duration of headache,reduce the degree of headache,improve comprehensive headache index both has certain curative effect,and FSN is not inferior to traditional acupuncture.FSN may be effective.in improving anxiety and depression.4.After the treatment was completed,the short-term clinical efficacy of the two groups was statistically analyzed.The results indicated that the total effective of FSN group was 100%,among which 20 were effective,9 were effective and 0 was invalid.In the traditional acupuncture group,14 cases were developed,9 cases were effective,5 cases were invalid,and the total effective rate was 82%.In total efficiency,the difference was statistically significant(P<0.05).It is suggested that FSN is superior to traditional acupuncture therapy in the short term.ConclusionThrough this clinical study,"strained muscle regions lead to ache" was confirmed as the important pathogenesis of FETTH.And the reperfusion approachcan improve the local perfusion state and dredging the stasis,so that it canachieved the goal of the treatment of FETTH was confirmed.By comparing with the traditional acupuncture group,FSN in the instant analgesic effect has more significant effect than traditional acupuncture treatment.And the total efficiency is also higher than the traditional acupuncture group.FSN is a safe and effective treatment for frequent tension headache,and is worthy of further application and research.