The Study Of Clinical Research Of "Tongnao Tiaoshen" Acupuncture Technique In The Treatment Of Mild To Moderate Generalized Anxiety Disorder

ObjectiveThis study aimed to provide a different kind of thoughts and therapy for acupu ncture treatment of Generalized Anxiety Disorder(GAD),by verifying the efficacy an d safety of Tongnao Tiaoshen acupuncture technique in treating mild to moderate G AD.Methods60 participants with GAD were divided into two group with 30 cases in per,by random group design.The Tongnao Tiaoshen group:Baihui,Shenting,Fengfu,Danzhong,Zhongwan,Guanyuan,Neiguan.The conventional acupuncture group:Shenmen,Daling,Neiguan,Qimen,Xinshu,Hegu,Taichong.The acupoints in the two groups were the same with syndrome matching.The tongnao Tiaoshen group to reinforcing and reducing manipulation,Baihui,Shenting and Fengfu were given twirling reducing combined with breath reducing.Danzhong,Zhongwan,and Guanyuan,were treated with twirling reinforcing combined with breathing reinforcing.Neiguan was given even twirling reinforcing-reducing method.According to the syndrome type,the conventional acupuncture group was given to supply deficiency and expel excess.Treatments in two groups were once every other day,three times a week,a course of four weeks.The post treatment HAMA score,SAS score were compared with the previous,and the efficacy was evaluated based on the reduction rate of the HAMA score.Statistical analysis of the involved data use SPSS 22.0.Results(1)General data comparisonGeneral date such sa gender,age,TCM syndrome type,pathogenetic condition,HAMA score,psychiatric symptoms score and somatic symptoms score were appeared that datas wewe not significant difference among the two groups,which means they were comparable(P>0.05).(2)HAMA,psychiatric symptoms score and somatic Symptoms score comparisonThe post treatment HAMA score,psychiatric symptoms score and somatic Symptoms score of each group decreased compared with the previous,and the difference was statistically significant(P<0.05).When comparing the two groups,the decremet valus of two groups was statistically significant(P<0.05).(3)SAS score comparisonThe post treatment SAS score of each group decreased compared with the previous,and the difference was statistically significant(P<0.05).When comparing the two groups,the decremet valus of two groups was statistically significant(P<0.05).(4)Efficacy EvaluationThere was no significant difference between TCM syndrome type in the two groups(P>0.05).In Tongnao Tiaoshen group,the number of recovered,markedly improved,effective and ineffective were nine,eleven,seven and three,and the overall response rate was 90 per cent.In conventional acupuncture group,the number of recovered,markedly improved,effective and ineffective were three,nine,thirteen and five,and the overal response rate was 83.3 per cent.The difference was statistically significant(P<0.05).ConclusionThe two group have certain clinical effect on GAD.Tongnao Tiaoshen group had better clinical efficacy in aspects of anxiety,nervousness,insomnia,cognitive function,dysthymia,cardiovascular sysptoms,gastrointestinal symptom,urogenital system than the conventional acupuncture group.The result of this study provides acupuncture treatment with a new kind of therapy for generalized anxiety disorder.