| Objective: This topic from the perspective of smooth shaoyang qi mechanism for treatment,the use of xiaoyang and Xiaoyang acupuncture and pinellia baizhu Tianma decoction for clinical intervention of normal phlegm and high blood pressure patients.By comparing the differences of acupuncture,Traditional Chinese medicine and combination of acupuncture and medicine in improving phlegm-dampness constitution and regulating blood pressure,the advantages of combination of acupuncture and medicine were summarized,and then an effective and safe new method was found for the intervention of normal high blood pressure.Methods: A randomized,parallel controlled study was conducted in this study.96 patients with normal high blood pressure of phlegm and humidity conforming to the inclusion criteria were selected.According to the random number table method,the patients were divided into acupuncture group,Traditional Chinese medicine group and acupuncture and drug combination group,32 cases in each group.The acupuncture group was treated with huanyoyang acupuncture;the Chinese medicine group was treated with pinellia baizhu tianma Decoction for oral treatment;the combination of acupuncture and medicine group was treated with Huanyoyang acupuncture combined with Pinellia Tianma Decoction for oral treatment.The three groups were treated with 2 weeks as a course of treatment,and a total of 4 courses were observed for 8 weeks.Blood pressure,facial temperature of infrared thermal imaging,phlegm-moisture conversion score of TCM Body Mass Identification Scale,Duchenne Hypertension Quality of Life Scale and BMI index of patients in the three groups before and after treatment were compared.SPSS25.0 statistical software was used for intra-group and inter-group comparative analysis of the data of the three groups.To explore the therapeutic effect of each therapy on patients with normal phlegm and high blood pressure.Results:1.The total effective rate of acupuncture and drug combination group was higher than that of acupuncture and Chinese medicine group,and the difference was statistically significant(P<0.05).2.Intra-group comparison of the three groups after treatment showed that blood pressure,facial temperature value of infrared thermal imaging,phlegm-moisture conversion score and BMI index all decreased compared with before treatment,while Duchenne hypertension quality of life score increased compared with before treatment,with statistically significant differences(P<0.01).3.Comparison between the three groups after treatment showed that:(1)Blood pressure(systolic/diastolic): acupuncture group<acupuncture group<Traditional Chinese medicine group(P<0.05);(2)The facial temperature of infrared thermal imaging was as follows: acupuncture group<acupuncture group<Traditional Chinese medicine group(P<0.05);(3)Sputum moisture transformation: acupuncture combined group<Traditional Chinese medicine group<acupuncture group(P<0.05);(4)Duchenne quality of life score for hypertension: combination of acupuncture and medicine group>Traditional Chinese medicine group>acupuncture group(P<0.05);(5)BMI index: the combination of acupuncture and medicine group was lower than the TCM group/acupuncture group(P<0.05),and there was no significant difference between the acupuncture group and the TCM group(P>0.05).Conclusion: The shaoyang and Shaoyang acupuncture and the addition of Pinellia baizhu and Tianma decoction can improve the clinical performance of normal phlegm-dampness patients with high blood pressure,and the two have their own therapeutic advantages.Acupuncture group was better than traditional Chinese medicine group in regulating blood pressure and improving head and face congestion.The TCM group was better than acupuncture group in improving phlegm-dampness constitution and quality of life.In terms of weight reduction,acupuncture group had the same effect as traditional Chinese medicine group.The efficacy of acupuncture and medicine combined group was better than acupuncture group and Chinese medicine group.No serious adverse reactions or adverse events occurred in the three groups during the treatment,suggesting that the safety of the treatment is worth affirming.This study shows that the combination of acupuncture and medicine therapy,from the perspective of the smooth access to shaoyang qi mechanism,through improving phlegm-dampness constitution to control the normal high blood pressure intervention idea is positive,effective,safe and reliable,has the significance of clinical promotion. |