| ObjectiveTo study the effect of auricular moxibustion based on Shu Ji theory combined with auricular point sticking on perimenopausal syndrome with renal yin deficiency,and to explore the practical effect of Shu Ji theory guidance,so as to enrich the clinical experience in the treatment of perimenopausal syndrome with Shu Ji theory,and to provide a therapeutic idea and objective basis for the clinical treatment of perimenopausal syndrome of kidney-yin deficiency type using characteristic Chinese medicine nursing techniques.MethodEighty-four patients with perimenopausal syndrome of kidney-yin deficiency type were studied by using the TCM syndrome score Quantified table of Perimenopausal kidney Yin deficiency type,Kupperman symptom rating table,and Perimenopausal Quality of Life(MENQOL)scale in the TCM characteristic nurse-led clinic of the one of top TCM hospitals in Yunnan Province.Included patients were randomly divided into two groups,there were 42 cases in each group.The control group was treated with simple auricular acupressure,selecting uterus,thalamus,pituitary,endocrine,kidney,liver,spleen and heart acupuncture points.Each time,only unilateral auricle was pasted,and both ears were pasted alternately,once a week,6 times a course of treatment,a course of treatment.The test group performed auricular point San Jiao and Dan for mild moxibustion based on Shu Ji therapy on the basis of simple auricular acupressure treatment plan,moxibustion at each ear-point for 5min,auricular moxibustion followed by auricular point sticking,once a week,6 times a course of treatment,a total of 1course of treatment.Instruct patients to press the ear-point on time during treatment.SPSS26.0 statistical software was used to conduct statistical analysis by t test,rank sum test and Chi-square test,and to evaluate the changes and differences in TCM syndrome score,Kupperman score and its efficacy and perimenopausal Quality of Life scale(MENQOL)score before and after treatment between the two groups.Rsults1.After t test,rank sum test or Chi-square test,there was no significant difference between the two groups in age,BMI,course of disease,severity of disease,menstruation condition,perimenopausal TCM syndrome scores of kidney Yin deficiency type,Kupperman score and MENQOL score data(P>0.05),indicating comparability.2.TCM syndrome score,Kupperman score and MENQOL score were significantly improved in both groups compared with before treatment(P<0.01).3.After 5 treatments,the improvement of all scales in the test group was more significant than that in the control group(P< 0.01).The effective rate of KI evaluation in the test group was 92.11%,and that in the control group was86.84%(P< 0.01).Conclusion1.The Shu Ji theory points out directions for the treatment of PMS by auricular point therapy,contributes treatment ideas,and plays a key role in the efficacy.2.Auricular moxibustion based on the Shu Ji therapy combined with auricular point sticking pressure and auricular point sticking pressure alone can improve TCM syndromes of patients with kidney Yin deficiency,reduce Kupperman score and reduce perimenopausal quality of life scale score.3.The effect of auricular acupuncture moxibustion under the guidance of Shu Ji therapy combined with auricular aupressure on renal yin deficiency type PMS was superior to that of auricular acupressure alone,which could better improve the TCM symptoms of patients with renal yin deficiency type PMS,alleviate a series of symptoms of PMS,and effectively improve the quality of life of patients,and the effect of combined use was superior to that of single treatment. |
