ABSTRACT
Objective:To compare the clinical efficacy of Du's heat-reinforcing method and Western medication in treating diarrhea-predominant irritable bowel syndrome (IBS-D).Methods:Sixty-five IBS-D patients were randomized into two groups by the random number table.Thirty-three cases in the treatment group were intervened by acupuncture with Du's heat-reinforcing method,while thirty-two cases in the control group were given oral administration of pinaverium bromide tablets.The intervention lasted 4 weeks for both groups.The IBS symptom severity score (IBS-SSS),IBS-quality of life (IBS-QOL) and hospital anxiety and depression scale (HAD) were adopted to evaluate the therapeutic efficacy.Results:The two groups each had two dropout cases.The clinical recovery rate was 38.7％ and the total effective rate was 90.3％ in the treatment group versus 13.3％ and 66.7％ in the control group.The treatment group was superior to the control group in both clinical recovery rate and total effective rate (both P＜0.05).After 1-week and 4-week treatment,respectively,the IBS-SSS scores were lower compared with the baseline in both groups,and the intra-group differences were statistically significant (both P＜0.05);the score in the treatment group was lower than that in the control group,and the between-group difference was statistically significant (both P＜0.05).After 4-week treatment,the component scores of IBS-QOL showed improvements in both groups,and the treatment group was superior to the control group in the improvements of dysphoria,interference with activity,health worry and food avoidance (all P＜0.05).The anxiety and depression scales of HAD (HAD-a,HAD-d) in the treatment group and the HAD-a in the control group obtained significant improvements (all P＜0.05);the scores of HAD-a and HAD-d in the treatment group were significantly better than those in the control group (both P＜0.05).Conclusion:Acupuncture with Du's heat-reinforcing method can effectively ease the symptoms of IBS-D,improve the quality of life and the state of anxiety and depression.It can produce a more significant efficacy than oral administration of pinaverium bromide tablets.
ABSTRACT
Objective To investigate the clinical efficacy of Du’s manipulative acupuncture with gold needles in treating intractable facial paralysis.Methods Two hundred and ten patients with intractable facial paralysis were randomly allocated to treatment and control groups, 105 cases each. The same acupoints were selected in the two groups. The treatment group received Du’s manipulative acupuncture with gold needles and the control group, conventional acupuncture. Facial nerve electroneurography (ENoG) was performed in the two groups before and after treatment to evaluate the therapeutic effects.Results There were statistically significant pre-/post-treatment differences in musculus frontalis and orbicularis oris ENoG amplitude values on the affected side in the two groups (P<0.05). There were statistically significant post-treatment differences in musculus frontalis and orbicularis oris ENoG amplitude values on the affected side between the treatment and control groups (P<0.05).Conclusion Du’s manipulative acupuncture with gold needles is an effective way to treat intractable facial paralysis.