Rehabilitation effects of qi-invigorating and blood-activating TCM ointment rubbing on stage Ⅰ post-stroke SHS with qi deficiency and blood stasis syndrome
Objective To observe the clinical effects and safety of qi-invigorating and blood-activating traditional Chinese med-icine (TCM) ointment rubbing on stage Ⅰ post-stroke shoulder-hand syndrome (SHS) with qi deficiency and blood stasis syndrome.Methods Seventy-four patients with stage Ⅰ post-stroke SHS with qi deficiency and blood stasis syndrome,trea-ted at the Second Affiliated Hospital of Anhui University of Chinese Medicine from March 2023 to January 2024,were se-lected.Patients were randomly allocated to an observation group and a control group,with 37 cases in each group.The ob-servation group received TCM ointment rubbing therapy with an in-house preparation of eleven-ingredient blood-activating tincture,while the control group received ointment rubbing therapy with 50 mL physiological saline mixed with 100 g yellow vaseline.TCM syndrome scores,pain visual analog scale (VAS) scores,hand swelling,Shoulder-Hand Syndrome Score (SHSS),shoulder joint range of motion (ROM),and upper limb Fugl-Meyer assessment (FMA) scores were compared be-fore treatment,and at 2 and 4 weeks after treatment.Results Before treatment,there were no significant differences in TCM syndrome scores and VAS scores between the two groups (P>0.05).At 2 and 4 weeks after treatment,both scores were significantly decreased in both groups,with the observation group showing lower scores than the control group (P<0.05).Hand drainage volume differences before and after treatment were not significant between the two groups (P>0.05).After 2 and 4 weeks,hand drainage volume differences were significantly smaller in both groups,with the observa-tion group showing smaller differences than the control group (P<0.05).SHSS scores,ROM measurements,and FMA scores increased more significantly in the observation group than those in the control group (P<0.05).No adverse reactions occurred in either group during treatment.Conclusion Qi-invigorating and blood-activating TCM ointment rubbing shows significant therapeutic effects on post-stroke SHS with qi deficiency and blood stasis syndrome,effectively alleviating clinical symptoms,promoting shoulder joint function recovery,and strengthening upper limb motor function,justifying a wider clinical application.
TCM ointment rubbingShoulder-hand syndromeQi deficiency and blood stasisUpper limb motor function