Influence of acupoint application of traditional Chinese medicine on TCM constitution of patients with depression
Objective To analyze the clinical efficacy of acupoint application of traditional Chinese medicine on depression (DEP) patients with different traditional Chinese medicine constitutions.Methods A retrospective analysis was conducted on the data of 348 patients with DEP treated in the Second Clinical Medical College of Guizhou University of Traditional Chinese Medicine from December 2022 to December 2023,and their traditional Chinese medicine constitution types were investigated and counted.According to differences in treatment plans used,they were divided into Group A (174 cases,conventional treat-ment) and Group B (174 cases,conventional treatment+acupoint application of traditional Chinese medicine),and differ-ences in physical improvement and clinical efficacy between the two groups were compared.Results Among 348 DEP pa-tients,there were 87 cases of Qi stagnation ( 25.00％),57 cases of Qi deficiency ( 16.38％),54 cases of Yang deficiency ( 15.52％),42 cases of peaceful quality ( 12.07％),39 cases of Yin deficiency ( 11.21％),24 cases of blood stasis ( 6.90％),15 cases of damp heat ( 4.31％),15 cases of phlegm dampness ( 4.31％),and 15 cases of idiopathic quality (4.31％).The total response rate in the group B was higher than that in the group A,and difference was statistically signifi-cant (P<0.05).Before treatment,there was no statistically significant difference in the Hamilton depression scale (HAMD) scores between the two groups ( P>0.05),after treatment,however,the scores were lower than those before treatment in all groups,and that in the group B was lower than that in the group A,and difference was statistically significant ( P<0.001).Be-fore treatment,there was no statistically significant difference in the TCM syndrome scores between the two groups ( P>0.05).After treatment,except for those with intrinsic constitutions,TCM syndrome scores of all other patients were lower than those before treatment ( P<0.001).In the group B,the TCM syndrome scores of patients with Qi stagnation,Qi deficiency,Yang deficiency,peaceful quality,and Yin deficiency were lower than those of patients with the same TCM constitutions in the group A after treatment ( P<0.001).The TCM syndrome scores of patients with damp heat,phlegm dampness,blood stasis,and in-trinsic constitution were not different from those of patients with the same TCM constitutions in the group A after treatment ( P>0.05).Conclusion The traditional Chinese medicine constitution of DEP patients is mainly characterized by Qi stagnation,and acupoint application of traditional Chinese medicine can achieve certain therapeutic effects.Qi stagnation,Qi deficiency,Yang deficiency,peaceful quality,and Yin deficiency have better therapeutic effects,while damp heat,phlegm dampness,blood stasis,and intrinsic constitution have poor therapeutic effects.Therefore,a reasonable treatment plan should be formula-ted for the traditional Chinese medicine constitution of DEP patients.
acupoint application of traditional Chinese medicinedepression(DEP)traditional Chinese medicine constitutionHamilton depression scale (HAMD)
万方数据
维普
