Clinical study on Tongqiao Huoxue Decoction combined with tongdu tiao-shen acupuncture in treating hemiplegia after ischemic stroke of qi defi-ciency and blood stasis type
Objective To explore the clinical effect of Tongqiao Huoxue Decoction combined with tongdu tiaoshen acupuncture on hemiplegia after ischemic stroke of qi deficiency and blood stasis type.Methods A total of 136 patients with hemiplegia after ischemic stroke admitted to Yulin Hospital of Traditional Chinese Medicine from January 2021 to July 2022 were selected as the subjects,and they were divided into three groups by computer drawing.The decoction group(45 cases)was treated with routine treatment+Tongqiao Huoxue Decoction,the acupuncture group(45 cases)was treated with routine treatment+tongdu tiaoshen acupuncture,and the combined group(46 cases)was treated with routine treatment+Tongqiao Huoxue Decoction+tongdu tiaoshen acupuncture.After three courses of treatment,the traditional Chinese medicine syndrome score,clinical efficacy,neurological function index,and treatment safety were compared among the three groups.Results After treatment,the traditional Chinese medicine symptom scores of the three groups were lower than those before treatment,and the combined group were lower than those of the decoction group and the acupuncture group(P<0.05).The clinical efficacy of the combined group was better than that of the decoction group and acupuncture group(P<0.05).After treatment,the levels of ubiquitin carboxyl terminal hydrolase 1,microtubule associated proteins,and neuron specific enolase in the three groups were lower than those before treatment,and the combined group were lower than those in the decoction group and the acupuncture group(P<0.05).During the treatment period,there was no statistically significant difference in the incidence of adverse reactions among the three groups(P>0.05).Conclusion The combination of Tongqiao Huoxue Decoction and tongdu tiaoshen acupuncture has significant effect on treating hemiplegia after ischemic stroke,which can improve traditional Chinese medicine symptoms,improve neurological function indicators,and have good safety.