Clinical Observation on the Treatment of CKD Patients with Spleen and Kidney Yang Deficiency and Liver and Kidney Yin Deficiency with the Combination of He Four Needies and Rong Four Needies in Traditional Chinese Medicine
Objective:To explore the therapeutic effect of acupuncture and moxibustion on chronic kidney disease(CKD)patients with spleen kidney yang deficiency and liver kidney yin deficiency.Methods:A single center clinical randomized trial was conducted to select 2 to 4 stages of CKD patients who were treated in the nephrology department of our hospital from June 2020 to June 2022,including 60 cases of spleen kidney yang deficiency and 60 cases of liver kidney yin deficiency.According to the random num-ber table,the spleen kidney yang deficiency and liver kidney yin deficiency were divided into a treatment group and a control group,with 30 cases in each.The patients in the control group were treated with conventional western medical basic treatment measures.The treatment group was treated with acupuncture combined with four He needles and four kong needles on the basis of the control group,12 consecutive courses of treatment,with each course lasting for l week;Compare the differences in traditional Chinese medicine syn-drome scores,renal function,and clinical treatment effects between patients before and after treatment.Results:After treatment,the main syndrome scores[(15.09±3.30),(11.74±2.20)],secondary syndrome scores[(7.71±1.63),(5.45±1.33)],and total TCM syndrome scores[(22.80±5.20),(17.19±3.64)]of patients with spleen kidney yang deficiency and liver kidney yin defi-ciency in the treatment group were lower than those of patients in the control group[(17.56±2.89),(13.43±2.51)],[(9.02±2.21),(6.72±1.51)],[(26.58±5.96),(20.15±3.30)](P＜0.05);After treatment,the CysC(2.57±0.71)mg/L in the treatment group of patients with liver kidney yin deficiency was lower than that in control group(3.00±0.88)mg/L(P＜0.05).The CysC(2.85±0.66)mg/L in the treatment group of patients with spleen kidney yang deficiency was lower than that in the control group(3.32±0.73)mg/L(P＜0.05);After treatment,a comprehensive evaluation of clinical efficacy was conducted.The overall therapeutic effect of the treatment group with spleen kidney yang deficiency and liver kidney yin deficiency types was better than that of the control group(P＜0.05).Conclusion:Acupuncture and moxibustion combined with the basic treatment measures of western medicine can achieve good clinical effect,delay renal function damage,improve clinical symptoms,and generally improve the treat-ment effect for CKD patients with spleen kidney yang deficiency and liver kidney yin deficiency.
Traditional Chinese MedicineClose the four needlesMelting four needlesSpleen and kidney yang defi-ciencyLiver and kidney yin deficiency typeChronic kidney disease
万方数据
维普
