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Clinical study of optimizing acupoint combining in treatment of bronchial asthma with acupoint application

穴位敷贴治疗支气管哮喘优化穴位组合的临床研究

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Journal of Acupuncture and Tuina Science Aims and scope Submit manuscript

Abstract

Objective: To observe the therapeutic efficacy of acupoint application at different groups of acupoints in treating bronchial asthma in remission stage.

Methods: A total of 120 patients with bronchial asthma in remission stage were recruited and divided by the random number table method into acupoint application group 1, acupoint application group 2 and acupoint application group 3, with 40 cases in each group. In all the three groups, Tiantu (CV 22), Dazhui (GV 14) and Feishu (BL 13) were selected, with Dingchuan (EX-B 1) added in acupoint application group 1, Shenshu (BL 23) added in acupoint application group 2, and Gaohuang (BL 43) added in acupoint application group 3. Before intervention, one month and 3 months after intervention, clinical symptoms, peak expiratory flow (PEF) and forced expiratory volume in 1 second percentage of predicted value (FEV1%) of the three groups were observed, and their clinical efficacies were evaluated.

Results: Comparing the therapeutic efficacy regarding traditional Chinese medicine symptoms and signs, after 1-month treatment, the total effective rate was 87.5% in acupoint application group 1, versus 62.5% in acupoint application group 2 and 55.0% in acupoint application group 3, and the between-group differences were statistically significant. After 3-month treatment, the total effective rate was 95.0% in acupoint application group 1, versus 70.0% in acupoint application group 2 and 65.0% in acupoint application group 3, and the between-group differences were statistically significant. After intervention, the three groups all showed significant improvements in pulmonary function with statistical significance; among the three groups, the improvement in acupoint application group 1 was more significant than that in the other two groups.

Conclusion: Tiantu (CV 22), Dazhui (GV 14) and Feishu (BL 13) as basic prescription plus Dingchuan (EX-B 1) can improve symptoms of bronchial asthma in remission stage, and it works better in improving pulmonary function than the basic prescription plus Shenshu (BL 23) or Gaohuang (BL 43).

摘要

目的:观察敷贴不同穴位组合治疗缓解期支气管哮喘的疗效。方法:共纳入120 例缓解期支气管哮喘患 者, 按随机数字表法分为穴位敷贴1 组、穴位敷贴2 组和穴位敷贴3 组, 每组40 例。三组均选用天突、大椎和 肺俞, 穴位敷贴1 组加定喘, 穴位敷贴2 组加肾俞, 穴位敷贴3 组加膏肓。观察三组治疗前和治疗1 个月、3 个 月后的临床症状, 测定呼气流量峰值(PEF)和第一秒用力呼气容积占预计值比值(FEV1%), 并评价三组临床疗效。 结果:三组病例中医证候疗效标准比较, 治疗1 个月后, 穴位敷贴1 组总有效率为87.5%, 穴位敷贴2 组总有效 率为62.5%, 穴位敷贴3 组总有效率为55.0%, 三组间有效率有显著性差异。治疗3 个月后, 穴位敷贴1 组总有 效率为95.0%, 穴位敷贴2组总有效率为70.0%, 穴位敷贴3组总有效率为65.0%, 三组间有效率有显著性差异。 治疗后, 三组肺功能均较治疗前有明显改善, 组内治疗前后差异均有统计学意义; 三组组间比较, 穴位敷贴1 组 改善明显优于其它两组。结论:天突、大椎、肺俞基本穴位加定喘在改善支气管哮喘缓解期症状, 提高肺功能方 面优于基本穴位加肾俞或膏肓。

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References

  1. Sun WL, Chen YH. Update of Global Asthma Prevention and Treatment Initiative 2016. Zhongguo Yixue Qianyan Zazhi (Dianzi Ban), 2016, 8(7): 33–40.

    Google Scholar 

  2. Bateman ED, Hurd SS, Barnes PJ, Bousquet J, Drazen JM, FitzGerald JM, Gibson P, Ohta K, O'Byrne P, Pedersen SE, Pizzichini E, Sullivan SD, Wenzel SE, Zar HJ. Global strategy for asthma management and prevention: GINA executive summary. Eur Respir J, 2008, 31(1): 143–178.

    Article  CAS  Google Scholar 

  3. Ning ZQ. Research on the status and progress of drug treatment of bronchial asthma. Xiandai Zhenduan Yu Zhiliao, 2015, 26(13): 2930–2932.

    Google Scholar 

  4. Masoli M, Fabian D, Holt S, Beasley R; Global Initiative for Asthma (GINA) Program. The global burden of asthma: executive summary of the GINA Dissemination Committee report. Allergy, 2004, 59(5): 469–478.

    Article  Google Scholar 

  5. Asthma Group, Society of Respiratory Diseases, Chinese Medical Association. Guidelines for the prevention and treatment of bronchial asthma (definition, diagnosis, treatment, education and management of bronchial asthma). Zhonghua Jiehe He Huxi Zazhi, 2003, 26(3): 132–138.

    Google Scholar 

  6. Asthma Group, Society of Respiratory Diseases, Chinese Medical Association. Guideline for the prevention and treatment of bronchial asthma (2016). Zhonghua Jiehe He Huxi Zazhi, 2016, 39(9): 675–697.

    Google Scholar 

  7. Ministry of Health of the People’s Republic of China. Guiding Principles for Clinical Study of New Chinese Medicines. Beijing: China Medical Science Press, 2002: 60–66.

    Google Scholar 

  8. State Administration of Traditional Chinese Medicine. Criteria of Therapeutic Effects of Syndromes in Traditional Chinese Medicine. Beijing: China Press of Traditional Chinese Medicine, 2017: 7–8.

    Google Scholar 

  9. Song LQ, Ma YC, Xiao HB, Li ZY, Ma XP. Study of the etiology, pathogenesis and syndrome differentiation-based treatment of bronchial asthma in traditional Chinese medicine. Zhongyiyao Xuebao, 2009, 37(4): 9–11.

    Google Scholar 

  10. Zhao BL. Discussion of etiology and pathogenesis of bronchial asthma and its classic prescriptions. Zhongyiyao Linchuang Zazhi, 2006, 18(1): 85–87.

    Google Scholar 

  11. Zhang WJ. The Research on the Cases of Professor Zhou Zhongying Treating Asthma Based on Data Mining. Nanjing: Doctor Thesis of Nanjing University of Chinese Medicine, 2012: 23–29.

    Google Scholar 

  12. Zhang C, Shen CT. Application of structural equation model in the TCM syndrome classification of bronchial asthma. Jilin Zhongyiyao, 2014, 34(4): 379–381.

    Google Scholar 

  13. Feng JH, Sun ZT, Liu ES, Wang Q, Fu M, Li XJ. Investigation study of TCM syndromes evolution law of bronchial asthma. Zhongguo Zhongyi Jizheng, 2011, 20(3): 380–382.

    Google Scholar 

  14. Wang ZW, Li JS, Yu XQ, Zhang ZW. Pattern distribution at different stages of bronchial asthma: a descriptive study. Beijing Zhongyiyao Daxue Xuebao, 2016, 39(2): 136–139.

    Google Scholar 

  15. Liu YP, Cui R. Research progress in the prevention and treatment of bronchial asthma with acupoint application. Shanxi Zhongyi, 2016, 32(1): 58–60.

    Google Scholar 

  16. Shi MY, Shu ZT, Zhang W, Tian J. Effect of rapid point pressure on therapeutic efficacy and pulmonary function in patients with chronic persistent bronchial asthma. J Acupunct Tuina Sci, 2015, 13(1): 36–43.

    Article  Google Scholar 

  17. Wu LT, Jin YT, Xuan LH. Effect of different skin reactions after acupoint application on the efficacy in treating bronchial asthma. Shanghai Zhenjiu Zazhi, 2017, 36(3): 283–286.

    Google Scholar 

  18. Wen BL, Zhou H, Liu BY, Sun GJ, Liu WH, Peng J, Hu JQ, He LY, Fang YG, Zi MJ. Analysis on acupoint prescription for acupoint sticking therapy of treating winter diseases in summer for preventing and curing chronic cough and asthma. Zhongguo Zhen Jiu, 2010, 30(8): 647–652.

    PubMed  Google Scholar 

  19. He J, Bi WQ, Zhuang LX, Wang WH, Zhuang X, Huang LY. Clinical study on vesiculation moxibustion in preventing and treating asthma due to cold deficiency. Shanghai Zhenjiu Zazhi, 2014, 33(1): 34–37.

    Google Scholar 

  20. Liu Y, Liu ZY, Luo R, Dai MM. Clinical observations on acupoint application in dog days and coldest days of winter for the prevention and treatment of child asthma. Shanghai Zhenjiu Zazhi, 2016, 35(10): 1216–1218.

    Google Scholar 

Download references

Acknowledgements

This work was supported by the Projects of Shanghai Science and Technology Committee (上海市科学技术委员会项目, No. 14401933100, No. 16401934000); Shanghai Municipal Special Disease of Traditional Chinese Medicine Alliance Construction Project [上海市中医专病联盟建设项目, No. ZY(2018-2020)-FWTX-4029]; 2017 Scientific and Technological Project of Songjiang District of Shanghai (2017 年上海市松江区科技攻关项目); Shanghai Leading Talents Program of Traditional Chinese Medicine [ 上海市中医药领军人才项目, No. ZY(2018-2020)-RCPY-1024]; The Third Cycle Cooperative Project in Talent Discipline Construction and Joint Research for Diseases of Shanghai First People’s Hospital and Songjiang District of Shanghai (上海市第一人民医院与松江区第三周期人才学科建设和疾病联合攻关合作项目).

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  1. Shanghai First People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200080, China

    Kai-yong Zhang  (张开勇), Si-wei Xu  (徐斯伟), Yang Yang  (杨洋), Yin Shou  (寿崟), Hui-ru Jiang  (蒋会茹) & Bi-meng Zhang  (张必萌)

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  1. Kai-yong Zhang  (张开勇)
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Correspondence to Bi-meng Zhang  (张必萌).

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Informed consent was obtained from the patients in this study.

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Zhang, Ky., Xu, Sw., Yang, Y. et al. Clinical study of optimizing acupoint combining in treatment of bronchial asthma with acupoint application. J. Acupunct. Tuina. Sci. 17, 344–349 (2019). https://doi.org/10.1007/s11726-019-1134-7

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  • DOI: https://doi.org/10.1007/s11726-019-1134-7

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