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

• Published in: Journal of acupuncture and tuina science Vol. 17; no. 5; pp. 344 - 349
• Main Authors: Zhang, Kai-yong, Xu, Si-wei, Yang, Yang, Shou, Yin, Jiang, Hui-ru, Zhang, Bi-meng
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.10.2019; Springer Nature B.V
• Subjects: Acupuncture; Asthma; Clinical Study; Medicine; Medicine & Public Health; Remission (Medicine); Traditional Chinese medicine; 哮喘; A; 呼气峰流速; Acupoint Sticking Therapy; Application Therapy; R245.9; 呼吸功能试验; 用力呼气量; Asthma; Forced Expiratory Volume; Point Selection; 取穴; 穴位贴敷法; Respiratory Function Tests; 敷贴疗法; Peak Expiratory Flow Rate
• ISSN: 1672-3597; 1993-0399
• DOI: 10.1007/s11726-019-1134-7

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).