Clinical Study on Huoxue Tongluo Huayu Decoction Combined with Moxibustion for Cerebral Infarction of Qi Deficiency and Blood Stasis Type in Convalescence Phase
Abstract: Objective: To observe the effect of Huoxue Tongluo Huayu Decoction combined with moxibustion on cerebral infarction of qi deficiency and blood stasis type in convalescence phase. Methods: A total of 82 cases of patients with cerebral infarction in convalescence phase were selected and divided into the control group and the treatment group according to the random number table method , with 41 cases in each group. The control group received conventional treatment, and the treatment group received a combination of Huoxue Tongluo Huayu Decoction and moxibustion on the basis of the treatment of the control group. The treatment course for both groups is eight weeks. Compared the clinical efficacy of the two groups and compared the changes in traditional Chinese medicine syndrome scores, Barthel index (BI), Fugl-Meyer Assessment (FMA), National Institutes of Health Stroke Scale (NIHSS), cerebral hemodynamic index values [resistance index (RI),pulsatility index (PI),maximum peak flow velocity (Vs)], and Stroke Specific Quality of Life scale (SS-QOL) scores before and after treatment. Results: The total effective rate of clinical efficacy was 92.68% in the treatment group, and that of 73.17% in the control group, the difference being significant (P<0.05). After treatment, the traditional Chinese medicine syndrome scores of tongue and mouth deviation,hemiplegia,awkward speech,and partial numbness in both groups were declined when compared with those before treatment (P<0.05);the scores of the four traditional Chinese medicine syndromes mentioned above in the treatment group were lower than those in the control group (P<0.05). After treatment,both groups showed an increase in BI and FMA scores when compared with those before treatment (P<0.05), and a decrease in NIHSS scores when compared with those before treatment (P<0.05);the BI and FMA scores in the treatment group were higher than those in the control group (P<0.05),and the NIHSS score was lower than that in the control group (P<0.05). After treatment, both groups showed a decrease in RI and PI index values when compared with those before treatment (P<0.05),and an increase in Vs index values when compared with those before treatment (P< 0.05); the RI and PI index values in the treatment group were lower than those in the control group (P< 0.05), and the Vs index value was higher than that in the control group (P<0.05). After treatment, the SS-QOL scores in both groups were increased when compared with those before treatment (P<0.05);the SS-QOL score in the treatment group was higher than that in the control group (P<0.05). Conclusion:The combination of Huoxue Tongluo Huayu Decoction and moxibustion has a good effect on cerebral infarction of qi deficiency and blood stasis type in convalescence phase,which can improve clinical efficacy,alleviate symptoms,improve cerebral hemodynamics,and enhance quality of life.