[Treatment of Vascular Cognitive Impairment by "Huayu Tongluo" Moxibustion].
ZHEN CI YAN JIU = ACUPUNCTURE RESEARCH 2018;
43:526-530. [PMID:
30232858 DOI:
10.13702/j.1000-0607.170845]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
OBJECTIVE
To observe the therapeutic effect of "Huayu Tongluo"(blood stasis-removing and meridian-collateral-dredging) moxibustion for vascular cognitive impairment(VCI) patients and changes of insulin like growth factor -1(IGF-1) levels in serum after the treatment.
METHODS
Sixty patients with VCI were randomly divided into medication (control) and moxibustion groups (n=30 in each group). Cotton cloth-separated moxibustion was applied to Baihui (GV 20) and Shenting (GV 24), and conventional moxibustion applied to Dazhui (GV 14) and Yongquan (KI 1) for 30 min, once daily, 6 times a week and for 30 days. Patients of the control group were treated by oral administration of Donepezil hydrochloride at the dose of 5 mg/night for 30 days. The core symptoms of traditional Chinese medicine (TCM), mini-mental state examination(MMSE), activity of daily living(ADL) and Montreal cognitive assessment(MoCA) scales were used to assess the therapeutic effect after the treatment. The content of serum IGF-1 was determined by ELISA.
RESULTS
Of the two 30 cases in the control and moxibustion groups, 9 and 17 experienced marked improvement, 13 and were effective, 8 and 3 ineffective, with the effective rates being 73.33% and 90.00%, respectively. The effective rate in the moxibustion group was obviously higher than that in the control group (P<0.05). After the treatment, the TCM symptom scores were significantly decreased, and the MMSE, ADL and MoCA scores considerably increased in both groups compared with those of their own individual pre-treatment (P<0.01). The TCM symptom score of the moxibustion group was significantly lower, and the MMSE and ADL scores were obviously higher than those of the control group (P<0.01). The serum IGF-1 content in both groups was significantly increased after the treatment relevant to that of their own individual pre-treatment (P<0.01), and was obviously higher in the moxibustion group than in the control group (P<0.01). No significant difference was found between the two groups in the MoCA score after the treatment (P>0.05)..
CONCLUSION
"Huayu Tongluo" moxibustion has a positive effect for patients with VCI, which may be associated with its effect in up-regulating serum IGF-1 level.
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