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| Clinical effect on the treatment of diplopia after stroke of liver and kidney deficiency type with the combination of modified Yiqi Congming Decoction and weijin intersection acupuncture method |
| WANG Yue1 SHAO Yue2 WU Songbai1 LIU Yulan1 SONG Chunxia1 QUAN Xingmiao1 LI Ying1 |
1. Department of Traditional Chinese Medicine, the Affiliated Hospital of Chengde Medical University, Sichuan Province, Chengde 067000, China;
2.Department of Orthopedics and Traumatology, the Affiliated Hospital of Chengde Medical University, Sichuan Province, Chengde 067000, China |
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Abstract Objective To explore the clinical efficacy of Yiqi Congming Decoction combined with weijin intersection acu- puncture in the treatment of diplopia after stroke of liver and kidney deficiency type. Methods A total of 90 patients with post stroke diplopia admitted to Affiliated Hospital of Chengde Medical College from January 2021 to January 2023 were selected as the subjects, and they were divide into three groups by random number table method, with 30 cases in each group. Control group 1 received conventional treatment+modified treatment with Yiqi Congming Decoction; control group 2 received conventional treatment+acupuncture treatment; combined group received conventional treatment+modified Yiqi Congming Decoction +acupuncture treatment. Ten days was one course of treatment. After three courses of treatment, the clinical efficacy, symptom score, ocular function index, and treatment safety of the three groups were evaluated. Results The effective rate of the combined group was higher than that of control group 1 and control group 2 (P＜0.05). After treatment, diplopia, oblique eye, dizziness, nausea， and compensatory head position scores in the three groups were lower than before treatment, and the combined group was significantly lower than control group 1 and control group 2 (P＜0.05). After treatment, the diplopia image distance and pupil diameter of the three groups were smaller than before treatment, and the eye cleft width was larger than before treatment, and the combined group’ diplopia image distance and pupil diameter were smaller than control group 1 and control group 2, and the eye cleft width was larger than control group 1 and control group 2 (P＜0.05). There was no significant difference in the incidence of adverse reactions between the combined group and control group 1 and control group 2 (P＞0.05). Conclusion The clinical efficacy of modified Yiqi Congming Decoction combined with acupuncture in the treatment of post stroke diplopia is significant, which can improve the patients’ traditional symptom and symptom scores.
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