主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

JOURNAL OF BEIJING UNIVERSITY OF TRADITIONAL CHINESE MEDICINE ›› 2020, Vol. 43 ›› Issue (7): 599-605.doi: 10.3969/j.issn.1006-2157.2020.07.012

• Clinical Studies • Previous Articles     Next Articles

Effects of eye acupuncture combined with external application of warm Chinese herbs on post-stroke shoulder-hand syndrome: a parallel randomized controlled trial of 356 cases*

Shao Yan1, Ju Qingbo1, Liu Jianping2, Kang Jian1, Cui Cong1, An Taijian1, Xu Hui1, Gao Chen1, Zhao Xia1, Wang Pengqin1#   

  1. 1 Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Liaoning 110032, China;
    2 Center for Evidence-Based Medicine, Beijing University of Chinese medicine, Beijing 100029, China
  • Received:2019-12-27 Published:2020-08-11
  • Contact: Wang Pengqin, Chief Physician, Doctoral Supervisor, Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, No.77 Chongshan Road, Huanggu District, Shenyang City, Liaoning 110032, China. E-mail: 23318199@163.com.
  • Supported by:
    Special Project of the State Administration of Traditional Chinese Medicine for the Research of Traditional Chinese Medicine Industry(No.201407001); Construction Project of Traditional Chinese Medicine Academic School Inheritance Studio of State Administration of Traditional Chinese Medicine(No.LPGZS2012-09); Liaoning Provincial Science and Technology Program (No.2019-MS-229); NSFC Youth Science Foundation Project (No.81703993)

Abstract: Objective To observe the effects of eye acupuncture combined with external application of warm Chinese herbs on pain relief in patients with post-stroke shoulder-hand syndrome (SHS) at stage I. Methods A total of 356 SHS participants at stage I were assigned randomly to external warm application group (n=120), eye-acupuncture therapy combined with external warm application (combination therapy) group (n=122), and rehabilitation control group (n=114). The rehabilitation group received usual care while the external warm application group adds external application of warm Chinese herbs. The combination therapy group combined with extra eye acupuncture points on upper and lower jiao areas, heart and kidney. The treatment duration was all 4 weeks in three groups. Visual analogue scale (VAS) score, activities of daily livings (ADL) scale, Fugl-meyer scale and TCM syndrome scores were used to evaluate the pain and mobility of the affected upper limbs, daily living activities and efficacy of syndrome treatment in TCM. Safety was also evaluated in all groups to characterize the efficacy and safety profile of this combination technique. Results VAS scores were significantly reduced in all three groups after treatment when compared with before treatment (P<0.05). The combination therapy group had the most significant score reduction compared with external warm application group and rehabilitation group respectively (P<0.05). Shoulder pain relief was also significantly different among the three groups (P<0.05). Fugl-Meyer and ACL scores increased in all groups after treatment when compared with before treatment (P<0.05). The combination group had the most significant increase with marked difference from those in the external warm application therapy or rehabilitation alone. TCM syndrome scores were also reduced in all three groups after treatment (P<0.05),with the combination group having the most significant reduction of scores in comparison to the external warm application group and rehabilitation group. Conclusion Eye-acupuncture combined with external application of warm Chinese herbs could significantly relieve the pain of shoulder hand syndrome after stroke (pattern of phlegm and stasis obstructing the collaterals) at stage I. This combination therapy can significantly improve the mobility of affected should joint and restore the function of upper limbs without any side effects.

Key words: eye acupuncture combined with external application of warm Chinese herbs, shoulder-hand syndrome, acupuncture therapy, RCT, pain relief, rehabilitation, side effects

CLC Number: 

  • R246