This study aims to observe the rehabilitation effects and neurological impact of acupuncture on the Du meridian combined with repetitive transcranial magnetic stimulation (rTMS) on post-stroke hemiplegia patients based on the theory that “primary treatment of brain lesions should target the Du meridian”.
Ninety post-stroke hemiplegia patients treated in Jingmen Hospital of Traditional Chinese Medicine Affiliated to Hubei University of Chinese Medicine from June 2022 to June 2024 were randomly divided into an observation group and a control group, each consisting of 45 patients. The control group received conventional rehabilitation treatment, while the observation group additionally underwent acupuncture on the Du meridian and rTMS for an 8-week treatment period. The differences in neurological deficit scores (NIHSS), motor function recovery, daily living ability, quality of life, traditional Chinese medicine syndrome scores and clinical efficacy before and after treatment were observed between the two groups.
After treatment, both groups showed reduced NIHSS scores, with the observation group having significantly lower scores (P<0.05). Fugl-Meyer motor scores, Barthel Index scores and stroke-specific quality of life scale (SS-QOL) scores increased in both groups after treatment, with the observation group showing significantly higher improvements (P<0.05). Additionally, traditional Chinese medicine syndrome scores decreased in both groups, with the observation group exhibiting significantly lower scores (P<0.05). The overall effective rate in the observation group was 93.33% (42/45), which was significantly higher than that (73.33%, 33/45) in the control group (P<0.05).
Guided by the theory of “primary treatment of brain lesions via the Du meridian”, acupuncture on the Du meridian combined with rTMS can significantly promote the neurological recovery, improve the motor function and self-care abilities in post-stroke hemiplegia patients, demonstrating substantial clinical efficacy.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |