Full
Outline
To analyze the effect of Tongmai Huayu Decoction（通脉化瘀方）combined with directional drug penetration technology in the application of stroke in upper limb hemiplegia.
A total of 80 stroke patients with upper limb hemiplegia admitted to the Rehabilitation Department of The First Affiliated Hospital of Nanyang Medical College from August 2021 to December 2022 were randomly selected to be included in the study，and were divided into control group（40 cases）and experimental group（40 cases）according to random number table method. The control group was treated with routine western medicine，and the experimental group was treated with Tongmai Huayu Decoction combined with directional drug penetration. The therapeutic effect of the two groups was evaluated after 1 month of treatment，and the changes of TCM symptom scores，upper limb function［Wolf Motor Function Test（WMFT）］and blood flow index of the two groups were compared before and after treatment.
The total effective rate of the experimental group was higher than that of the control group（P<0.05）. After treatment，the WMFT scores of the two groups were higher than that before treatment（P<0.05），and the investigator WMFT score was higher than that of the control group（P<0.05）. After treatment，the TCM symptom scores and blood flow index levels of the two groups were lower than those before treatment（P<0.05），and the TCM symptom score and blood flow index level of the experimental group were lower than those of the control group（P<0.05）.
Tongmai Huayu Decoction combined with directional drug penetration can effectively improve that treatment effect of stroke patients with upper limb hemiplegia，relieve the TCM syndrome，and improve the upper limb function and blood supply of the patients.
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| 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 |
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